title: Lack of association of Escherichia coli exhibiting both mannose-resistant haemagglutination and diffuse adherence to HEp-2 cells with acute diarrhoea in children.
abstract: Stool specimens from 631 children with acute diarrhoea and from 277 healthy controls were tested for the presence of non-enteropathogenic, non-enterotoxigenic Escherichia coli strains which mediated mannose-resistant haemagglutination of human erythrocytes (MRHA+). Fifty-nine (34.9%) of 169 isolated MRHA+ strains but none of 210 MRHA- strains exhibited diffuse adherence (DA+) to HEp-2 cells. DA+ strains were found in 37 (5.9%) children with diarrhoea and in 22 (7.9%) controls. MRHA+/DA+ strains in comparison to MRHA+/DA- strains significantly less frequently expressed P fimbriae (10.7 vs. 73.6%), haemolysin production (12.5 vs. 63.2%), and MRHA of other species erythrocytes (21.4 vs. 84%). These data demonstrate that E. coli which exhibit the diffuse pattern of adherence to HEp-2 cells also cause MRHA of human erythrocytes. Since these strains were found with similar frequencies in children with and without diarrhoea it seems that DA is not a marker of enteropathogenicity of E. coli.
authors.affiliation: Institute of Preventive Medicine, Military Medical Academy, Belgrade, Yugoslavia.
authors.forename: M
authors.initials: M
authors.lastname: Cobeljić
authors.forename: I
authors.initials: I
authors.lastname: Stojiljković
authors.forename: A
authors.initials: A
authors.lastname: Budisin
authors.forename: Z
authors.initials: Z
authors.lastname: Lepsanović
authors.forename: N
authors.initials: N
authors.lastname: Lers
mesh_terms: D000208:Acute Disease; D001422:Bacterial Adhesion; D002460:Cell Line; D002675:Child, Preschool; D003967:Diarrhea / Q000382:microbiology*; D004926:Escherichia coli / Q000378:metabolism*; D004927:Escherichia coli Infections / Q000382:microbiology*; D005243:Feces / Q000382:microbiology; D010861:Fimbriae, Bacterial; D006384:Hemagglutination; D006801:Humans; D007223:Infant; D007841:Latex Fixation Tests; D008358:Mannose / Q000494:pharmacology; D010641:Phenotype
chemical_list: D008358:Mannose