Antibiotic-Mediated Modulations of Outer Membrane Vesicles in Enterohemorrhagic Escherichia coli O104:H4 and O157:H7

Author:

Bauwens Andreas1,Kunsmann Lisa1,Karch Helge12,Mellmann Alexander12ORCID,Bielaszewska Martina1

Affiliation:

1. Institute for Hygiene, University of Münster, Münster, Germany

2. Interdisciplinary Center for Clinical Research (IZKF), University of Münster, Münster, Germany

Abstract

ABSTRACT Ciprofloxacin, meropenem, fosfomycin, and polymyxin B strongly increase production of outer membrane vesicles (OMVs) in Escherichia coli O104:H4 and O157:H7. Ciprofloxacin also upregulates OMV-associated Shiga toxin 2a, the major virulence factor of these pathogens, whereas the other antibiotics increase OMV production without the toxin. These two effects might worsen the clinical outcome of infections caused by Shiga toxin-producing E. coli . Our data support the existing recommendations to avoid antibiotics for treatment of these infections.

Funder

Interdisciplinary Center for Clinical Research

Deutsche Forschungsgemeinschaft

European Commission

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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