Target intelligence / Profile preview

Enterotoxigenic Escherichia coli colonization factor CS19 (CS19)

Target
CS19
Molecular classification
Adhesin, Fimbrial protein, Bacterial surface protein, Chaperone-usher pilus
01

Overview

Enterotoxigenic Escherichia coli colonization factor CS19 (CS19) is a fimbrial adhesin protein located on the surface of certain Enterotoxigenic Escherichia coli (ETEC) strains. ETEC is a primary cause of traveler's diarrhea and a major contributor to infant mortality in developing countries due to severe dehydration. CS19 belongs to the Class 5 fimbriae, which are assembled via the chaperone-usher pathway and are structurally similar to other major colonization factors like CFA/I and CS17 (PMID: 15659683). The primary function of CS19 is to facilitate the adherence of ETEC to the intestinal mucosa of the host, which is a prerequisite for the delivery of enterotoxins that cause fluid secretion and diarrhea (PMID: 29037462). As an essential virulence factor, CS19 is a key target for the development of oral inactivated and live-attenuated vaccines. These vaccines aim to elicit a local mucosal immune response, specifically secretory IgA, to block bacterial colonization and provide protective immunity against infection.

Other names
CS19 fimbriaeColonization surface antigen 19Csd pilusETEC CS19Colonization factor CS19
02

Mechanism of action

Prevention of bacterial attachment to the intestinal mucosa by eliciting protective mucosal IgA antibodies or via competitive binding inhibition.

03

Biological functions

Bacterial adhesionIntestinal colonizationHost-pathogen interaction
04

Disease associations

InfectionDiarrheaTraveler's diarrhea
05

Safety considerations

Antigenic variability among ETEC strainsLimited cross-protection against non-CS19 ETEC strainsRequirement for high dosages in oral administrationPotential for low immunogenicity in endemic populations
06

Interacting drugs

Experimental ETEC multivalent vaccines

2 more in the full profile.

07

Biomarkers

Fecal CS19-positive ETEC detectionSerum anti-CS19 IgGMucosal anti-CS19 IgA

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