Enterohaemorrhagic E. coli [EHEC] are a major risk to health yet the lack of a reproducible model system has slowed progress in studying their interaction with human intestine. We have established in vitro organ culture [IVOC] of human intestinal mucosa with EHEC O157:H7 in which attaching-effacing lesion formation is evident. Colonisation is targeted to follicle associated epithelium, a previously unrecognised phenomenon in EHEC. <P>
This system will allow us to:<OL> <LI> Study initial colonisation events in various EHEC strains in order to determine the pattern of tissue tropism and the factors involved; <LI>Assess Shiga toxin involvement during tissue colonisation; <LI>Detect unappreciated virulence factors using in vivo expression technology.