Sequencing
SFAF2016%20Meeting%20Guide%20Final%203
SFAF2016%20Meeting%20Guide%20Final%203
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11th Annual <strong>Sequencing</strong>, Finishing, and Analysis in the Future Meeting<br />
GENETIC CHARACTERIZATION OF STX2<br />
PRODUCING ESCHERICHIA COLI (STEC) ISOLATED<br />
IN THE COUNTRY OF GEORGIA<br />
Wednesday, 1st June 18:30 La Fonda NM Room (1st floor) Poster (PS‐1a.01)<br />
Tea Tevdoradze, Gvantsa Chanturia, Ekaterine Zhgenti, Giorgi Dzavashvili, Lia Tevzadze<br />
National Center for Disease Control and Public Health, Georgia<br />
Shiga toxin‐producing Escherichia coli (STEC) infection is among the leading causes of bloody<br />
diarrheal disease complicated by hemolytic uremic syndrome (HUS) in the country of Georgia. Since<br />
2009, many human cases of bloody diarrhea in Georgia complicated with HUS have been caused by<br />
E. coli strains positive for the Shiga toxin 2 gene (stx2).<br />
In this study we characterized three stx2 producing E. coli strains isolated from three patients with<br />
HUS (in 2012, 2014, 2015 respectively). In previous studies isolates were characterized by confirmatory<br />
STEC (stx1, stx2, eae, ehxA), O104 (stx2, terD, rfbO104, fliC H4) and enteroaggregative (pCVD,<br />
AGGR) conventional multiplex PCR assays. STEC strains were genotyped by pulsed field gel<br />
electrophoresis (PFGE) and multilocus sequence typing (MLST). Draft whole‐genome sequenc‐ ing<br />
(WGS) of isolates was performed using the next‐generation sequencing (NGS) Illumina MiSeq<br />
platform. Obtained reads were further analyzed using the CLC Genomics Workbench (CLC Bio)<br />
software package.<br />
In the present study, WGS‐based SNP phylogenetic analysis was performed using the EDGE bioinformatics<br />
software; we also determined the virulence and the resistance genes profiles of three STEC<br />
strains based on the Center for Genomic Epidemiology database, Denmark (https://cge.cbs.dtu.dk).<br />
Two enteroaggregative 0104: H4 strains that belonged to sequence type ST‐678 revealed a very<br />
similar set of virulence and resistance genes. The strain isolated in 2012 contained an additional<br />
resistance gene blaCTX‐M‐14 that was not present in the 2015 strain. The third non‐O104 STEC<br />
strain ST‐677, which could not be characterized with classical serotyping methods, was identified as<br />
E. coli O174:H21. Comparative sequence analysis performed against reference strains in established<br />
E. coli databases (https://cge.cbs.dtu.dk) indicated this strain lacked known resistance genes and<br />
encoded a limited range of virulence factors.<br />
WGS‐based SNP phylogenetic analysis revealed all 0104:H4 strains studied showed close affiliation<br />
with historical STEC isolates from Georgia (2009) and German (2011) outbreak strains. The third<br />
0174:H21 isolate, lacking virulence genes, showed more genetic similarity with a single E. coli<br />
O152:H28 strain (SE11) isolated in Japan in 2008.<br />
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