Estimating the Prevalence of Potential Enteropathogenic Escherichia coli and Intimin Gene Diversity in a Human Community by Monitoring Sanitary Sewage
ABSTRACTPresently, the understanding of bacterial enteric diseases in the community and their virulence factors relies almost exclusively on clinical disease reporting and examination of clinical pathogen isolates. This study aimed to investigate the feasibility of an alternative approach that monitors potential enteropathogenicEscherichia coli(EPEC) and enterohemorrhagicE. coli(EHEC) prevalence and intimin gene (eae) diversity in a community by directly quantifying and characterizing target virulence genes in the sanitary sewage. The quantitative PCR (qPCR) quantification of theeae,stx1, andstx2genes in sanitary sewage samples collected over a 13-month period detectedeaein all 13 monthly sewage samples at significantly higher abundance (93 to 7,240 calibrator cell equivalents [CCE]/100 ml) thanstx1andstx2, which were detected sporadically. The prevalence level of potential EPEC in the sanitary sewage was estimated by calculating the ratio ofeaetouidA, which averaged 1.0% (σ = 0.4%) over the 13-month period. Cloning and sequencing of theeaegene directly from the sewage samples covered the majority of theeaediversity in the sewage and detected 17 uniqueeaealleles belonging to 14 subtypes. Among them,eae-β2 was identified to be the most prevalent subtype in the sewage, with the highest detection frequency in the clone libraries (41.2%) and within the different sampling months (85.7%). Additionally, sewage and environmentalE. coliisolates were also obtained and used to determine the detection frequencies of the virulence genes as well aseaegenetic diversity for comparison.