Stenzel W
Arzneimittelforschung. 1975 Oct;25(10):1600-2.
Enterotoxins as produced by the majority of enteropathogenic bacteria play a central role in the pathogenesis of cholera and E. coli enteritis but are obviously of little significance as to the development of Salmonella enteritis and dysentery. Pathology of Salmonella enteritis and dysentery results from multiplication of bacteria within the bowel wall and from the damage of tissue caused thereby. The lipopolysaccharides (endotoxins) of invasive enteropathogenic bacteria do not possess the character of a primary pathogenicity factor but operate as a protective agent versus bactericidal mechanisms of the macroorganism and probably also as an agent toxic for the tissue.
大多数肠道致病菌产生的肠毒素在霍乱和大肠杆菌性肠炎的发病机制中起核心作用,但对沙门氏菌肠炎和痢疾的发展显然意义不大。沙门氏菌肠炎和痢疾的病理学是由细菌在肠壁内繁殖以及由此造成的组织损伤引起的。侵袭性肠道致病菌的脂多糖(内毒素)不具备主要致病因子的特征,而是作为一种针对机体杀菌机制的保护剂发挥作用,并且可能也是一种对组织有毒的物质。