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DR. LINGWOOD:
      Now, that's illustrated by the fact that if you go through the literature and look at the effects of verotoxin on cells, you see a remarkable spectrum. Everybody, initially, showed the toxin cells kills - inhibits protein synthesis, and causes cytotoxicity. And it also is a potent inducer of apoptosis, but I won't go into that today, but apoptosis is a special mechanism of cell killing.
      But in some cells, for example, mesangial cells, which are a component of the glomerulus in the kidney, it doesn't kill the cells, but it just prevents them from dividing. In other cells at low concentrations, it actually increases the biological activities of the cell, it increases specific mRNA - messenger RNA - levels in the cell, to increase their activity and in these cells verotoxin induces the production of cytokines. So while it inhibits the protein synthesis, overall, it's actually stimulating the protein synthesis of some very specific proteins. These cytokines are modulators of cell function.
      It's also been shown that binding of the toxin to the cell surface can activate protein kinase which lay under the cell surface, in the cytoplasm of the cell. And the mechanism for that is totally unknown. So that's a transmembrane signal, so somehow binding on the outside it influences activity on the inside of the membrane.
      Now, I put question marks here, and I've actually filled in one of these questions marks as of last week. I've had some collaborators looking at the bovine intestine where presumably; there isn't any verotoxin effect. Well, that's what has been presumed.
      But in the bovine intestine, actually, it's been shown that now the verotoxin can increase the number of cells in the epithelial cells - it causes hyperplastic effects.
      So it's quite the opposite in the bovine intestine as to what we see in the cell culture. So a whole plethora of effects follows this single interaction that is -- a single interaction of the toxin with Gb3.




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