Shiga toxins (Stxs, also referred to as verotoxins), a family of bacterial protein toxins generated by Stx producing-
Escherichia coli (STEC), such as
E. coli serotype O157:H7, are believed to cause hemorrhagic colitis and hemolytic uremic syndrome (HUS) (
1,
2). Shiga toxins are amongst AB5 toxins, which consist of a single A subunit and a pentamer of B subunits (
3-
6). The B subunit of Stx (StxB) is a peptide used for the attachment of the holotoxin to the cell surface by binding to the functional receptor globotriaosyl ceramide (Gb3/CD77) (
3). The Stx A-subunit is responsible for depurinates adenine residue from eukaryotic rRNA, leading to protein synthesis inhibition (
6,
7). Shiga toxins and bacterial components, such as lipopolysaccharides (LPS), are important factors in sensitizing cells by secretion of pro-inflammatory cytokines, tumor necrosis factor (TNF)-α and interleukin (IL)-1β, which upregulate genes involved in Gb3 biosynthesis in some cell types (
8).
These toxins also activate signaling pathways that consist of toxin uptake and intracellular routing. Shiga toxins-1 treatment of a human renal epithelial cell line resulted in increased tyrosine phosphorylation of lipid raft-associated proteins after toxin exposure (
9). It has been shown that Stx-containing endosomes are routed to different intracellular compartments in a cell-specific manner (
10). Apoptosis is one of the signaling pathways induced by Stxs. Critical regulators of apoptosis are members of the B-cell lymphoma (Bcl)-2 protein family. The Bcl-2 family proteins may be pro- or anti-apoptotic effectors. B-cell lymphoma-2 localizes the surface membrane of organelles, and can be expressed on the nuclear membrane, endoplasmic reticulum and mitochondrial membrane (
11). Furthermore, Bcl-2 is unique in that it inhibits apoptosis rather than promoting cell proliferation. Multiple genes have been identified within the Bcl-2 family; some of these genes, such as Bcl-xs, Bax and Bak, drive the death mechanism and others, such as Bcl-2 and Bcl-xl, act against apoptotic cell death (
11,
12).