Review Article

Cytolethal Distending Toxin: A Unique Variation on the AB Toxin Paradigm

Table 2

The cytolethal distending toxin subfamily of AB toxins.

SourceaHabitatAssociated affliction or diseasebCell receptor

Escherichia coli c
 Cdt-I (EPEC)Lower intestineGastroenteritisTerminal β-D-galactopyranoside glycoprotein/TMEM181
 Cdt-II (EPEC)Lower intestineGastroenteritis
 Cdt-III (septicemia)BloodSepticemia
 Cdt-IV (pVir)Lower intestineGastroenteritis/urinary tract infection
 Cdt-V (STEC)Lower intestineGastroenteritis
Campylobacter sp.Lower intestineGastroenteritisUnknown
Salmonella enterica subsp. enterica serovar TyphiLower intestineTyphoid feverUnknown
Shigella dysenteriae/Shigella boydii Lower intestineDysenteryUnknown
Providencia alcalifaciensLower intestineGastroenteritisUnknown
Helicobacter sp.Stomach/liverDuodenal ulcers/stomach cancer/chronic hepatitisUnknown
Haemophilus ducreyi GenitaliaChancroidUnknown
Aggregatibacter actinomycetemcomitans Oral cavityLocalized aggressive and possibly chronic periodontitis/infectious endocarditisGM3 (also possibly GM1 and GM2)
bacteriophageHamiltonella defensa Aphid symbiontNot applicable

All facultative or microaerophilic Gram-negative species.
bAll diseases involving a mucosal or epithelial layer.
cEPEC: enteropathogenic E. coli; STEC: Shiga toxigenic E. coli; pVir: conjugative E. coli plasmid.