Using both solid phase and liposome aggregation assays, we screened a varie
ty of glycolipids and phospholipids and found that EHEC and EPEC bind speci
fically and in a dose-dependent manner to PE. This binding was consistently
observed whether the lipid was immobilized on a thin layer chromatography
plate, in a microtitre well or incorporated into a unilamellar vesicle susp
ended in aqueous solution. There was no evidence of binding to other phosph
olipids such as phosphatidylcholine (PC) or phosphatidylserine (PS). Bacter
ial binding to two epithelial cell lines also correlated with the level of
outer leaflet PE and was reduced following preincubation with anti-PE. The
PE-binding phenotype of EPEC appeared to correlate with the bundle-forming
pilus (bfp) genotype of a number of clinical isolates. These results provid
e evidence of a receptor role for PE in the adhesion of EHEC and EPEC to ho
st cells. (C) 1999 Academic Press.