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Upon colonization of the intestinal epithelium, the attaching and effacing (AE) pathogen Enterohemorrhagic  Escherichia coli  (EHEC) effaces microvilli and forms pedestal-like structures beneath the adherent bacterium. The production of one of its virulence factors, the phage-encoded Shiga toxin (Stx) results in systemic disease, including the development of renal failure. Although EHEC does not productively infect conventional mice, EHEC infection can be modeled in mice utilizing a derivative of the natural murine AE pathogen  Citrobacter rodentium  (CR). Gavage of mice with CR(ΦStx 2dact ), a  C. rodentium  lysogenized by a phage encoding an Stx variant with high potency in mice, features AE lesion formation on intestinal epithelium and Stx-mediated systemic disease, including renal damage. This model is somewhat limited by mouse-to-mouse variation in the course of disease, with the time to severe morbidity (and required euthanasia) varying by as many as 5 days, a feature that limits pathological analysis at defined stages of disease. In the current study, we altered and optimized the preparation, dose, and mode of delivery of CR(ΦStx 2dact ), using food-borne route of infection to generate highly synchronous disease model. We found that food-borne inoculation of as few as 3 × 10 4  CR(ΦStx 2dact ) resulted in productive colonization and severe systemic disease. Upon inoculation of 1 × 10 8  bacteria, the majority of infected animals suffered weight loss beginning 5 days post-infection and all required euthanasia on day 6 or 7. This enhanced murine model for EHEC infection should facilitate characterization of the pathology associated with specific phases of Stx-mediated disease.

Synchronous Disease Kinetics in a Murine Model for Enterohemorrhagic E. coli Infection Using Food-Borne Inoculation