Cholera and Endocytosis/Protein Degradation Flashcards
What are the two types of diarrhea?
Non-inflammatory (cholera) and inflammatory
How is non-inflammatory diarrhea characterized?
Watery. Small bowel
How is inflammatory diarrhea characterized?
^ Temp; fecal WBC; RBC. Colon
What is the name and type of bacteria that causes cholera?
Vibrio cholerae. Gram-negative motile rod (from brackish water). Infects only humans
What are clinical symptoms and signs?
Severe acute rapidly fatal watery diarrhea; vomiting; abd. pain; dehydration; renal failure low K+; Ca++; - ileus; muscle pain/spasm low HCO3- - metabolic/lactic acidosis; hypoglycemia; coma. OR you could be asymptomatic
What are 3 virulence factors of V. cholerae?
1: >200 serogroups (O-specific polysaccharide of LPS. EG 01 and 0139) 2: Pili (TCP: Toxin coregulated pilus) = colonization 3: Toxin (CT;AB5) = secretory diarrhea
What do 2 subunits of cholera toxin do?
A subunit is the active subunit that actually causes the secretion. B subunit is the binding subunit. 5 B subunits for each A subunit
What is the receptor for cholera toxin?
Ganglioside GM1 (on epithelial cells)
How does cholera toxin work?
Stimulates cAMP. Very similar to ETEC
What actually produces the CT?
A bacteriophage causes this change. Not the bacteria itself
How does increase of cAMP lead to diarrhea?
cAMP leads to more chloride secretion through CFTR (cysitc fibrosis transmembrane receptors?). Once you have chloride secretion sodium and water follow
How will histology of the bowel of a person with cholera look?
It will be completely normal
What are 5 factors that influence the pathogenesis of V. cholerae diarrhea?
Inoculum; pH (cholera is resistant); flagella; TCP (to cause adhesion/colonies); CT (cause diarrhea)
What are susceptibility factors to V.cholerae 01-related diarrhea?
Bug (colonizing strains); Host (children; hypochlorhydria; blood group O; Prior immunity; cystic fibrosis gene); Social (upheaval/war/migration)
How does cystic fibrosis transmembrane conductance regulate (CFTR) on chr. 7 affect cholera?
If you have cystic fibrosis your CFTR channel does not fold properly so you will be less susceptible to cholera. (This protective effect is seen in heterzygotes too)
Combined with IV fluids; what else really helps treat cholera?
Oral rehydration solution/treatment (ORT)
What is the mechanism of protection in cholera vaccine?
Antibodies to OPS of LPS are the primary mechanism of protection
What is present in the dukoral vaccine to cholera?
Killed V. cholerae 01 x2 + CtxB (WC-rBS). Killed bacteria plus B subunit of the toxin
What is present in the shanchol vaccine to cholera?
Killed V. cholerae 01 and 0139. Killed species of 2 different strains
Now onto endocytosis and protein degradation lecture
OK
What are the two mechanisms for vesicle formation?
Clathrin coat proteins (better understood) or caveolae
What does AP2 do with respect to LDL receptor-mediated endocytosis?
Lines the membrane pits and binds to clathrin and also to the LDL receptor
What is the order of vesicles after dynamin pinches it off from the plasma membrane?
Coated vesicle. Early endosome. Late endosome.