Bacterial Toxins Overview

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Questions and Answers

Why do Vibrio cholerae bacteria stop producing flagellin once they reach the intestinal wall?

  • To increase their ability to attach to the intestinal wall.
  • To conserve energy and nutrients. (correct)
  • To prevent them from being swept away by the flow of intestinal contents.
  • To avoid triggering an immune response.

What is the primary function of the Vibrio cholerae toxin (CT)?

  • To destroy the intestinal lining.
  • To cause the release of large amounts of water into the intestines. (correct)
  • To inhibit the production of digestive enzymes.
  • To block the absorption of nutrients from the intestines.

How do Vibrio cholerae bacteria survive the acidic conditions of the human stomach?

  • They conserve energy and stored nutrients, reducing their metabolic activity. (correct)
  • They secrete a protective slime layer.
  • They produce enzymes that neutralize stomach acid.
  • They attach to the stomach lining, avoiding exposure to stomach acid.

What is the primary way Vibrio cholerae bacteria are spread from person to person?

<p>Through contaminated food and water. (D)</p> Signup and view all the answers

Which of these is NOT a symptom of cholera?

<p>Fever. (D)</p> Signup and view all the answers

What is the role of flagella in Vibrio cholerae bacteria?

<p>To move the bacteria through the mucus lining. (B)</p> Signup and view all the answers

How does Vibrio cholerae toxin (CT) enter the intestinal cells?

<p>It is taken up by the cell through endocytosis. (A)</p> Signup and view all the answers

Which of the following is the BEST way to prevent cholera infection?

<p>Practicing safe food and water hygiene. (A)</p> Signup and view all the answers

What is the main mechanism by which Staphylococcal enterotoxins (SEs) cause gastroenteritis?

<p>They bind to receptors on T cells and MHC class II proteins, activating the immune system and causing cytokine release. (A)</p> Signup and view all the answers

Which of the following toxins is primarily responsible for the symptoms of Staphylococcal Scalded Skin Syndrome (SSSS)?

<p>Exfoliative toxins (C)</p> Signup and view all the answers

What is the primary mechanism by which S. aureus strains promote infections?

<p>Production of toxins (B)</p> Signup and view all the answers

How does S. aureus protect itself from neutrophil extracellular traps?

<p>Producing deoxyribonuclease to break down DNA (D)</p> Signup and view all the answers

What type of toxin is cholera toxin?

<p>Exotoxin (C)</p> Signup and view all the answers

Which of the following is NOT a common symptom of Toxic Shock Syndrome (TSS)?

<p>Diarrhea (D)</p> Signup and view all the answers

Which of the following does S. aureus NOT produce?

<p>Antibiotics (B)</p> Signup and view all the answers

Which of the following is NOT a virulence factor produced by S. aureus?

<p>Collagenase (D)</p> Signup and view all the answers

What is the primary target of cholera toxin?

<p>G-proteins (B)</p> Signup and view all the answers

Which of the following statements is TRUE about Staphylococcal enterotoxins (SEs)?

<p>They are often associated with food poisoning. (B)</p> Signup and view all the answers

What is the medical significance of S. aureus producing beta-lactamase?

<p>It makes the bacteria resistant to certain antibiotics (C)</p> Signup and view all the answers

What type of cell is primarily responsible for killing S. aureus?

<p>Neutrophils (C)</p> Signup and view all the answers

What is the role of exfoliative toxins produced by Staphylococcus aureus?

<p>They disrupt cell-to-cell adhesion in the skin, leading to peeling. (C)</p> Signup and view all the answers

How is cholera most commonly spread?

<p>Through contaminated food or water (D)</p> Signup and view all the answers

Which of the following is the most significant consequence of the emergence of antibiotic-resistant S. aureus strains?

<p>Increased risk of death from infection (D)</p> Signup and view all the answers

Why is there currently no approved vaccine for S. aureus?

<p>The bacteria are too diverse, making it difficult to target a single antigen (B)</p> Signup and view all the answers

What is the primary classification of toxins produced by microorganisms?

<p>Exotoxins and Endotoxins (A)</p> Signup and view all the answers

Which of the following statements is TRUE about exotoxins?

<p>They are often specific to certain bacteria. (D)</p> Signup and view all the answers

What is the primary characteristic that distinguishes exotoxins from endotoxins?

<p>Their mode of release, exotoxins are released actively while endotoxins are released upon bacterial death. (A)</p> Signup and view all the answers

Botulinum toxins are produced by which type of bacteria?

<p>Clostridium bacteria (B)</p> Signup and view all the answers

Which of these symptoms is NOT typically associated with Botulism?

<p>Fever (A)</p> Signup and view all the answers

What is the primary reason Botulinum toxin is considered the world's most toxic chemical?

<p>Even a small amount can cause significant neurological damage and potential death. (C)</p> Signup and view all the answers

Besides its severe toxicity, what other potential use is being investigated with Botulinum toxin?

<p>Treatment of chronic inflammatory conditions including acne and multiple sclerosis. (A)</p> Signup and view all the answers

What is the primary target of Botulinum toxin within the body?

<p>Nerve cells (A)</p> Signup and view all the answers

What is the primary effect of tetanus toxin on the nervous system?

<p>It blocks the release of inhibitory neurotransmitters like GABA and glycine. (C)</p> Signup and view all the answers

How does tetanus toxin reach its target in the nervous system?

<p>It travels retrogradely along motor neurons to the spinal cord. (A)</p> Signup and view all the answers

What is the primary mechanism by which tetanus toxin causes spastic paralysis?

<p>It disrupts the normal balance of excitatory and inhibitory neurotransmitters in the spinal cord. (D)</p> Signup and view all the answers

Which of the following is a characteristic of the tetanus toxin responsible for its effects?

<p>It is a highly potent toxin that acts primarily on the central nervous system, responsible for spastic paralysis. (C)</p> Signup and view all the answers

The mechanism of tetanus toxin action involves several steps. Which of the following is NOT a step in the action of tetanus toxin?

<p>Blocking the release of acetylcholine from presynaptic terminals (A)</p> Signup and view all the answers

What is the most effective way to prevent tetanus?

<p>Vaccination/immunization (C)</p> Signup and view all the answers

What is the most common route of entry for tetanus toxin into the body?

<p>Wounds or skin breaks (A)</p> Signup and view all the answers

Which of the following is NOT a symptom of tetanus?

<p>Flaccid paralysis (D)</p> Signup and view all the answers

Flashcards

Mechanism of action of tetanus toxin

Tetanus toxin disrupts neurotransmitter release, leading to spastic paralysis.

Tetanus toxin (TeNT)

A protein produced by Clostridium tetani causing paralysis by blocking inhibitory neurotransmitters.

Spastic paralysis

A condition where muscles become stiff and spasm due to uncontrolled nerve signals.

Inhibitory interneurons

Nerve cells that release neurotransmitters to dampen motor neuron activity.

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GABA (Gamma-aminobutyric acid)

An inhibitory neurotransmitter in the nervous system that reduces neuron excitability.

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Retrograde axonal transport

Process of transporting substances back towards the cell body of a neuron.

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Tetanic spasm

Generalized muscle contractions caused by excessive stimulation of motor neurons.

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Prevention of tetanus

Tetanus can be prevented through vaccination and proper wound care.

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Microbial Toxins

Toxins produced by microorganisms causing infection and immune malfunction.

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Exotoxins

Toxins actively released by bacteria, often species-specific.

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Endotoxins

Toxins that remain within the bacterial cell, found in Gram-negative bacteria.

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Botulinum Toxin

A neurotoxin produced by Clostridium botulinum, one of the most toxic substances known.

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Botulism

A rare, potentially fatal illness caused by botulinum toxin, affecting muscles and vision.

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Diphtheria Toxin

An exotoxin specific to Corynebacterium diphtheriae, essential for diphtheria disease.

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Cholera Toxin

An exotoxin that causes severe diarrhea and dehydration, produced by Vibrio cholerae.

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Neurotoxins

Toxins that affect nerve cells, impairing their function.

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Staphylococcus aureus

A bacterium that can act as a commensal in humans but can become an opportunistic pathogen.

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Opportunistic Pathogen

An organism that normally does not cause disease but can infect when the host's defense is compromised.

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Virulence Factors

Molecules produced by pathogens that contribute to their ability to cause disease.

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Protein Toxins

Toxins produced by S. aureus that can damage host tissues and immune responses.

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Methicillin-resistant Staphylococcus aureus (MRSA)

A strain of S. aureus that is resistant to methicillin and other antibiotics.

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Enterotoxins

Toxins from S. aureus that cause food poisoning symptoms.

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Toxic Shock Syndrome Toxin (TSST)

A super-antigen produced by S. aureus that causes toxic shock syndrome.

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Beta-lactamase

An enzyme produced by some bacteria, including S. aureus, that provides resistance to beta-lactam antibiotics.

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Staphylococcal enterotoxins (SEs)

SEs bind to T cells and MHC class II, activating the immune system.

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Cytokine release

The process by which immune cells secrete signaling molecules, leading to inflammation.

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Gastroenteritis symptoms

Symptoms include nausea, vomiting, diarrhea, and abdominal pain following toxin ingestion.

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Exfoliative toxins

Exotoxins causing skin peeling, associated with staphylococcal scalded skin syndrome (SSSS).

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Toxic shock syndrome (TSS)

A severe condition defined by fever, rash, and low blood pressure, often due to superantigens.

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Cholera toxin (CT)

An enterotoxin produced by Vibrio cholerae that disrupts G-proteins, leading to excessive water loss.

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Vibrio cholerae infection

A potentially fatal illness transmitted via contaminated food or water, targeting the intestines.

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Protease activity of exfoliative toxins

Enzymatic action that degrades skin proteins, leading to skin peeling in SSSS.

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Cholera

An infection of the small intestine caused by Vibrio cholerae.

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Symptoms of Cholera

Classic symptoms include watery diarrhea, vomiting, and muscle cramps.

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Watery Diarrhea

An excessive loss of fluid through stools, characteristic of cholera.

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Dehydration in Cholera

Severe loss of body fluids due to diarrhea, potentially leading to shock and death.

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Mechanism of Cholera

Vibrio cholerae survives stomach acid, then produces a toxin in the small intestine.

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Small Intestine

The part of the digestive system where Vibrio cholerae thrives after leaving the stomach.

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Endocytosis in Cholera

The process by which cholera toxin enters intestinal cells by binding to receptors.

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Study Notes

Bacterial Toxins

  • Microbial toxins are produced by microorganisms like bacteria, fungi, protozoa, dinoflagellates, and viruses
  • They cause infection and disease by damaging host tissues and impairing the immune system.
  • Exotoxins are produced and released by bacteria; endotoxins remain within the bacteria.
  • Exotoxins are protein with enzymatic activity that affects host cells. Examples include diphtheria toxin (Corynebacterium diphtheriae), botulinum toxins (Clostridium botulinum), tetanus toxin (Clostridium tetani), and staphylococcal toxins (Staphylococcus aureus).
  • Botulinum neurotoxins (BoNTs) are potent protein neurotoxins produced by Clostridium botulinum. These toxins are used for cosmetic purposes but can also cause botulism, a potentially fatal illness.
  • BoNTs cause flaccid paralysis by inhibiting the release of acetylcholine at nerve synapses.
  • Tetanus toxin (TeNT) produced by Clostridium tetani causes tetanus, a paralytic disease characterized by spastic paralysis.
  • TeNT interferes with the release of inhibitory neurotransmitters (glycine and GABA) in the spinal cord.
  • Staphylococcal toxins include enterotoxins (food poisoning), exfoliative toxins (scalded skin syndrome), and Toxic Shock Syndrome Toxin (TSST).
  • Enterotoxins induce inflammation by activating T cells and releasing cytokines.
  • Exfoliative toxins cause the peeling of skin in scalded skin syndrome.
  • TSST causes toxic shock syndrome (TSS) with symptoms that include fever, rash, low blood pressure, organ failure, and skin peeling.

Cholera Toxin

  • Cholera toxin (CT) is an exotoxin produced by Vibrio cholerae.
  • CT targets G proteins, causing excessive water and electrolyte secretion into the intestines.
  • This results in severe watery diarrhea and potentially fatal dehydration.

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