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Shigella and enterotoxigenic Escherichia coli (ETEC) pathogen antigens represent a critical group of virulence factors and surface proteins targeted for the development of combined vaccines against diarrheal diseases [1, 2]. These antigens include Shigella invasion plasmid antigens (IpaB, IpaD), Shiga toxins (Stx), and ETEC colonization factors (CFA/I, CS1-CS6) along with heat-labile (LT) and heat-stable (ST) enterotoxins [2, 4, 5]. These pathogens are leading causes of moderate-to-severe diarrhea and dysentery, particularly in children in low-resource settings and international travelers [3, 11]. Vaccine candidates such as ShecVax and ShigETEC utilize these antigens to induce robust systemic and mucosal immune responses [2, 5, 7]. By eliciting neutralizing antibodies, these therapies aim to block bacterial adherence to the intestinal wall, inhibit the invasion of the colonic epithelium, and neutralize the debilitating effects of secreted toxins [4, 9]. Current research focuses on overcoming the high antigenic heterogeneity of these pathogens to provide broad, cross-protective immunity against multiple serotypes and strains [2, 8].
Induction of systemic (IgG) and mucosal (IgA) neutralizing antibodies that inhibit bacterial adhesion to host cells, prevent cellular invasion, and neutralize the enterotoxicity of secreted toxins [1, 2, 5].
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