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| *''E. coli'' is part of the flora of the large intestine, but is not usually found in the small intestine | | *''E. coli'' is part of the flora of the large intestine, but is not usually found in the small intestine |
| *Some strains possess fimbrae which attach the bacteria to the small intestinal epithelium of particular animal species | | *Some strains possess fimbrae which attach the bacteria to the small intestinal epithelium of particular animal species |
− | *K88 (F4) is associated with adhesion to the small intestinal mucosa of pigs
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− | *K99 (F5) associated with adhesion in pigs and cattle (these fimbrial adhesins were originally thought to be capsular (K) antigens)
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− | *The fimbrae are encoded by plasmids
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| *''E. coli'' may cause diarrhoea via attaching and effacing lesions, where bacteria adhere intimately to the enterocyte, and cause localised effacement of the brush border microvilli; the epithelial erosion causes dysentery | | *''E. coli'' may cause diarrhoea via attaching and effacing lesions, where bacteria adhere intimately to the enterocyte, and cause localised effacement of the brush border microvilli; the epithelial erosion causes dysentery |
| *Enterotoxigenic ''E. coli'' (ETEC): | | *Enterotoxigenic ''E. coli'' (ETEC): |
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| **'Traveller's diarrhoea' in humans | | **'Traveller's diarrhoea' in humans |
| **Oral infection, intestinal colonisation and toxin production | | **Oral infection, intestinal colonisation and toxin production |
| + | **Fimbrial adhesins allow bacteria to attach to mucosal surfacesin the small intestine and lower urinary tract; this prevents expulsion by peristalsis and flushing of urine |
| + | *K88 (F4) is associated with adhesion to the small intestinal mucosa of pigs |
| + | *K99 (F5) associated with adhesion in pigs and cattle (these fimbrial adhesins were originally thought to be capsular (K) antigens) |
| + | *The fimbrae are encoded by plasmids |
| **These strains carry a plasmid which encodes an enterotoxin | | **These strains carry a plasmid which encodes an enterotoxin |
| **Two types of enterotoxin: heat-labile (LT) and heat-stable (ST) toxins | | **Two types of enterotoxin: heat-labile (LT) and heat-stable (ST) toxins |
| **The plasmids which produce these toxins are responsible for the pathogenicity of these strains | | **The plasmids which produce these toxins are responsible for the pathogenicity of these strains |
| **Fimbrial antigen or colonisation factor antigens (CFAs)determine species specificity | | **Fimbrial antigen or colonisation factor antigens (CFAs)determine species specificity |
− | **Fimbrial adhesins allow bacteria to attach to mucosal surfacesin the small intestine and lower urinary tract; this prevents expulsion by peristalsis and flushing of urine
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| **LT is an oligometric toxin composed of an enzymatically-active A subunit (30KDa; 2 fragments - A1 and A2) and 5 identical B subunits (12KDa) forming the binding portion (B oligomer) | | **LT is an oligometric toxin composed of an enzymatically-active A subunit (30KDa; 2 fragments - A1 and A2) and 5 identical B subunits (12KDa) forming the binding portion (B oligomer) |
| **It attaches to the brush border of the epithelial cells of the small intestine | | **It attaches to the brush border of the epithelial cells of the small intestine |
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| **An adhesin, intimin is required for attchment to enterocytes | | **An adhesin, intimin is required for attchment to enterocytes |
| **Cause attching and effacing lesions in the gut | | **Cause attching and effacing lesions in the gut |
− | *Enteroinvasive ''E. coli'' | + | *Enteroinvasive ''E. coli'': |
| **Dysentry-like strains | | **Dysentry-like strains |
| **Invade epithelial cells by inducing endocytosis | | **Invade epithelial cells by inducing endocytosis |
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| **Disseminated intravascular coagulation and thrombus formation | | **Disseminated intravascular coagulation and thrombus formation |
| **''E. coli'' O157:H7 causes haemorrhagic collitis-haemolytic uraemic syndrome in humans | | **''E. coli'' O157:H7 causes haemorrhagic collitis-haemolytic uraemic syndrome in humans |
− | *Enteroaggretative ''E. coli'':
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| *Oedema disease of pigs: | | *Oedema disease of pigs: |