Strains were cultured from the feces of infants or children who had acute MSD or who were recruited as healthy controls; tEPEC strains had been identified as described [16 (link)]. Individual colonies were shipped from countries of origin to Baltimore, Maryland, USA and verified by PCR, using primers listed in S1 Table as previously described [9 (link)] for bfpA and escV to identify tEPEC, and stxA1 and stxA2 to identify and exclude Shiga-toxin producing E. coli. PCR using the same conditions and primers also listed in S1 Table was used to detect nleG clusters in a larger collection of 63 NSI and 56 AI unmatched tEPEC and atypical EPEC (aEPEC, bfpA-/escV+/stx-) GEMS isolates.
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