What is it about?
Xanthine oxidase (XO) has been recognized as a host defense enzyme in the GI tract for decades. In infection with STEC, however, XO can cause more harm than good. Hydrogen peroxide (H2O2) generated from XO stimulates production of the Shiga toxins (Stx) and worsens disease. This results in an "uncanny valley" of worse outcome when intermediate amounts of XO are present.
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Why is it important?
Our article provides another example of a phenomenon noted by Drs. Arturo Casadevall and Liise-Ann Pirofski, that maximal tissue damage can occur when host defenses are in an intermediate range. Please see Casadevall, Arturo, and Liise-anne Pirofski. "Host-pathogen interactions: redefining the basic concepts of virulence and pathogenicity." Infection and immunity 67.8 (1999): 3703-3713." Please note the similarity between our graph in our Fig. 7 and Graphs 3 and 4 in the Figure 1 of the article by Casedeval & Pirofski.
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This page is a summary of: Role of Host Xanthine Oxidase in Infection Due to Enteropathogenic and Shiga-Toxigenic Escherichia coli, Infection and Immunity, January 2013, ASM Journals,
DOI: 10.1128/iai.01124-12.
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