“…This haemolysis is called the Kanagawa phenomenon (KP) and is induced by thermostable direct haemolysin (TDH) (Shirai et al ., 1990; Honda and Iida, 1993). Purified TDH causes a number of biological effects, including erythrocyte lysis, cardiotoxicity, disruption of the microtubule, induction of chloride ion secretion and production of fluid accumulation in the ileal loop model (Honda et al ., 1976a,b; Sakurai et al ., 1976; Goshima et al ., 1977; Honda and Iida, 1993; Tang et al ., 1995; 1997; Fabbri et al ., 1999; Raimondi et al ., 2000; Naim et al ., 2001; Takahashi et al ., 2001). Therefore, it has been considered that TDH is an important virulence factor produced by this bacterium.…”