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The Cytotoxic Necrotizing Factor 1 from E. Coli: A Janus Toxin Playing with Cancer Regulators
Authors:Alessia Fabbri  Sara Travaglione  Giulia Ballan  Stefano Loizzo  Carla Fiorentini
Affiliation:Department of Therapeutic Research and Medicines Evaluation, Superior Health Institute, viale Regina Elena 299, 00161 Rome, Italy; E-Mails: (A.F.); (S.T.); (G.B.); (S.L.)
Abstract:Certain strains of Escherichia coli have been indicated as a risk factor for colon cancer. E. coli is a normal inhabitant of the human intestine that becomes pathogenic, especially in extraintestinal sites, following the acquisition of virulence factors, including the protein toxin CNF1. This Rho GTPases-activating toxin induces dysfunctions in transformed epithelial cells, such as apoptosis counteraction, pro-inflammatory cytokines’ release, COX2 expression, NF-kB activation and boosted cellular motility. As cancer may arise when the same regulatory pathways are affected, it is conceivable to hypothesize that CNF1-producing E. coli infections can contribute to cancer development. This review focuses on those aspects of CNF1 related to transformation, with the aim of contributing to the identification of a new possible carcinogenic agent from the microbial world.
Keywords:CNF1   cancer   inflammation   Rho GTPases
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