Toxins: BoNT, TeNT, Anthrax Flashcards
(67 cards)
1
Q
clostridial neurotoxins (2)
A
- botulinum toxin (BoNT)
- tetanus toxin (TeNT)
2
Q
botulinum toxin (BoNT): bacterium
A
- clostridium botulinum
3
Q
botulinum toxin: serotypes
A
- A-G
4
Q
BoNT: serotype A (3)
A
- one of the most potent toxins for humans
- extremely toxic lethal dose
- half life of several months
5
Q
BoNT: symptoms (2)
A
- flaccid paralysis; body goes limp
- muscles relax with no contractions
6
Q
tetanus toxin: bacterium
A
- clostridium tetani
7
Q
TeNT: symptoms (2)
A
- spastic paralysis; muscle spasms
- muscles contracting excessively
8
Q
C. botulism (3)
A
- strict anaerobe
- spore-former
- gram positive
9
Q
botulism types (4)
A
- food botulism
- infant botulism
- wound botulism
- cosmetic botulism
10
Q
food botulism (2)
A
- ingestion of toxin
- bacteria grow in food anaerobically, producing toxin in the food
11
Q
infant botulism (2)
A
- ingestion of bacterial spores
- bacteria grows in gastrointestinal tract
12
Q
wound botulism (2)
A
- puncture with bacterial spore
- bacteria grows in wound
13
Q
cosmetic botulism
A
- injection of toxin for cosmetic reasons
14
Q
progenitor BoNT structure (3)
A
- heterodimer
- active (derivative) BoNT protein
- non-toxic protein similar to BoNT (missing active site)
15
Q
progenitor BoNT structure (3)
A
- heterodimer
- active (derivative) BoNT protein
- non-toxic protein similar to BoNT (missing active site)
16
Q
progenitor BoNT: non-toxic component (2)
A
- likely protects active protein from stomach acids and proteases
- active component eventually dissociates from complex
17
Q
BoNT structure (3)
A
- single protein with multiple domains
- HC (heavy chain) and LC (light chain)
- held together via disulfide bonds
18
Q
BoNT structure: HC
A
- B subunit
19
Q
BoNT strucutre: LC (2)
A
- A subunit
- zinc-endopeptidase, a protease
20
Q
BoNT target cell
A
- binds neurons in the peripheral nervous system
21
Q
BoNT receptor
A
- “B” subunit binds to pre-synaptic membrane receptors
22
Q
BoNT: mechanism of intoxication (5)
A
- HC binds receptor and is taken up into the neuron in an endosome
- disulfide bonds are reduced when pH drops
- LC subunit translocates via HC to the cytosol
- depending on serotype, LC cleaves different SNARE proteins
- fusion of vesicle with pre-synaptic membrane is prevented and no neurotransmitters are released
23
Q
BoNT: what SNARE proteins are cleaved (3)
A
- Synaptobrevin
- SNAP25
- Syntaxin
24
Q
Synpatobrevin (2)
A
- a VAMP
- found on vesicles containing neurotransmitters
25
VAMP
- vesicle associated membrane protein
26
SNAP25
- found on pre-synaptic membrane
27
Syntaxin
- found on pre-synaptic membrane
28
what is the molecular results of BoNT intoxication (2)
- blockage of the release of neurotransmitters from neuromuscular junctions in the peripheral nervous system
- BoNT prevents normal contraction of muscles upon stimulation
29
BoNT: severe condition (2)
- respiratory failure
- death
30
BoNT: 'mild' conditions (5)
- neurological symptoms
- headache
- slurred speech
- double vision
- nausea
31
BoNT recovery
- over a year, depending on severity
32
how are BoNT and TeNT related (3)
- structurally very similar
- both are clostridial neurotoxins
- have opposite mechanism/effects
33
TeNT target cells
- neurons of the central nervous system
34
what activity does TeNT exhibit (2)
- zinc-endopeptidase activity
- cleaves synaptobrevin (VAMP)
35
what are the molecular results of TeNT intoxification
- prevention of the release of neurotransmitters from inhibitory neurons in the spinal cord
36
TeNT mechanism of intoxication (2)
- TeNT must be retrogradely transported to motorneuron cell body
- here, it can access inhibitory neurons of the spinal cord
37
anthrax toxin bacterium
- caused by bacillus anthracis
38
B. anthracis routes of infection (3)
- cutaneous
- gastrointestinal
- pulmonary
39
B. anthracis: cutaneous (3)
- skin lesions
- accounts for 95% of all cases of anthrax
- 20% get septicemia
40
B. anthracis: gastrointestinal (2)
- rare
- from eating poorly cooked meet from infected animal
41
B. anthracis: pulmonary (2)
- inhalation disease
- lung is not the site of infection
42
pulmonary anthrax: within minutes (3)
- spores are inhaled
- spores are phagocytosed by macrophages
- macrophages travel to lymph nodes
43
pulmonary anthrax: within minutes to hours (2)
- spores germinate in the macrophage and become vegetative bacilli
- bacilli escape from macrophage
44
pulmonary anthrax: within hours (3)
- bacilli produce toxins and resist phagocytes
- fatal bacteremia, toxemia, or septicemia develops
- edema
45
pulmonary anthrax: within days (3)
- edema
- meningitis
- death 1-7 days after exposure
46
pulmonary anthrax: mortality rate
- 80% mortality rate
47
why do vegetative spores bacilli become spores in the environment
- due to nutrient deprivation
48
B. anthracis: virulence factors (2)
- capsule
- tri-partite toxin
49
B. anthracis: capsule virulence factor (2)
- poly-γ-D-glutamic acid
- anti-phagocytic
50
B. anthracis: tri-partite toxin (2)
- 3 different proteins
- protective antigen (PA), lethal factor (LF) and edema factor (EF)
51
B. anthracis: tri-partite toxin; protective antigen (2)
- "B" subunit
- heptamer
52
B. anthracis: tri-partite toxin; "A" subunit
- LF and EF are A "subunits"
53
what is the receptor for the anthrax PA subunit
- anthrax toxin receptor (ATR)
54
anthrax toxin: what is the difference between PA and PA' (2)
- PA' is made from PA after the host cell protease, furin, cleaves it
- PA is PA83, while PA' is PA63
55
anthrax toxin: mechanism of intoxication; adhesion/invasion (4)
1. PA binds to its receptors
2. PA is cleaved by a host protease (furin), changing into PA'
3. PA' forms a heptamer that LF and EF can now bind to
4. the entire complex is endocytosed
56
anthrax toxin: mechanism of intoxication: survival (3)
1. when pH drops to 5, the PA' heptamers form a pore in the endosome membrane
2. LF and EF unfold and translocated through pore
3. LF and EF re-fold in the cytosol
57
anthrax toxin: mechanism of intoxication; LF subunit (2)
- zinc metalloprotease
- cleaves MAP kinases
58
anthrax toxin: mechanism of intoxication; EF subunit (3)
- calmodulin-dependent adenylate cyclase toxin
- requires host protein calmodulin to become activated
- leads to increase in cAMP levels inside the cell
59
anthrax toxin: result of LF intoxication (2)
- septic shock
- death
60
anthrax toxin: results of EF intoxication (3)
- increase in water secretion
- affects chemotaxis of monocytes and neutrophils
- affects phagocytosis, aiding in immune evasion
61
anthrax toxin: what does EF subunit increase in water secretion affect (2)
- affects water homeostasis in the body
- leads to massive edema
62
what kind of effects do EF and LT have
- pleiotropic effects
63
what systems does EF affect (3)
- immune system
- cardiovascular system
- endocrine system
64
what systems does LF affect (4)
- immune system
- cardiovascular system
- endocrine system
- nervous system
65
why might anthrax toxin be difficult to study (2)
- they act on key signaling pathways present in many cells types across different systems
- complicates understanding of effects as pathways targeted can cause unique effect for different cells/organs
66
what was previously found in anthrax toxin that was found to be untrue
- rapid death from LT injection was due to increased cytokine production from macrophages
67
what was more recently found in anthrax toxin that replaced old research (2)
- hypoxic response proteins rapidly increase after LT injection
- LT predominantly suppresses pro-inflammatory cytokine production