大腸菌の病原性に関与する遺伝子群の保有実態に関する包括的調査研究

Შ‫ٻ‬ᐂᓏƷ၏Ҿࣱƴ᧙ɨƢǔᢡˡ‫܇‬፭Ʒ
̬ஊܱ७ƴ᧙ƢǔѼਙႎᛦ௹ᄂᆮ
٤ ⑺ጊ↱⟤㧔౓ᐶ⋵┙ஜᐽ↢ᵴ⑼ቇ⎇ⓥᚲ㧕
‫ޤ⊛⋡ޣ‬
ᐔᚑ ᐕߦ‫ޔ‬࿖ౝߢߪንጊ⋵ࠍਛᔃߦ⣺▤಴ⴊᕈᄢ⣺⩶
'*'%1 ߇‫ޔߚ߹ޔ‬᰷Ꮊߢ
ߪ࠼ࠗ࠷ࠍਛᔃߣߒߡ '*'%1 ߇ේ࿃ߣߥࠆ㘩ਛᲥ߇⊒↢ߒ‫ⶄߦ߽ߣޔ‬ᢙߩᱫ⠪߇಴ࠆᄢ
ⷙᮨ㓸࿅੐଀ߣߥߞߚ‫ߩࠄࠇߎޕ‬੐଀ߢߪ‫ޔ‬ᓥ᧪߆ࠄ⍮ࠄࠇߡ޿ߚࡌࡠᲥ⚛
86↥↢ᕈߩ
1 ߦട߃ߡ‫ޔ‬86 ࠍ↥↢ߒߥ޿ 1 ߽ᄙᢙᬌ಴ߐࠇߚ‫ޔߚ߹ޕ‬1 ߪ 86 ↥↢ᕈߢ޽ࠆ
߇‫ޔ‬᰷Ꮊߩ੐଀ߢߪ '*'% ߇৻⥸⊛ߦ଻᦭ߔࠆ⣺▤߳ߩ㒢ዪ⊛ߥઃ⌕࿃ሶࠍᰳ߈‫ޔ‬ઍࠊࠅߦ
⣺▤ಝ㓸ઃ⌕ᕈᄢ⣺⩶
'#II'%߇ᜬߟઃ⌕࿃ሶࠍ᦭ߔࠆߎߣ߇᣿ࠄ߆ߦߥߞߚ
‫ࠃߩߎޕ‬
߁ߥੱߦ⿠∛ᕈࠍ᦭ߔࠆਅ∯ේᕈᄢ⣺⩶ߢߪ‫ޔ‬᭽‫ߥޘ‬ㆮવሶ⟲߇⚵ߺวࠊߐߞߡ․ᓽ⊛ߥ
∝⁁ࠍ⊒⃻ߐߖߡ޿ࠆ߇‫ߩࠄࠇߎޔ‬ㆮવሶ߇ࡈࠔ࡯ࠫ߿࠻࡜ࡦࠬࡐ࠱ࡦ╬ߦࠃߞߡ⩶ᩣ㑆
ࠍ⒖േߔࠆߎߣߢᣂߚߥᒻ⾰ࠍᜬߞߚ∛ේ⩶߇಴⃻ߔࠆߣ⠨߃ࠄࠇࠆ‫ޔ߼ߚߩߎޕ‬ᄢ⣺⩶
ߩ∛ේᕈߩ⸃᣿ߦߪ‫ⴊߩߢ߹ࠇߎޔ‬ᷡဳ೎ߦଐ᜚ߒߚ․ቯㆮવሶߦട߃ߡ‫ޔ‬᭽‫∛ߥޘ‬ේㆮ
વሶ߿ߘߩ૞↪ࠍჇᒝߔࠆ╬ߩ㑐ㅪㆮવሶߦߟ޿ߡ߽⺞ᩏኻ⽎ߣߔࠆߎߣ߇ᔅⷐߣߥߞߡ
޿ࠆ‫ⶄޔߡߒߘޕ‬ᢙߩ∛ේ࿃ሶࠍ⚵ߺวࠊߖߚᣂߚߥਅ∯ේᕈᄢ⣺⩶ߩ಴⃻ߦኻߒߡ‫⋙ޔ‬
ⷞ૕೙ࠍᒝൻߔࠆߎߣ߇㘩ਛᲥ੍㒐ኻ╷ߣߒߡ㊀ⷐߢ޽ࠆ‫ޕ‬
ߘߎߢ‫ޔ‬Ქ⚛࿃ሶߦട߃ߡઃ⌕࿃ሶ╬ว⸘ ⒳ߩㆮવሶߩ଻᦭⁁ᴫࠍㄦㅦߦ᣿ࠄ߆ߦߢ
߈ࠆ‫◲ޔ‬ଢ߆ߟ቟ଔߥࡑ࡞࠴ࡊ࡟࠶ࠢࠬࠦࡦࡌࡦ࡚ࠪ࠽࡞ 2%4 ᴺࠍ⏕┙ߒߚ‫ޔߦࠄߐޕ‬ஜ
ᐽ⑔␩੐ോᚲ߿㘩⡺ⴡ↢ᬌᩏ࠮ࡦ࠲࡯ߩදജࠍᓧߡ‫⋵ޔ‬ਅߢ⊒↢ߒߚ㘩ਛᲥ੐଀ߢಽ㔌ߒ
ߚ⩶߿‫⋵ޔ‬ౝ㘺⢒‐ߦᏱ࿷ߔࠆᄢ⣺⩶ߦߟ޿ߡ‫∛ޔ‬ේㆮવሶߩ൮᜝⊛ታᘒ⺞ᩏࠍⴕߞߚ‫ޕ‬
‫᧚ޣ‬ᢱߣᣇᴺ‫ޤ‬
㧝㧚ࡑ࡞࠴ࡊ࡟࠶ࠢࠬࠦࡦࡌࡦ࡚ࠪ࠽࡞ 2%4 ᴺ
ਅ∯ේᕈᄢ⣺⩶߇଻᦭ߔࠆਥⷐߥ ⒳ߩ∛ේㆮવሶࠍჇ᏷ߔࠆࡊ࡜ࠗࡑ࡯ࠍ‫ޔ‬ԘᲥ⚛࿃
ሶ㧔UVZUVZ56R56J.6㧕‫ޔ‬ଚ౉࿃ሶ
KPX'㧕‫ޔ‬ԙઃ⌕࿃ሶ
GCGCII4㧕‫ޔ‬ಝ㓸ઃ⌕ᕈ
ᄢ⣺⩶⠴ᾲᕈᲥ⚛
CUV#㧕‫ޔ‬ᢔ࿷ઃ⌕ᕈᄢ⣺⩶ଚ౉࿃ሶ
CHC&‫ޔ‬Ԛ⚦⢩⥌ᱫᕈᲥ⚛
EFV㧕‫⚦ޔ‬
⢩უᱫᲥ⚛
EPHߩ ࠣ࡞࡯ࡊߦಽߌߡᷙวߒߚࡑ࡞࠴ࡊ࡟࠶ࠢࠬ 2%4 ᴺࠍታᣉߒߚ 㧕‫ޕ‬
2%4 ෻ᔕ⹜⮎ߦߪ )Q6CS*QV5VCTV)TGGP/CUVGT/KZ
2TQOGICࠍ↪޿‫ޔ‬෻ᔕ᧦ઙߪ ͠
ಽߩᓟ‫ࡊ࡯࡞ࠣ
͠ޔ⑽ ͠ޔ‬Ԙ߹ߚߪ ͠
ࠣ࡞࡯ࡊԙ߅ࠃ߮Ԛ ⑽‫ ͠ޔ‬ಽ
ߩ෻ᔕࠍ ࠨࠗࠢ࡞ⴕ޿‫ߩߘޔ‬ᓟ ͠ߢ ಽჇ᏷ߒߚ‫ ߢߎߎޕ‬EFV ߅ࠃ߮ EPH ߇ᬌ಴ߐ
ࠇߚ⩶ᩣߪ‫ޔ‬ᣢႎߩࡊ࡜ࠗࡑ࡯߅ࠃ߮ᣂߚߦ⸳⸘ߒߚࡊ࡜ࠗࡑ࡯
⴫㧝ߦࠃࠅ‫ဳޔ‬೎ࠍ
ⴕߞߚ‫ޕ‬
㧙 㧙
⴫䋱䇭䌣䌤䌴 䈍䉋䈶㪺㫅㪽 ㆮવሶ䈱ㆬᛯ⊛䈭Ⴧ᏷䈮↪䈇䈢䊒䊤䉟䊙䊷
ᮡ⊛
䊒䊤䉟䊙䊷
㈩೉ (5'㸢3')
ㆮવሶ
cdt 㸉
cdt㸉-f782
GACACAAACGAGTCAACGAA
cdt㸉-r
GTGATCTCCTTCCATGAAAATATAGT
䍏䍤䍎䍶䍻䍖䍼
᷷ᐲ (㷄)
54
Ⴧ᏷䍙䍐䍛䍼
(bp)
782
cnf1
cnf1-f669
cnf1-r669
TATCGTAGTCCCGGAGGTATCTG
TGCGGTAATTTTGGGTTTGTATCAG
60
669
cnf2
cnf2-f667
cnf2-r667
GTCGCAATTCCGGAGGTGTC
GCGGTAGTTTTGGGGTCGAATTA
60
667
㧞㧚ੱ↱᧪ᩣߩ∛ේㆮવሶ⺞ᩏ
ᐔᚑ ᐕ ᦬߆ࠄᐔᚑ ᐕ ᦬ߦ౓ᐶ⋵ౝߢ⣺▤಴ⴊᕈᄢ⣺⩶ᗵᨴ∝ߩዯߌ಴߇޽ߞ
ߚᖚ⠪߅ࠃ߮଻⩶⠪ߩଢ߆ࠄಽ㔌ߐࠇߚ '*'% ⩶ᩣ‫ޔ‬㘩ਛᲥ੐଀ߢᖚ⠪ଢ߆ࠄಽ㔌ߐࠇ
ߚᄢ⣺⩶ ⩶ᩣ‫߮ࠃ߅ޔ‬ᖚ⠪ଢ ᬌ૕ࠍ∛ේㆮવሶߩ⺞ᩏኻ⽎ߣߒߚ‫ޕ‬
㧟㧚ஜᐽ‐↱᧪ᩣߩ∛ේㆮવሶ⺞ᩏ
౓ᐶ⋵ౝߢ㘺⢒ߐࠇ‫ޔ‬ᐔᚑ ᐕ ᦬߆ࠄᐔᚑ ᐕ ᦬ߦዼᲕߐࠇߚ‐ 㗡ߩ⣺ౝኈ
‛ࠍ '% ࡉ࡛ࠗࡦߢჇ⩶ᓟ‫࡯ࠠࡦࠦ࠶ࡑޔ‬ኙᄤၭ࿾ߦႣᏓߒ‫∛ޔ‬ේㆮવሶࠍ଻᦭ߔࠆᄢ⣺⩶
ࠍត⚝ߒߚ‫ޔߜࠊߥߔޕ‬ᐔ᧼਄ߩࠦࡠ࠾࡯ኒ㓸ㇱಽ߆ࠄ㓸⩶ߔࠆࠦࡠ࠾࡯ࠬࠗ࡯ࡊߢฦ‐
߇଻᦭ߒߡ޿ࠆ∛ේㆮવሶࠍ੍᷹ߒߚᓟ‫৻ޔ‬㗡ᒰߚࠅ એ਄ߩᄢ⣺⩶ࠦࡠ࠾࡯ߦߟ޿ߡ‫ޔ‬
ࠬࠢ࡝࡯࠾ࡦࠣߢ㓁ᕈߣߥߞߚㆮવሶߩᬌ಴ࠍⴕߞߚ‫ޕ‬
‫⚿ޣ‬ᨐ‫ޤ‬
㧝㧚ੱ↱᧪ᩣ߇଻᦭ߔࠆ∛ේㆮવሶ
⣺▤಴ⴊᕈᄢ⣺⩶ᗵᨴ∝ߩᖚ⠪߅ࠃ߮଻⩶⠪ߩଢ߆ࠄಽ㔌ߐࠇߚ '*'% ߩ∛ේㆮવሶ଻
᦭⁁ᴫࠍ⴫㧞ߦ␜ߒߚ‫ޕ‬86 ↥↢ߦ㑐ਈߔࠆㆮવሶߪ‫ޔ‬1 ߆ࠄ UVZ ߣ UVZ ߇หᤨ‫ࠆ޽ޔ‬
޿ߪ UVZ ߇න⁛ߢᬌ಴ߐࠇ‫ޔ‬1‫ޔ‬1‫ޔ‬1 ߆ࠄ UVZ ߇න⁛ߢ‫ޔ‬1‫ޔ‬1 ߆ࠄ UVZ
߇න⁛ߢᬌ಴ߐࠇߚ‫⚦ޔߚ߹ޕ‬⢩߳ߩዪ࿷ઃ⌕ᕈߦ㑐ਈߔࠆࠗࡦ࠴ࡒࡦㆮવሶ
GCG߇‫ޔ‬1
ࠍ㒰ߊ ᩣ߆ࠄᬌ಴ߐࠇߚ‫ޕ‬CII4 ╬ߩߘߩઁߩ∛ේㆮવሶߪᬌ಴ߐࠇߥ߆ߞߚ‫ޕ‬
߹ߚ‫ޔ‬㘩ਛᲥᖚ⠪ଢ߆ࠄ೽ᰴ⊛ߦಽ㔌ߐࠇߚᄢ⣺⩶ߦߟ޿ߡ‫ ޔ‬⒳ߩ∛ේㆮવሶ⺞ᩏࠍ
ⴕߞߚ⚿ᨐ‫ޔ‬GCG‫ޔ‬CUV# ߅ࠃ߮ EPH ࠍ଻᦭ߔࠆ⩶߇ዋᢙߥ߇ࠄ⷗ߟ߆ߞߚ
⴫㧟‫ޕ‬
⴫㧞‫᧪↱ੱޓ‬⣺▤಴ⴊᕈᄢ⣺⩶ߩ
∛ේㆮવሶ଻᦭⁁ᴫ
ㆮવሶ଻᦭⩶ᩣᢙ
ᬌᩏ䈚䈢
ⴊᷡဳ
stx1
stx2
eae
⩶ᩣᢙ
1*
㪍㪇
㪋㪇
㪍㪇
㪍㪇
1*
㪉㪉
㪈㪎
㪉㪉
㪉㪉
1*
㪊㪍
㪊㪍
㪇
㪊㪍
1*
㪈
㪈
㪇
㪈
1*
㪈
㪇
㪈
㪇
1*
㪈
㪈
㪇
㪈
1*
㪈
㪇
㪈
㪈
1*
㪊
㪊
㪇
㪊
ว⸘
㪈㪉㪌
㪐㪏
㪏㪋
㪈㪉㪋
⴫㧟‫ޓ‬㘩ਛᲥᖚ⠪߆ࠄ೽ᰴ⊛ߦಽ㔌ߐࠇߚ
ᄢ⣺⩶ߩ∛ේㆮવሶ
ᬌ಴䈘䉏䈢
ⴊᷡဳ
⩶ᩣ䈱↱᧪
ㆮવሶ
astA
1*76
䉦䊮䊏䊨䊋䉪䉺䊷㘩ਛᲥᖚ⠪ଢ
cnf1
1*
䊨䉺䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
eae
1C*
䉰䊘䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
astA
1*76
䊉䊨䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
astA
176*76
䊉䊨䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
astA
176*76
䊉䊨䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
eae
1*
䊉䊨䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
eae
176*
䊉䊨䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
cnf1
1*
䊉䊨䉡䉟䊦䉴㘩ਛᲥᖚ⠪ଢ
㧙 㧙
⴫㧠‫ߩ‐ޓ‬ਅ∯ේᕈᄢ⣺⩶଻᦭⁁ᴫ
EHEC
ਅ∯ේᕈᄢ⣺⩶
ᬌᩏߒߚ
㓁ᕈ
㓁ᕈ
‐ߩᢙ
79
32
ว⸘ 100
%
79.0
32.0
57
20
෰൓ 74
%
77.0
27.0
22
12
㓽 26
%
84.6
46.2
ㆮવሶࠍ଻᦭ߒߡ޿ߚ‐ߩᢙ
stx1
stx2
10
10.0
7
9.5
3
11.5
STp
31
31.0
19
25.7
12
46.2
21
21.0
14
18.9
7
26.9
eae
29
29.0
24
32.4
5
19.2
astA
52
52.0
37
50.0
15
57.7
cdt
cnf
47
47.0
35
47.3
12
46.2
32
32.0
23
31.1
9
34.6
㧞㧚ஜᐽ‐ߩ∛ේㆮવሶ଻᦭⁁ᴫ
⺞ᩏߒߚ‐ 㗡ਛ‫ޔ‬෰൓‐߇ 㗡ߢ㓽‐߇ 㗡‫᦬ߩࠄࠇߎޔ‬㦂ߪ 㨪 ࡨ᦬߇ 㗡ߢ‫ޔ‬ᱷࠅߪ ‫ߩ᦬ࡨ ޔ‬෰൓‐‫ߩ᦬ࡨ ޔޔ‬㓽‐߇ฦ 㗡ߢ޽ߞߚ‫⴫ޕ‬㧠ߦ‫ޔ‬ਅ
∯ේᕈᄢ⣺⩶‫ߩߘޔ‬ਛߢ '*'%‫ߦࠄߐޔ‬ฦ∛ේㆮવሶࠍ଻᦭ߒߡ޿ߚ‐ߩᢙࠍᕈ೎ߦ␜ߒߚ‫ޕ‬
ߎࠇࠄߩǿ ᬌቯߢߪ‫ޔ‬෰൓‐ߣ㓽‐ߩ㑆ߦ଻᦭₸ߩ᦭ᗧᏅ
᦭ᗧ᳓Ḱ 㧑㧕ߪ⹺߼ࠄࠇߥ
߆ߞߚ‫∛ޕ‬ේㆮવሶ߇ᬌ಴ߐࠇߥ߆ߞߚߩߪ 㗡ߢ‫ ޔ‬㗡߆ࠄ૗ࠄ߆ߩ∛ේㆮવሶࠍᜬ
ߟਅ∯ේᕈᄢ⣺⩶ߩߴ ᩣ߇ᬌ಴ߐࠇߚ‫'*'ޕ‬% ߪ‫ ‐ޔ‬㗡߆ࠄߩߴ ᩣ߇ᬌ಴ߐࠇߚ‫ޕ‬
CUV# ࠍඨᢙએ਄ߩ‐߇଻᦭ߒߡ߅ࠅ‫ޔ‬ᰴ޿ߢ‫ޔ‬EFV‫ޔ‬EPH‫ޔ‬UVZ ߩ㗅ߢ଻᦭₸߇㜞߆ߞߚ‫ޕ‬
ߥ߅‫ဳ࠻ࡅޔ‬⠴ᾲᕈࠛࡦ࠹ࡠ࠻ࠠࠪࡦㆮવሶ
56J‫ޔ‬ᤃᾲᕈࠛࡦ࠹ࡠ࠻ࠠࠪࡦㆮવሶ
.6‫ޔ‬
KPX'‫ޔ‬CII4‫ޔ‬CHC& ߩฦㆮવሶߪᬌ಴ߐࠇߥ߆ߞߚ‫ޕ‬
ᰴߦ‫ߩ᧪↱‐ޔ‬ਅ∯ේᕈᄢ⣺⩶ ᩣߩ∛ේㆮવሶ଻᦭⁁ᴫࠍ⴫㧡ߦ␜ߒߚ‫'*'ޕ‬% ᩣ
ਛ‫ޔ‬UVZ න⁛଻᦭߇ ᩣ‫ޔ‬UVZ ߣ UVZ ߩหᤨ଻᦭߇ ᩣ‫ ߚ߹ޔ‬UVZ ߣ GCG ࠍ଻᦭ߔࠆ
1* ߇ ᩣ⷗ߟ߆ߞߚ‫ဳ࠲ࡉޔ߽ߦઁߩߘޕ‬⠴ᾲᕈࠛࡦ࠹ࡠ࠻ࠠࠪࡦㆮવሶ
56R߿ CUV#
╬ࠍหᤨ଻᦭ߔࠆ⩶ᩣ߇ሽ࿷ߒߚ‫ޕ‬56R ࠍ଻᦭ߔࠆ⣺▤Ქ⚛ේᕈᄢ⣺⩶
'6'%ߪ ᩣ‫ޔ‬GCG
ࠍ଻᦭ߔࠆ⣺▤∛ේᕈᄢ⣺⩶
'2'%ߪ ᩣಽ㔌ߐࠇߚ‫ޕ‬CUV# ߪන⁛଻᦭ ᩣࠍ฽߻ ᩣ߇଻᦭ߒߡ޿ߚ‫ޕ‬EFV ߪ ᩣ߇଻᦭ߒߡ߅ࠅ‫ဳޔ‬೎ߢߪ‫ޔ‬EFVΣ߇ ᩣ‫ޔ‬EFVΥ߇ ᩣ‫ޔ‬
EFVΧ߇ ᩣߢ޽ߞߚ‫ޕ‬EPH ߪ ᩣ߇଻᦭ߒ‫ ߡߴߔߪࠄࠇߎޔ‬EPH ဳߢ‫ ߩߜ߁ߩߎޔ‬
ᩣߪ EFVΥߣ EPH ࠍหᤨ଻᦭ߒߡ޿ߚ‫ߩ᧪↱‐ޕ‬ਅ∯ේᕈᄢ⣺⩶ߩ⚂ ഀߪⴊᷡဳ೎ਇ⢻
ߢ޽ߞߚ߇‫ޔ‬᳿ቯߢ߈ߚਥߥⴊᷡဳࠍ⴫㧡ߦ␜ߒߚ‫ޕ‬
‫ޣ‬⠨ኤ‫ޤ‬
੹࿁ߩ⺞ᩏߢߪ ⒳ߩ∛ේㆮવሶࠍኻ⽎ߣߒߚ߇‫ޔ‬ᬌ಴ߐࠇߚߩߪ UVZ‫ޔ‬UVZ‫ޔ‬56R‫ޔ‬
GCG‫ޔ‬CUV#‫ޔ‬EFV ߅ࠃ߮ EPH ߩ ⒳ߦ㒢ቯߐࠇߚ‫'*' ᧪↱ੱޕ‬% ߆ࠄߪ‫ޔ‬ᓥ᧪ㅢࠅ UVZ‫ޔ‬UVZ
߅ࠃ߮ GCG ߩߺ߇ᬌ಴ߐࠇ‫ޔ‬86 ߣߩ౒ሽߦࠃࠅᒝᲥൻ߇ ᔨߐࠇࠆ 1 ߢᬌ಴ߐࠇߚಝ
㓸ઃ⌕࿃ሶ
CII4㧕ߪᬌ಴ߐࠇߥ߆ߞߚ‫᧪↱ੱޕ‬ᄢ⣺⩶ߩਛߦߪ‫ⴕޔ‬᡽਄‫ޔ‬㘩ਛᲥߩේ࿃ߣ
ߪ್ቯߐࠇߥ߆ߞߚ߽ߩߩ‫ޔ‬GCG‫ޔ‬CUV# ߅ࠃ߮ EPH ࠍන⁛ߢ଻᦭ߔࠆ⩶ᩣ߇ሽ࿷ߒߡ߅ࠅ‫ޔ‬
ߎࠇࠄߩ∛ේᕈ߿ಽᏓ⁁ᴫߩ⺞ᩏ߇ᔅⷐߣᕁࠊࠇߚ‫ޕ‬
‐ߩਅ∯ේᕈᄢ⣺⩶ߩ଻᦭₸ߪ 㧑ߣ㜞ߊ‫'*'ޔ‬% ߦ㒢ቯߔࠆߣ 㧑ߢ޽ߞߚ‫ޕ‬ಽ㔌ߒ
ߚ‐↱᧪ '*'% ᩣਛߦ CII4 ࠍหᤨ଻᦭ߔࠆ߽ߩߪߥ߆ߞߚ߇‫ ޔ‬ᩣߪ 56R‫ޔ‬CUV# ޽ࠆ޿
㧙 㧙
⴫䋵䇭‐↱᧪ਅ∯ේᕈᄢ⣺⩶䈱ㆮવሶ଻᦭⁁ᴫ
ᬌ಴䈘䉏䈢∛ේㆮવሶ䈱⚵䉂ว䉒䈞
ಽ㘃
⣺▤಴ⴊᕈᄢ⣺⩶(EHEC)
stx1
stx1
stx1
stx1
stx2
stx2
STp
astA
STp
astA
cdt 㸉
stx2
stx2
stx2
stx2
stx2
stx2
stx2
stx2
stx2
STp
STp
STp
eae
astA
astA
eae
eae
eae
astA
cnf2
cdt 㸋
astA
cdt 㸋
⣺▤Ქ⚛ේᕈᄢ⣺⩶(ETEC)
STp
STp
STp
STp
eae
eae
astA
astA
⣺▤∛ේᕈᄢ⣺⩶(EPEC)
eae
eae
astA
ઁ䈱ਅ∯ේᕈᄢ⣺⩶
astA
astA
astA
astA
astA
cdt 㸉
cdt 㸇
cdt 㸉
cdt 㸋
cnf2
cdt 㸉
cdt 㸉
cdt 㸋
cnf2
cnf2
ว⸘
11
45
29
35
68
55
34
⩶ᩣᢙ
49
1
6
2
2
2
4
2
2
1
3
3
1
20
18
1
1
4
12
25
2
23
92
2
1
1
3
40
29
7
8
1
184
᳿ቯ䈪䈐䈢ਥ䈭ⴊᷡဳ
1*
1*
1*
1*1*
1*
1*
1*
1*1*
1*
1*1*
1*1CE*
1*
1*1CE*
1*1*
1*1*
1*1*
1*
ߪ EFV ࠍหᤨ଻᦭ߒߡ߅ࠅ‫'*' ᧪↱ੱޔ‬% ߣ⇣ߥࠆ௑ะ߇⹺߼ࠄࠇߚ‫ޕ‬CUV# ߪ‫'*'ޔ‬% ߩߺ
ߥࠄߕ '6'% ߿ '2'% ߆ࠄ߽ᬌ಴ߐࠇ‫ޔ‬EFV ࠍหᤨ଻᦭ߔࠆ ᩣ߽ᬌ಴ߐࠇߚ‫ޕ‬CUV# ߪಽ㔌
⩶ᩣਛߩ଻᦭₸߇ 㧑ߣᦨ߽㜞ߊ‫ޔ‬CUV# ߇ਅ∯ේᕈᄢ⣺⩶ߦᐢߊಽᏓߔࠆߣ޿߁ႎ๔
ࠍⵣઃߌࠆ࠺࡯࠲߇ᓧࠄࠇߚ‫ޕ‬CUV# ߩਅ∯ߣߩ㑐ㅪߪ᣿ࠄ߆ߦߥߞߡ޿ߥ޿߇‫ޔ‬CUV# ଻᦭
⩶߇ේ࿃ߣ⠨߃ࠄࠇࠆ㓸࿅㘩ਛᲥ੐଀ߩႎ๔
߽޽ࠅ‫ޔ‬ᬌᩏࠍ⛮⛯ߔߴ߈ㆮવሶߢ޽ࠆ‫ޕ‬
EFVΥߣ EPH ߪ R8KT ࡊ࡜ࠬࡒ࠼਄ߦሽ࿷ߒ‫ߩࠄࠇߎߪࠄ߆‐ޔ‬หᤨ଻᦭ᩣ߇ᄙߊಽ㔌ߐࠇ
ࠆߎߣ߇ႎ๔ߐࠇߡ߅ࠅ
‫੹ޔ‬࿁ߩ⺞ᩏߢ߽ห᭽ߩ⚿ᨐ߇ᓧࠄࠇߚ‫ࠄ߆‐ޔߚ߹ޕ‬ᬌ಴ߐ
ࠇߚ EPH ߪߔߴߡ EPH ߢ޽ߞߚ߇‫ࠄ߆ੱޔ‬ᬌ಴ߐࠇߚߩߪ EPH ߢ޽ߞߚߎߣ߆ࠄ‫੹ޔ‬ᓟ
߽⺞ᩏ੐଀ࠍჇ߿ߒߡ‫ޔ‬EFV ߿ EPH ߩ⒳㑆ߢߩㆮવሶဳߩ㆑޿ߣ∛ේᕈߣߩ㑐ㅪߦߟ޿ߡ
᣿ࠄ߆ߦߔࠆᔅⷐ߇޽ࠆߣ⠨߃ߡ޿ࠆ‫ޕ‬
㧙 㧙
‫⻢ޣ‬ㄉ‫ޤ‬
ᧄ⎇ⓥࠍታᣉߔࠆߦ޽ߚࠅ‫⎇ޔ‬ⓥഥᚑࠍ޿ߚߛ߈߹ߒߚ౏⋉⽷࿅ᴺੱᄢห↢๮੐ᬺ࿅ߦ
ᔃࠃࠅᗵ⻢޿ߚߒ߹ߔ‫ߩ⩶᦭଻ߩ‐ޔߚ߹ޕ‬ណขߦߏදജ޿ߚߛ޿ߚ౓ᐶ⋵㘩⡺ⴡ↢ᬌᩏ
࠮ࡦ࠲࡯ߩ⊝᭽‫∝᦭ߦ߮ࠄߥޔ‬⠪ଢ↱᧪ߩ⩶ᩣࠍߏឭଏ޿ߚߛ޿ߚ౓ᐶ⋵ஜᐽ⑔␩੐ോᚲ
ᬌᩏቶߩ⊝᭽ߦෘߊᓮ␞↳ߒ਄ߍ߹ߔ‫ޕ‬
‫ޣ‬ෳ⠨ᢥ₂‫ޤ‬
1) ኹ᎑ ᷕ㧘ઁ㧦⣺▤಴ⴊᕈᄢ⣺⩶ᗵᨴ∝ߩᦨㄭߩേะ, 㘩ຠⴡ↢⎇ⓥ㧘61, 7-15 (2011)
2) ᐔᚑ 23 ᐕᐲᣂ⥝ౣ⥝ᗵᨴ∝ᛛⴚ⎇ୃ ⾗ᢱ‫ޟ‬ㆮવሶᬌᩏᴺ‫ޠ‬㧘࿖┙ᗵᨴ∝⎇ⓥᚲ
3) Toth, I. et al. 㧦 Production of Cytolethal Distending Toxins by Pathogenic
Escherichia coli Strains Isolated from Human and Animal Sources: Establishment
of the Existence of a New cdt Variant (Type IV), J. Clin. Microbiol., 41, 4285-4291
(2003)
4) Mehdipour, S. et al. Detection of cytolethal distending toxin (cdt) and cytotoxic
necrotizing factor (cnf) genes among Escherichia coli isolates from Iranian sheep
carcasses, Comp. Clin. Pathol., 21, 1683-1688 (2012)
5) Bielaszewska, M. et al.㧦Characterization of Cytolethal Distending Toxin Genes and
Expression in Shiga Toxin-Producing Escherichia coli Strains of Non-O157
Serogroups, Infect. Immun. 72, 1812-1816 (2004)
6) Savarino, S. J. et al.㧦Enteroaggregative Escherichia coli Heat-Stable Enterotoxin
Is Not Restricted to Enteroaggregative E. coli, J. Infect. Dis., 173, 1019-1022 (1996)
7) Zhou, Z. et al.㧦An outbreak of gastroenteritis in Osaka, Japan due to Escherichia
coli serogroup O166:H15 that had a coding gene for enteroaggregative E. coli
heat-stable enterotoxin 1(EAST1), Epidemiol. Infect., 128, 363-371 (2002)
8) Clark, C. G. et al.㧦PCR for Detection of cdt-III and The Relative Frequencies of
Cytolethal Distending Toxin Variant-Producing Escherichia coli Isolates from
Humans and Cattle, J. Clin. Microbiol., 40, 2671-2674 (2002)
‫૶⾌⚻ޣ‬ㅜ᣿⚦‫ޤ‬
⚦⩶ၭ㙃ᶖ⠻ຠ㧔ၭ࿾‫╬࡟࡯ࡖࠪޔ‬㧕
2%4 ↪⹜⮎෸ౕེ߮㧔2%4 ↪ࡑࠬ࠲࡯ࡒ࠶ࠢࠬ‫╬ࡓ࡯ࠦޔ‬㧕
ㆮવሶ⸃ᨆ↪⹜⮎㧔ࠪ࡯ࠢࠛࡦࠬࠠ࠶࠻㧕
శᾲ᳓⾌
ᣏ⾌
ว⸘㧔ഥᚑ㊄ ਁ౞‫ޔ‬੤ㅢ⾌ ౞߅ࠃ߮㗍㊄೑ᕷ ౞ࠍ฽߻㧕
㧙 㧙