710
Table 31.2.
(Continued
)
Organism
Toxin Name
Toxin Type
Size of Toxin
Effect/Mode of Action of Toxin
E. coli
Shiga toxin 1
Verocytotoxin or
Subunit
Toxin exacerbates the severity of intestinal
O157:H7
(Stx1)
Shiga toxin
A—32
and systemic lesions in human hosts,
kDa,
tending to target the cortex of the kidney.
Subunit
It targets the intestinal villi cells and
B—7
glomerular endothelial cells because these
kDa
cells have Gb3 receptors for the toxins (Acheson and Keusch 1999, Melton-Celsa and O’Brien 1998).
Shiga toxin 2
Verocytotoxin or
Subunit
Toxin exacerbates the severity of intestinal
(Stx2)
Shiga toxin
A—32
and systemic lesions in human hosts,
kDa,
tending to target the cortex of the kidney.
Subunit
It targets the intestinal villi cells and
B—7
glomerular endothelial cells because these
kDa
cells have Gb3 receptors for the toxins. Stx2 is 1000-fold less toxic than Stx1 (Acheson and Keusch 1999, Melton-Celsa and O’Brien 1998).
Intimin
Adhesin
94–97 kDa
Intimin is an intestinal attachment and
effacement factor. The protein is important in intestinal colonization by the pathogen. The intimin receptor in the large intestine has not been elucidated (Kaper et al. 1998).
-hemolysin
Cytotoxin (pore
110 kDa
Toxin is Ca
2
-dependent. It binds to an
forming)
unknown receptor in the host endothelial cells, polymorphonuclear leukocytes, monocytes, or T-lymphocytes and undergoes a conformational change to insert in the membrane, thus forming pores and causing osmotic lysis of the cells (Ludwig and Goebel 1999).