Enteropathogenic Escherichia coli (EPEC) causes severe diarrhea in you
ng children. Upon infection, EPEC induces the assembly of highly organ
ized pedestal-like actin structures in host epithelial cells. All the
EPEC genes that are involved in inducing formation of actin pedestals
are located in a unique 35 kbp chromosomal pathogenicity island, terme
d LEE. These genes include the sep genes that encode components of typ
e III protein secretion system, and genes that encode proteins secrete
d by this system, the esp genes. This protein secretion system is acti
vated upon contact with the host cell, resulting in increased secretio
n of Esp proteins. Some of these Esp proteins form the translocation a
pparatus while others are translocated into the cytoplasm of the host
cell. Concerted activity of the LEE genes including the eae, esp and t
he sep genes is needed to trigger signal transduction in the host cell
which results in formation of an actin pedestal.