Enteropathogenic Yersinia are gram-negative bacterial species that transloc
ate from the lumen of the intestine and are able to grow within deep tissue
sites. During the earliest stages of disease? the organism is able to bind
integrin receptors that are presented on the apical surface of M cells in
the intestine, which allows its internalization and subsequent translocatio
n into regional lymph nodes. The primary integrin substrate is the outer-me
mbrane protein invasin, which binds with extraordinarily high affinity to a
t least five different integrins that have the beta (1) chain. Bacterial up
take into host cells is modulated by the affinity of receptor-substrate int
eraction, receptor concentration and the ability of the substrate to aggreg
ate target receptors.