TY  - JOUR
A1  - Bielaszewska, Martina
A1  - Schiller, Roswitha
A1  - Lammers, Lydia
A1  - Bauwens, Andreas
A1  - Fruth, Angelika
A1  - Middendorf, Barbara
A1  - Schmidt, M. Alexander
A1  - Tarr, Phillip I.
A1  - Dobrindt, Ulrich
A1  - Karch, Helge
A1  - Mellmann, Alexander
T1  - Heteropathogenic virulence and phylogeny reveal phased pathogenic metamorphosis in Escherichia coli O2:H6
JF  - EMBO Molecular Medicine
N2  - Extraintestinal pathogenic and intestinal pathogenic (diarrheagenic) Escherichia coli differ phylogenetically and by virulence profiles. Classic theory teaches simple linear descent in this species, where non-pathogens acquire virulence traits and emerge as pathogens. However, diarrheagenic Shiga toxin-producing E.coli (STEC) O2:H6 not only possess and express virulence factors associated with diarrheagenic and uropathogenic E.coli but also cause diarrhea and urinary tract infections. These organisms are phylogenetically positioned between members of an intestinal pathogenic group (STEC) and extraintestinal pathogenic E.coli. STEC O2:H6 is, therefore, a 'heteropathogen,' and the first such hybrid virulent E.coli identified. The phylogeny of these E.coli and the repertoire of virulence traits they possess compel consideration of an alternate view of pathogen emergence, whereby one pathogroup of E.coli undergoes phased metamorphosis into another. By understanding the evolutionary mechanisms of bacterial pathogens, rational strategies for counteracting their detrimental effects on humans can be developed.
KW  - phased metamorphosis
KW  - phylogeny
KW  - heteropathogenicity
KW  - Shiga toxin-producing Escherichia coli
KW  - hemolytic-uremic syndrome
KW  - urinary-tract-infection
KW  - cytolethal distending toxin
KW  - shiga toxin
KW  - Crohns-disease
KW  - outbreak
KW  - genes
KW  - island
KW  - strains
KW  - parallel evolution
KW  - uropathogenic Escherichia coli
Y1  - 2014
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-117254
SN  - 1757-4684
VL  - 6
IS  - 3
ER  -