Shiga toxin pathogenesis: kidney complications and renal failure

Tom G Obrig, Diana Karpman

Research output: Contribution to journalArticlepeer-review

40 Citations (SciVal)


The kidneys are the major organs affected in diarrhea-associated hemolytic uremic syndrome (D(+)HUS). The pathophysiology of renal disease in D(+)HUS is largely the result of the interaction between bacterial virulence factors such as Shiga toxin and lipopolysaccharide and host cells in the kidney and in the blood circulation. This chapter describes in detail the current knowledge of how these bacterial toxins may lead to kidney disease and renal failure. The toxin receptors expressed by specific blood and resident renal cell types are also discussed as are the actions of the toxins on these cells.

Original languageEnglish
Pages (from-to)105-36
Number of pages32
JournalCurrent Topics in Microbiology and Immunology
Publication statusPublished - 2012

Subject classification (UKÄ)

  • Immunology in the medical area


  • Blood Cells
  • Fibrinolysis
  • Glycolipids
  • Hemolytic-Uremic Syndrome
  • Humans
  • Inflammation
  • Kidney
  • Lipopolysaccharides
  • Renal Insufficiency
  • Shiga Toxin
  • Sphingolipids
  • Thrombosis
  • Virulence Factors


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