USMLE (Fach) / Microbiology (Lektion)
Diphtheria toxin (Corynebacterium diphtheriae), exotoxin A (Pseudomonas aeruginosa): Inactivate elongation factor (EF-2).
Shiga toxin (Shigella), shiga-like toxin (EHEC): Inactivate 60S ribosome by removing adenine from rRNA
Heat-labile toxin (ETEC): Overactivates adenylate cyclase (↑ cAMP) → ↑ Cl- secretion in gut and H2O efflux.Heat-stabile toxin (ETEC): Overactivates guanylate cyclase (↑ cGMP) → ↓ reabsorption of NaCl and H2O in gut.
Edema toxin (Bacillus anthracis): Mimics adenylate cyclase (↑ cAMP).
Cholera toxin (Vibrio cholerae): Overactivates adenylate cyclase (↑ cAMP) by permanently stimulating Gs → ↑ Cl- secretion in gut and H2O efflux.
Pertussis toxin (Bordatella pertussis): Overactivates adenylate cyclase (↑ cAMP) by disabling Gi, impairing phagocytosis to permit survival of microbe.
Tetanospasmin (C tetani), Botulinum toxin (C botulinum): Proteases that cleave SNARE (soluble NSF attachment protein receptor), a set of proteins required for neurotransmitter release via vesicular fusion.
Alpha toxin (Clostridium perfringens): Phospholipase (lecithinase) that degrades tissue and cell membranes.
Streptolysin O (Streptococcus pyogenes): Protein that degrades cell membrane.
Toxic shock syndrome toxin (TSST-1) (S aureus), erythrogenic exotoxin A (Streptococcus pyogenes): Cross-links β region of TCR to MHC class II on APCs outside of the antigen binding site → overwhelming release of IL-1, IL-2, IFN-γ, and TNF-α → shock.
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