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Sökning: WFRF:(Rasko D. A.) > (2015-2019) > Colonization factor...

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FältnamnIndikatorerMetadata
00007088naa a2201069 4500
001oai:gup.ub.gu.se/279926
003SwePub
008240528s2019 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2799262 URI
024a https://doi.org/10.1371/journal.pntd.00070372 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Vidal, R. M.4 aut
2451 0a Colonization factors among enterotoxigenic Escherichia coli isolates from children with moderate-to-severe diarrhea and from matched controls in the Global Enteric Multicenter Study (GEMS)
264 c 2019-01-04
264 1b Public Library of Science (PLoS),c 2019
520 a Background Enterotoxigenic Escherichia coli (ETEC) encoding heat-stable enterotoxin (ST) alone or with heat-labile enterotoxin (LT) cause moderate-to-severe diarrhea (MSD) in developing country children. The Global Enteric Multicenter Study (GEMS) identified ETEC encoding ST among the top four enteropathogens. Since the GEMS objective was to provide evidence to guide development and implementation of enteric vaccines and other interventions to diminish diarrheal disease morbidity and mortality, we examined colonization factor (CF) prevalence among ETEC isolates from children age <5 years with MSD and from matched controls in four African and three Asian sites. We also assessed strength of association of specific CFs with MSD. Methodology/Principal findings MSD cases enrolled at healthcare facilities over three years and matched controls were tested in a standardized manner for many enteropathogens. To identify ETEC, three E. coli colonies per child were tested by polymerase chain reaction (PCR) to detect genes encoding LT, ST; confirmed ETEC were examined by PCR for major CFs (Colonization Factor Antigen I [CFA/I] or Coli Surface [CS] antigens CS1-CS6) and minor CFs (CS7, CS12, CS13, CS14, CS17, CS18, CS19, CS20, CS21, CS30). ETEC from 806 cases had a single toxin/CF profile in three tested strains per child. Major CFs, components of multiple ETEC vaccine candidates, were detected in 66.0% of LT/ST and ST-only cases and were associated with MSD versus matched controls by conditional logistic regression (p0.006); major CFs detected in only 25.0% of LT-only cases weren't associated with MSD. ETEC encoding exclusively CS14, identified among 19.9% of 291 ST-only and 1.5% of 259 LT/ST strains, were associated with MSD (p = 0.0011). No other minor CF exhibited prevalence 5% and significant association with MSD. Conclusions/Significance Major CF-based efficacious ETEC vaccines could potentially prevent up to 66% of pediatric MSD cases due to ST-encoding ETEC in developing countries; adding CS14 extends coverage to similar to 77%. Author summary Enterotoxigenic Escherichia coli (ETEC) were found to be one of the four most consistently important agents that cause moderate-to-severe diarrhea among children <5 years of age in a large case-control study, the Global Enteric Multicenter Study, performed in four countries in sub-Saharan Africa and three in South Asia. ETEC attach to the lining of the human small intestine by means of protein colonization factors (CFs), after which bacterial toxins stimulate intestinal secretion resulting in diarrhea. Moderate-to-severe diarrhea in young children in developing countries can lead to malnutrition and death. Vaccines are being developed to prevent ETEC diarrhea and its consequences. Several ETEC vaccines aim to stimulate antibodies (protective proteins) that will bind CFs and prevent the bacteria from attaching to intestinal cells, which should, in turn, prevent ETEC diarrhea. Different types of CFs exist. To guide the development of vaccines intending to provide broad protection against ETEC, one must know the frequency with which the different major CFs are produced by ETEC. This paper reports an extensive systematic survey of ETEC CFs and provides helpful information to guide the development of ETEC vaccines.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
653 a factor antigen-i
653 a developing-countries
653 a young-children
653 a multiple
653 a comparisons
653 a immune-responses
653 a regulatory gene
653 a longus pilus
653 a vaccine
653 a infections
653 a expression
653 a Infectious Diseases
653 a Parasitology
653 a Tropical Medicine
700a Muhsen, K.4 aut
700a Tennant, S. M.4 aut
700a Svennerholm, Ann-Mari,d 1947u Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för mikrobiologi och immunologi,Institute of Biomedicine, Department of Microbiology and Immunology4 aut0 (Swepub:gu)xsannx
700a Sow, S. O.4 aut
700a Sur, D.4 aut
700a Zaidi, A. K. M.4 aut
700a Faruque, A. S. G.4 aut
700a Saha, D.4 aut
700a Adegbola, R.4 aut
700a Hossain, M. J.4 aut
700a Alonso, P. L.4 aut
700a Breiman, R. F.4 aut
700a Bassat, Q.4 aut
700a Tamboura, B.4 aut
700a Sanogo, D.4 aut
700a Onwuchekwa, U.4 aut
700a Manna, B.4 aut
700a Ramamurthy, T.4 aut
700a Kanungo, S.4 aut
700a Ahmed, S.4 aut
700a Qureshi, S.4 aut
700a Quadri, F.4 aut
700a Hossain, A.4 aut
700a Das, S. K.4 aut
700a Antonio, M.4 aut
700a Mandomando, I.4 aut
700a Nhampossa, T.4 aut
700a Acacio, S.4 aut
700a Omore, R.4 aut
700a Ochieng, J. B.4 aut
700a Oundo, J. O.4 aut
700a Mintz, E. D.4 aut
700a O'Reilly, C. E.4 aut
700a Berkeley, L. Y.4 aut
700a Livio, S.4 aut
700a Panchalingam, S.4 aut
700a Nasrin, D.4 aut
700a Farag, T. H.4 aut
700a Wu, Y. K.4 aut
700a Sommerfelt, H.4 aut
700a Robins-Browne, R. M.4 aut
700a Del Canto, F.4 aut
700a Hazen, T. H.4 aut
700a Rasko, D. A.4 aut
700a Kotloff, K. L.4 aut
700a Nataro, J. P.4 aut
700a Levine, M. M.4 aut
700a Ron J, Infection4 aut
700a Immunity, V. P.4 aut
700a Ron J, Infection4 aut
700a Immunity, V. P.4 aut
710a Göteborgs universitetb Institutionen för biomedicin, avdelningen för mikrobiologi och immunologi4 org
773t Plos Neglected Tropical Diseasesd : Public Library of Science (PLoS)g 13:1q 13:1x 1935-2735
856u https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0007037&type=printable
8564 8u https://gup.ub.gu.se/publication/279926
8564 8u https://doi.org/10.1371/journal.pntd.0007037

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