Evidence map›Paper›PMID 42565909›Full record

ArticleMolecular biology reports2026

Phylogenetic analysis and characterization of hybrid enteroaggregative/uropathogenic Escherichia coli strains isolated from urinary tract infection.

Amirhossein Taghipour, Zahra Ghasemian, Mohsen Mohammadi, Mehrdad Halaji, Hadi Sorkhi

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Article in Molecular biology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Amirhossein TaghipourStudent Research Committee, Babol University of Medical Sciences, Babol, Iran.
Zahra GhasemianStudent Research Committee, Babol University of Medical Sciences, Babol, Iran.
Mohsen MohammadiNon-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.
Mehrdad HalajiInfectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran. mehrdad.md69@gmail.com.ORCID http://orcid.org/0000-0002-4576-8203
Hadi SorkhiNon-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.

Funding

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6 · The paper itself

Abstract

backgroundHybrid EAEC/UPEC Escherichia coli strains are emerging uropathogens that combine intestinal and extraintestinal virulence traits through horizontal gene transfer. Although relatively uncommon, these hybrids exhibit strong biofilm formation, enhanced epithelial adherence, and notable antimicrobial resistance, underscoring the need for detailed molecular characterization and epidemiological assessment. The present study aimed to determine the frequency of hybrid EAEC/UPEC isolates among E. coli recovered from patients with urinary tract infections and to characterize their lineage using PCR-based sequence type screening, phylogenetic grouping, and antibiotic resistance profiling.

methodsThis study analyzed 199 archived E. coli isolates from UTI patients, assessing antimicrobial resistance, ESBL production, and virulence genes. PCR was used to characterize their lineage using PCR-based sequence type screening and phylogenetic grouping.

resultsAnalysis of 199 isolates identified 17 EAEC/UPEC hybrids (8.5%), predominantly from female patients and children. All hybrids carried aatA, fyuA, and fimH, with variable presence of aap, aggR, and chuA. High resistance rates were observed, with 94.1% classified as MDR and 47.1% as ESBL producers. bla

conclusionsThis study identified 8.5% of urinary E. coli isolates as hybrid EAEC/UPEC strains. High multidrug resistance, particularly to trimethoprim-sulfamethoxazole, nalidixic acid, and cefotaxime, underscores major therapeutic challenges. These findings highlight the clinical importance of emerging hybrid pathotypes and the need for strengthened molecular surveillance.

Indexed as

Escherichia coli InfectionsUrinary Tract InfectionsUropathogenic Escherichia coliAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialEscherichia coliEscherichia coli ProteinsFemaleHumansMicrobial Sensitivity TestsPhylogenyVirulenceVirulence FactorsAnti-Bacterial AgentsEscherichia coli ProteinsVirulence FactorsHybrid EAEC/UPECMultidrug resistancePhylogroupingST131 lineage

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