Microbial Toxins Flashcards

1
Q

Molecular version of Koch’s Postulates

A
  1. Show toxin production is associated with pathogenic species / strain of microbe.
  2. Show inactivation of virulence factor gene –> decreased virulence
  3. Show replacement of mutated gene w/ wild type allele restores wild type virulence levels
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2
Q

Two main categories of Microbial Toxins

A
  1. Bacterial Protein Toxins

2. LPS of Gram Negative bacteria

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3
Q

General properties of Bact. Protein toxins

A
  1. heat-labile
  2. immunogenic
  3. neutralized by specific Ab

“Exotoxins” = secreted or spilled at lysis

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4
Q

General properties of LPS toxins

A
  1. is a PAMP - recog. by TLR4
  2. Response pathway involves LPS binding protein, TLR4, CD14 + other.
  3. Low Dose - fever, acute phase inflamm., polyclonal Ab production, activate Macs, B-cells, alternative complement pathway
  4. High Dose - Shock, DIC, cytokine mediated effects
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5
Q

Toxic enzymes such as hyaluronidase, collagenase, elastase, deoxyribonuclease and streptokinase act by…

A

break down extra cellular matrix and degrade debris, enhancing spread of microbe.

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6
Q

Toxins that damage cell membranes usually do what to cells…

A

kill them

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7
Q

Fancy names for toxins that damage cell membranes…

A

hemolysins - so named b/c seen to lyse RBCs
Lecithinases
Cytolysins - lyse a variety of cells

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8
Q

Action of Cytolysins…

A

insert into membrane, form pore –> lysis

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9
Q

Action of Lecithinases

A

degrade cell membrane components, disrupt membrane integrity

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10
Q

Toxins that stimulate cytokine production…fancy name.

A

Superantigens

ex: Pyrogenic exotoxins

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11
Q

Superantigen Action

A

Bind MHC II and T-Cells (V_beta chain)
Activate LOTS of T Cells,
Cytokine release (excessive) IL-2, IFN-gamma

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12
Q

Diphtheria Toxin & Pseudomonas aeruginosa Exotoxin A action…

A

ENTER CELL
inactivate elongation factor 2 (EF-2) thus INHIBIT PROTEIN SYNTHESIS
Are ADP ribosyltransferases: transfer ADP-ribose from NAD to modified histidine residue (diphthamide) of EF-2, thus inactivating EF-2

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13
Q

Shiga toxin is released by which two microbes?

A

Shigella dysenteriae

E. Coli (gram neg. rod :)

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14
Q

Shiga toxin action

A

RNA N-glycosidases
remove a particular adenine residue from 28S RNA of 60S rib. subunit –> inactivate ribosomes –> INHIBIT PROTEIN SYNTHESIS

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15
Q

What plant toxin has the same action as Shiga toxin?

A

Ricin

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16
Q

Name 7 toxins that alter intracellular signaling pathways.

A
  1. Heat-labile enterotoxins of Vibrio cholerare and E. Coli
  2. Pertussins toxin
  3. Heat-stable enterotoxin I (ST-I) of E. Coli
  4. Anthrax edema factor (EF) of Bacillus anthracis 5. Adenylate cyclase toxin from bordetella pertussis
  5. Anthrax lethal factor (LF) from bacillus anthracis
  6. C. diff- toxins A & B
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17
Q

Action of Heat-labile enterotoxins of Vibrio cholerae and E. coli

A

ADP ribosyltransferases —> activate alpha subuint of stimulatory G_s regulatory protein –>increased intracellular cAMP in small intestinal enterocytes –> active chloride secretion —> secretory diarrhea

18
Q

Action of Pertussin toxin (PTx)

A

ADP ribosyltransferase –> inactivate alpha subunit of inhibitory G_i –> increased intracellular cAMP –> tissue specific effects

End Result: inhibit host immune response. e.g. prevent phagocytosis, prevent lymphocytes from entering lymph nodes resulting in lymphocytosis

19
Q

Action of Heat stable enterotoxin I (ST-I) of E. coli

A

Activate cell membrane-assoc. guanylate cyclase. increase intracellular cGMP in enterocytes –> secretory diahhrea

20
Q

Action of Anthrax edema factor (EF)
Bacillus anthracis.

Requires what host-cell contents to activate?

A

Adenylate cyclases
enter target cells
increase intracellular cAMP –> cAMP dependent effects
REQUIRES ACTIVATION BY CALMODULIN AND CALCIUM

21
Q

Action of Bordetella pertussis adenylate cyclase toxin (PTx) requires what host-cell contents to activate?

A

same as Anthrax EF
increase cAMP –> cAMP-dependent effects
REQUIRES ACTIVATION BY CALMODULIN AND CALCIUM

22
Q

Action of Anthrax lethal factor (LF)

A

endopeptidase
cleaves MAP kinase kinase proteins, inactivates their fn. in signal transduction
…contribution to lethal effects in cardiac muscle cells and vasculature.

23
Q

Action of C. diff toxins A & B

A

glucosyl transferases
alter actin cytoskeleton
transfer glucose from UDP-glucose to Rho family GTPases —inactivating them

24
Q

Action of Botulinum toxin…how many antigenic types and which ones cause dx in humans?

A
Flaccid paralysis (skeletal muscles)
inhibit Ach release and myoneural junction

A,B,E cause dx

25
Q

Action of Tetanus toxin.

How many antigenic types?

A

Contractile paralysis
inhibit neurotransmitter release at inhibitory interneurons in spinal cord

only one antigenic type

26
Q

Tetanus toxin and botulinum toxins have this in common…

A

zinc-dependent endopeptidases
inactivate SNARE proteins –> inhibity neuroexocytosis (VAMP = synaptobrevin, SNAP-25 and syntaxin) via serotype-specific protein cleavage

(thankyou Dr. Prekeris)

27
Q

How is Botulinum toxin used therapeutically?

A

tx: focal dystonias (e.g. parkinsons pts on certain meds experience this as a side effect and get botox injections as tx)

also, cosmetic

28
Q

Toxins that act intracellularly have what general structure?

A

bifunctional proteins with separate domains (subuints)
A = active domain
B = binding domain

29
Q

Susceptibility / Resistance of a target cell to a specific toxin depends on what?

A

presence or absence of receptors on cell membrane

30
Q

What do toxins generally use as receptors?

A

they’ve evolved to take advantage of normal membrane constituents.

31
Q

What does diptheria toxin use as its cell receptor?

A

heparin-binding EGF-like growth factor precursor

32
Q

What does P. aeruginosa_exotoxin A use as its cell receptor?

A

alpha2-macroglobulin receptor / LDL-receptor-related protein (LRP)

33
Q

What does diptheria toxin and P. aeruginosa_exotoxin A have in common / different?

A

same intracellular actions but act on different cell types based on expressed cell receptors.

34
Q

What is the receptor for E. coli heat labile enterotoxin?

A

ganglioside GM1

glycolipid

35
Q

What is the receptor for Shiga toxin?

A

glycolipid Gb_3

36
Q

How do toxins usually enter cells after interacting with their receptor?

A

Endocytosis

37
Q

After endocytosis how do toxins

Diptheria toxin, anthrax toxin, buotulinum toxin and tetanus toxin

usually proceed in action?

A

Active portion of the toxin is translocated to the cytosol to interact with its target.

change in conformation of translocation domain in response to acidic endosomes
inserts, forms pore–> active domain released to cytosol

38
Q

After endocytosis, how do toxins

Shiga toxin, exotoxin A of Pseudomonas aeruginosa, cholera toxin, pertussis toxin

usually proceed in action?

A

no translocation domain
traffic thru retrograde pathway
endosomes–> golgi –> ER

in ER active component released and translocated to cytosol by translocon (ERAD pathway of host)

39
Q

Examples of SUPER ANTIGENS

A
  1. pyrogenic exotoxin: erythrogenic toxins of Strep. pyogenes
  2. enterotoxins and TSST-1 of Staph. aureus.
40
Q

Some diseases caused by the superantigens of S. pyogenes and S. aureus

A

Scarlet fever, food poisoning, TSS.