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DR. LINGWOOD:
      In these cells instead of going through this retrograde pathway, VT1 is internalized again through Clathrin coated pits, but it's internalized through this other pathway, which I've drawn here on the right, which is the degradation pathway. This is the pathway by which cells make proteins and this is how they degrade them through endosomes and lysosomes.
      And so in these cells, monocytes simulated by verotoxin, the VT is internalized into endosomes and lysosomes. And it seems that the toxin does translocate out into the lysosomes and into the cytosol.
      So now we have a third pathway, too, down this way. Still, the two retrograde transport pathways and now a third lysosome or endosome pathway. And this is all mediated by Gb3.
      It turns out that the cells that target the toxin this way, the monocytes which produce cytokines which stimulate Gb3 synthesis in epithelial cells, their Gb3 on the cell surface is organized differently than this cell that targets this retrograde transport pathway.




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