Within 24 hours, the bacteria starts to make clostridium perfringens enterotoxin, or CPE.

24小时内，细菌开始产生产气荚膜梭菌肠毒素（CPE)。

But some strains produce cholera enterotoxin, also called choleragen, which is most often the cause of significant clinical symptoms.

但是有些菌株会产生霍乱肠毒素，也称为霍乱原，通常是引起明显临床症状的原因。

Some strains produce cholera enterotoxin at the surface of intestinal epithelial cells which leads to the over-activation of cAMP by permanently activating Gs alpha.

一些菌株在肠上皮细胞表面产生霍乱肠毒素，通过永久激活Gs-α导致cAMP过度激活。