710
Table 31.2.(Continued)OrganismToxin NameToxin TypeSize of ToxinEffect/Mode of Action of ToxinE. coliShiga toxin 1Verocytotoxin orSubunitToxin exacerbates the severity of intestinalO157:H7(Stx1)Shiga toxinA—32and systemic lesions in human hosts,kDa,tending to target the cortex of the kidney.SubunitIt targets the intestinal villi cells andB—7glomerular endothelial cells because thesekDacells have Gb3 receptors for the toxins (Acheson and Keusch 1999, Melton-Celsa and O’Brien 1998).Shiga toxin 2Verocytotoxin orSubunitToxin exacerbates the severity of intestinal(Stx2)Shiga toxinA—32and systemic lesions in human hosts,kDa,tending to target the cortex of the kidney.SubunitIt targets the intestinal villi cells andB—7glomerular endothelial cells because thesekDacells have Gb3 receptors for the toxins. Stx2 is 1000-fold less toxic than Stx1 (Acheson and Keusch 1999, Melton-Celsa and O’Brien 1998).IntiminAdhesin94–97 kDaIntimin is an intestinal attachment andeffacement 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).-hemolysinCytotoxin (pore110 kDaToxin is Ca2 -dependent. It binds to anforming)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).