title: The distribution of the bft alleles among enterotoxigenic Bacteroides fragilis strains from stool specimens and extraintestinal sites.
abstract: Enterotoxigenic Bacteroides fragilis (ETBF) has been implicated in diarrhoeal illness in animals and humans. Recent data suggest that ETBF is associated with flares of inflammatory bowel disease. Toxigenicity is attributed to expression of a toxin referred to as fragilysin, which stimulates fluid accumulation in ligated intestinal segments and alter the morphology of human intestinal cells. Three different isoforms or variants of the enterotoxin gene, designated bft-1, bft-2, and bft-3, have been identified. In this study we investigated the distribution of bft alleles among ETBF strains in stool specimens from patients with colon cancer (n: 31), the control patients (n: 8) and extraintestinal sources (n: 15). We used restriction fragment length polymorphism analysis of the PCR-amplified enterotoxin gene and sequencing the PCR-product to detect the isoforms of bft gene. Among the stool strains, bft-1 was found to be more common than bft-2; as it was detected 27 of 31 strains from colon cancer patients and 7 of 8 control strains. The bft-1 isoform was also found in almost all isolates from extraintestinal sites. No bft-3 subtype was detected among all tested strains.
authors.affiliation: Medical School, Department of Clinical Microbiology, Marmara University, Haydarpasa, Tibbiye Cad, Istanbul, Turkey. nulger@marmara.edu.tr
authors.forename: Nurver
authors.initials: N
authors.lastname: Ulger Toprak
authors.forename: Dunstan
authors.initials: D
authors.lastname: Rajendram
authors.forename: Aysegul
authors.initials: A
authors.lastname: Yagci
authors.forename: Saheer
authors.initials: S
authors.lastname: Gharbia
authors.forename: Haroun N
authors.initials: HN
authors.lastname: Shah
authors.forename: Bahadir M
authors.initials: BM
authors.lastname: Gulluoglu
authors.forename: Levhi M
authors.initials: LM
authors.lastname: Akin
authors.forename: Pakize
authors.initials: P
authors.lastname: Demirkalem
authors.forename: Tuncay
authors.initials: T
authors.lastname: Celenk
authors.forename: Guner
authors.initials: G
authors.lastname: Soyletir
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000483:Alleles; D001427:Bacterial Toxins / Q000145:classification / Q000235:genetics*; D001442:Bacteroides Infections / Q000150:complications / Q000382:microbiology*; D001441:Bacteroides fragilis / Q000235:genetics* / Q000302:isolation & purification; D016022:Case-Control Studies; D003110:Colonic Neoplasms / Q000150:complications / Q000382:microbiology; D017931:DNA Primers / Q000737:chemistry; D004269:DNA, Bacterial / Q000737:chemistry; D005243:Feces / Q000382:microbiology*; D006801:Humans; D008666:Metalloendopeptidases / Q000145:classification / Q000235:genetics*; D008875:Middle Aged; D016133:Polymerase Chain Reaction / Q000379:methods; D012150:Polymorphism, Restriction Fragment Length
chemical_list: D001427:Bacterial Toxins; D017931:DNA Primers; D004269:DNA, Bacterial; C405031:Bacteroides fragilis toxin; D008666:Metalloendopeptidases