Volume 21, Issue 4 (Iranian South Medical Journal 2018)                   Iran South Med J 2018, 21(4): 276-286 | Back to browse issues page

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1- Student Research Committee, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
2- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
3- Reference laboratory, Provincial Health Center, Vice Chancellery Health, Bushehr University of Medical Sciences, Bushehr, Iran
4- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Department of Microbiology & Parasitology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran , mahaghighy@gmail.com
Abstract:   (3948 Views)
Background: The Shiga cytotoxin (Stx) is involved in serious human intestinal diseases. Recently stx has been found in non-S dysenteriae1 Shigella species. This study aimed to identify stx gene in clinical strains of Shigella isolated from two shigellosis outbreaks in previous years in Bushehr, southwest of Iran.
Materials and Methods: Purified DNA of 143 Shigella isolates was used for PCR to detect stx and ipaH genes. The number of PCR products in various Shigella species isolates was sequenced with the same primers (evt) used to amplify this region.
Results: Fourteen (22.3%) out of 63 shigella isolates related to previous shigellosis outbreaks during 2002-2004 contained the PCR positive result with evt primers. The sequencing results indicated that the evt PCR product had the most identity (97%) with Shigella dysentery shiga toxin subunit A. All clinical shigella strains isolated during 2013-2015 yielded PCR negative results with primers stx and evt. PCR results revealed that ipaH was present in all isolates. According to biochemical and species-specific antiserum tests, the stx gene harboring isolates included 9 (14.3%) S. flexneri, 4 (6.4%) S. sonnei, and 1(1.6%) S. boydii.
Conclusion: The stx gene has already been distributed in different Shigella species of Bushehr region. However, the absence of this gene in the clinical isolates of recent shigellosis outbreaks may be temporary. Because stx gene increases the pathogenic potential of Shigella, it is necessary to monitor the prevalence of the stx harboring Shigella species by molecular methods in the future.
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Type of Study: Original | Subject: Microbiology and Immunology
Received: 2018/01/11 | Accepted: 2018/03/11 | Published: 2018/09/4

References
1. Kozyreva VK, Jospin G, Greninger AL, et al. Recent Outbreaks of Shigellosis in California Caused by Two Distinct Populations of Shigella sonnei with either Increased Virulence or Fluoroquinolone Resistance. mSphere 2016; 1(6):1-18.
2. Nyholm O, Lienemann T, Halkilahti J, et al. Characterization of Shigella sonnei Isolate Carrying Shiga Toxin 2-Producing Gene. Eid 2015; 21(5): 891-2.
3. Croxen MA, Finlay BB. Molecular mechanisms of Escherichia coli pathogenicity. Nat Rev Microbiol 2010; 8(1): 26-38.
4. Ramamurthy T, Bag PK, Pal A, et al. Virulence patterns of Vibrio cholerae non-O1 strains isolated from hospitalised patients with acute diarrhoea in Calcutta, India. J Med Microbiol 1993; 39(4): 310-7.
5. Gray MD, Leonard SR, Lacher DW, et al. Stx-Producing Shigella Species From Patients in Haiti: An Emerging Pathogen With the Potential for Global Spread. Open Forum Infect Dis 2015; 2(4): 1-5.
6. Gray MD, Lampel KA, Strockbine NA, et al. Clinical isolates of Shiga toxin1a-producing Shigella flexneri with an epidemiological link to recent travel to Hispaniola. Emerg Infect Dis 2014; 20(10): 1669-77.
7. Mauro SA, Koudelka GB. Shiga toxin: expression, distribution, and its role in the environment. Toxins 2011; 3(6): 608-25.
8. Gray MD, Lacher DW, Leonard SR, et al. Prevalence of Shiga toxin-producing Shigella species isolated from French travellers returning from the Caribbean: an emerging pathogen with international implications. Clin Microbiol Infect 2015; 21(8): 765.e9-765.e14.
9. Cruz CBNd, Souza MCSd, Serra PT, et al. Virulence Factors Associated with Pediatric Shigellosis in Brazilian Amazon. BioMed Research International 2014; 9.
10. Faruque SM, Khan R, Kamruzzaman M, et al. Isolation of Shigella dysenteriae type 1 and S. flexneri strains from surface waters in Bangladesh: comparative molecular analysis of environmental Shigella isolates versus clinical strains. Appl Environ Microbiol 2002; 68(8): 3908-13.
11. Vargas M, Gascon J, Jimenez De Anta MT, et al. Prevalence of Shigella enterotoxins 1 and 2 among Shigella strains isolated from patients with traveler's diarrhea. J Clin Microbiol 1999; 37(11): 3608-11.
12. Jiménez KB, McCoy CB, Achí R. Detection of shigella in lettuce by the use of a rapid molecular assay with increased sensitivity. Braz J Microbiol 2010; 41(4): 993-1000.
13. Adams C, Vose A, Edmond MB, et al. Shigella sonnei and hemolytic uremic syndrome: A case report and literature review. IDCases 2017; 8: 6-8.
14. Ka T, Dk D, A S, et al. Altering trends in the dominance of Shigella flexneri serotypes and emergence of serologically atypical S. flexneri streains in Dhaka, Bangladesh. J Clin Microbiol 2001; 39(10): 3757-9.
15. Niyogi SK, Mitra U, Dutta P. Changing patterns of serotypes and antimicrobial susceptibilities of Shigella species isolated from children in Calcutta, India. Jpn J Infect Dis 2001; 54(3): 121-2.
16. Talukder KA, Islam MA, Khajanchi BK, et al. Temporal shifts in the dominance of serotypes of Shigella dysenteriae from 1999 to 2002 in Dhaka, Bangladesh. J Clin Microbiol 2003; 41(11): 5053-8.
17. Muthuirulandi Sethuvel DP, Devanga Ragupathi NK, Anandan S, et al. Update on: Shigella new serogroups/serotypes and their antimicrobial resistance. Lett Appl Microbiol 2017; 64(1): 8-18.
18. Gupta SK, Strockbine N, Omondi M, et al. Emergence of Shiga toxin 1 genes within Shigella dysenteriae type 4 isolates from travelers returning from the Island of Hispanola. Am J Trop Med Hyg 2007; 76(6): 1163-5.
19. Greco KM, McDonough MA, Butterton JR. Variation in the Shiga toxin region of 20thcentury epidemic and endemic Shigella dysenteriae 1 strains. J Infect Dis 2004; 190(2): 330-4.
20. Saeed A, Abd H, Edvinsson B, et al. Acanthamoeba castellanii an environmental host for Shigella dysenteriae and Shigella sonnei. Arch Microbiol 2009; 191(1): 83-8.
21. Amani J, Ahmadpour A, Imani Fooladi AA, et al. Detection of E. coli O157:H7 and Shigella dysenteriae toxins in clinical samples by PCRELISA. Braz J Infect Dis 2015; 19(3): 278-84.
22. Kargar M, Homayoon M. Prevalence of shiga toxins (stx1, stx2), eaeA and hly genes of Escherichia coli O157:H7 strains among children with acute gastroenteritis in southern of Iran. Asian Pac J Trop Med 2015; 8(1): 24-8.
23. Momtaz H, Dehkordi FS, Hosseini MJ, et al. Serogroups, virulence genes and antibiotic resistance in Shiga toxin-producing Escherichia coli isolated from diarrheic and non-diarrheic pediatric patients in Iran. Gut Pathog 2013; 5(1): 39.
24. Tahamtan Y, Hayati M, Namavari M. Prevalence and distribution of the stx, stx genes in Shiga toxin producing E. coli (STEC) isolates from cattle. Iran J Microbiol 2010; 2(1): 8-13.

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