Escherichia coli is one of the bacterial species constituting normal intestinal flora in warm-blooded animals including humans. However,
E. coli has acquired virulence from various foreign genes associated with plasmids, phages and/or transposons. As a result, some
E. coli strains have become pathogenic to humans. Pathogenic
E. coli can be broadly classified into two groups, namely, intestinal pathogenic (diarrheagenic)
E. coli (DEC) and extraintestinal pathogenic
E. coli (ExPEC) such as uropathogenic
E. coli (UPEC). Furthermore, there are at least 5 kinds of
E. coli among DEC including enteropathogenic
E. coli (EPEC), enteroinvasive
E. coli (EIEC), enterotoxigenic
E. coli (ETEC), enterohemorrhagic
E. coli (EHEC), Shiga toxin-producing
E. coli (STEC) or Vero toxin-producing
E. coli (VTEC) and enteroaggregative
E. coli (EAEC). But other types of pathogenic
E. coli, which might be also associated with diarrhea and/or enteritis in humans, have been reported and have attracted attention. These include diffusely adherent
E. coli (DAEC), EAST-1- producing
E. coli (EAST-EC), adherent-invasive
E. coli (AIEC), and cytolethal distending toxin [CDT]-producing
E. coli (CTEC). In addition, hybrid types of
E. coli containing virulence genes associated with two different pathotypes (EAEC/ETEC, ETEC/EHEC, ExPEC/EHEC) have been increasingly recognized in the world. In this review, recent knowledge about DEC, in terms of its bacteriological and pathogenic properties and its epidemiology, focusing on not only 5 kinds of DEC but also other types of pathogenic
E. coli, is described.
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