Target intelligence / Profile preview

Shiga toxin 1 (Stx1)

Target
Stx1
Molecular classification
Bacterial toxin, Ribosome-inactivating protein, AB5 toxin (AB5 protein toxin family)
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Overview

Shiga toxin 1 is a bacterial protein toxin produced by *Shigella dysenteriae* type 1 and Shiga toxin-producing *Escherichia coli* (STEC). It is an AB5-type holotoxin composed of one enzymatically active A subunit and a pentamer of B subunits. The B subunits bind to the cellular glycolipid globotriaosylceramide (Gb3) on host endothelial cells, facilitating endocytosis and retrograde trafficking to the endoplasmic reticulum. The A subunit then enters the cytosol and enzymatically removes a specific adenine from 28S rRNA, inactivating the ribosome and inhibiting protein synthesis, leading to cell death. Shiga toxin 1 is a major virulence factor in severe gastrointestinal infections, including hemorrhagic colitis and hemolytic uremic syndrome, particularly in children[1][2][3][6]. Key distinctions: Shiga toxin 1 is antigenically distinct from Shiga toxin 2 (Stx2). While both have similar mechanisms, Stx2 is generally more toxic in animal models and human disease. The primary clinical relevance of Shiga toxin 1 is as a virulence factor in infectious disease, making it a potential—but highly challenging—target for therapeutic intervention[1][3].

Other names
Shiga-like toxin 1Stx1aVerotoxin 1Vero toxin 1Shiga-toxin type 1
02

Mechanism of action

Ribosome inactivation by removing a specific adenine residue from the 28S rRNA of the 60S subunit, halting protein synthesis[1][3]. Cellular entry via binding B pentamer to the glycosphingolipid receptor globotriaosylceramide (Gb3)[1][2][3].

03

Biological functions

Inhibition of protein synthesisInduction of cell deathEndothelial cell injury
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Disease associations

Infection (notably bloody diarrhea, hemolytic uremic syndrome in STEC/EHEC infections)Renal failure (via hemolytic uremic syndrome)Neurologic complications (neurotoxicity in severe cases)
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Safety considerations

Extremely potent cytotoxicityRisk of severe disease (hemolytic uremic syndrome, renal failure, neurological complications)Lack of effective antidote or targeted therapy in clinical use
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Interacting drugs

No clinically approved drugs directly target Shiga toxin 1, but experimental agents include monoclonal antibodies, receptor analogs (e.g., Gb3 mimetics), and toxin inhibitors under investigation[3].
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Biomarkers

Presence of Stx1 or Stx1-producing Escherichia coli or Shigella dysenteriae in stoolDetection of anti-Stx antibodies in patient serum (not standard in clinical practice)Gb3 expression (marker of cell susceptibility in model systems)

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