Enterotoxigenic Escherichia coli is an important cause of traveler's diarrhea and diarrheal illnesses in children in the developing world. In this presentation we will focus on the main virulence attributes of this pathogenic category of E. coli, and discuss the evolution of studies conducted in our laboratory. The importance of ETEC as a major cause of diarrhea was recognized in the late 60's. Since then, a large body of information on the epidemiology and pathogenesis of this group of bacteria has been accumulated.ETEC strains are a worldwide cause of acute diarrheal disease in both human and animals, responsible for a high rate of infantile mortality in the developing countries. They are also an important agent of diarrhea among travelers from industrialized countries visiting tropical or subtropical areas of the world.Two virulence attributes that characterize ETEC are the colonization of the small intestine surface and the production of enterotoxins that induce a net secretion of electrolytes and water into the gut lumen.The enterotoxins produced by these organisms belong to two major classes of heat-labile and heatstable toxins (LT and ST, respectively), that differed in regard to structure, antigenicity and mechanisms of action, usually related to cyclic nucleotides (Acheson 1992, Spangler 1992, Sears & Kaper 1996. LT, which is closely related to cholera toxin (CT), is an oligomeric protein of 85 kDa composed by five identical B subunits, arranged in a ring and in one A subunit. The B subunits bind strongly to the intestinal receptor GM1, while the A subunit is responsible for the enzymatic activity of the toxin, and is proteolitically cleaved to yield A 1 and A 2 peptides joined by a disulfide bond. After binding to the host cell membranes, LT enters into the cell through an endocytic process and the A 1 peptide ADP-ribosylates the alpha subunit of the GTPbinding protein Gs, leading to activation of adenylate cyclase in the enterocyte and accumulation of cyclic AMP. The intracellular accumulation of cAMP elicits secretion by crypt cells and decrease absorption by villus tip cells. In this family of toxins two distinct classes were described LT-I and LT-II, that although very similar present some differences specially in the B subunit.In contrast to LTs, the STs are small, monomeric toxins of approximately 5 kDa, and two different classes were also distinguished based on biological and chemical properties: ST-I and ST-II. ST-I is methanol soluble and active in the infant mouse model, and differences in the aminoacid sequence of the toxin led to the identification of two genetic variants ST-Ih and ST-Ip, described initially in association with strains isolated from humans and pigs, respectively. However, subsequent studies showed that both variants can be produced by human ETEC strains, although ST-Ih seems to prevailed. ST-II, which is methanol insoluble and causes a positive response on pig and rat intestinal loops, is associated primarily with diarrheal disease in pigs, but some human ETEC strains expre...