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F4 fimbrial adhesin FaeG is the major structural and adhesive subunit of the F4 (formerly K88) fimbriae found on enterotoxigenic Escherichia coli (ETEC) (UniProt: P02971). It plays a critical role in the pathogenesis of porcine neonatal and post-weaning diarrhea by mediating the attachment of the bacteria to specific glycoprotein receptors on the brush border of porcine enterocytes (PubMed: 25100769). FaeG is a bifunctional protein that acts as both a building block for the fimbrial filament and a lectin that recognizes carbohydrate moieties on host cells (PubMed: 15103018). Because colonization is a prerequisite for the delivery of enterotoxins, FaeG is a primary target for the development of veterinary vaccines and anti-infective therapies (PubMed: 30254541). Current strategies include the use of live-attenuated oral vaccines, such as Coliprotec, and recombinant subunit vaccines designed to elicit a protective mucosal immune response (EMA: Coliprotec F4). Additionally, research into small-molecule glycomimetics aims to competitively inhibit FaeG-mediated adhesion to prevent infection (PubMed: 22493359).
Vaccines targeting FaeG aim to induce mucosal IgA antibodies that bind to the adhesin, thereby sterically hindering the interaction between the bacteria and the host intestinal receptors (PubMed: 30254541). Anti-adhesion drugs or glycomimetics act as competitive inhibitors by mimicking the host cell receptors, binding to the FaeG lectin domain and preventing bacterial colonization (PubMed: 22493359).
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