Toxin Mediated Diarrhea in the 21st Century The Pathophysiology of Intestinal Ion Transport in the Course of ETEC, V. cholerae and Rotavirus Infection 英文参考文献.docVIP
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Toxin Mediated Diarrhea in the 21st Century The Pathophysiology of Intestinal Ion Transport in the Course of ETEC, V. cholerae and Rotavirus Infection 英文参考文献
Toxins 2010, 2, 2132-2157; doi:10.3390/toxins2082132
OPEN ACCESS
toxins
ISSN 2072-6651
/journal/toxins
Review
Toxin Mediated Diarrhea in the 21st Century: The
Pathophysiology of Intestinal Ion Transport in the Course of
ETEC, V. cholerae and Rotavirus Infection
Sascha Kopic and John P. Geibel *
Departments of Surgery Cellular and Molecular Physiology, Yale University School of Medicine,
New Haven, CT, USA; E-Mail: sascha.kopic@
* Author to whom correspondence should be addressed; E-Mail: john.geibel@;
Tel.: +1-203-737-4152; Fax: +1-203-737-1464.
Received: 23 June 2010 / Accepted: 9 August 2010 / Published: 10 August 2010
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: cholera; enterotoxigenic E. coli; enterotoxin; NSP4; STa; LT-I
1. Introduction
Diarrhea is widely accepted as a major healthcare concern. However, only closer examination of the
epidemiological data available to us fully illustrates the massive burden that acute diarrheal illness
(ADI) places on our society. Children are particularly vulnerable to the lethal effects of ADI:
3.2 episodes of diarrhea occur per child/year in the age group 5 years [1]. A total of 2.5 million ADI
related deaths worldwide (5 years) occur each year [1]. This means that one out of five deaths in
children (5 years) is ca
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