2007
DOI: 10.1186/1743-422x-4-31
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How do the rotavirus NSP4 and bacterial enterotoxins lead differently to diarrhea?

Abstract: Rotavirus is the major cause of infantile gastroenteritis and each year causes 611 000 deaths worldwide. The virus infects the mature enterocytes of the villus tip of the small intestine and induces a watery diarrhea. Diarrhea can occur with no visible tissue damage and, conversely, the histological lesions can be asymptomatic. Rotavirus impairs activities of intestinal disaccharidases and Na+-solute symports coupled with water transport. Maldigestion of carbohydrates and their accumulation in the intestinal l… Show more

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Cited by 87 publications
(72 citation statements)
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References 39 publications
(67 reference statements)
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“…The cholinergic agonist carbachol was included in our assessment because, similarly to NSP4, it causes chloride secretion through a calcium-mediated pathway (44)(45)(46)(47). In addition, to evaluate the specificity of the response, we measured changes in the HIE lumenal area after administration of a mutant enterotoxin peptide (NSP4 peptide spanning aa 95 to 146 with an E120A/Q123A mutation) that does not increase intracellular calcium concentrations in vitro or induce diarrhea in neonatal mice (48).…”
Section: Resultsmentioning
confidence: 99%
“…The cholinergic agonist carbachol was included in our assessment because, similarly to NSP4, it causes chloride secretion through a calcium-mediated pathway (44)(45)(46)(47). In addition, to evaluate the specificity of the response, we measured changes in the HIE lumenal area after administration of a mutant enterotoxin peptide (NSP4 peptide spanning aa 95 to 146 with an E120A/Q123A mutation) that does not increase intracellular calcium concentrations in vitro or induce diarrhea in neonatal mice (48).…”
Section: Resultsmentioning
confidence: 99%
“…(d) A subset of human cystic fibrosis patients exhibit residual colonic Cl -conductance that is likely mediated by CaCCs (39). (e) Rotavirus infection produces diarrhea by stimulating Ca 2+ -dependent Cl -secretion from crypts (40), and the rotavirus toxin NSP4 induces Ca 2+ -mediated Cl -secretion in both WT and CFTR-knockout crypts (41).…”
Section: Discussionmentioning
confidence: 99%
“…Rotavirus protein NSP4 induces a Ca ion-dependent chloride secretion, disrupts Na þ -dependent GLUT1 transporter-mediated reabsorption of water, causes maldigestion of carbohydrates and probably activates the Ca ion-dependent secretory reflexes of the enteric nervous system (69) . The malabsorption of nutrients in the intestine is associated with inhibited water reabsorption and can lead to diarrhoea and malnutrition (69) . Shigellosis is one of the major causes of diarrhoea-related morbidity and mortality in developing countries, transmitted through contaminated food and water as well as through person-to-person contact (70,71) .…”
Section: Antisecretory Factor and Gut Healthmentioning
confidence: 99%