Abstract
Enteroaggregative E. coli (EAEC) is an established diarrhoeagenic pathotype. The association with virulence gene content and ability to cause disease has been studied but little is known about the population structure of EAEC and how this pathotype evolved. Analysis by Multi Locus Sequence Typing of 564 EAEC isolates from cases and controls in Bangladesh, Nigeria and the UK spanning the past 29 years, revealed multiple successful lineages of EAEC. The population structure of EAEC indicates some clusters are statistically associated with disease or carriage, further highlighting the heterogeneous nature of this group of organisms. Different clusters have evolved independently as a result of both mutational and recombination events; the EAEC phenotype is distributed throughout the population of E. coli.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Bangladesh
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Escherichia coli / classification
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Escherichia coli / genetics*
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Escherichia coli / pathogenicity*
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Escherichia coli Infections / microbiology*
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Escherichia coli Proteins / genetics
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Evolution, Molecular
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Humans
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Multilocus Sequence Typing / methods*
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Mutation
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Nigeria
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Phylogeny
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Polymerase Chain Reaction
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Recombination, Genetic
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Species Specificity
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United Kingdom
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Virulence / genetics
Substances
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Escherichia coli Proteins
Grants and funding
This study was supported by Gastrointestinal Bacteria Reference Unit, Public Health England, International Centre for Diarrhoeal Disease Research, Bangladesh, Society for Applied Microbiology (Supervisor fund), the US National Science Foundation (Awards #1329248 and #0948460) and Society for General Microbiology (Presidents fund). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.