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
Action of Tetanus toxin. | How many antigenic types?
Contractile paralysis inhibit neurotransmitter release at inhibitory interneurons in spinal cord only one antigenic type
26
Tetanus toxin and botulinum toxins have this in common...
zinc-dependent endopeptidases inactivate SNARE proteins --> inhibity neuroexocytosis (VAMP = synaptobrevin, SNAP-25 and syntaxin) via serotype-specific protein cleavage (thankyou Dr. Prekeris)
27
How is Botulinum toxin used therapeutically?
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
Toxins that act intracellularly have what general structure?
bifunctional proteins with separate domains (subuints) A = active domain B = binding domain
29
Susceptibility / Resistance of a target cell to a specific toxin depends on what?
presence or absence of receptors on cell membrane
30
What do toxins generally use as receptors?
they've evolved to take advantage of normal membrane constituents.
31
What does diptheria toxin use as its cell receptor?
heparin-binding EGF-like growth factor precursor
32
What does P. aeruginosa_exotoxin A use as its cell receptor?
alpha2-macroglobulin receptor / LDL-receptor-related protein (LRP)
33
What does diptheria toxin and P. aeruginosa_exotoxin A have in common / different?
same intracellular actions but act on different cell types based on expressed cell receptors.
34
What is the receptor for E. coli heat labile enterotoxin?
ganglioside GM1 | glycolipid
35
What is the receptor for Shiga toxin?
glycolipid Gb_3
36
How do toxins usually enter cells after interacting with their receptor?
Endocytosis
37
After endocytosis how do toxins Diptheria toxin, anthrax toxin, buotulinum toxin and tetanus toxin usually proceed in action?
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
After endocytosis, how do toxins Shiga toxin, exotoxin A of Pseudomonas aeruginosa, cholera toxin, pertussis toxin usually proceed in action?
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
Examples of SUPER ANTIGENS
1. pyrogenic exotoxin: erythrogenic toxins of Strep. pyogenes 2. enterotoxins and TSST-1 of Staph. aureus.
40
Some diseases caused by the superantigens of S. pyogenes and S. aureus
Scarlet fever, food poisoning, TSS.