Shiga toxin (Stx)-producing Escherichia coli (STEC) causes diarrhea and colitis in humans that can develop into
a life-threatening hemolytic uremic syndrome (HUS). Developing efficient
means of controlling STEC diseases, for which no drugs or vaccines
are currently available, remains a high priority. We report here the
construction and development of chitosan conjugates bearing the Stx
ligand trisaccharide globotriose to demonstrate their potential as
STEC disease treatment agents. The synthesis was accomplished by grafting
a globotriose derivative containing an aldehyde-functionalized aglycone
to chitosan amino groups. The obtained globotriose–chitosan
conjugate bound with high affinity to Stx and efficiently neutralized
its toxicity on Vero cells. Moreover, Stx levels in the gut of infected
mice receiving oral doses of the conjugate were greatly diminished,
enabling the mice to resist a fatal STEC challenge. The conjugate
appears to function as a Stx adsorbent in the gut, preventing toxin
entry into the bloodstream and consequent development of HUS. As such,
the conjugate could act as a novel agent against STEC disease.