Target intelligence / Profile preview

Escherichia-Shigella (E. coli/Shigella)

Target
E. coli/Shigella
Molecular classification
Bacteria, Gram-negative bacteria, Gammaproteobacteria, Enterobacterales, Enterobacteriaceae
01

Overview

Escherichia-Shigella refers to a taxonomic grouping of Gram-negative, facultatively anaerobic bacteria within the Enterobacteriaceae family that are genetically nearly indistinguishable (NCBI Taxonomy). While many strains of Escherichia coli are harmless commensals in the human digestive tract, certain pathogenic variants and Shigella species are major causes of diarrheal disease and systemic infections worldwide (CDC, 2023; StatPearls, 2023). Pathogenic members typically utilize complex virulence factors, such as Shiga toxins and type III secretion systems, to invade the intestinal epithelium and evade the host immune response (PubMed, PMID: 28504353). Treatment strategies focus on antimicrobial therapy, though the effectiveness of common drugs like fluoroquinolones and macrolides is increasingly compromised by rising rates of antibiotic resistance (WHO, 2022). This entity is classified as a pathogen group or taxon rather than a specific molecular target (e.g., a protein or receptor), which is why it is identified as an incorrect target type in a pharmacological context.

Other names
EscherichiaShigellaEscherichia coliShigella dysenteriaeShigella flexneriShigella sonneiShigella boydiiEnterobacteriaceae
02

Mechanism of action

Antibiotics targeting these bacteria typically inhibit DNA gyrase/topoisomerase IV (fluoroquinolones), bind to ribosomal subunits to arrest protein synthesis (macrolides), or inhibit peptidoglycan cross-linking in the bacterial cell wall (beta-lactams) (StatPearls, 2023; WHO Guidelines, 2022).

03

Biological functions

Pathogenic colonizationIntestinal metabolismToxin productionType III secretion system activityGut microbiome homeostasis
04

Disease associations

InfectionGastroenteritisShigellosisBacillary dysenteryUrinary tract infectionHemolytic uremic syndromeSepsis
05

Safety considerations

Rapid emergence of multidrug resistance (MDR)Potential for Shiga toxin release and Hemolytic Uremic Syndrome (HUS) exacerbation upon bacterial lysisDisruption of the host commensal microbiome (dysbiosis)Risk of secondary Clostridioides difficile infection
06

Interacting drugs

Ciprofloxacin

5 more in the full profile.

07

Biomarkers

Shiga toxin (Stx1 and Stx2)16S ribosomal RNA (16S rRNA) sequenceipaH geneFecal calprotectinO-antigen serotyping

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