CS20 bridge the gap between class 1 and class 5 bacterial adhesion pili

Enterotoxigenic Escherichia coli (ETEC) are pathogenic bacteria that cause diarrheal disease that disrupts the nutrition and the growth of children under the age of 5 and causes illness in travelers to countries where these bacteria are endemic. ETEC express long thin helical filaments on their surface, ∼1 micron long and 8 nm in diameter, called pili or fimbriae. Often essential virulence factors, these filaments, including ETEC CS20 pili, are composed of approximately 1,000 copies of the major pilin protein and one copy of a tip protein that provides binding specificity.