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Bacterial Heat-Stable Enterotoxins: Translation of Pathogenic Peptides into Novel Targeted Diagnostics and Therapeutics
Jieru E. Lin 1,† 
,
Michael Valentino 1,† 
,
Glen Marszalowicz 2,† 
,
Michael S. Magee 1,† 
,
Peng Li 1,† 
,
Adam E. Snook 1,† 
,
Brian A. Stoecker 1,† 
,
Chang Chang 2,3 
and
Scott A. Waldman 1,*

1
Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, 132 South 10th Street, 1170 Main, Philadelphia, PA 19107, USA
2
School of Biomedical Engineering, Science & Health Systems, Drexel University, Philadelphia, PA 19104, USA
3
Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, 19104, USA
†
These authors contributed equally to this work.
* Author to whom correspondence should be addressed.
Received: 18 July 2010 / Accepted: 3 August 2010 / Published: 5 August 2010
Abstract: Heat-stable toxins (STs) produced by enterotoxigenic bacteria cause endemic and traveler’s diarrhea by binding to and activating the intestinal receptor guanylyl cyclase C (GC-C). Advances in understanding the biology of GC-C have extended ST from a diarrheagenic peptide to a novel therapeutic agent. Here, we summarize the physiological and pathophysiological role of GC-C in fluid-electrolyte regulation and intestinal crypt-villus homeostasis, as well as describe translational opportunities offered by STs, reflecting the unique characteristics of GC-C, in treating irritable bowel syndrome and chronic constipation, and in preventing and treating colorectal cancer.
Keywords: heat-stable enterotoxins (STa); guanylyl cyclase C; guanylin; uroguanylin; colorectal cancer; hormone insufficiency; hormone replacement therapy; tumor vaccine; irritable bowel syndrome; biomarker; targeted delivery
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Cite This Article
MDPI and ACS Style
Lin, J.E.; Valentino, M.; Marszalowicz, G.; Magee, M.S.; Li, P.; Snook, A.E.; Stoecker, B.A.; Chang, C.; Waldman, S.A. Bacterial Heat-Stable Enterotoxins: Translation of Pathogenic Peptides into Novel Targeted Diagnostics and Therapeutics. Toxins 2010, 2, 2028-2054.
AMA Style
Lin JE, Valentino M, Marszalowicz G, Magee MS, Li P, Snook AE, Stoecker BA, Chang C, Waldman SA. Bacterial Heat-Stable Enterotoxins: Translation of Pathogenic Peptides into Novel Targeted Diagnostics and Therapeutics. Toxins. 2010; 2(8):2028-2054.
Chicago/Turabian Style
Lin, Jieru E.; Valentino, Michael; Marszalowicz, Glen; Magee, Michael S.; Li, Peng; Snook, Adam E.; Stoecker, Brian A.; Chang, Chang; Waldman, Scott A. 2010. "Bacterial Heat-Stable Enterotoxins: Translation of Pathogenic Peptides into Novel Targeted Diagnostics and Therapeutics." Toxins 2, no. 8: 2028-2054.