The three antigenic variants of the K88 fimbrial adhesin (K88ab, K88ac, and
K88ad) of enterotoxigenic Escherichia coli (ETEC) each exhibit unique spec
ificity with regard to their hemagglutination characteristics. The variants
are also unique in the specificity of their binding to the brush borders o
f enterocytes isolated from pigs with different genetic backgrounds, Divers
ity in enterocyte binding specificity suggests the existence of several K88
receptors, expressed individually or in various combinations on porcine en
terocytes. Three candidate receptors have been identified that may explain
the adhesion of K88 fimbrial variants to various porcine enterocytes. These
receptors are an intestinal mucin-type sialoglycoprotein (IMTGP), an intes
tinal transferrin (GP74), and an intestinal neutral glycosphingolipid (IGLa
d). The IMTGP binds K88ab and K88ac, but not K88ad, The GP74 binds K88ab, b
ut not K88ac or K88ad, and the IGLad binds K88ad, but not K88ab or K88ac, E
ach of the candidate receptors has been found in brush borders that are adh
esive for the fimbriae that bind the respective receptor. They have not bee
n found in brush borders that are not adhesive for those same fimbriae. The
presence of IMTGP was highly correlated with susceptibility of neonatal gn
otobiotic pigs to ETEC expressing K88ab or K88ac.