ABO and P1 Blood Group Antigen Expression and stx Genotype and Outcome of Childhood Escherichia coli O157:H7 Infections

P1 and ABO antigens and bacterial stx genotypes might influence the risk of developing hemolytic uremic syndrome (HUS) after Escherichia coli O157:H7 infections. We determined ABO status and P1 antigen expression in 130 infected and 17 uninfected children, and we determined the stx genotype of the i...

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Veröffentlicht in:The Journal of infectious diseases 2002-01, Vol.185 (2), p.214-219
Hauptverfasser: Jelacic, Srdjan, Wobbe, Cheryl L., Boster, Daniel R., Ciol, Marcia A., Watkins, Sandra L., Tarr, Phillip I., Stapleton, Ann E.
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container_end_page 219
container_issue 2
container_start_page 214
container_title The Journal of infectious diseases
container_volume 185
creator Jelacic, Srdjan
Wobbe, Cheryl L.
Boster, Daniel R.
Ciol, Marcia A.
Watkins, Sandra L.
Tarr, Phillip I.
Stapleton, Ann E.
description P1 and ABO antigens and bacterial stx genotypes might influence the risk of developing hemolytic uremic syndrome (HUS) after Escherichia coli O157:H7 infections. We determined ABO status and P1 antigen expression in 130 infected and 17 uninfected children, and we determined the stx genotype of the infecting isolate. P1 expression was weakly and directly related to HUS risk (P=.04), but this risk did not extend to the group with the greatest P1 expression. P1 expression remained constant as HUS evolved. The ABO frequency was similar in all groups. These associations were not affected by the stx genotype. stx1−/stx2+E. coli O157:H7 strains were more commonly associated with HUS than were stx1+/stx2+ strains (P=.21), and 1 child with HUS was infected with a rare stx1+/stx2− isolate. In the present study, ABO antigens and stx genotypes were not major determinants of the outcome of E. coli O157:H7 infections, and P1 expression did not protect against the development of HUS
doi_str_mv 10.1086/338480
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Psychology</subject><subject>Genotype</subject><subject>Genotypes</subject><subject>Hemolytic uremic syndrome</subject><subject>Hemolytic-Uremic Syndrome - etiology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Nuclear Proteins - analysis</subject><subject>Pathogenicity, virulence, toxins, bacteriocins, pyrogens, host-bacteria relations, miscellaneous strains</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Shiga Toxin - genetics</subject><subject>Shiga toxins</subject><subject>stx gene</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U9v0zAYBnALgVgZ8A1A5gC3gP06_hNuXdW1E0NlCBDiYjmOQz3SONiJ6L492VKtJ8TJkp-fHsvvi9BzSt5SosQ7xlSuyAM0o5zJTAjKHqIZIQAZVUVxgp6kdE0IyZmQj9EJpYpIUfAZ-jM_22DTVvgTxWdNCBVexTB0eN72_qdr8XLfRZeSD-2dSv0er1wb-pvO3V1sht6GncOhxoutb6rtbcUy2a2L3m69wTY0Hm8ol-_XEl-0tbP9WJaeoke1aZJ7djhP0dfz5ZfFOrvcrC4W88vM5gB9VgqjciAMWF0rCbySzgEUYKgpS2cILQTPSUVAwPgdKGzFKikpkBw4IbRkp-jN1NvF8Htwqdc7n6xrGtO6MCQtKVMF4_BfSBWonAI7QhtDStHVuot-Z-KNpkTf7kJPuxjhy0PjUO5cdWSH4Y_g9QGYZE1TR9Nan46O5SAoz0f3anLjYv792IvJXKc-xHvFCGVybBnzbMp96t3-PjfxlxaSSa7X33_oDx-vzr99vlppzv4CCp2wBw</recordid><startdate>20020115</startdate><enddate>20020115</enddate><creator>Jelacic, Srdjan</creator><creator>Wobbe, Cheryl L.</creator><creator>Boster, Daniel R.</creator><creator>Ciol, Marcia A.</creator><creator>Watkins, Sandra L.</creator><creator>Tarr, Phillip I.</creator><creator>Stapleton, Ann E.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20020115</creationdate><title>ABO and P1 Blood Group Antigen Expression and stx Genotype and Outcome of Childhood Escherichia coli O157:H7 Infections</title><author>Jelacic, Srdjan ; Wobbe, Cheryl L. ; Boster, Daniel R. ; Ciol, Marcia A. ; Watkins, Sandra L. ; Tarr, Phillip I. ; Stapleton, Ann E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-b6a8420323ff8725d7ee2292a1abbea0196540d026269529cd3d77120425001b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>ABO Blood-Group System - analysis</topic><topic>Antigens</topic><topic>Antigens, Nuclear</topic><topic>AP1 system</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Bacteriology</topic><topic>Biological and medical sciences</topic><topic>Blood group antigens</topic><topic>Blood grouping</topic><topic>Blood groups</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Erythrocytes</topic><topic>Escherichia coli</topic><topic>Escherichia coli Infections - blood</topic><topic>Escherichia coli Infections - etiology</topic><topic>Escherichia coli O157</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. 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We determined ABO status and P1 antigen expression in 130 infected and 17 uninfected children, and we determined the stx genotype of the infecting isolate. P1 expression was weakly and directly related to HUS risk (P=.04), but this risk did not extend to the group with the greatest P1 expression. P1 expression remained constant as HUS evolved. The ABO frequency was similar in all groups. These associations were not affected by the stx genotype. stx1−/stx2+E. coli O157:H7 strains were more commonly associated with HUS than were stx1+/stx2+ strains (P=.21), and 1 child with HUS was infected with a rare stx1+/stx2− isolate. In the present study, ABO antigens and stx genotypes were not major determinants of the outcome of E. coli O157:H7 infections, and P1 expression did not protect against the development of HUS</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>11807695</pmid><doi>10.1086/338480</doi><tpages>6</tpages></addata></record>
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subjects ABO Blood-Group System - analysis
Antigens
Antigens, Nuclear
AP1 system
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Bacteriology
Biological and medical sciences
Blood group antigens
Blood grouping
Blood groups
Child
Child, Preschool
Erythrocytes
Escherichia coli
Escherichia coli Infections - blood
Escherichia coli Infections - etiology
Escherichia coli O157
Female
Fundamental and applied biological sciences. Psychology
Genotype
Genotypes
Hemolytic uremic syndrome
Hemolytic-Uremic Syndrome - etiology
Human bacterial diseases
Humans
Infant
Infections
Infectious diseases
Logistic Models
Major Articles
Male
Medical sciences
Microbiology
Nuclear Proteins - analysis
Pathogenicity, virulence, toxins, bacteriocins, pyrogens, host-bacteria relations, miscellaneous strains
Prospective Studies
Risk Factors
Shiga Toxin - genetics
Shiga toxins
stx gene
title ABO and P1 Blood Group Antigen Expression and stx Genotype and Outcome of Childhood Escherichia coli O157:H7 Infections
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