Microbial Toxins (complete) Flashcards

1
Q

Define and describe microbial toxins

A
  • Macromolecular products of microbes
  • Cause harm to susceptible animals by altering cell structure/function
  • Very potent!!
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2
Q

What are the most toxic biological substances known? Give examples

A
  • Clostridial Neurotoxins!
  • Lethal dose in the 10^(-5) micrograms (HOLY WOW!)

Ex:

1) botulinum (LD: 2.5x10^(-5) micrograms)
2) tetanus (LD: 4x10^(-5) micrograms)

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3
Q

Which traditional methods show that a specific toxin has a role in pathogenesis?

A

1) Purified toxin causes same symptoms/signs as infection by the toxin-producing microbe
2) Antitoxin prevents disease caused by the toxin-producing microbe
3) Virulence of individual bacterial strains correlates w/ amount of toxin produced
4) Non-toxinogenic mutants are avirulent — virulence restored if microbe regains ability to produce toxin

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4
Q

Describe the molecular version of Koch’s postulates

A

1) Specific phenotype is associated with pathogenic species
2) Inactivation of a specific gene(s) encode for putative virulence factor — causes a measurable decrease in virulence of the microbe
3) Replacement of mutated gene by wild type allele restores virulence of the microbe to original, wild-type level

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5
Q

Describe the composition and properties of bacterial protein toxins

A
  • Usually heat-labile
  • Immunogenic
  • Neutralized by specific Abs

Some secreted into culture medium (diphtheria)

Some released by bacterial lysis

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6
Q

Describe the composition and properties of lipopolysaccharides (LPS) of g(-) bacteria

A
  • LPS is a PAMP
  • Therefore —> recognized by the innate immune system –» elicits a host response
  • Low LPS doses activate macros, B-cells, alternative complement pathway —» fever, inflammation
  • High LPS doses —» shock, DIC
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7
Q

What are the 6 classifications for bacterial protein toxins based on their mechanisms of action?

A

Toxins that…

1) Facilitate spread of microbes through tissues
2) Damage cellular membranes
3) Stimulate cytokine production
4) Inhibit protein synthesis
5) Modify intracellular signaling pathways
6) Inhibit neurotransmitter release

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8
Q

Describe how toxins facilitate the spread of microbes through tissues

A
  • Some toxic enzymes break down ECM
  • Some degrade debris in necrotic tissue

This ENHANCES spread of microbes

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9
Q

Describe how toxins damage cellular membranes

A
  • Called cytolysins
  • These insert into membranes and assemble into multimeric complexes —»> form pores
  • This causes lysis of target cells

Others degrade specific cell membrane components/disrupt membrane integrity

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10
Q

Describe how toxin stimulate cytokine production

A
  • Super Ags!
  • Most potent known T cell activators
  • Bind to MHC Class II and V(beta) chains on T cells
  • Activate larger numbers of T cells
  • Causes excessive cytokine production —-» pathogenic probs!!
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11
Q

Describe how toxins inhibit protein synthesis. What are two toxins that do this?

A

Diphtheria:
inactivates EF-2 (this is required for peptide chain elongation— no EF2? Cell death for you!)

Shiga:
Removes a particular adenine residue from ribosomes —»> inactive ribosomes, no more translation

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12
Q

Describe how heat-labile enterotoxins of cholera and E coli modify intracellular signaling pathways

A

Activates alpha subunit of G(s) reg protein —-» increases intracellular cAMP in small intestine

Causes: active Cl secretion, secretory diarrhea

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13
Q

Describe how pertussis toxin modifies intracellular signaling pathways

A

Inactivates alpha subunit of G(i) reg protein —» increases intracellular cAMP —» tissue-specific effects

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14
Q

Describe how heat-stable enterotoxin I of E. coli modifies intracellular signaling pathways

A

Activates cell-membrane associated guanylate cyclase

Increase cGMP in enterocytes —-» secretory diarrhea

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15
Q

Describe how anthrax edema factor and adenylate cyclase toxin modify intracellular signaling pathways

A

Adenylate cyclases enter target cells —» increase intracellular cAMP

Enzyme activity requires activation by calmodulin and calcium

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16
Q

Describe how anthrax lethal factor modifies intracellular signaling pathways

A

Inactivates MAP kinase kinase proteins

Not exactly known how this contributes to lethal effects of LF

17
Q

Describe how C. Diff toxins A/B modify intracellular signaling pathways

A

Alters actin cytoskeleton of target cells

Inactivates Rho family GTPases

18
Q

Describe how botulinum toxin inhibits neurotransmitter release

A

Inhibits release of Ach at myoneural junctions —»> paralysis of skeletal muscles

Used as a treatment for dystonias/involuntary movement disorders

19
Q

Describe how tetanus toxin inhibits neurotransmitter release

A

Inhibits NT release from inhibitory interneurons in spinal cord —-»> sustained muscular contraction of skeletal muscles

20
Q

Describe how zinc-dependent endopeptidases inhibit neurotransmitter release

A

Inactivates specific SNARE proteins required for neuroexocytosis

21
Q

Toxins with intracellular targets must cross the plasma membrane before they can exert their toxic effects. What are the 3 common features of these types of toxins?

A

1) Usually bi-functional proteins w/ separate domains/subunits designated for active sites and binding sites
2) Typically use normal membrane constituents as receptors
3) Usually enter target cell by endocytosis

22
Q

What are the 4 ways to prevent/treat toxin-mediated disease?

A

1) Antitoxic Abs
2) Toxoids
3) Passive IZ
4) Active IZ

23
Q

Describe how antitoxic Abs are used to treat toxin-mediated disease

A
  • Bind to toxins —» neutralize their toxicity
  • Do not prevent infection
  • Do not reverse toxic effects
24
Q

Describe how toxoids are used to prevent toxin-mediated disease

A
  • Derivatives of toxins — retain immunogenicity, but are not toxic
  • Used as vxs for long-term protection
25
Q

Describe how passive IZ is used to prevent toxin-mediated disease

A
  • Provides temporary protection from disease (think breastfeeding)
  • Duration of immunity limited by degradation of Abs in the pt
26
Q

Describe how active IZ is used to prevent toxin-mediated disease

A
  • Involves administration of toxoid to a pt —» elicits anti-toxic Abs production in pts
  • These vxs are used as a series (and have booster doses)
  • Active immunity can last for many years b/c of immunologic memory
27
Q

What are immunotoxins?

A
  • Hybrids of toxin fragment (lacks receptor-binding domain) and a ligand
  • Binds to a different receptor that the original native toxin
  • Intoxicates alternative receptor
28
Q

How are immunotoxins used as therapeutic agents?

A
  • Designed to kill tumor cells that display tumor-specific receptors
  • Goal: not to kill normal cells (that don’t have this receptor)

Also used in autoimmune disease