Skip to main content
Top
Published in: BMC Medicine 1/2012

Open Access 01-12-2012 | Commentary

Treatment of enterohemorrhagic Escherichia coli (EHEC) infection and hemolytic uremic syndrome (HUS)

Authors: Paul N Goldwater, Karl A Bettelheim

Published in: BMC Medicine | Issue 1/2012

Login to get access

Abstract

Verotoxigenic Escherichia coli (VTEC) are a specialized group of E. coli that can cause severe colonic disease and renal failure. Their pathogenicity derives from virulence factors that enable the bacteria to colonize the colon and deliver extremely powerful toxins known as verotoxins (VT) or Shiga toxins (Stx) to the systemic circulation. The recent devastating E. coli O104:H4 epidemic in Europe has shown how helpless medical professionals are in terms of offering effective therapies. By examining the sources and distribution of these bacteria, and how they cause disease, we will be in a better position to prevent and treat the inevitable future cases of sporadic disease and victims of common source outbreaks. Due to the complexity of pathogenesis, it is likely a multitargeted approach is warranted. Developments in terms of these treatments are discussed.
Literature
1.
go back to reference Konowalchuk J, Speirs JI, Stavric S: Vero response to a cytotoxin of Escherichia coli. Infect Immun. 1977, 18: 775-779.PubMedPubMedCentral Konowalchuk J, Speirs JI, Stavric S: Vero response to a cytotoxin of Escherichia coli. Infect Immun. 1977, 18: 775-779.PubMedPubMedCentral
2.
go back to reference Wade WG, Thom BT, Evans BT: Cytotoxic enteropathogenic Escherichia coli. Lancet. 1979, 2: 1235-1236.CrossRefPubMed Wade WG, Thom BT, Evans BT: Cytotoxic enteropathogenic Escherichia coli. Lancet. 1979, 2: 1235-1236.CrossRefPubMed
4.
go back to reference Riley LW, Remis RS, Helgerson SD, McGee HB, Wells GJ, Herbert RJ, Olcott ES, Johnson LM, Hargrett NT, Blake PA, Cohen ML: Hemorrhagic colitis associated with a rare Escherichia coli serotype. New Engl J Med. 1983, 308: 681-685. 10.1056/NEJM198303243081203.CrossRefPubMed Riley LW, Remis RS, Helgerson SD, McGee HB, Wells GJ, Herbert RJ, Olcott ES, Johnson LM, Hargrett NT, Blake PA, Cohen ML: Hemorrhagic colitis associated with a rare Escherichia coli serotype. New Engl J Med. 1983, 308: 681-685. 10.1056/NEJM198303243081203.CrossRefPubMed
5.
go back to reference Karmali MA, Steele BT, Petric M, Lim C: Sporadic cases of haemolytic-uraemic syndrome associated with faecal cytotoxin and cytotoxin-producing Escherichia coli in stools. Lancet. 1983, 1: 619-620.CrossRefPubMed Karmali MA, Steele BT, Petric M, Lim C: Sporadic cases of haemolytic-uraemic syndrome associated with faecal cytotoxin and cytotoxin-producing Escherichia coli in stools. Lancet. 1983, 1: 619-620.CrossRefPubMed
6.
go back to reference Karch H, Mellmann A, Bielaszewska M: Epidemiology and pathogenesis of enterohaemorrhagic Escherichia coli. Berl Munch Tierarztl Wochenschr. 2009, 122: 417-424.PubMed Karch H, Mellmann A, Bielaszewska M: Epidemiology and pathogenesis of enterohaemorrhagic Escherichia coli. Berl Munch Tierarztl Wochenschr. 2009, 122: 417-424.PubMed
7.
go back to reference Werber D, Krause G, Frank C, Fruth A, Flieger A, Mielke M, Schaade L, Stark K: Outbreaks of virulent diarrhoeagenic Escherichia coli - are we in control?. BMC Medicine. 2012, 10: 11-10.1186/1741-7015-10-11.CrossRefPubMedPubMedCentral Werber D, Krause G, Frank C, Fruth A, Flieger A, Mielke M, Schaade L, Stark K: Outbreaks of virulent diarrhoeagenic Escherichia coli - are we in control?. BMC Medicine. 2012, 10: 11-10.1186/1741-7015-10-11.CrossRefPubMedPubMedCentral
8.
go back to reference Bettelheim KA, Faiers M, Shooter RA: Serotypes of Escherichia coli in normal stools. Lancet. 1972, 2: 1224-1226.CrossRef Bettelheim KA, Faiers M, Shooter RA: Serotypes of Escherichia coli in normal stools. Lancet. 1972, 2: 1224-1226.CrossRef
9.
go back to reference Bettelheim KA, Kuzevski A, Gilbert RA, Krause DO, McSweeney CS: The diversity of Escherichia coli serotypes and biotypes in cattle faeces. J Appl Microbiol. 2005, 98: 699-709. 10.1111/j.1365-2672.2004.02501.x.CrossRefPubMed Bettelheim KA, Kuzevski A, Gilbert RA, Krause DO, McSweeney CS: The diversity of Escherichia coli serotypes and biotypes in cattle faeces. J Appl Microbiol. 2005, 98: 699-709. 10.1111/j.1365-2672.2004.02501.x.CrossRefPubMed
10.
go back to reference Kulkarni H, Goldwater PN, Martin A, Bettelheim KA: Escherichia coli 'O' group serological responses and clinical correlations in epidemic HUS patients. Comp Immunol Microbiol Infect Dis. 2002, 25: 249-268. 10.1016/S0147-9571(02)00011-5.CrossRefPubMed Kulkarni H, Goldwater PN, Martin A, Bettelheim KA: Escherichia coli 'O' group serological responses and clinical correlations in epidemic HUS patients. Comp Immunol Microbiol Infect Dis. 2002, 25: 249-268. 10.1016/S0147-9571(02)00011-5.CrossRefPubMed
11.
go back to reference Hornitzky MA, Mercieca K, Bettelheim KA, Djordjevic SP: Bovine feces from animals with gastrointestinal infections are a source of serologically diverse atypical enteropathogenic Escherichia coli and Shiga toxin-producing E. coli strains that commonly possess intimin. Appl Environ Microbiol. 2005, 71: 3405-3412. 10.1128/AEM.71.7.3405-3412.2005.CrossRefPubMedPubMedCentral Hornitzky MA, Mercieca K, Bettelheim KA, Djordjevic SP: Bovine feces from animals with gastrointestinal infections are a source of serologically diverse atypical enteropathogenic Escherichia coli and Shiga toxin-producing E. coli strains that commonly possess intimin. Appl Environ Microbiol. 2005, 71: 3405-3412. 10.1128/AEM.71.7.3405-3412.2005.CrossRefPubMedPubMedCentral
12.
go back to reference Brett KN, Hornitzky MA, Bettelheim KA, Walker K, Djordjevic SP: Bovine non-O157 Shiga toxin 2-containing Escherichia coli isolates commonly possess stx2-EDL933 and/or stx2vhb subtypes. J Clin Microbiol. 2003, 41: 2716-2722. 10.1128/JCM.41.6.2716-2722.2003.CrossRefPubMedPubMedCentral Brett KN, Hornitzky MA, Bettelheim KA, Walker K, Djordjevic SP: Bovine non-O157 Shiga toxin 2-containing Escherichia coli isolates commonly possess stx2-EDL933 and/or stx2vhb subtypes. J Clin Microbiol. 2003, 41: 2716-2722. 10.1128/JCM.41.6.2716-2722.2003.CrossRefPubMedPubMedCentral
13.
go back to reference Tarr PI, Gordon CA, Chandler WL: Shiga-toxin-producing Escherichia coli and haemolytic uraemic syndrome. Lancet. 2005, 365: 1073-1086.PubMed Tarr PI, Gordon CA, Chandler WL: Shiga-toxin-producing Escherichia coli and haemolytic uraemic syndrome. Lancet. 2005, 365: 1073-1086.PubMed
14.
go back to reference Wang H, Paton AW, McColl SR, Paton JC: In vivo leukocyte changes induced by Escherichia coli subtilase cytotoxin. Infect Immun. 2011, 79: 1671-1679. 10.1128/IAI.01204-10.CrossRefPubMedPubMedCentral Wang H, Paton AW, McColl SR, Paton JC: In vivo leukocyte changes induced by Escherichia coli subtilase cytotoxin. Infect Immun. 2011, 79: 1671-1679. 10.1128/IAI.01204-10.CrossRefPubMedPubMedCentral
15.
go back to reference Janka A, Bielaszewska M, Dobrindt U, Greune L, Schmidt MA, Karch H: Cytolethal distending toxin gene cluster in enterohemorrhagic Escherichia coli O157:H- and O157:H7: characterization and evolutionary considerations. Infect Immun. 2003, 71: 3634-3638. 10.1128/IAI.71.6.3634-3638.2003.CrossRefPubMedPubMedCentral Janka A, Bielaszewska M, Dobrindt U, Greune L, Schmidt MA, Karch H: Cytolethal distending toxin gene cluster in enterohemorrhagic Escherichia coli O157:H- and O157:H7: characterization and evolutionary considerations. Infect Immun. 2003, 71: 3634-3638. 10.1128/IAI.71.6.3634-3638.2003.CrossRefPubMedPubMedCentral
16.
go back to reference Grys TE, Walters LL, Welch RA: Characterization of the StcE protease activity of Escherichia coli O157:H7. J Bacteriol. 2006, 188: 4646-4653. 10.1128/JB.01806-05.CrossRefPubMedPubMedCentral Grys TE, Walters LL, Welch RA: Characterization of the StcE protease activity of Escherichia coli O157:H7. J Bacteriol. 2006, 188: 4646-4653. 10.1128/JB.01806-05.CrossRefPubMedPubMedCentral
17.
go back to reference Denamur E: The 2011 Shiga toxin-producing Escherichia coli O104:H4 German outbreak: a lesson in genomic diversity. Clin Microbiol Infect. 2011, 17: 1124-1125. 10.1111/j.1469-0691.2011.03620.x.CrossRefPubMed Denamur E: The 2011 Shiga toxin-producing Escherichia coli O104:H4 German outbreak: a lesson in genomic diversity. Clin Microbiol Infect. 2011, 17: 1124-1125. 10.1111/j.1469-0691.2011.03620.x.CrossRefPubMed
18.
go back to reference Rohde H, Qin J, Cui Y, Li D, Loman NJ, Hentschke M, Chen W, Pu F, Peng Y, Li J, Xi F, Li S, Li Y, Zhang Z, Yang X, Zhao M, Wang P, Guan Y, Cen Z, Zhao X, Christner M, Kobbe R, Loos S, Oh J, Yang L, Danchin A, Gao GF, Song Y, Li Y, Yang H, et al: Open-source genomic analysis of Shiga-toxin-producing E. coli O104:H4. New Engl J Med. 2011, 365: 718-724. 10.1056/NEJMoa1107643.CrossRefPubMed Rohde H, Qin J, Cui Y, Li D, Loman NJ, Hentschke M, Chen W, Pu F, Peng Y, Li J, Xi F, Li S, Li Y, Zhang Z, Yang X, Zhao M, Wang P, Guan Y, Cen Z, Zhao X, Christner M, Kobbe R, Loos S, Oh J, Yang L, Danchin A, Gao GF, Song Y, Li Y, Yang H, et al: Open-source genomic analysis of Shiga-toxin-producing E. coli O104:H4. New Engl J Med. 2011, 365: 718-724. 10.1056/NEJMoa1107643.CrossRefPubMed
19.
go back to reference Brigotti M, Tazzari P, Pier L, Ravanelli E, Carnicelli D, Rocchi L, Arfilli V, Scavia G, Minelli F, Ricci F, Pagliaro P, Ferretti A, Pecoraro C, Paglialonga F, Edefonti A, Procaccino M, Tozzi A, Caprioli A: Clinical relevance of Shiga toxin concentrations in the blood of patients with hemolytic uremic syndrome. Pediatr Infect Dis J. 2011, 30: 486-490.PubMed Brigotti M, Tazzari P, Pier L, Ravanelli E, Carnicelli D, Rocchi L, Arfilli V, Scavia G, Minelli F, Ricci F, Pagliaro P, Ferretti A, Pecoraro C, Paglialonga F, Edefonti A, Procaccino M, Tozzi A, Caprioli A: Clinical relevance of Shiga toxin concentrations in the blood of patients with hemolytic uremic syndrome. Pediatr Infect Dis J. 2011, 30: 486-490.PubMed
20.
go back to reference Ridolfi RL, Bell WR: Thrombotic thrombocytopenic purpura. Report of 25 cases and review of the literature. Medicine (Baltimore). 1981, 60: 413-428. 10.1097/00005792-198111000-00003.CrossRef Ridolfi RL, Bell WR: Thrombotic thrombocytopenic purpura. Report of 25 cases and review of the literature. Medicine (Baltimore). 1981, 60: 413-428. 10.1097/00005792-198111000-00003.CrossRef
21.
go back to reference Mitra D, Jaffe EA, Weksler B, Hajjar KA, Soderland C, Laurence J: Thrombotic thrombocytopenic purpura and sporadic hemolytic-uremic syndrome plasmas induce apoptosis in restricted lineages of human microvascular endothelial cells. Blood. 1997, 89: 1224-1234.PubMed Mitra D, Jaffe EA, Weksler B, Hajjar KA, Soderland C, Laurence J: Thrombotic thrombocytopenic purpura and sporadic hemolytic-uremic syndrome plasmas induce apoptosis in restricted lineages of human microvascular endothelial cells. Blood. 1997, 89: 1224-1234.PubMed
22.
go back to reference Motto DG, Chauhan AK, Zhu G, Homeister J, Lamb CB, Desch KC, Zhang W, Tsai H, Wagner DD, Ginsburg D: Shigatoxin triggers thrombotic thrombocytopenic purpura in genetically susceptible ADAMTS13-deficient mice. J Clin Invest. 2005, 115: 2752-2761. 10.1172/JCI26007.CrossRefPubMedPubMedCentral Motto DG, Chauhan AK, Zhu G, Homeister J, Lamb CB, Desch KC, Zhang W, Tsai H, Wagner DD, Ginsburg D: Shigatoxin triggers thrombotic thrombocytopenic purpura in genetically susceptible ADAMTS13-deficient mice. J Clin Invest. 2005, 115: 2752-2761. 10.1172/JCI26007.CrossRefPubMedPubMedCentral
23.
go back to reference Etienne-Mesmin L, Chassaing B, Sauvanet P, Denizot J, Blanquet-Diot S, Darfeuille-Michaud A, Pradel N, Livrelli V: Interactions with M Cells and macrophages as key steps in the pathogenesis of enterohemorragic Escherichia coli Infections. PLoS ONE. 2011, 6: e23594-10.1371/journal.pone.0023594.CrossRefPubMedPubMedCentral Etienne-Mesmin L, Chassaing B, Sauvanet P, Denizot J, Blanquet-Diot S, Darfeuille-Michaud A, Pradel N, Livrelli V: Interactions with M Cells and macrophages as key steps in the pathogenesis of enterohemorragic Escherichia coli Infections. PLoS ONE. 2011, 6: e23594-10.1371/journal.pone.0023594.CrossRefPubMedPubMedCentral
24.
go back to reference Ake JA, Jelacic S, Ciol MA, Watkins SL, Murray KF, Christie DL, Klein EJ, Tarr PI: Relative nephroprotection during Escherichia coli O157:H7 infections: association with intravenous volume expansion. Pediatrics. 2005, 115: e673-80. 10.1542/peds.2004-2236.CrossRefPubMed Ake JA, Jelacic S, Ciol MA, Watkins SL, Murray KF, Christie DL, Klein EJ, Tarr PI: Relative nephroprotection during Escherichia coli O157:H7 infections: association with intravenous volume expansion. Pediatrics. 2005, 115: e673-80. 10.1542/peds.2004-2236.CrossRefPubMed
25.
go back to reference Hickey CA, Beattie TJ, Cowieson J, Miyashita Y, Strife CF, Frem JC, Peterson JM, Butani L, Jones DP, Havens PL, Patel HP, Wong CS, Andreoli SP, Rothbaum RJ, Beck AM, Tarr PI: Early volume expansion during diarrhea and relative nephroprotection during subsequent hemolytic uremic syndrome. Arch Pediatr Adolesc Med. 2011, 165: 884-889. 10.1001/archpediatrics.2011.152.CrossRefPubMedPubMedCentral Hickey CA, Beattie TJ, Cowieson J, Miyashita Y, Strife CF, Frem JC, Peterson JM, Butani L, Jones DP, Havens PL, Patel HP, Wong CS, Andreoli SP, Rothbaum RJ, Beck AM, Tarr PI: Early volume expansion during diarrhea and relative nephroprotection during subsequent hemolytic uremic syndrome. Arch Pediatr Adolesc Med. 2011, 165: 884-889. 10.1001/archpediatrics.2011.152.CrossRefPubMedPubMedCentral
26.
go back to reference Grisaru S, Morgunov MA, Samuel SM, Midgley JP, Wade AW, Tee JB, Hamiwka LA: Acute renal replacement therapy in children with diarrhea-associated hemolytic uremic syndrome: a single center 16 years of experience. Int J Nephrol. 2011, 2011: 930539.CrossRefPubMedPubMedCentral Grisaru S, Morgunov MA, Samuel SM, Midgley JP, Wade AW, Tee JB, Hamiwka LA: Acute renal replacement therapy in children with diarrhea-associated hemolytic uremic syndrome: a single center 16 years of experience. Int J Nephrol. 2011, 2011: 930539.CrossRefPubMedPubMedCentral
27.
go back to reference Rizzoni G, Claris-Appaini A, Edefonti A, Facchin P, Franchini F, Gusmano R, Imbasciati E, Pavanello L, Perfumo F, Remuzzi G: Plasma infusion for haemolytic uraemic syndrome in children: Results of a multicenter controlled trial. J Pediatr. 1988, 112: 284-290. 10.1016/S0022-3476(88)80071-4.CrossRefPubMed Rizzoni G, Claris-Appaini A, Edefonti A, Facchin P, Franchini F, Gusmano R, Imbasciati E, Pavanello L, Perfumo F, Remuzzi G: Plasma infusion for haemolytic uraemic syndrome in children: Results of a multicenter controlled trial. J Pediatr. 1988, 112: 284-290. 10.1016/S0022-3476(88)80071-4.CrossRefPubMed
28.
go back to reference Slavicek J, Puretić Z, Novak M, Sarnavka V, Benjak V, Glavas-Boras S, Thune S: The role of plasma exchange in the treatment of severe forms of hemolytic-uremic syndrome in childhood. Artif Organs. 1995, 19: 506-510. 10.1111/j.1525-1594.1995.tb02370.x.CrossRefPubMed Slavicek J, Puretić Z, Novak M, Sarnavka V, Benjak V, Glavas-Boras S, Thune S: The role of plasma exchange in the treatment of severe forms of hemolytic-uremic syndrome in childhood. Artif Organs. 1995, 19: 506-510. 10.1111/j.1525-1594.1995.tb02370.x.CrossRefPubMed
29.
go back to reference McLeod BC: Introduction to the third special issue: clinical applications of therapeutic apheresis. J Clin Apheresis. 2000, 15: 1-5. 10.1002/(SICI)1098-1101(2000)15:1/2<1::AID-JCA1>3.0.CO;2-R.CrossRefPubMed McLeod BC: Introduction to the third special issue: clinical applications of therapeutic apheresis. J Clin Apheresis. 2000, 15: 1-5. 10.1002/(SICI)1098-1101(2000)15:1/2<1::AID-JCA1>3.0.CO;2-R.CrossRefPubMed
30.
go back to reference Allford SL, Hunt BJ, Rose P, Machin SJ, Haemostasis and Thrombosis Task Force, British Committee for Standards in Haematology: Guidelines on the diagnosis and management of the thrombotic microangiopathic haemolytic anaemias. Br J Haematol. 2003, 120: 556-573. 10.1046/j.1365-2141.2003.04049.x.CrossRefPubMed Allford SL, Hunt BJ, Rose P, Machin SJ, Haemostasis and Thrombosis Task Force, British Committee for Standards in Haematology: Guidelines on the diagnosis and management of the thrombotic microangiopathic haemolytic anaemias. Br J Haematol. 2003, 120: 556-573. 10.1046/j.1365-2141.2003.04049.x.CrossRefPubMed
31.
go back to reference Wong CS, Jelacic S, Habeeb RL, Watkins SL, Tarr PI: The risk of the hemolytic-uremic syndrome after antibiotic treatment of Escherichia coli O157:H7 infections. N Engl J Med. 2000, 342: 1930-1936. 10.1056/NEJM200006293422601.CrossRefPubMedPubMedCentral Wong CS, Jelacic S, Habeeb RL, Watkins SL, Tarr PI: The risk of the hemolytic-uremic syndrome after antibiotic treatment of Escherichia coli O157:H7 infections. N Engl J Med. 2000, 342: 1930-1936. 10.1056/NEJM200006293422601.CrossRefPubMedPubMedCentral
32.
go back to reference Grif K, Dierich MP, Karch H, Allerberger F: Strain-specific differences in the amount of Shiga toxin released from enterohemorrhagic Escherichia coli O157 following exposure to subinhibitory concentrations of antimicrobial agents. Eur J Clin Microbiol Infect Dis. 1998, 17: 761-766. 10.1007/s100960050181.CrossRefPubMed Grif K, Dierich MP, Karch H, Allerberger F: Strain-specific differences in the amount of Shiga toxin released from enterohemorrhagic Escherichia coli O157 following exposure to subinhibitory concentrations of antimicrobial agents. Eur J Clin Microbiol Infect Dis. 1998, 17: 761-766. 10.1007/s100960050181.CrossRefPubMed
33.
go back to reference Zhang X, McDaniel AD, Wolf LE, Keusch GT, Waldor MK, Acheson DW: Quinolone antibiotics induce Shiga toxin-encoding bacteriophages, toxin production, and death in mice. J Infect Dis. 2000, 181: 664-670. 10.1086/315239.CrossRefPubMed Zhang X, McDaniel AD, Wolf LE, Keusch GT, Waldor MK, Acheson DW: Quinolone antibiotics induce Shiga toxin-encoding bacteriophages, toxin production, and death in mice. J Infect Dis. 2000, 181: 664-670. 10.1086/315239.CrossRefPubMed
34.
go back to reference Kurioka T, Yunou Y, Harada H, Kita E: Efficacy of antibiotic therapy for infection with Shiga-like toxin-producing Escherichia coli O157:H7 in mice with protein-calorie malnutrition. Eur J Clin Microbiol Infect Dis. 1999, 18: 561-571. 10.1007/s100960050348.CrossRefPubMed Kurioka T, Yunou Y, Harada H, Kita E: Efficacy of antibiotic therapy for infection with Shiga-like toxin-producing Escherichia coli O157:H7 in mice with protein-calorie malnutrition. Eur J Clin Microbiol Infect Dis. 1999, 18: 561-571. 10.1007/s100960050348.CrossRefPubMed
35.
go back to reference Zhang Q, Donohue-Rolfe A, Krautz-Peterson G, Sevo M, Parry N, Abeijon C, Tzipori S: Gnotobiotic piglet infection model for evaluating the safe use of antibiotics against Escherichia coli O157:H7 infection. J Infect Dis. 2009, 199: 486-493. 10.1086/596509.CrossRefPubMedPubMedCentral Zhang Q, Donohue-Rolfe A, Krautz-Peterson G, Sevo M, Parry N, Abeijon C, Tzipori S: Gnotobiotic piglet infection model for evaluating the safe use of antibiotics against Escherichia coli O157:H7 infection. J Infect Dis. 2009, 199: 486-493. 10.1086/596509.CrossRefPubMedPubMedCentral
36.
go back to reference Safdar N, Said A, Gangnon RE, Maki DG: Risk of haemolytic uremic syndrome after antibiotic treatment of Escherichia coli O157:H7 enteritis: a meta-analysis. JAMA. 2002, 288: 996-1001. 10.1001/jama.288.8.996.CrossRefPubMed Safdar N, Said A, Gangnon RE, Maki DG: Risk of haemolytic uremic syndrome after antibiotic treatment of Escherichia coli O157:H7 enteritis: a meta-analysis. JAMA. 2002, 288: 996-1001. 10.1001/jama.288.8.996.CrossRefPubMed
37.
go back to reference Ikeda K, Ida O, Kimoto K, Takatorige T, Nakanishi N, Tatara K: Effect of early fosfomycin treatment on prevention of haemolytic uremic syndrome accompanying Escherichia coli O157:H7 infection. Clin Nephrol. 1999, 52: 357-362.PubMed Ikeda K, Ida O, Kimoto K, Takatorige T, Nakanishi N, Tatara K: Effect of early fosfomycin treatment on prevention of haemolytic uremic syndrome accompanying Escherichia coli O157:H7 infection. Clin Nephrol. 1999, 52: 357-362.PubMed
38.
go back to reference Iijima K, Kamioka I, Nozu K: Management of diarrhea-associated hemolytic uremic syndrome in children. Clin Exp Nephrol. 2008, 12: 16-19. 10.1007/s10157-007-0007-4.CrossRefPubMed Iijima K, Kamioka I, Nozu K: Management of diarrhea-associated hemolytic uremic syndrome in children. Clin Exp Nephrol. 2008, 12: 16-19. 10.1007/s10157-007-0007-4.CrossRefPubMed
39.
go back to reference Smith KE, Wilker PR, Reiter PL, Hedican EB, Bender JB, Hedberg CW: Antibiotic treatment of Escherichia coli O157 infection and the risk of hemolytic uremic syndrome, Minnesota. Pediatr Infect Dis J. 2012, 31: 37-41. 10.1097/INF.0b013e31823096a8.CrossRefPubMed Smith KE, Wilker PR, Reiter PL, Hedican EB, Bender JB, Hedberg CW: Antibiotic treatment of Escherichia coli O157 infection and the risk of hemolytic uremic syndrome, Minnesota. Pediatr Infect Dis J. 2012, 31: 37-41. 10.1097/INF.0b013e31823096a8.CrossRefPubMed
40.
go back to reference Trachtman H, Cnaan A, Christen E, Gibbs K, Zhao S, Acheson DW, Weiss R, Kaskel FJ, Spitzer A, Hirschman GH: Investigators of the HUS-SYNSORB Pk Multicenter Clinical Trial. Effect of an oral Shiga toxin-binding agent on diarrhea-associated hemolytic uremic syndrome in children: a randomized controlled trial. JAMA. 2003, 10: 1337-1344.CrossRef Trachtman H, Cnaan A, Christen E, Gibbs K, Zhao S, Acheson DW, Weiss R, Kaskel FJ, Spitzer A, Hirschman GH: Investigators of the HUS-SYNSORB Pk Multicenter Clinical Trial. Effect of an oral Shiga toxin-binding agent on diarrhea-associated hemolytic uremic syndrome in children: a randomized controlled trial. JAMA. 2003, 10: 1337-1344.CrossRef
41.
go back to reference Paton AW, Morona R, Paton JC: Neutralization of Shiga toxins Stx1, Stx2c, and Stx2e by recombinant bacteria expressing mimics of globotriose and globotetraose. Infect Immun. 2001, 69: 1967-1970. 10.1128/IAI.69.3.1967-1970.2001.CrossRefPubMedPubMedCentral Paton AW, Morona R, Paton JC: Neutralization of Shiga toxins Stx1, Stx2c, and Stx2e by recombinant bacteria expressing mimics of globotriose and globotetraose. Infect Immun. 2001, 69: 1967-1970. 10.1128/IAI.69.3.1967-1970.2001.CrossRefPubMedPubMedCentral
42.
go back to reference Nishikawa K, Matsuoka K, Watanabe M, Igai K, Hino K, Hatano K, Yamada A, Abe N, Terunuma D, Kuzuhara H, Natori Y: Identification of the optimal structure required for a Shiga toxin neutralizer with oriented carbohydrates to function in the circulation. J Infect Dis. 2005, 191: 2097-2105. 10.1086/430388.CrossRefPubMed Nishikawa K, Matsuoka K, Watanabe M, Igai K, Hino K, Hatano K, Yamada A, Abe N, Terunuma D, Kuzuhara H, Natori Y: Identification of the optimal structure required for a Shiga toxin neutralizer with oriented carbohydrates to function in the circulation. J Infect Dis. 2005, 191: 2097-2105. 10.1086/430388.CrossRefPubMed
43.
go back to reference Islam MS, Stimson WH: Production and characterization of monoclonal antibodies with therapeutic potential against Shiga toxin. J Clin Lab Immunol. 1990, 33: 11-16.PubMed Islam MS, Stimson WH: Production and characterization of monoclonal antibodies with therapeutic potential against Shiga toxin. J Clin Lab Immunol. 1990, 33: 11-16.PubMed
44.
go back to reference Davidson GP, Whyte PB, Daniels E, Franklin K, Nunan H, McCloud PI, Moore AG, Moore DJ: Passive immunisation of children with bovine colostrum containing antibodies to human rotavirus. Lancet. 1989, 2: 709-712.CrossRefPubMed Davidson GP, Whyte PB, Daniels E, Franklin K, Nunan H, McCloud PI, Moore AG, Moore DJ: Passive immunisation of children with bovine colostrum containing antibodies to human rotavirus. Lancet. 1989, 2: 709-712.CrossRefPubMed
45.
go back to reference Huppertz HI, Rutkowski S, Busch DH, Eisebit R, Lissner R, Karch H: Bovine colostrum ameliorates diarrhea in infection with diarrheagenic Escherichia coli, Shiga toxin-producing E. coli, and E. coli expressing intimin and hemolysin. J Pediatr Gastroenterol Nutr. 1999, 29: 452-456. 10.1097/00005176-199910000-00015.CrossRefPubMed Huppertz HI, Rutkowski S, Busch DH, Eisebit R, Lissner R, Karch H: Bovine colostrum ameliorates diarrhea in infection with diarrheagenic Escherichia coli, Shiga toxin-producing E. coli, and E. coli expressing intimin and hemolysin. J Pediatr Gastroenterol Nutr. 1999, 29: 452-456. 10.1097/00005176-199910000-00015.CrossRefPubMed
46.
go back to reference Paton AW, Voss E, Manning PA, Paton JC: Antibodies to lipopolysaccharide block adherence of Shiga toxin-producing Escherichia coli to human intestinal epithelial (Henle 407) cells. Microb Pathog. 1998, 24: 57-63. 10.1006/mpat.1997.0172.CrossRefPubMed Paton AW, Voss E, Manning PA, Paton JC: Antibodies to lipopolysaccharide block adherence of Shiga toxin-producing Escherichia coli to human intestinal epithelial (Henle 407) cells. Microb Pathog. 1998, 24: 57-63. 10.1006/mpat.1997.0172.CrossRefPubMed
47.
go back to reference Watanabe-Takahashi M, Sato T, Dohi T, Noguchi N, Kano F, Murata M, Hamabata T, Natori Y, Nishikawa K: An orally applicable Shiga toxin-neutralizer functions in the intestine to inhibit the intracellular transport of the toxin. Infect Immun. 2010, 78: 177-183. 10.1128/IAI.01022-09.CrossRefPubMed Watanabe-Takahashi M, Sato T, Dohi T, Noguchi N, Kano F, Murata M, Hamabata T, Natori Y, Nishikawa K: An orally applicable Shiga toxin-neutralizer functions in the intestine to inhibit the intracellular transport of the toxin. Infect Immun. 2010, 78: 177-183. 10.1128/IAI.01022-09.CrossRefPubMed
48.
go back to reference Stearns-Kurosawa DJ, Collins V, Freeman S, Debord D, Nishikawa K, Oh SY, Leibowitz CS, Kurosawa S: Rescue from lethal Shiga toxin 2-induced renal failure with a cell-permeable peptide. Pediatr Nephrol. 2011, 26: 2031-2039. 10.1007/s00467-011-1913-y.CrossRefPubMedPubMedCentral Stearns-Kurosawa DJ, Collins V, Freeman S, Debord D, Nishikawa K, Oh SY, Leibowitz CS, Kurosawa S: Rescue from lethal Shiga toxin 2-induced renal failure with a cell-permeable peptide. Pediatr Nephrol. 2011, 26: 2031-2039. 10.1007/s00467-011-1913-y.CrossRefPubMedPubMedCentral
49.
go back to reference Mukhopadhyay S, Linstedt AD: Manganese Blocks Intracellular Trafficking of Shiga Toxin and Protects Against Shiga Toxicosis. Science. 2012, 335: 332-335. 10.1126/science.1215930.CrossRefPubMed Mukhopadhyay S, Linstedt AD: Manganese Blocks Intracellular Trafficking of Shiga Toxin and Protects Against Shiga Toxicosis. Science. 2012, 335: 332-335. 10.1126/science.1215930.CrossRefPubMed
50.
go back to reference Kim SH, Yang SJ, Koo HC, Bae WK, Kim JY, Park JH, Baek YJ, Park YH: Inhibitory activity of Bifidobacterium longum HY8001 against vero cytotoxin of Escherichia coli O157:H7. J Food Protect. 2001, 64: 1667-1673. Kim SH, Yang SJ, Koo HC, Bae WK, Kim JY, Park JH, Baek YJ, Park YH: Inhibitory activity of Bifidobacterium longum HY8001 against vero cytotoxin of Escherichia coli O157:H7. J Food Protect. 2001, 64: 1667-1673.
51.
go back to reference Orth D, Khan AB, Naim A, Grif K, Brockmeyer J, Karch H, Joannidis M, Clark SJ, Day AJ, Fidanzi S, Stoiber H, Dierich MP, Zimmerhackl LB, Würzner R: Shiga toxin activates complement and binds factor H: evidence for an active role of complement in hemolytic uremic syndrome. J Immunol. 2009, 182: 6394-6400. 10.4049/jimmunol.0900151.CrossRefPubMed Orth D, Khan AB, Naim A, Grif K, Brockmeyer J, Karch H, Joannidis M, Clark SJ, Day AJ, Fidanzi S, Stoiber H, Dierich MP, Zimmerhackl LB, Würzner R: Shiga toxin activates complement and binds factor H: evidence for an active role of complement in hemolytic uremic syndrome. J Immunol. 2009, 182: 6394-6400. 10.4049/jimmunol.0900151.CrossRefPubMed
52.
go back to reference Thurman JM, Marians R, Emlen W, Wood S, Smith C, Akana H, Holers VM, Lesser M, Kline M, Hoffman C, Christen E, Trachtman H: Alternative pathway of complement in children with diarrhea-associated hemolytic uremic syndrome. Clin J Am Soc Nephrol. 2009, 4: 1920-1924. 10.2215/CJN.02730409.CrossRefPubMedPubMedCentral Thurman JM, Marians R, Emlen W, Wood S, Smith C, Akana H, Holers VM, Lesser M, Kline M, Hoffman C, Christen E, Trachtman H: Alternative pathway of complement in children with diarrhea-associated hemolytic uremic syndrome. Clin J Am Soc Nephrol. 2009, 4: 1920-1924. 10.2215/CJN.02730409.CrossRefPubMedPubMedCentral
53.
go back to reference Lapeyraque AL, Malina M, Fremeaux-Bacchi V, Boppel T, Kirschfink M, Oualha M, Proulx F, Clermont MJ, Le Deist F, Niaudet P, Schaefer F: Eculizumab in severe Shiga-toxin-associated HUS. N Engl J Med. 2011, 364: 2561-2563. 10.1056/NEJMc1100859.CrossRefPubMed Lapeyraque AL, Malina M, Fremeaux-Bacchi V, Boppel T, Kirschfink M, Oualha M, Proulx F, Clermont MJ, Le Deist F, Niaudet P, Schaefer F: Eculizumab in severe Shiga-toxin-associated HUS. N Engl J Med. 2011, 364: 2561-2563. 10.1056/NEJMc1100859.CrossRefPubMed
54.
go back to reference Gu J, Liu Y, Yu S, Wang H, Wang Q, Yi Y, Zhu F, Yu XJ, Zou Q, Mao X: Enterohemorrhagic Escherichia coli trivalent recombinant vaccine containing EspA, intimin and Stx2 induces strong humoral immune response and confers protection in mice. Microbes Infect. 2009, 11: 835-841. 10.1016/j.micinf.2009.04.024.CrossRefPubMed Gu J, Liu Y, Yu S, Wang H, Wang Q, Yi Y, Zhu F, Yu XJ, Zou Q, Mao X: Enterohemorrhagic Escherichia coli trivalent recombinant vaccine containing EspA, intimin and Stx2 induces strong humoral immune response and confers protection in mice. Microbes Infect. 2009, 11: 835-841. 10.1016/j.micinf.2009.04.024.CrossRefPubMed
55.
go back to reference Wan CS, Zhou Y, Yu Y, Peng LJ, Zhao W, Zheng XL: B-cell epitope KT-12 of enterohemorrhagic Escherichia coli O157:H7: a novel peptide vaccine candidate. Microbiol Immunol. 2011, 55: 247-253. 10.1111/j.1348-0421.2011.00316.x.CrossRefPubMed Wan CS, Zhou Y, Yu Y, Peng LJ, Zhao W, Zheng XL: B-cell epitope KT-12 of enterohemorrhagic Escherichia coli O157:H7: a novel peptide vaccine candidate. Microbiol Immunol. 2011, 55: 247-253. 10.1111/j.1348-0421.2011.00316.x.CrossRefPubMed
56.
go back to reference Cai K, Gao X, Li T, Wang Q, Hou X, Tu W, Xiao L, Tian M, Liu Y, Wang H: Enhanced immunogenicity of a novel Stx2Am-Stx1B fusion protein in a mice model of enterohemorrhagic Escherichia coli O157:H7 infection. Vaccine. 2011, 29: 946-952. 10.1016/j.vaccine.2010.11.035.CrossRefPubMed Cai K, Gao X, Li T, Wang Q, Hou X, Tu W, Xiao L, Tian M, Liu Y, Wang H: Enhanced immunogenicity of a novel Stx2Am-Stx1B fusion protein in a mice model of enterohemorrhagic Escherichia coli O157:H7 infection. Vaccine. 2011, 29: 946-952. 10.1016/j.vaccine.2010.11.035.CrossRefPubMed
57.
go back to reference Cai K, Gao X, Li T, Hou X, Wang Q, Liu H, Xiao L, Tu W, Liu Y, Shi J, Wang H: Intragastric immunization of mice with enterohemorrhagic Escherichia coli O157:H7 bacterial ghosts reduces mortality and shedding and induces a Th2-type dominated mixed immune response. Can J Microbiol. 2010, 56: 389-398. 10.1139/W10-025.CrossRefPubMed Cai K, Gao X, Li T, Hou X, Wang Q, Liu H, Xiao L, Tu W, Liu Y, Shi J, Wang H: Intragastric immunization of mice with enterohemorrhagic Escherichia coli O157:H7 bacterial ghosts reduces mortality and shedding and induces a Th2-type dominated mixed immune response. Can J Microbiol. 2010, 56: 389-398. 10.1139/W10-025.CrossRefPubMed
58.
go back to reference Gu J, Ning Y, Wang H, Xiao D, Tang B, Luo P, Cheng Y, Jiang M, Li N, Zou Q, Mao X: Vaccination of attenuated EIS-producing Salmonella induces protective immunity against enterohemorrhagic Escherichia coli in mice. Vaccine. 2011, 29: 7395-7403. 10.1016/j.vaccine.2011.07.069.CrossRefPubMed Gu J, Ning Y, Wang H, Xiao D, Tang B, Luo P, Cheng Y, Jiang M, Li N, Zou Q, Mao X: Vaccination of attenuated EIS-producing Salmonella induces protective immunity against enterohemorrhagic Escherichia coli in mice. Vaccine. 2011, 29: 7395-7403. 10.1016/j.vaccine.2011.07.069.CrossRefPubMed
59.
go back to reference Tiels P, Verdonck F, Coddens A, Goddeeris B, Cox E: The excretion of F18+ E. coli is reduced after oral immunisation of pigs with a FedF and F4 fimbriae conjugate. Vaccine. 2008, 26: 2154-2163. 10.1016/j.vaccine.2008.01.054.CrossRefPubMed Tiels P, Verdonck F, Coddens A, Goddeeris B, Cox E: The excretion of F18+ E. coli is reduced after oral immunisation of pigs with a FedF and F4 fimbriae conjugate. Vaccine. 2008, 26: 2154-2163. 10.1016/j.vaccine.2008.01.054.CrossRefPubMed
60.
go back to reference Asper DJ, Karmali MA, Townsend H, Rogan D, Potter AA: Serological response of Shiga toxin-producing Escherichia coli type iii secreted proteins in sera from vaccinated rabbits, naturally infected cattle, and humans. Clin Vaccine Immunol. 2011, 18: 1052-1057. 10.1128/CVI.00068-11.CrossRefPubMedPubMedCentral Asper DJ, Karmali MA, Townsend H, Rogan D, Potter AA: Serological response of Shiga toxin-producing Escherichia coli type iii secreted proteins in sera from vaccinated rabbits, naturally infected cattle, and humans. Clin Vaccine Immunol. 2011, 18: 1052-1057. 10.1128/CVI.00068-11.CrossRefPubMedPubMedCentral
61.
go back to reference Bentancor LV, Bilen M, Brando RJ, Ramos MV, Ferreira LC, Ghiringhelli PD, Palermo MS: A DNA vaccine encoding the enterohemorrhagic Escherichia coli Shiga-like toxin 2 A2 and B subunits confers protective immunity to Shiga toxin challenge in the murine model. Clin Vaccine Immunol. 2009, 16: 712-718. 10.1128/CVI.00328-08.CrossRefPubMedPubMedCentral Bentancor LV, Bilen M, Brando RJ, Ramos MV, Ferreira LC, Ghiringhelli PD, Palermo MS: A DNA vaccine encoding the enterohemorrhagic Escherichia coli Shiga-like toxin 2 A2 and B subunits confers protective immunity to Shiga toxin challenge in the murine model. Clin Vaccine Immunol. 2009, 16: 712-718. 10.1128/CVI.00328-08.CrossRefPubMedPubMedCentral
62.
go back to reference Wen SX, Teel LD, Judge NA, O'Brien AD: A plant-based oral vaccine to protect against systemic intoxication by Shiga toxin type 2. Proc Natl Acad Sci USA. 2006, 103: 7082-7087. 10.1073/pnas.0510843103.CrossRefPubMedPubMedCentral Wen SX, Teel LD, Judge NA, O'Brien AD: A plant-based oral vaccine to protect against systemic intoxication by Shiga toxin type 2. Proc Natl Acad Sci USA. 2006, 103: 7082-7087. 10.1073/pnas.0510843103.CrossRefPubMedPubMedCentral
Metadata
Title
Treatment of enterohemorrhagic Escherichia coli (EHEC) infection and hemolytic uremic syndrome (HUS)
Authors
Paul N Goldwater
Karl A Bettelheim
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2012
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-10-12

Other articles of this Issue 1/2012

BMC Medicine 1/2012 Go to the issue