title: Prevalence and molecular diversity of pHS-2 plasmids, marker for arthritogenicity, among clinical Escherichia coli Shigella isolates.
abstract: Reactive arthritis can occur after numerous bacterial infections, including bacillary dysentery caused by Escherichia coli Shigella. A major risk factor for the disease is the HLA B27 phenotype in the human host. By comparison between plasmid profiles of arthritogenic vs. nonarthritogenic Shigella strains, the pHS-2 plasmid has been previously associated with the arthritogenic capacity of Shigella isolates. However, the prevalence of this plasmid in the various Shigella biotypes and serotypes is largely unknown. On this background, 188 clinical isolates from intestinal disease representing all 46 Shigella serogroups were studied for the presence of the pHS-2 plasmid, using PCR, dot blot and Southern blot techniques and by analysis of restriction fragment length polymorphisms. The pHS-2 plasmid was found in nine of 14 E. coli Flexneri serogroups, in E. coli Dysenteriae 1 and in E. coli Boydii 16. In addition, we show marked variability of this plasmid in E. coli Flexneri 3A and 4A strains. Major biological diversity of the pHS-2 plasmid was found to be strictly related to Shigella serogroups. The prevalence pattern of the pHS-2 plasmid matches published data on arthritogenic Shigella isolates, providing additional indirect evidence for the potential validity of this plasmid as a marker for arthritogenicity.
authors.affiliation: Institut für Mikrobiologie und Hygiene, Medizinische Fakultät der Humboldt-Universität, Charité, Dorotheenstr. 96, 10117, Berlin, Germany. thomas.adam@charite.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Adam
authors.forename: Roland
authors.initials: R
authors.lastname: Siewerdt
authors.forename: Indre
authors.initials: I
authors.lastname: Offermann
authors.forename: Jörg
authors.initials: J
authors.lastname: Lang
authors.forename: Helmut
authors.initials: H
authors.lastname: Tschäpe
authors.forename: Joachim
authors.initials: J
authors.lastname: Sieper
authors.forename: Barbara
authors.initials: B
authors.lastname: Graf
mesh_terms: D016918:Arthritis, Reactive / Q000382:microbiology*; D004405:Dysentery, Bacillary / Q000382:microbiology*; D004926:Escherichia coli / Q000145:classification; D014644:Genetic Variation; D015151:Immunoblotting; D008957:Models, Genetic; D009693:Nucleic Acid Hybridization; D015345:Oligonucleotide Probes; D010957:Plasmids / Q000235:genetics*; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length; D012760:Shigella / Q000235:genetics* / Q000302:isolation & purification / Q000472:pathogenicity; D014774:Virulence
chemical_list: D015345:Oligonucleotide Probes