RT Journal Article T1 Cumulative acquisition of pathogenicity islands has shaped virulence potential and contributed to the emergence of LEE-negative Shiga toxinproducing Escherichia coli strains A1 Montero, David Arturo A1 Canto, Felipe del A1 Velasco, Juliana A1 Colello, Rocío A1 Padola, Nora Lía A1 Salazar, Juan Carlos A1 San Martín, Carla A1 Oñate, Ángel A1 Blanco Álvarez, Jorge A1 Rasko, David A. A1 Contreras, Carmen A1 Puente, José Luis A1 Scheutz, Flemming A1 Franz, Eelco A1 Vidal, Roberto M. K1 LEE-negative STEC K1 Pathogenicity island K1 Comparative genomics K1 Integrative conjugative element K1 Locus of adhesion and autoaggregation AB Shiga toxin-producing Escherichia coli (STEC) are foodborne pathogens causing severe gastroenteritis, which may lead tohemolytic uremic syndrome. The Locus of Enterocyte Effacement (LEE), a Pathogenicity Island (PAI), is a majordeterminant of intestinal epithelium attachment of a group of STEC strains; however, the virulence repertoire of STECstrains lacking LEE, has not been fully characterized. The incidence of LEE-negative STEC strains has increased inseveral countries, highlighting the relevance of their study. In order to gain insights into the basis for the emergenceof LEE-negative STEC strains, we performed a large-scale genomic analysis of 367 strains isolated worldwide fromhumans, animals, food and the environment. We identified uncharacterized genomic islands, including two PAIs andone Integrative Conjugative Element. Additionally, the Locus of Adhesion and Autoaggregation (LAA) was the mostprevalent PAI among LEE-negative strains and we found that it contributes to colonization of the mice intestine. Ourcomprehensive and rigorous comparative genomic and phylogenetic analyses suggest that the accumulativeacquisition of PAIs has played an important, but currently unappreciated role, in the evolution of virulence in thesestrains. This study provides new knowledge on the pathogenicity of LEE-negative STEC strains and identifies molecularmarkers for their epidemiological surveillance. PB Taylor & Francis YR 2019 FD 2019 LK http://hdl.handle.net/10347/21397 UL http://hdl.handle.net/10347/21397 LA eng NO David Arturo Montero, Felipe Del Canto, Juliana Velasco, Rocío Colello, Nora Lia Padola, Juan Carlos Salazar, Carla San Martin, Angel Oñate, Jorge Blanco, David A. Rasko, Carmen Contreras, Jose Luis Puente, Flemming Scheutz, Eelco Franz & Roberto M. Vidal (2019) Cumulative acquisition of pathogenicity islands has shaped virulence potential and contributed to the emergence of LEE-negative Shiga toxin-producing Escherichia coli strains, Emerging Microbes & Infections, 8:1, 486-502, DOI: 10.1080/22221751.2019.1595985 NO This study was supported by FONDECYT grant 1161161 to R. Vidal and CONICYT-PCHA/2014-63140238 fellowship to D. Montero. Work at USC-LREC was supported by Project PI16/01477 from Plan Estatal de I+D+I 2013-2016, Instituto de Salud Carlos III, Subdirección General de Evaluación y Fomento de la Investigación and FEDER, Ministerio de Economia, Industria y Competitividad, Gobierno de España and Project ED431C 2017/57 from the Consellería de Cultura, Educación e Ordenación Universitaria, Xunta de Galicia and FEDER. Fondecyt 11150966 to Felipe Del Canto. Consejo Nacional de Ciencia y Tecnología; [Fondo Nacional de Desarrollo Científico y Tecnológico]. DS Minerva RD 28 abr 2026