Pandemic lineages of extraintestinal pathogenic Escherichia coli

Riley, L.W.

doi:10.1111/1469-0691.12646

Cited by 413Escherichia coli research studiesAntibiotic Resistance in BacteriaUrinary Tract Infections Management

Pandemic lineages of extraintestinal pathogenic Escherichia coli

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Riley, L.W.·2014·Clinical Microbiology and Infection

DOI 10.1111/1469-0691.12646

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Abstract

Pathogenic Escherichia coli strains cause a wide variety of intestinal and extraintestinal infections. The widespread geographical clonal dissemination of intestinal pathogenic E. coli strains, such as E. coli O157:H7, is well recognized, and its spread is most often attributed to contaminated food products. On the other hand, the clonal dissemination of extraintestinal pathogenic E. coli (ExPEC) strains is also recognized, but the mechanism of their spread is not well explained. Here, I describe major pandemic clonal lineages of ExPEC based on multilocus sequence typing (MLST), and discuss possible reasons for their global dissemination. These lineages include sequence type (ST)131, ST393, ST69, ST95, and ST73, which are all associated with both community-onset and healthcare-associated infections, in particular urinary tract infections and bloodstream infections. As with many other types of drug-resistant Gram-negative and Gram-positive bacterial infections, drug-resistant ExPEC infections are recognized to be caused by a limited set of clonal lineages. However, reported observations on these major pandemic lineages suggest that the resistance phenotype is not necessarily the determinant of their clonal dissemination. Both epidemiological factors and their intrinsic biological 'fitness' are likely to contribute. An important public health and clinical concern is that pandemicity itself may be a determinant of progressive drug resistance acquisition by clonal lineages. New research is urgently needed to better understand the epidemiological and biological causes of ExPEC pandemicity.

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Specific sequence types linked to neonatal infections were identified, such as E. coli ST1193, ST73 and ST95, and K. pneumoniae ST432, which are typically drug-resistant and of clinical significance.
“Indeed, we identified specific STs linked to neonatal infections, such as E. coli ST119347, ST73 and ST9547,48, and K. pneumoniae ST43249 strains, which are typically drug-resistant strains and of clinical significance.”
From Impact of early life antibiotic and probiotic treatment on gut microbiome and resistome of very-low-birth-weight preterm infants. (2025) · cites this paper as [48]

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Distribution and Characteristics ofEscherichia coliClonal Group A1
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Detection of quinolone-resistant Escherichia coli isolates belonging to clonal groups O25b:H4-B2-ST131 and O25b:H4-D-ST69 in raw sewage and river water in Barcelona, Spain
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The Role of Epidemic Resistance Plasmids and International High-Risk Clones in the Spread of Multidrug-Resistant Enterobacteriaceae
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Resveratrol in Intestinal Health and Disease: Focusing on Intestinal Barrier
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Complete genomic analysis of ST117 lineage extraintestinal pathogenic Escherichia coli (ExPEC) to reveal multiple genetic determinants to drive its global transmission: ST117 E. coli as an emerging multidrug‐resistant foodborne ExPEC with zoonotic potential
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Commiphora leptophloeos Phytochemical and Antimicrobial Characterization
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Advantage of the F2:A1:B- IncF Pandemic Plasmid over IncC Plasmids in In Vitro Acquisition and Evolution of bla CTX-M Gene-Bearing Plasmids in Escherichia coli
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Current developments to use linear MALDI‐TOF spectra for the identification and typing of bacteria and the characterization of other cells/organisms related to infectious diseases
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The prevalence and mechanism of triclosan resistance in Escherichia coli isolated from urine samples in Wenzhou, China
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Complex Multilevel Control of Hemolysin Production by Uropathogenic Escherichia coli
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Increase in the community circulation of ciprofloxacin-resistant Escherichia coli despite reduction in antibiotic prescriptions
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Authors: Riley, L. W.
Affiliations: University of California, Berkeley (US)
Corresponding author: Riley, L.W.
ORCID: Riley, L.W.
Venue: Clinical Microbiology and Infection
Publisher: Elsevier BV
Published: 2014-05
Volume: 20
Issue: 5
Pages: 380-390
ISSN: 1198-743X (ISSN-L)
DOI: 10.1111/1469-0691.12646
OpenAlex: W2027836512
Cited by: 412
References: 115
Citations by year: 2026: 18 · 2025: 43 · 2024: 42 · 2023: 46 · 2022: 47 · 2021: 37 · 2020: 57 · 2019: 36 · 2018: 22 · 2017: 24 · 2016: 17 · 2015: 19 · 2014: 4
FWCI: 2.79
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 365 d)
Locations: Clinical Microbiology and Infection (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
Keywords: extraintestinal pathogenic Escherichia coli, multilocus sequence typing, ST131, ST69, ST95, ST73, antimicrobial resistance, urinary tract infection, bloodstream infection, community-onset infection, nosocomial infections, clonal spread, bacterial fitness
MeSH terms: Escherichia coli, Escherichia coli Infections, Humans, Virulence, Bacterial Typing Techniques, Molecular Epidemiology, Cell Lineage, Drug Resistance, Bacterial, Pandemics, Multilocus Sequence Typing

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Pandemic lineages of extraintestinal pathogenic Escherichia coli

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