In vitro production of enterotoxin by
Vibrio cholerae, NAG isolated from human diarrheal cases in India, the Philippines and Sudan was tested. Of a total of 41 strains tested, 8 proved to produce the toxin characterized by permeability-increasing activity in the guinea pig skin.
Characterization of the toxin produced by a representative strain was also made in comparison with cholera enterotoxin produced by
V. cholerae, serotype 1, 569B strain.
This toxin was heat labile, nondialyzable and immunogenic. It evoked positive ileal-loop reaction in rabbit and also fatal diarrhea in suckling mice after oral administration. However, the maximum volume-length ratio in the ileal-loop test produced by the toxin did not reach the level given by cholera enterotoxin. Toxicity of the toxin for suckling mice was unexpectedly higher than that of cholera enterotoxin when they were compared on the basis of their permeability increasing activity.
It was only partially neutralized by anti-choleragenoid serum, whereas antiserum against the crude NAG toxin was able to neutralize completely the activity of the purified or crude cholera enterotoxin.
From these findings, we conclude that the crude NAG toxin contains an exotoxinn closely related to the enterotoxin produced by strain 569B. In addition to this, other substance (s) participating in the permeability increase or toxicity for suckling mice or both mayy also exist in this crude material.
The present studies also demonstrated that some strains of
V. cholerae, serotype 1 and NAG elaborate a “hemorrhagic principle” in vitro. A brief description of this principle has also been made.
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