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DR. LINGWOOD:
      Okay, another risk factor is the type of toxin. So as I said, the VT1 and VT2 are the primary human verotoxin/Shiga toxins. You add them to cultured cells -- VT2 is less cytotoxic in vitro, but more cytotoxic to human microvascular renal endothelial cells. What does that mean? This may be part of the reason why VT2 seems to be more associated with disease in humans. VT2, unlike VT1, is neurotoxic in rabbits. And I will show you something later on that you will recall in the Japanese outbreak, hardly anybody got the classical renal problems. All the deaths were of neurologic symptoms and that was a VT2 outbreak.
      And the point that we're particularly interested in this is that VT2 and VT1 may preferentially bind to different Gb3 isoforms. And by isoforms, I mean different lipid structures.




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