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Clinical and Diagnostic Laboratory Immunology, March 1998, p. 160-170, Vol. 5, No. 2
Medicine Service, Veterans Affairs Medical
Center, and Department of Medicine, University of Minnesota,
Minneapolis, Minnesota
Received 16 June 1997/Returned for modification 11 November
1997/Accepted 5 December 1997
Data regarding the hemagglutination (HA) patterns of the three
variants (classes I, II, and III) of the Escherichia coli
adhesin PapG are conflicting. These HA patterns usually have been
assessed for each papG allele separately with recombinant
strains in slide HA assays. We rigorously evaluated an alternative
microtiter tray HA assay and then used it to assess the HA of four
erythrocyte types (human A1P1 and
OP1, rabbit, and sheep erythrocytes) by multiple wild-type
E. coli strains representing the four naturally occurring
combinations of the papG alleles, i.e., class I plus III,
class III only, class II plus III, and class II only. The microtiter
tray HA assay displayed significantly better reproducibility of
intraobserver (83%) and interobserver (86%) results than did slide HA
assays (39 and 73%, respectively). Novel findings from the study of 32 wild-type P-fimbriated strains included reproducible determinations of
phenotypic diversity among different papG categories, among
strains within each papG category, and from day to day for individual strains. There was also substantial overlap of phenotypes between papG categories I plus III and III only and between
II plus III and II only. A class III papG recombinant
strain's HA pattern differed significantly from that of the wild-type
class III strains. These data demonstrate that HA phenotypes of
wild-type P-fimbriated E. coli strains can be reproducibly
assessed by a microtiter HA assay and that they correspond broadly to
papG genotype but in a more complex and varied fashion than
previously recognized.
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Diversity of Hemagglutination Phenotypes among
P-Fimbriated Wild-Type Strains of Escherichia coli in
Relation to papG Allele Repertoire
*
Corresponding author. Mailing address: Infectious
Disease (111F), VA Medical Center, One Veterans Dr., Minneapolis, MN
55417. Phone: (612) 725-2000, ext. 4185. Fax: (612) 725-2273. E-mail: johns007{at}maroon.tc.umn.edu.
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