“…5,6,8,10,11 These are single dose vaccines, which can elicit a high titer of serum vibriocidal antibodies because they can actively colonize the host intestinal lumen. 6,[12][13][14] The major defect of the engineered live vaccine strains is the probability of acquiring the enterotoxin gene through horizontal gene transfer. This, in turn, can transform the strains carrying toxins into virulent strains which could be troublesome, especially in epidemic areas.…”