Zonula occludens toxin (Zot) is an enterotoxin elaborated by Vibrio cholerae that increases intestinal permeability by interacting with a mammalian cell receptor with subsequent activation of intracellular signaling leading to the disassembly of the intercellular tight junctions. Zot localizes in the bacterial outer membrane of V. cholerae with subsequent cleavage and secretion of a carboxyl-terminal fragment in the host intestinal milieu. To identify the Zot domain(s) directly involved in the protein permeating effect, several zot gene deletion mutants were constructed and tested for their biological activity in the Ussing chamber assay and their ability to bind to the target receptor on intestinal epithelial cell cultures. The Zot biologically active domain was localized toward the carboxyl terminus of the protein and coincided with the predicted cleavage product generated by V. cholerae. This domain shared a putative receptor-binding motif with zonulin, the Zot mammalian analogue involved in tight junction modulation. Amino acid comparison between the Zot active fragment and zonulin, combined with site-directed mutagenesis experiments, confirmed the presence of an octapeptide receptor-binding domain toward the amino terminus of the processed Zot.Vibrio cholerae produces a variety of extracellular products including zonula occludens toxin (Zot) 1 (1). The zot gene, along with other genes encoding virulence factors such as ctxA, ctxB (2, 3), and ace (4), is part of the chromosomally integrated genome of a filamentous phage designated CTX⌽ (5-10). The zot product seems to be involved in the CTX⌽ morphogenesis because Zot mutagenesis studies demonstrated the inability of CTX elements to be self-transmissible under appropriate conditions (5). The high concurrence among V. cholerae strains of the zot gene and the ctx genes (11, 12) also suggests a possible synergistic role of Zot in the causation of acute dehydrating diarrhea typical of cholera. The recently completed genomic sequence of V. choleare El Tor N16961 revealed that the CTX⌽ filamentous phage is integrated in one of the two circular chromosomes of the bacterium (13).Beside its role in phage morphogenesis, Zot also increases the permeability of the small intestine by affecting the structure of the intercellular tight junctions (tj) (1). This effect was initially described on rabbit ileal tissues mounted in Ussing chambers by using filtered supernatants from V. cholerae O1 strains, suggesting that Zot is secreted (1, 14). Zot also possesses a cell specificity related to the toxin interaction with a specific receptor whose surface expression differs on various cells (15-17). Zot induces modifications of cytoskeletal organization that lead to the opening of tj secondary to the transmembrane phospholipase C and subsequent protein kinase C␣-dependent polymerization of actin filaments strategically localized to regulate the paracellular pathway (15). Furthermore, in vivo experiments suggested that the effect of Zot on tj might lead to intestinal secretion after...

Eleven FIme plasmids representative of those identified in epidemic strains of Salmonella wien and Salmonella typhimurium isolated in North Africa, Europe, and the Middle East have been examined for the presence of determinants of toxigenicity, adherence, and iron-sequestering mechanisms. Chemical and genetic data indicated that all plasmids code for a hydroxamate-mediated iron assimilation system. Detailed analysis of derivative plasmids and cloned fragments of FIme plasmid pZM61 demonstrated that the general genetic and structural organization of the DNA region containing the genes for hydroxamate biosynthesis and cloacin DF13 receptor was virtually identical to that described for the aerobactin-mediated iron uptake system of pColV-K30. This DNA region is part of a composite element that is 16.7 kilobases long and carries its IS] modules as inverted repeats. A very similar element is present in either orientation in all nine FIme plasmids analyzed.

A hospital-based systematic sample of 1667 children with severe diarrhoeal disease was studied in Mogadishu, Somalia, throughout 1983 and 1984. One or more enteric pathogens were found in 61% of the patients. Rotavirus (25%), enterotoxigenic Escherichia coli (11%), Shigella spp. (9%), Aeromonas hydrophila (9%), Giardia lamblia trophozoites (8%), Campylobacter jejuni (8%), and Vibrio cholerae non-O1 (6%) were the most frequently identified pathogens. Age-specific detection rates of enteric pathogens and helminths, seasonal patterns, and relationship of some specific infections with feeding status and main clinical features have been defined for all the sample examined.

This study has shown the spread of SXT-related ICEs among V. cholerae O1 African isolates. It has also highlighted the role of two distinct genetic elements in conferring multiple resistance to the two distinct groups of V. cholerae O1 strains that, in the late 1990s, spread through Eastern Africa, a critical geographic region for the persistence and transmission of cholera to the entire continent.