Virulence properties of 31 atypical enteropathogenic Escherichia coli (EPEC
) strains isolated from cases of diarrhoea were examined. All except two st
rains adhered to HEp-2 cells in a localised adherence-like (LAL) pattern. W
ith the exception of two strains, all were fluorescent actin staining (FAS)
positive. Gentamicin HEp-2 invasion assay studies showed that all strains
were invasive, Transmission electron microscopy of infected HEp-2 cells sho
wed the characteristic attaching and effacing lesion and invasion of the cu
ltured cells. Of the nine strains that hybridised with a DNA probe for a-ha
emolysin, five were haemolytic within 3 h of incubation, while the remainin
g strains were haemolytic only after incubation for 24 h, Three strains pro
duced enterohaemolysin on blood agar, None of the 31 strains of E. coli ind
uced fluid accumulation in the rabbit intestinal loop assay or displayed cy
totoxic effects in HeLa and Vero cells. All the strains belonging to seroty
pes O26:H11, O26:H- and O119:H2 expressed intimin beta, whereas all the str
ains from serotype O55:H7 expressed intimin gamma, The strains belonging to
serogroup O111 expressed a non-typable intimin, The participation of intim
in in LAL was supported by adhesion inhibition experiments in which antibod
ies to intimin significantly reduced the level of LAL.