Assay of Escherichia coli enterotoxins by in vivo perfusion in the rat jejunum

A long-term perfusion test to measure net absorption in the small intestine of weaned pigs

To study the effects of bacteria on net absorption of fluid and electrolytes in the small intestine of newly weaned pigs, a more comprehensive and ethical alternative to the ligated loop test was developed. Five paired segments, located at 10, 25, 50, 75 and 95 per cent sites along the small intestine, were cannulated at both ends and solutions perfused continuously through the segments for 10 hours. Net absorption was determined by both a volume method and a method using a non-absorbable marker. Net absorption of fluid, sodium, potassium and chloride was significantly less in segments infected with an enterotoxigenic Escherichia coli than in control segments. This method was superior to the ligated loop test because (i) it was performed entirely under anaesthesia, (ii) the small intestine did not distend during a test, (iii) net absorption was determined per cm2 and along the whole length of the small intestine. Net absorption determined by the nonabsorbable marker was significantly less than that determined by the volume method.

Effect of base precursors on water and electrolyte transport during oral hydration solution perfusion in secreting rat intestine

In situ steady-state, single-pass small intestine perfusions in rats were carried out to compare the effect of the bicarbonate and citrate World Health Organization oral rehydration solutions and a base precursor-free solution on intestinal water and electrolyte transport after inducing intestinal secretion with purified heat-stable Escherichia coli enterotoxin. When toxin was not perfused, the rates of water, sodium, and bicarbonate absorption were significantly greater from the bicarbonate-containing solution than from the citrate or base precursor-free solutions. Chloride absorption was greater from the base precursor-free solution, but this might reflect the higher chloride concentration of the perfusate. When toxin was perfused, there was no significant difference among the solutions in the rates of water, potassium, or chloride absorption. Sodium absorption occurred at significantly greater rates from both the bicarbonate and the base precursor-free solutions than from the citrate solution. Base precursor-containing solutions may not provide any advantage over a base precursor-free solution in stimulating water and sodium absorption in 5'-cyclic guanosine monophosphate mediated acute diarrhea.

Solubilization and partial characterization of the intestinal receptor for Escherichia coli heat-stable enterotoxin

Binding of Escherichia coli strain 431 heat-stable enterotoxin (STa) and activation of intestinal particulate guanylate cyclase by E. coli STa were studied with rat intestinal epithelial cells and brush border membranes (BBMs). The rates of guanylate cyclase stimulation by 431 STa in cells and BBMs were rapid, with maximal levels of cyclic GMP observed within 5 min. Specific binding of 125I-labeled STa from E. coli 431 (431 125I-STa) and activation of guanylate cyclase by unlabeled 431 STa were observed with intestinal BBMs; however, neither was detected with membranes from nonintestinal tissues. The STa receptor was solubilized with 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate, a nondenaturing dipolar ionic detergent, in yields of approximately 50%. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis of the detergent-solubilized receptor-431 125I-STa complex, followed by autoradiography, showed that 431 125I-STa bound to a single BBM component with a molecular weight of about 100,000. Binding of 431 STa to its solubilized receptor was saturable, specific, and essentially irreversible. Pretreatment of the soluble receptor with trypsin and pronase but not chymotrypsin decreased binding of 431 125I-STa. The 431 STa-receptor complex was dissociated by boiling in the presence of 1% sodium dodecyl sulfate, incubation with 0.5 M acetic acid, or reduction with dithiothreitol. In contrast to the residual particulate guanylate cyclase activity of detergent-treated membranes, solubilized guanylate cyclase was not stimulated by STa. Membrane structure appears to play an important role in the coordination of STa binding and stimulation of guanylate cyclase activity.

Culture supernatants of Campylobacter jejuni induce a secretory response in jejunal segments of adult rats

Culture supernatants of four Campylobacter jejuni strains induced a net sodium secretory flux (plasma-lumen) and an impaired glucose transport in perfused jejunal segments of adult rats in vivo.

Cultural methods for the production of heat-stable enterotoxin by porcine strains of Escherichia coli and its detection by the infant mouse test

Casamino acids-yeast extract medium (CAY) and a tryptone-yeast extract medium (TY-1) were evaluated in testing for production of heat-stable enterotoxin (ST) by porcine strains of Escherichia coli using the infant mouse assay. More strains were ST-positive when grown in CAY medium than in TY-1 medium. Questionably or indeterminately ST positive strains were investigated in detail to determine whether or not they were weak ST producers. Growth in four different media and in different batches of CAY medium, inactivation of culture supernatant fluids at a lower temperature, addition of mitomycin C to growing cultures and preparation of periplasm-cytoplasm fractions of bacteria by sonication, all failed to yield ST positive samples. ST value limits (i.e. ratios of intestinal weight to remaining body weight of challenged mice), which clearly differentiated positive or negative strains for ST production, were set for CAY medium. A minimal salts-amino acids medium (MSA) was devised. Both in shake flask and fermenter cultures MSA medium gave better ST yields than CAY and a previously described defined medium.

Enterotoxins from gram-negative bacteria relevant for veterinary medicine

The chemistry, mechanism of action, assay methods, pharmacology, and prevention and treatment of diarrhoea due to toxins of gram-negative microbes are discussed. Other virulence factors are mentioned briefly. Special emphasis is placed on non-specific treatment by oral rehydration.

Comparison of different assays for definition of heat-stable enterotoxigenicity of Escherichia coli porcine strains

Ninety-one Escherichia coli strains isolated from porcine neonatal diarrhea, representing 28 O-groups and rough and non-O-groupable strains, were examined for enterotoxigenicity (heat stable [ST] or heat labile [LT]) by using bacterial suspensions in intestinal loop tests in 3- to 7-week-old piglets and culture supernatant fluids in the Y1 adrenal cell test, the 18-h rabbit intestinal loop test, and the infant mouse test. Eleven strains in O-groups 101, 138, 147, and 149 were positive in all four assay systems and were designated ST + LT. Fourteen strains within O-groups 8, 9, 20, 64, 141, and 149 and non-O-groupable were positive only in the 3- to 7-week-old piglet loop test and the infant mouse test and were designated ST pig + mouse. Sixteen strains distributed among O-groups 8, 16, 32, 50, 51, 98, 115, 141, 149, and 157 were positive only in the piglet intestinal loop test and were designated ST pig. Three strains of O-groups 8, 9, and 140 were positive only in the infant mouse assay and were designated ST mouse. Two strains of O-group 149 were positive in all tests except the infant mouse test and were designated LT. A total of 42 strains were negative in all four tests (Ent(-)), and 3 strains could not be categorized by the enterotoxigenicity criteria used. All K88-positive isolates, 17 strains of O-groups 8, 32, 147, and 149, were positive in at least one enterotoxigenicity test. ST pig and ST mouse strains gave positive intestinal loop tests as bacterial suspensions in 4- to 10-day-old piglets. A 6-h piglet intestinal loop test performed with heat-inactivated culture supernatants was preferable to an 18- to 20-h test for determination of ST production by strains of diverse O-groups. ST production by the two strains designated LT was detected by the 6-h test. The infant mouse test, although highly reproducible and convenient, appears to possess considerable limitations in routine screening of E. coli of porcine origin for ST production.

Isolation and partial characterization of two different heat-stable enterotoxins produced by bovine and porcine strains of enterotoxigenic Escherichia coli

Heat-stable enterotoxins (ST-124 and ST-1261) have been isolated from two different enterotoxigenic Escherichia coli of bovine (124) and porcine (1261) origin. The enterotoxin preparations were isolated by ultrafiltration and ion-exchange chromatography and were both active in the suckling mouse test and pig ligated loop test in the nanogram range. The bovine (ST-124) enterotoxin was not stable to heating in its isolated form, and significant differences in amino acid composition were observed between the two enterotoxins. Although both toxins were active at similar levels in the suckling mouse and pig ligated loop tests, ST-124 lacked the ability to cause the profound secretory responses seen with ST-1261 in the weanling pig ligated loop.

Comparison of assay of coliform enterotoxins by conventional techniques versus in vivo intestinal perfusion

Thirty-six strains of coliform bacteria were tested for enterotoxigenicity both by conventional assays, including the Y-1 adrenal and Chinese hamster ovary cell assays for heat-labile toxin and the suckling mouse assay for heat-stable toxin, and by determining the ability of graded concentrations of ultrafiltrate high- or low-molecular-weight toxin preparations to induce water secretion during in vivo perfusion in the rat jejunum. The ultrafiltrates of all 18 strains isolated from persons with infectious diarrheal disease, including seven of Escherichia coli, seven of Klebsiella pneumoniae, and four of Enterobacter cloacae, contained one (nine strains) or two (nine strains) potent toxin fractions (resembling either heat-labile or heat-stable toxin in terms of apparent molecular weight and heat lability characteristics) that induced water secretion at perfusion concentrations of 10 ng/ml or less. Unconcentrated broth filtrates of five of the E. coli strains and two of Klebsiella reacted positively in one or more of the conventional assay systems. Concentrated ultrafiltrates from two strains that were negative in the in vitro assays for heat-labile toxin were tested and also proved to be inactive in these test systems. None of 18 strains isolated from control sources produced, in the ultrafiltrates, enterotoxins capable of inducing water secretion at low concentrations, and none reacted positively in the conventional assays. These results indicate that some strains of coliform bacteria elaborate potent toxin materials that are capable of inducing water secretion and can be detected by perfusion of concentrated ultrafiltrates but not by conventional assay systems for enterotoxigenicity. Whether this represents quantitative or qualitative differences between the toxin materials that stimulate these different test systems remains to be established.

Adaptation of the staphylococcal coagglutination technique for detection of heat-labile enterotoxin of Escherichia coli

Protein A-containing staphylococci coated with specific antiserum were tested for heat-labile enterotoxin of Escherichia coli. The immunological cross-reactivity of E. coli heat-labile enterotoxin with Vibrio cholerae toxin (choleragen) was the basis for sensitizing stabilized suspensions of the Cowan I strain of Staphylococcus aureus with anticholeragen. Unconcentrated culture supernatant fluid containing E. coli heat-labile enterotoxin produced macroscopic agglutination when mixed with sensitized staphylococci in capillary tubes. A total of 15 toxigenic and 61 nontoxigenic isolates were tested by the staphylococcal coagglutination technique in a coded fashion and found to be in agreement with previous results of the Chinese hamster ovary cell assay and the passive immune hemolysis test. The staphylococcal coagglutination technique is simple, relatively inexpensive to perform, and requires the immunoglobulin fraction of anticholeragen as the only specific reagent. The staphylococcal coagglutination technique appears to have potential for routine use in diagnostic microbiology laboratories.

Increased Escherichia coli enterotoxin detection after concentrating culture supernatants: possible new enterotoxin detectable in dogs but not in infant mice

The heat-stable enterotoxin (ST) of Escherichia coli can be detected by infant mouse or dog intestinal loop tests. These tests differ in that the dog assay uses concentrated culture supernatants and is based on measurements of net intestinal absorption, whereas the mouse test uses unconcentrated supernatants and depends on gross fluid accumulation. To compare the relative sensitivities of these assays, culture supernatants of randomly selected E. coli isolates from 34 Bangalee diarrhea patients were tested for ST in dog loops and infant mice. Supernatants were also tested for heat-labile enterotoxin (LT) in dog loops, Y-1 adrenal cells, and Chinese hamster ovary cells. E. coli supernatants that produced positive responses for both ST and LT in the dog loop assay (ST+/LT+) also produced positive responses when tested for ST in infant mice and for LT in cell lines. Supernatants of strains negative for ST and LT in dog loop (ST-/LT) were also negative in other assays. Of 10 strains positive for just ST in the dog loop test (ST+/LT-), only 5 were ST positive in the standard infant mouse test. Supernatants of the other five strains (dog loop positive, mouse test negative) were then concentrated 100-fold and retested in mice. Three of these five gave consistently positive results after concentration, and two were only intermittently positive. Concentrated supernatants of negative control strains (ST-/LT-) were all negative in mice. The dog assay detects more strains producing ST than the infant mouse test. The infant mouse test, which detects only gross fluid accumulation, failed to detect approximately half of the 10 strains which produced ST alone (ST+/LT-; P = 0.025). Concentrating supernatants for the mouse assay increases sensitivity for detection of ST, but certain E. coli strains produce a variety of ST to which infant mice do not respond.

Biological evaluation of a methanol-soluble, heat-stable Escherichia coli enterotoxin in infant mice, pigs, rabbits, and calves

Escherichia coli P16 was shown to produce two heat-stable toxins (ST) with differing biological activity. The toxins were separated by methanol extraction, and the first, STa, was methanol soluble, partially heat stable, active in neonatal piglets (1 to 3 days old) and infant mice, but inactive in weaned pigs (7 to 9 weeks old); the second, STb, was methanol insoluble, active in weaned pigs and rabbit ligated loops, but inactive in infant mice. It is therefore suggested that use of suckling mice as indicators of ST production will fail to identify certain ST-producing strains.

Enterotoxigenicity of enteropathogenic serotypes of Escherichia coli isolated from infants with epidemic diarrhea

Enteropathogenic serotypes of Escherichia coli which have been incriminated by epidemiological evidence as responsible for epidemics of acute diarrhea in infants are often found to be nontoxigenic when tested by conventional systems such as Y1-adrenal, Chinese hamster ovary, and suckling mouse assays. Twelve such strains, representing four different enteropathogenic serotypes, were examined for their capacity to elaborate toxic materials which alter water transport. Ultrafiltration fractions prepared to contain either a high-molecular-weight, heatlabile or a low-molecular-weight, heat-stable form of toxin from each strain were perfused through rat jejuna in graded concentrations ranging from 100 mug to 0.1 ng/ml. Ten of the twelve enteropathogenic strains produced one or both toxin forms that induced water secretion at concentrations of 1 to 10 ng/ml. Values in this range are considered indicative of clinically significant enterotoxigenicity in this assay system, and toxins from well-documented toxigenic strains examined in this study were active at these same concentrations. Similar preparations from ten control strains from healthy persons were either inactive or evoked water secretion only at concentrations of 10 to 100 mug/ml. These observations suggest that enteropathogenic serotypes of E. coli isolated from epidemics of infantile diarrhea produce diarrhea by elaborating potent heat-labile and heat-stable toxin forms which alter water transport but which are inactive in conventional assay systems. The manner in which these toxins differ either quantitatively or qualitatively from those which stimulate the conventional test systems is unknown.

Isolation and characterization of enterotoxin-deficient mutants of Escherichia coli

The genes controlling the production of two types of enterotoxin of Escherichia coli, one heat-labile (LT) and the other heat-stable (ST), are found on plasmids. The absence of a direct selection procedure has made it difficult to isolate mutants affecting toxin production. However, the availability of a naturally occurring "recombinant" plasmid, carrying genes for LT and ST formation and also for resistance to tetracycline, streptomycin, and sulfonamides, made it possible to use comutagenesis with N-methyl-N'-nitro-N-nitrosoguanidine to enrich for such mutants. We have isolated and characterized 58 LT- mutants and 7 ST- mutants. Among the LT- group we found amber mutants, temperature-sensitive mutants (most of which produce unusually heat-labile LT), and "leaky" mutants with reduced LT activity. The majority of the tested LT- mutants produced immunologically crossreacting material, in most cases in wild-type amounts. Among all 17 of the LT- mutants that could be transferred, the mutation was found to be on the plasmid. In contrast, only one of four transferrable ST- mutants appeared to be a plasmid mutant.

Immunological interrelationships between cholera toxin and the heat-labile and heat-stable enterotoxins of coliform bacteria

Cholera toxin (CT) and the heat-labile (LT) toxin of Escherichia coli are known to share antigenic properties. The present study examined the immunological relationship of CT and the LT and heat-stable (ST) toxins of E. coli, Klebsiella pneumoniae, and Enterobacter cloacae. The neutralizing capacity of equine CT antiserum and of antiserum raised in rabbits to the LT toxin of the three species of coliform bacteria was evaluated by determining their capacity to inhibit the action of purified CT and semipurified ultrafiltration preparations of the coliform LT and ST toxins in inducing water secretion as assayed by the in vivo marker perfusion technique in the rat jejunum. One milliliter of antiserum to CT and to E. coli and Klebsiella LT completely neutralized the secretory action of each of these three toxins; effective serial dilutions of CT antiserum extended to 1 to 4, whereas those of the antisera to LT were limited to 1 to 2 in most instances. One milliliter of antiserum to E. cloacae LT partially neutralized each of the three coliform LT toxins; serial dilutions were inactive. Antiserum to E. cloacae LT did not neutralize CT. Antiserum to CT and to each of the three coliform LT toxins also had a weak neutralizing effect on the ST toxins of E. coli and Klebsiella, but they did not affect E. cloacae ST. Adsorption of the antiserum to CT and to each of the three LT toxins by incubation with a heat-inactivated preparation of either the homologous or a heterologous LT toxin completely abolished the neutralizing capacity of the antisera towards both LT and ST. These observations indicate that the immunological interrelationship of CT and E. coli LT extends to the LT toxins of Klebsiella and E. cloacae and, further, that these immunological properties are shared to a lesser extent by the ST toxins of E. coli and Klebsiella.