FEMS Microbiology Letters 14 (1982) 171-175 171
Published by ElsevierBiomedicalPress
Plasmid content and virulence properties of urinary
Escherichia coli strains
Cees Waalwijk *, Johannes F. van den Bosch ,,a, David M. MacLaren * and
Johannes de Graaff **
Departments of * Medical and ** Oral Microbiology, School of Medicine, Free University, Amsterdam, The Netherlands
Received22 February 1982
Accepted 4 March 1982
1. INTRODUCTION
Several properties have been related to the abil-
ity of Escherichia coli strains to infect the urinary
tract. These properties include serotype, colicin V
production, haemolysis, adherence and serum-re-
sistance.
The relationship between certain O-antigens and
nephropathogenicity has been suggested by several
authors [1,2], whereas a high content of K-antigen
might facilitate an E. coli strain to infect the
urinary tract [3].
The production of colicin V is closely associated
with pathogenicity [4]. Haemolysin production is
found far more frequently in clinical isolates as
compared to faecal strains [5]. Furthermore,
elimination of the haemolytic property from
nephropathogenic strains leads to a loss of viru-
lence [6]. In one case, the loss of haemolysin
production was accompanied with the loss of a
plasmid. When the plasmid DNA was reintro-
duced into this cured mutant, the strain reverted
to a haemolytic phenotype and the original viru-
lence level was restored [7].
The ability of E. coli strains to adhere to mam-
malian cells has been shown to be an important
virulence factor for strains isolated from patients
a Present address: Department of Epidemiology, Erasmus Uni-
versity, Rotterdam, The Netherlands.
with acute pyelonephritis [8]. Finally, resistance to
the bactericidal effect of serum is found more
often in urinary isolates than in faecal strains [9].
Some of these virulence factors have been re-
ported to be plasmid-mediated [4,10-12]. In the
present study the plasmid content of a number of
urinary isolates of E. coli was investigated, in an
attempt to correlate the presence of a certain
plasmid species with one of these properties as
well as with the virulence in an experimental mouse
model.
2. MATERIALS AND METHODS
A total of 23 E. coli strains have been investi-
gated. All strains were isolated from females with
urinary infections, mainly cystitis, and have been
described previously [6,13]. To examine the viru-
lence in the mouse model, mice were injected
intravenously with 2.5 • 10 s late log phase cells and
at various times after injection the kidney viable
counts were determined. Group I strains are aviru-
lent, with low viable counts in the kidney and
other organs. Group II strains are nephropatho-
genic, with high viable counts only in the kidney
and group III strains have a general virulence with
high counts in kidney, spleen and blood [13].
Colicin production was tested by overlaying chlo-
roform-killed colonies of the strains with E. coli
0378-1097/82/0000-0000/$02.75 © 1982 Federation of European Microbiological Societies