The toxin co-regulated pilus (TCP) has been identified as a critical c
olonization factor in both animal models and humans for Vibrio cholera
e O1. The major pilin subunit, TcpA (and also TcpB), is similar to typ
e-4 pilins but TCP probably more appropriately belongs to a subclass w
hich includes the bundle-forming pilus of enteropathogenic Escherichia
coli. The genes for TCP biosynthesis and assembly are clustered with
the exception of housekeeping functions such as TcpG (=DsbA, a peripla
smic disulfide bond epimerase). The nt sequences from El Tor and class
ical strains show only minor differences corresponding to the major re
gulatory regions and in TcpA itself. These differences are thought to
account for the alternate conditions required for expression of TCP by
the two biotypes and the antigenic variation and lack of cross-protec
tion. Aside from the TcpA only a few of the proteins have had their ro
les in TCP biogenesis defined. Regulation of TCP is controlled by the
ToxR regulon via ToxT with a possible involvement of TcpP and the cAMP
-CRP system. Experiments using the infant mouse cholera model have now
shown that TCP is a colonization factor and protective antigen for bo
th classical and El Tor O1 strains and in the O139 Bengal serotype and
that the mannose-sensitive haemagglutinin pilus does not appear to pl
ay a comparable role. (C) 1997 Elsevier Science B.V.