Enteropathogenic and enterohaemorrhagic Escherichia coli: More subversive elements

Gad Frankel, Alan D. Phillips, Ilan Rosenshine, Gordon Dougan, James B. Kaper, Stuart Knutton

Research output: Contribution to journalReview ArticleResearchpeer-review

563 Citations (Scopus)


Enteropathogenic (EPEC) and enterohaemorrhagic Escherichia coli (EHEC) constitute a significant risk to human health worldwide. Both pathogens colonize the intestinal mucosa and, by subverting intestinal epithelial cell function, produce a characteristic histopathological feature known as the 'attaching and effacing' (A/E) lesion. Although EPEC was the first E. coli to be associated with human disease in the 1940s and 1950s, it was not until the late 1980s and early 1990s that the mechanisms and bacterial gene products used to induce this complex brush border membrane lesion and diarrhoeal disease started to be unravelled. During the past few months, there has been a burst of new data that have revolutionized some basic concepts of the molecular basis of bacterial pathogenesis in general and EPEC pathogenesis in particular. Major breakthroughs and developments in the genetic basis of A/E lesion formation, signal transduction, protein translocation, host cell receptors and intestinal colonization are highlighted in this review.

Original languageEnglish
Pages (from-to)911-921
Number of pages11
JournalMolecular Microbiology
Issue number5
Publication statusPublished - 15 Dec 1998
Externally publishedYes

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