2009
DOI: 10.1128/cmr.00053-08
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EnterotoxigenicBacteroides fragilis: a Rogue among Symbiotes

Abstract: SUMMARY Enterotoxigenic Bacteroides fragilis (ETBF) strains are strains of B. fragilis that secrete a 20-kDa heat-labile zinc-dependent metalloprotease toxin termed the B. fragilis toxin (BFT). BFT is the only recognized virulence factor specific for ETBF. ETBF strains are associated with inflammatory diarrheal disease in children older than 1 year of age and in adults; limited data suggest an association of ETBF colonization with inflammatory bowel disease flare-ups and colorectal cancer. ET… Show more

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Cited by 340 publications
(299 citation statements)
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References 127 publications
(173 reference statements)
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“…In the absence of this flora, opportunistic microorganisms may colonize the intestine and lead to severe digestion alterations and gastrointestinal diseases. In addition, ETBF can be resistant to antibiotics such as penicillin, ampicillin, clindamycin, tetracycline, and metronidazole (2). Accordingly, there is a substantiated need for better understanding ETBF targets such as fragilysin and for the design of highly specific antimicrobials to tackle them, and detailed structural information greatly contributes to these aims.…”
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confidence: 99%
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“…In the absence of this flora, opportunistic microorganisms may colonize the intestine and lead to severe digestion alterations and gastrointestinal diseases. In addition, ETBF can be resistant to antibiotics such as penicillin, ampicillin, clindamycin, tetracycline, and metronidazole (2). Accordingly, there is a substantiated need for better understanding ETBF targets such as fragilysin and for the design of highly specific antimicrobials to tackle them, and detailed structural information greatly contributes to these aims.…”
mentioning
confidence: 99%
“…Analysis of clinical isolates reveals that the three isoforms are generally present simultaneously (2) and that fragilysin-1 is the most abundant (see table 9 in ref. 2). The three fragilysin isoforms are encoded by a chromosomal pathogenicity islet that is absent in nonenterotoxigenic strains.…”
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“…ETBF have been epidemiologically associated with acute diarrheal diseases in humans and livestock, inflammatory bowel diseases (IBD), and colorectal cancer (reviewed in ref. 3). Exposure of intestinal epithelial cell lines to BFT results in cleavage of the cell adhesion and tumor suppressor protein E-cadherin, morphological alterations, activation of stress response signaling pathways, induction of cytokine secretion, and increased cellular proliferation mediated by elevated expression of the c-Myc oncogene (4)(5)(6)(7)(8)(9)(10)(11).…”
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confidence: 99%