Toxins - Functions Flashcards

1
Q

Exfoliatin toxin

A

Staphylococcal scalded skin syndrome
Produced by 5% of S. aureus
Absorbed into bloodstream and causes desquamation of skin
Acute exfoliation of skin following cellulitis
Act on desmosomes causing epidermal splitting

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2
Q

Toxic shock syndrome toxin

A

Causes toxic shock syndrome
20% of S. aureus produce it
8% mortality rate
Surgical would infections or super absorbant tampons
Fever, hypotension, multi-system shut down, organ failure, toxic shock

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3
Q

What does coagulase do?

A

Binds to fibrinogen on cell surfaces

This converts fibrinogen to fibrin

This produces fibrin clots
- Causes agglutination of bacterial cells
- Promotes bacterial attachment
- White cells penetrate fibrin clots poorly

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4
Q

What does catalase do

A

neutralises the production of oxygen free radicals in phagocytes

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5
Q

What does protein A do?

A

A surface protein

Binds IgG molecules by the Fc region

IgG is bound in he wrong orientation

This disrupts opsonisation and phagocytosis

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6
Q

What are invasins in staph

A

Degradative enzymes promote spread in tissues
Staphylokinase
Hyaluronidase
Thermostable deoxyribonuclease

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7
Q

What does staphylokinase do?

A

Dissolves fibrin clots laid down by during inflammation to try to wall of the infection

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8
Q

What does hyaluronidase do

A

Hydrolyses matrix of connective tissue

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9
Q

What does thermostable deoxyribonuclease do

A

Releases nutrients for organism

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10
Q

What does Panton-valentine leukocidan do

A

Produces pores in leukocytes - common in community-associated infection

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11
Q

What does haemolysin do

A

Produces pores in red blood cell

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12
Q

Staph food poisoning toxin

A

Produced by 30-50% of S. aureus strains

Heat stable (100 degrees for 10 minutes)

Resistant to gastric and jejunal enzyme

Ingestion cause vomiting, as it acts on the vagus nerve endings in the stomach) and diarrhoea (stimulate intestinal peristalsis)

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13
Q

What do pili do

A

They adhere to nonciliated mucosal epithelium
Antigenic variation - immune evasion

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14
Q

What does the Opa protein do

A

Assist in epithelium binding
Assist in antigenic variation and allow for immune evasion

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15
Q

What does iron binding protein do

A

Facilitates multiplication and colonisation

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16
Q

What does IgA protease do

A

This cleaves IgA1
Degrades host IgA

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17
Q

What does Por protein do

A

Forms pores

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18
Q

What does Lipooligosaccharide do

A

Causes tissue damage
Inhibits mucocillary clearance (nasal infections)
Immune evasion
Antigenic diversity

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19
Q

What do fimbriae do

A

Attach to nonciliated epithelial cells
Antigenic switching - allows for immune evasion
Bind ciliated epithelium

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20
Q

What does the capsule do

A

Prominent antiphagocytic polysaccharide
Immune evasion

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21
Q

What is iron acquisition for

A

Multiplication

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22
Q

What does haemagglutinin do

A

Attachment to epithelium

23
Q

Pertussis toxin

A

Whooping cough
Lymphocytosis
Sensitisation to histamine
Activation of insulin producing causing hypoglycaemia

24
Q

Dermonecrotic toxin

A

Vasoconstriction
Ischemic necrosis

25
Filamentous haemagglutinin
Facilitates attachment of bacteria to ciliated eipthelial cells
26
Adenyl cyclase toxin
Decreases chemotaxis and phagocytosis of bacteria
27
Tracheal cytotocin
Inhibits cillia movement and regeneration of damaged cells
28
Choline binding protein A (4)
Anchors the protein to the choline residues present in the cell wall Responsible for remodelling the cell wall Responsible for adhesion Promotes invasion
29
Autolysin LytA
Cell wall degrading protease responsible for the release of S. pneumoniae virulence factors
30
Pneumolysin
Cytolytic protein Released by autolysin Attacks cell membranes Proinflammatory Inhibits PMN Activates complement
31
M protein
Surface adhesin Inhibits phagocytosis Binds Fc portion of IgG M types 1, 3, 12 and 28 are the most common isolates found in patients with shock and multiorgan failure Strains lacking M protein are less virulent Rheumatic heart disease T-protein surface antigen R-protein on some strains
32
S. pyogenes toxins (6)
Pyogenic exotoxins Streptolysin O and S Streptokinase C5a peptidase Streptodornases Hyaluronidase
33
Pyrogenic exotoxins
Cause various effects, including the rashes seen in scarlet fever and streptococcal toxic shock disease
34
Streptolysin O and S
Damages mammalian cells, resulting in cell lysis and release of lysosomal enzymes Lysis of RBCs, PMNs and platelets
35
Streptokinase
Catalyses conversion of plasminogen to plasmin, causing lysis of clots, facilitating the rapid spread of organisms
36
C5a peptidase
Inactivates complement component C5a Cleaves the chemoattractant C5a
37
Streptodornase
DNAses degrade the viscous DNA in necrotising tissue or exudates, aiding the spread of infection
38
Hyaluronidase
Disrupts the organisation of ground substance, facilitating the spread of infection Breaks down tissue hyaluronic acid
39
Streptolysin S
Oxygen stable Not antigenic Leucocidal action
40
Streptolysin O
Oxygen labile Cytotoxic for red blood cells, neutrophils, platelets, cardiac tissue Responsible for haemolysis that we see on blood agar
41
SPE-A and SPE-C
Superantigens Erythrogenic toxins Similar to staph enterotoxins Associated with invasive infections and toxic shock syndrome
42
SPE-B
Cysteine protease Associated with tissue destruction
43
Pyocyanin
Interferes with the antioxidant defences in the lung Facilitates oxidative damage to the lung epithelium
44
Alginate slime
Matrix of biofilm formation Impairs cillary function
45
Elastase
Destruction of elastin Cleaves IgG, IgA, Complement Degrades surfactant proteins A and D
46
Alkaline protease
Lyses fibrin
47
Phospholipase C
A class of membrane-associated enzymes that cleave phospholipids
48
Leukocidin
A type of cytotoxin or exotoxin A pore-forming toxin that kills or destroys white blood cells by creating holes in their membranes
49
Exotoxin A
A type of cytotoxin or exotoxin A pore-forming toxin that kills or destroys white blood cells by creating holes in their membranes
50
Exotoxin S
It impairs the function of phagocytic cells
51
Four effector proteins of type III secretion system of Pseudomonas
ExoS ExoT ExoU ExoY
52
ExoU
Rapid destruction of host cell membranes Is greater in P. aeruginosa isolated in hospital ICUs and burn unit
53
ExoS
Relevant in patients with CF