Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2010 Aug;2(8):2132-57.
doi: 10.3390/toxins2082132. Epub 2010 Aug 10.

Toxin mediated diarrhea in the 21 century: the pathophysiology of intestinal ion transport in the course of ETEC, V. cholerae and rotavirus infection

Affiliations
Review

Toxin mediated diarrhea in the 21 century: the pathophysiology of intestinal ion transport in the course of ETEC, V. cholerae and rotavirus infection

Sascha Kopic et al. Toxins (Basel). 2010 Aug.

Abstract

An estimated 4 billion episodes of diarrhea occur each year. As a result, 2-3 million children and 0.5-1 million adults succumb to the consequences of this major healthcare concern. The majority of these deaths can be attributed to toxin mediated diarrhea by infectious agents, such as E. coli, V. cholerae or Rotavirus. Our understanding of the pathophysiological processes underlying these infectious diseases has notably improved over the last years. This review will focus on the cellular mechanism of action of the most common enterotoxins and the latest specific therapeutic approaches that have been developed to contain their lethal effects.

Keywords: LT-I; NSP4; STa; cholera; enterotoxigenic E. coli; enterotoxin.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Model summarizing cellular processes during STa mediated diarrhea.
Figure 2
Figure 2
Model summarizing cellular processes during CTX mediated diarrhea.
Figure 3
Figure 3
Model summarizing cellular processes during NSP4 mediated diarrhea.

References

    1. Kosek M., Bern C., Guerrant R.L. The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bull. World Health Organ. 2003;81:197–204. - PMC - PubMed
    1. Barrett K.E., Keely S.J. Chloride secretion by the intestinal epithelium: Molecular basis and regulatory aspects. Annu. Rev. Physiol. 2000;62:535–572. - PubMed
    1. Singh S.K., Binder H.J., Boron W.F., Geibel J.P. Fluid absorption in isolated perfused colonic crypts. J. Clin. Invest. 1995;96:2373–2379. - PMC - PubMed
    1. Strong T.V., Boehm K., Collins F.S. Localization of cystic fibrosis transmembrane conductance regulator mRNA in the human gastrointestinal tract by in situ hybridization. J. Clin. Invest. 1994;93:347–354. - PMC - PubMed
    1. Kunzelmann K., Mall M. Electrolyte transport in the mammalian colon: Mechanisms and implications for disease. Physiol. Rev. 2002;82:245–289. - PubMed

MeSH terms

Substances