This finding

suggests that the full virulence of E. coli RS218 requires both chromosomal and plasmid-located genes. Further studies including in depth CP673451 analysis of RS218 chromosome will advance our understanding of NMEC pathogenesis. Conclusions Incomplete understanding of NMEC pathogenesis is a major hindrance that has been identified and pointed this website out by many scientists particularly in relation to formulation of novel therapeutic and prevention strategies for neonatal meningitis. The plasmid pRS218 in NMEC RS218 strain belongs to IncFIB/IIA subset of virulence plasmids in pathogenic E. coli. These plasmids harbor many virulence traits that are required for bacterial survival inside the host. The nucleotide sequence of pRS218 showed selleck screening library a greater similarity to the plasmids of E. coli associated with acute cystitis than the plasmids from NMEC. However, the prevalence of pRS218 virulence-related

genes was significantly higher in NMEC strains tested than fecal commensal E. coli. We have also demonstrated that the pRS218 is involved in NMEC pathogenesis using both in vivo and in vitro experiments. Future studies on pRS218 transcriptome analysis, identification of plasmid-located genes responsible for current observations and in-depth analysis of E. coli RS218 whole genome will likely broaden our knowledge of NMEC pathogenesis. Methods Bacterial strains and media The prototype NMEC strain E. coli RS218 (O18: H7: K1) and NMEC strain EC10 (O7: K1) were kindly provided Dimethyl sulfoxide by Dr. James Johnson (Department of Medicine, University of Minnesota, Minneapolis, MN). Both E. coli RS218 and EC10 strains have been isolated from cerebrospinal fluid of neonates diagnosed with bacterial meningitis (15). A total of 51 NMEC strains which were isolated from neonatal meningitis cases were also obtained from Dr. K.S. Kim

(School of Medicine, John Hopkins University, Baltimore, MD) and 49 fecal E. coli strains isolated from feces of healthy individuals were obtained from the E. coli Reference Center (Pennsylvania State University, University Park, PA). All E. coli were stored in Luria Bertani broth (LB) at -80°C until further use. Bacteria were grown in MacConkey agar or LB broth. All bacteriologic media were purchased from Becton, Dickinson and Company (BD), Sparks, MD. Plasmid isolation, sequencing, assembly and annotation Sequencing of pRS218 was performed as a part of a project that sequenced the whole genome of E. coli RS218. The genomic DNA including the plasmid DNA was extracted using phenol-chloroform method as described previously [33]. The DNA preparation was further cleaned using Genomic Tips (Qiagen, Valencia, CA) [33]. Whole genome sequencing was performed using Ion Torrent PGM Technology (Life Technologies, Carlsbad, CA) at the Genomics Core Facility (Pennsylvania State University, University Park, PA).