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The Link between Phylogeny and Virulence in Escherichia coli Extraintestinal Infection
Open accessAbstract
Previous studies suggesting a link between Escherichia coli phylogenetic groups and extraintestinal virulence have been hampered by the difficulty in establishing the intrinsic virulence of a bacterial strain. Indeed, unidentified virulence factors do exist, and the susceptibility of the host to infection is highly variable. To overcome these difficulties, we have developed a mouse model of extraintestinal virulence to test the virulence of the strains under normalized conditions. We then assessed the phylogenetic relationships compared to the E. coli reference (ECOR) collection, the presence of several known virulence determinants, and the lethality to mice of 82 human adult E. coli strains isolated from normal feces and during the course of extraintestinal infections. Commensal strains belong mainly to phylogenetic groups A and B1, are devoid of virulence determinants, and do not kill the mice. Strains exhibiting the same characteristics as the commensal strains can be isolated under pathogenic conditions, thus indicating the role of host-dependent factors, such as susceptibility linked to underlying disease, in the development of infection. Some strains of phylogenetic groups A, B1, and D are able to kill the mice, their virulence being most often correlated with the presence of virulence determinants. Lastly, strains of the B2 phylogenetic group represent a divergent lineage of highly virulent strains which kill the mice at high frequency and possess the highest level of virulence determinants. The observed link between virulence and phylogeny could correspond to the necessity of virulence determinants in a genetic background that is adequate for the emergence of a virulent clone, an expression of the interdependency of pathogenicity and metabolic activities in pathogenic bacteria.
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“strains responsible for extra-intestinal infection were far more likely to be members of phylogroups B2 than A [143, 144]”
From Selection, Comparative Genomics, and Potential Probiotic Features of Escherichia coli 5C, a pks-Negative Strain Isolated from Healthy Infant Donor Feces (2026) · cites this paper as [143]
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Tudu, R., Banerjee, J., Habib, M., Bandyopadhyay, S., Biswas, S., Kesh, S. S., Maity, A., Batabyal, S., & Polley, S. (2022) · PubMed Central · doi:10.22099/ijvr.2022.42543.6176 · Cited by 7
Bosák, J., Kohoutová, D., Hrala, M., Křenová, J., Morávková, P., Rejchrt, S., Bureš, J., & Šmajs, D. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1141619 · Cited by 8
Ewers, C., Dematheis, F., Devi, S. H., Nandanwar, N., Fruth, A., Diehl, I., Semmler, T., & Wieler, L. H. (2014) · Gut Pathogens · doi:10.1186/s13099-014-0037-x · Cited by 7
E. coli Bacteremia Strains - High diversity and Associations with Agerelated Clinical Phenomena
TB, M. K. W. (2014) · Clinical Microbiology Open Access · doi:10.4172/2327-5073.1000140 · Cited by 6
Escherichia coli clonal group A among uropathogenic infections in Mexico City
Manjarrez-Hernández, Á. H., Molina-López, J., Parra, S. G., & Hernández‐Castro, R. (2016) · Journal of Medical Microbiology · doi:10.1099/jmm.0.000389 · Cited by 7
Rocha, S. L. D. S., Furian, T. Q., Borges, K. A., da Rocha, D. T., Moraes, H. L. D. S., Salle, C. T. P., & do Nascimento, V. P. (2017) · ACTA SCIENTIAE VETERINARIAE · doi:10.22456/1679-9216.80255 · Cited by 7
Facteurs de virulence associés à E. coli responsable de méningite néonatale
Bonacorsi, S., Houdoin, V., & Bingen, É. (2001) · Archives de Pédiatrie · doi:10.1016/s0929-693x(01)80188-3 · Cited by 7
Adwan, G., Issa, B., & Adwan, K. (2015) · British Microbiology Research Journal · doi:10.9734/bmrj/2015/14293 · Cited by 7
Santos, A. C. D. M., Silva, R. S., Vieira, M. A. M., Viana-Niero, C., Ribeiro, M. S. F., Guth, B. E. C., Gomes, T. A. T., & Silva, R. M. (2025) · Frontiers in Microbiology · doi:10.3389/fmicb.2025.1599350 · Cited by 6
Phage-steering permits antibody-mediated clearance of E. coli K1 from the gut
Larsson, L., Bertola, A., Wenner, N., Kaur, J., Dion, S., Rocha, L. F. L., Keys, T. G., Rutschmann, C., Vershynina, K., Dimakou, D., et al. (2026) · Nature Communications · doi:10.1038/s41467-026-70808-2 · Cited by 6
Identification of a gene cluster for D-tagatose utilization in Escherichia coli B2 phylogroup
Ha, J., Kim, D. H., Yeom, J., Kim, Y.-S., Yoo, S. M., & Yoon, S. H. (2022) · iScience · doi:10.1016/j.isci.2022.105655 · Cited by 6
Bacterial Flora and Treatment Strategies in Women With Escherichia coli Urinary Tract Infections
Mahesh, S., Carmelin, D. S., & Muthusamy, R. (2024) · Cureus · doi:10.7759/cureus.56552 · Cited by 6
Whole-Genome Sequencing of Invasive Neonatal Escherichia coli From Uppsala County, Sweden
Heydecke, A., Myrelid, Å., Normann, E., Gullsby, K., Tano, E., & Sütterlin, S. (2024) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiae309 · Cited by 6
Crettels, L., Burlion, N., Habets, A., Taminiau, B., Daube, G., Delrée, E., Mouchette, A.-F., & Thiry, D. (2024) · Journal of Applied Microbiology · doi:10.1093/jambio/lxae144 · Cited by 7
Sawma-Aouad, G., Hashwa, F., & Tokajian, S. T. (2009) · Journal of Chemotherapy · doi:10.1179/joc.2009.21.2.153 · Cited by 6
Metadata
- Authors
- Picard, B., Garcia, J. S., Gouriou, S., Duriez, P., Brahimi, N., Bingen, E., Elion, J., & Denamur, E.
- Affiliations
- Centre Hospitalier Régional Universitaire de Brest (FR)
- <!--label omitted: 2-->Laboratoire de Microbiologie, Hôpital Cochin, Assistance Publique—Hôpitaux de Paris,2
- Inserm (FR)
- <!--label omitted: 4-->Laboratoire de Recherche en Bactériologie Pédiatrique (JE 2255), Université Denis Diderot-Paris 7,4 Hôpital Robert Debré, Paris, France
- <!--label omitted: 3-->INSERM U 4583 and
- Venue
- Infection and Immunity
- Publisher
- American Society for Microbiology
- Published
- 1999-02
- Volume
- 67
- Issue
- 2
- Pages
- 546-553
- ISSN
- 0019-9567 (ISSN-L)
- 1098-5522
- PMC
- PMC96353
- OpenAlex
- W2125201618
- Cited by
- 794
- References
- 42
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 32 · 2023: 27 · 2022: 43 · 2021: 39 · 2020: 46 · 2019: 33 · 2018: 29 · 2017: 34 · 2016: 39 · 2015: 46 · 2014: 52 · 2013: 38 · 2012: 36
- FWCI
- 8.54
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Infection and Immunity (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Escherichia coli research studies
- Life Sciences › Immunology and Microbiology › Microbiology › Enterobacteriaceae and Cronobacter Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Bacterial Genetics and Biotechnology
- Keywords
- Escherichia coli, phylogenetic groups, extraintestinal infections, bacterial virulence, virulence factors, commensal strains, host susceptibility, pathogenicity, virulent clones
- MeSH terms
- Adult, Animals, Disease Models, Animal, Escherichia coli, Escherichia coli Infections, Female, Humans, Phylogeny, Virulence, Mice
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