Integration occurs via recombination between similar sequences in the chromosome target and episomal circle. This PAI is flanked by direct repeat sequences, suggesting that it may LGK-974 price also adopt a circular intermediate form that is essential for its integration into the chromosome. It has been suggested that this excision is mediated

by a PAI-borne integrase gene (int) related to the integrase gene of P4, a satellite element of phage P2 (Sakellaris et al., 2004). These structures may be involved not only in horizontal transference of the PAI but also in the excision promoted by quinolones as occurs in uropathogenic Escherichia coli (UPEC). In this bacterium, quinolones induce the loss of a PAI by activation of the SOS system, which promotes the excision of phage-related sequences (Soto et al., 2006). Closely related islands that vary in structure can be found CH5424802 datasheet in a wide range of Shigella species and enteroinvasive Escherichia coli (EIEC) (Al-Hasani et al., 2001). These islands are the result of the instability of the she PAI. In our isolates, we found diverse structures of this PAI, similar to the results obtained by Al-Hasani et al. (2001). This variation suggests that the right end of the she PAI may be unstable and undergoes deletions of varying lengths

to yield a variety of structural forms of the PAI. The presence of ShET-2 enterotoxin in E. coli shows that horizontal transference of VFs among bacteria belonging to different species had taken place. The presence of this toxin could increase the Thymidine kinase virulence potential of these strains allowing them to cause more severe infections, although further investigation is needed to prove this hypothesis. Paiva de Sousa & Dubreuil (2001) studied the distribution of the astA gene among 358 strains of Enterobacteriaceae. The gene was found in 32.6% of E. coli. Most E. coli EAST-1-positive strains were found among EHEC (88%), EAEC (86.6%), A-EPEC (58.3%) and EPEC (13.7%). This toxin has also been detected in 15.1% EAEC (Mendez-Arancibia et al., 2008) in which in a plasmid of 60–65 MDa has been located. Analyses have shown that E. coli strains fall into four main phylogenetic groups (A, B1, B2 and D) and that virulent

extraintestinal strains mainly belong to groups B2 and D, whereas most commensal strains belong to groups A and B1 (Clermont et al., 2000). A relationship between the presence of ShET-1 enterotoxin and phylogenetic group B2 has been observed, indicating the higher capacity of these strains to acquire VFs from other bacteria and reinforces the hypothesis that this enterotoxin plays a role as a VF in this phylogenetic group. On the other hand, ShET-2 was related to phylogenetic group B1, suggesting a possible increase in the virulence of these commensal strains. Finally, we found a relationship between the presence of the aggR gene and biofilm formation, with this gene being more frequent among biofilm-producing isolates. This association has also been found in several previous studies.