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Toxins Relevant to Gastrointestinal Disorders

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Biological Toxins and Bioterrorism

Part of the book series: Toxinology ((TOXI))

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Abstract

Gastrointestinal diseases (GIDs) remain a major disease burden in both developing and developed countries worldwide. The major source of GI tract infection is through contaminated food and water. Food contamination, whether accidental or deliberate, can occur anywhere along the food processing line, from the source to the consumer. A number of viral, bacterial, and parasitic pathogens are involved in the causation of the GID. Infections of the GI tract can range from mild self-limiting diarrhea to severe life-threatening situations. Bacterial toxins secreted during the growth of bacteria have significant implications in eliciting diarrhea. Toxins may have different modus operandi and include those acting on the cell surface and those acting on the intracellular targets. Surface-acting ones may comprise toxins that act on the immune system (superantigens) and cell membranes and pore-forming toxins. Intracellular-acting toxins may constitute those acting on protein synthesis and signal transduction and cytoskeleton structure. Enzymatic toxins include those possessing ADP-ribosyltransferase activities.

Detection of these pathogens or toxins often requires multiple steps such as extraction, sample cleanup, or pre-concentration for toxins or multiple cultures for pathogens, prior to measurement, resulting in longer analysis times. Recent efforts in the development of a variety of immunobased diagnostic assays have reduced the analysis time without compromising the sensitivity, with the enzyme-linked immunosorbent assay (ELISA) format being the most common.

In this chapter few selected toxins including superantigens, cholera toxins, Bacillus cereus toxins, C. perfringens enterotoxins, and Shiga-like toxins; clinical features; mode of action; and diagnostic methods are discussed.

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References

  • Abdou MA, Awny NM, Abozeid AA-EM. Prevalence of toxicogenic bacteria in some foods and detection of Bacillus cereus and Staphylococcus aureus enterotoxin genes using multiplex PCR. Ann Microbiol. 2012;62:569.

    Article  CAS  Google Scholar 

  • Alam SI, Kumar B, Kamboj DV. Multiplex detection of protein toxins using MALDI-TOF-TOF tandem mass spectrometry: application in unambiguous toxin detection from bioaerosol. Anal Chem. 2012;84(23):10500–7.

    Article  CAS  Google Scholar 

  • Beecher DJ, Wong AC. Tripartite haemolysin BL: isolation and characterization of two distinct homologous sets of components from a single Bacillus cereus isolate. Microbiology. 2000;146(Pt 6):1371–80.

    Article  CAS  Google Scholar 

  • Bennett RW. Staphylococcal enterotoxin and its rapid identification in foods by Enzyme linked immunosorbent assay – based technology. J Food Prot. 2005;68(6):1264–70.

    Article  CAS  Google Scholar 

  • Bennett RW, McClure F. Visual screening with enzyme immunoassay for staphylococcal enterotoxins in foods: collaborative study. J AOAC Int. 1994;77:357–64.

    Article  CAS  Google Scholar 

  • Bhunia AK. Bacillus cereus and Bacillus anthracis. In: Bhunia AK, editor. Foodborne microbial pathogens: mechanisms and pathogenesis. West Lafayette: Springer; 2008. p. 135–47.

    Google Scholar 

  • Bruck HA, Yang M, Kostov Y, Rasooly A. Electrical percolation based biosensors. Methods. 2013;63(3):282–9.

    Article  CAS  Google Scholar 

  • Chakrabarti G, McClane BA. The importance of calcium influx, calpain and calmodulin for the activation of CaCo-2 cell death pathways by Clostridium perfringens enterotoxin. Cell Microbiol. 2005;7:129–46.

    Article  CAS  Google Scholar 

  • Chiao DJ, Wey JJ, Tsui PY, Lin FG, Shyu RH. Comparison of LFA with PCR and RPLA in detecting SEB from isolated clinical strains of Staphylococcus aureus and its application in food samples. Food Chem. 2013;141(3):1789–95.

    Article  CAS  Google Scholar 

  • Chu PT, Hsieh MF, Yin SY, Wen HW. Development of a rapid and sensitive immunomagnetic-bead based assay for detecting Bacillus cereus in milk. Eur Food Res Technol. 2009;229:73–81.

    Article  CAS  Google Scholar 

  • De Haan L, Hirst TR. Cholera toxin: a paradigm for multi-functional engagement of cellular mechanisms (Review). Mol Membr Biol 2004; 21:77–92.

    Article  Google Scholar 

  • Evenson ML, Hinds MW, Bernstein RS, Bergdoll MS. Estimation of human dose of staphylococcal enterotoxin A from a large outbreak of staphylococcal food poisoning involving chocolate milk. Int J Food Microbiol. 1988;7:311–6.

    Article  CAS  Google Scholar 

  • Field M, Rao MC, Chang EB. Intestinal electrolyte transport and diarrheal disease. N Engl J Med. 1989;321:800–6.

    Article  CAS  Google Scholar 

  • Fischer-Walker CL, Rudan I, Liu L, Nair H, Theodoratou E, et al. Global burden of childhood pneumonia and diarrhea. Lancet. 2013;381:1405–16.

    Article  Google Scholar 

  • Hendriksen NB, Hansen BM, Johansen JE. Occurrence and pathogenic potential of Bacillus cereus group bacteria in a sandy loam. Antonie Van Leeuwenhoek 2006; 89:239–49.

    Article  CAS  Google Scholar 

  • Hirvonen JJ, Siitonen A, Kaukoranta S. Usability and performance of CHROMagar STEC medium in detection of Shiga Toxin-producing Escherichia coli strains. J Clin Microbiol. 2012;50(11):3586–90.

    Article  CAS  Google Scholar 

  • Kim JM, Forghani F, Kim JB, Park YB, Park MS, Wang J, Park JH, Oh DH. Improved multiplex PCR assay for simultaneous detection of Bacillus cereus emetic and enterotoxic strains. Food Sci Biotechnol. 2012;21(5):1439–44.

    Article  CAS  Google Scholar 

  • Koppel R, Kuslyte AR, Tolido I, Schmid J, Marti G. Nonaplex real-time PCR detection of Listeria monocytogenes, Campylobacter, Salmonella and enteropathogenic E. coli after universal enrichment in food samples. Eur Food Res Technol. 2013;237:315–22.

    Article  CAS  Google Scholar 

  • Kotiranta A, Lounatmaa K, Haapasalo M. Epidemiology and pathogenesis of Bacillus cereus infections. Microbes Infect 2000; 2:189–98.

    Google Scholar 

  • Krakauer T, Buckley M. Dexamethasone attenuates staphylococcal enterotoxin B-induced hypothermic response and protects mice from superantigen-induced toxic shock. Antimicrob Agents Chemother. 2006;50(1):391–5.

    Article  CAS  Google Scholar 

  • Lanata CF, Fischer-Walker CL, Olascoaga AC, Torres CX, Aryee MJ, Black RE. Global causes of diarrheal disease mortality in children, 5 years of age: a systematic review. PLoS One. 2013;8(9):1–11. e72788. doi:10.1371/journal.pone.0072788.

    Google Scholar 

  • Le Loir Y, Baron F, Gautier M. Staphylococcus aureus and food poisoning. Genet Mol Res. 2003;2(1):63–76.

    PubMed  Google Scholar 

  • Lindback T, Granum PE. Detection and purification of Bacillus cereus enterotoxins. In: Adley CC, editor. Food-borne pathogens: methods and protocols. Totawa: Humana Press; 2006. p. 15–24.

    Chapter  Google Scholar 

  • Lindback T, Hardy SP, Dietrich R, Sodring M, Didier A, Moravek M, Fagerlund A, Bock S, Nielsen C, Casteel M, Granum PE, Martibauer E. Cytotoxicity of the Bacillus cereus Nhe enterotoxin requires specific binding order of its three exoprotein components. Infect Immun. 2010;78:3813–21.

    Article  CAS  Google Scholar 

  • Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, Rudan I, Campbell H, Cibulskis R, Li M, Mathers C, Black RE, Child Health Epidemiology Reference Group of WHO and UNICEF. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012;379:2151–61.

    Article  Google Scholar 

  • Mitchell LA, Koval M. Specificity of interaction between Clostridium perfringens Enterotoxin and Claudin-family tight junction proteins. Toxins. 2010;2:1595–611.

    Article  CAS  Google Scholar 

  • MOH Report. Epidemiology and control of food poisoning outbreaks in Singapore, 2009-2011. Epidemiol News Bull. 2012;38(3):62–76. http://www.moh.gov.sg/content/moh_web/home/Publications/epidemiological_news_bulletin/2012/JULY-SEPTEMBER-2012-VOL-38-NO-3.html

  • MOH Report. Outbreak of gastroenteritis caused by Salmonella Enteritidis associated with the consumption of food from a factory canteen and an outbreak of Vibrio parahaemolyticus food poisoning. Epidemiol News Bull. 2014;4(1):13–20. http://www.moh.gov.sg/content/moh_web/home/Publications/epidemiological_news_bulletin/2014/january---march-2014-vol--40-no--1.html

  • Orlov AV, Khodakova JA, Nikitin MP, Shepelyakovskaya AO, Brovko FA, Laman AG, Grishin EV, Nikitin PI. Magnetic immunoassay for detection of staphylococcal toxins in complex media. Anal Chem. 2013;85(2):1154–63.

    Article  CAS  Google Scholar 

  • Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsieicz WJ, Gangarosa LM, Thiny MT, Stizenberg K, Morgan DR, Ringel Y, Kim HP, DiBonaventura M, Carroll CF, Allen JK, Cook SF, Sandler RS, Kappelman MD, Shaheen NJ. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology. 2013;143(5):1179–87.

    Article  Google Scholar 

  • Popoff MR. Multifaceted interactions of bacterial toxins with the gastrointestinal mucosa. Future Microbiol. 2011;6(7):763–97. doi:10.2217/fmb.11.58.

    Article  CAS  PubMed  Google Scholar 

  • Popoff V, Mardones GA, Bai SK, Chambon V, Tenza D, Burgos PV, Shi A, Benaroch P, Urbé S, Lamaze C, Grant BD, Raposo G, Johannes L. Analysis of articulation between clathrin and retromer in retrograde sorting on early endosomes. Traffic 2009; 10:1868–80.

    Article  CAS  Google Scholar 

  • Rasooly A. Surface plasmon resonance analysis of staphylococcal enterotoxin B in food. J Food Prot. 2001;64(1):37–43.

    Article  CAS  Google Scholar 

  • Reis ALS, Montanhini MTM, Bittencourt JVM, Destro MT, Bersot LS. Gene detection and toxin production evaluation of hemolysin BL of Bacillus cereus isolated from milk and dairy products marketed in Brazil. Braz J Microbiol. 2013;44(4):1195–8.

    Article  Google Scholar 

  • Reis ALS, Montanhini MTM, Bittencourt JVM, Destro MT, Bersot LS. Gene detection and toxin production evaluation of hemolysin BL of Bacillus cereus isolated from milk and dairy products marketed in Brazil. Braz J Microbiol. 2014;44(4):1195–8.

    Article  Google Scholar 

  • Ritchie JM, Rui H, Bronson RT, Waldor MK. Back to the future: studying cholera pathogenesis using infant rabbits. MBio 2010 18; 1(1). pii: e00047-10. doi: 10.1128/mBio.00047-10

    Google Scholar 

  • Sapsford KE, Taitt CR, Loo N, Ligler FS. Biosensor detection of botulinum toxoid A and staphylococcal enterotoxin B in food. Appl Environ Microbiol. 2005;71(9):5590–2.

    Article  CAS  Google Scholar 

  • Suo B, He Y, Irwin P, Gehring A. Optimization and application of a custom microarray for the detection and genotyping of E. coli O157:H7 in fresh meat samples. Food Anal Method. 2013;6:1477–84.

    Article  Google Scholar 

  • Tesh VL. Induction of apoptosis by Shiga toxins. Future Microbiol. 2010;5:431–53. doi:10.2217/fmb.10.4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Trevisani M, Mancusi R, Riu R, Serraino A. Quantitative detection of shiga toxin-producing and enteropathogenic Escherichia coli serotypes o157 and o26 in bulk raw milk. Food Anal Method. 2013;6:1750–8.

    Article  Google Scholar 

  • Tsilia V, Devreese B, de Baenst I, Mesuere B, Rajkovic A, Uyttendaele M, de Wiele TV, Heyndrickx M. Application of MALDI-TOF mass spectrometry for the detection of enterotoxins produced by pathogenic strains of the Bacillus cereus group. Anal Bioanal Chem. 2012;404:1691–702.

    Article  CAS  Google Scholar 

  • Wade MM, Biggs TD, Insalaco JM, Neuendorff LK, Bevilacqua VLH, Schenning AM, Reilly LM, Shah SS, Conley EK, Emanuel PA, Zulich AW. Evaluation of handheld assays for the detection of Ricin and staphylococcal enterotoxin B in disinfected waters. Int J Microbiol. 2011. doi:10.1155/2011/132627. Article ID 132627, 5 pages.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weingart OG, Gao H, Crevoisier F, Heitger F, Avondet M, Sigrist A. A bioanalytical platform for simultaneous detection and quantification of biological toxins. Sensors. 2012;12:2324–39.

    Article  CAS  Google Scholar 

  • WHO. Updated WHO position paper on cholera vaccines. www.who.int/entity/immunization/cholera_PP_slides_20_Mar_2010.pdf (2010).

  • Wu S, Duan N, Ma X, Xia Y, Wang H, Wang Z. A highly sensitive fluorescence resonance energy transfer aptasensor for staphylococcal enterotoxin B detection based on exonuclease-catalyzed target recycling strategy. Anal Chim Acta. 2013;782:59–66.

    Article  CAS  Google Scholar 

  • Yang M, Kostova Y, Bruckb HA, Rasooly A. Gold nanoparticle-based enhanced chemiluminescence immunosensor for detection of staphylococcal enterotoxin B (SEB) in food. Int J Food Microbiol. 2009;133(3):265–71.

    Article  CAS  Google Scholar 

  • Zhang W, Bielaszewska M, Pulz M, Becker K, Friedrich AW, Karch H, Kuczius T. New immuno-pcr assay for detection of low concentrations of Shiga toxin 2 and its variants. J Clin Microbiol. 2008;46(4):1292–7.

    Article  CAS  Google Scholar 

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Correspondence to Ganapathy Rajaseger .

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Rajaseger, G., Saravanan, P. (2015). Toxins Relevant to Gastrointestinal Disorders. In: Gopalakrishnakone, P., Balali-Mood, M., Llewellyn, L., Singh, B.R. (eds) Biological Toxins and Bioterrorism. Toxinology. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5869-8_33

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