Shigella Flashcards
Shigella - General info
Enterics without capsule or flagella, gram negative, exclusive to primate large bowel
Shigella - Cellular products/ virulence factors
Adhesins (IpaD adhere M cells) - LPS O-antigen - Shiga toxin!! - SigA (IgA protease) - Pic -T3SS (IpaB/IpaC & IcsA/IcsB) - Fur, RNA polymerase
Shigella - Shiga toxin
Affects host ribosome function–> cell death
Shigella - Pic
Protein involved in intestinal colonization - Digests intestinal mucosa
Shigella - IpaB/IpaC
Formation of ruffles (cytoskeleton of hose cells) , lysis of phagocytes
Shigella - IcsA/IcsB
Intracellular spread
Shigella Pathogenesis
Ingestion–> destroy mucus & attach to M cells –> Ruffles –> intracellular movement–> tissue damage/cytokine release –> diarrhea (hemorrhagic & watery) - Hemolytic Uremic Syndrome
Shigella treament
Nursing & supportive care, antimicrobial agents, yeast compete with S. flexneri experimentally