Extraintestinal Escherichia coli Carrying Virulence Genes in Coastal Marine Sediments

Despite the recognized potential of long-term survival or even growth of fecal indicators bacteria (FIB) in marine sediments, this compartment is largely ignored by health protection authorities. We conducted a large-scale study over approximately 50 km of the Marche coasts (Adriatic Sea) at depths ranging from 2 to 5 m. Total and fecal coliforms (FC) were counted by culture-based methods. Escherichia coli was also quantified using fluorescence in situ hybridization targeting specific 16S rRNA sequences, which yielded significantly higher abundances than culture-based methods, suggesting the potential importance of viable but nonculturable E. coli cells. Fecal coliforms displayed high abundances at most sites and showed a prevalence of E. coli. FC isolates (n = 113) were identified by API 20E, additional biochemical tests, and internal transcribed spacer-PCR. E. coli strains, representing 96% of isolates, were then characterized for genomic relatedness and phylogenetic group (A, B1, B2, and D) of origin by randomly amplified polymorphic DNA and multiplex-PCR. The results indicated that E. coli displayed a wide genotypic diversity, also among isolates from the same station, and that 44 of the 109 E. coli isolates belonged to groups B2 and D. Further characterization of B2 and D isolates for the presence of 11 virulence factor genes (pap, sfa/foc, afa, eaeA, ibeA, traT, hlyA, stx₁, stx₂, aer, and fyuA) showed that 90% of B2 and 65% of D isolates were positive for at least one of these. Most of the variance of both E. coli abundance and assemblage composition (>62%) was explained by a combination of physical-chemical and trophic variables. These findings indicate that coastal sediments could represent a potential reservoir for commensal and pathogenic E. coli and that E. coli distribution in marine coastal sediments largely depends upon the physical and trophic status of the sediment. We conclude that future sampling designs aimed at monitoring the microbiological quality of marine coastal areas should not further neglect the analysis of the sediment and that monitoring of these environments can be improved by including molecular methods as a complement of culture-based techniques.Marine environments contaminated by fecal material, derived from human or animal waste, may contain a large variety of pathogenic microorganisms. Health protection and monitoring programs analyze the contamination of aquatic ecosystems (20) but, due to technical and practical difficulties, the search of fecal indicator bacteria (FIB) is routinely preferred to the systematic search of all potential pathogens to assess the sanitary risk of a water body (17). Recreational seawaters are, for instance, classified on the basis of the concentration of Escherichia coli and Enterococcus spp. (21, 33, 40), assumed to be indicators of fecal contamination and of the presence of other pathogenic enteric bacteria. Exposure to waters contaminated with E. coli and Enterococcus spp. have been associated with an increased risk of contracting gastrointestinal and respiratory illnesses (10, 24, 31, 62, 64). Although most E. coli strains are harmless, some strains can cause a variety of intestinal and extraintestinal diseases (11, 57, 58, 62) such as diarrhea, urinary tract infections, bacteremia, sepsis, and meningitis (57). Phylogenetic analyses have shown that E. coli includes four main phylogroups (A, B1, B2, and D) and that most virulent extraintestinal strains belong to the groups B2 and D (11, 23, 46).The microbiological quality of marine waters is typically based exclusively on the water column, whereas sediments have received attention only recently (7, 14, 27, 45). Fecal coliforms (FC) and enterococci have been reported from marine sediments (5, 19, 41), and it has been also proposed that FIB accumulated in the sediments have the potential to contaminate the overlying waters by resuspension of sediment particles (35). There is evidence that FIB and pathogenic bacteria can survive longer in aquatic sediments than in the overlying water column (12, 34). However, the available knowledge on the environmental factors influencing the ecology of pathogenic bacteria in marine sediments is still extremely scant, and there are only few detailed studies on the pathogenic potential, genetic diversity, or population structure of FIB in sediments (1, 63).The development of molecular methods has permitted a range of new approaches to monitor the safety of recreational waters (2). Among the available molecular methods, the fluorescence in situ hybridization (FISH) based on probes specific to 16S or 23S rRNA can be utilized to detect and enumerate specific prokaryotic taxa (16, 59). Since the number of ribosomes varies, generally between 10³ and 10⁵ per cell, depending on the species and physiological state, FISH has also been used to provide evidence of an active metabolic state of the detected cells (2, 8). FISH can thus represent a good complement to culture-based methods, and provides reliable quantitative data in a short time (within 4 h). With regard to FIB, the use of FISH to detect total coliforms (TC) has proven to be difficult, due to their high phylogenetic heterogeneity (55). Conversely, the use of species-specific probes for the detection of single species, such as E. coli, is routinely used (22, 47, 53); however, it has been never tested on marine sediments.The objective of the present study was to investigate the microbiological quality of coastal marine sediments along a large area of the Adriatic Sea (Central Mediterranean Sea) and to evaluate the presence and distribution of specific bacterial genotypes associated with different marine areas. More specifically, it was our aim to evaluate whether marine sediments may be a potential reservoir of active pathogenic E. coli and thus represent a risk for human health. To do this, we analyzed (i) the abundance and distribution of TC and FC; (ii) the abundance and distribution of E. coli strains, along with their genetic relatedness; and (iii) the presence of extraintestinal pathogenic E. coli carrying virulence gene factors. To determine bacterial abundance, culture-dependent (the membrane filtration MF] technique) and culture-independent (the FISH technique) approaches were used. Finally, to identify the factors potentially responsible for the accumulation and survival of E. coli in the benthic environment, we investigated the environmental variables possibly related to the distribution of FIB.