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Diarrheagenic E. coli, Shigella, and Salmonella
15
Medical
Graduate
04/21/2010

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Cards

Term
How do Enterobacteriaceae Gram stain, what shapre are they, are they anaerobic or aerobic, and where do they usually live?
Definition
Enterobacteriaceae are gram negative, anaerobic, (mostly) bacilli, and they usually live in the GI of vertebrates or outside of the body in water.
Term
What antigens are used to serotype Enterobacteriaceae species?
Definition

H antigen: Flagella

K antigen: Capsule

O antigen: Cell wall

Term
How are the many varieties of E. coli pathotypes generated?
Definition
Horizontal gene transfer.
Term
Name 2 ways by which nonpathogenic E. coli can benefit humans.
Definition

  • E. coli contribute to colonization resistance by other pathogenic bacteria, ex - C. diff
  • E. coli produce beneficial metabolites in the gut

Term
Name 6 diarrheagenic stains of E. coli
Definition

  • Enterotoxigenic (ETEC)
  • Enteropathogenic (EPEC)
  • Enterohemorrhagic (EHEC) and other Shiga toxin producing (STEC)
  • Enteroaggregative (EAEC)
  • Enteroinvasive (EIEC) and Shigella
  • Diffuse Adhereing (DAEC)

Term
How is ETEC spread?
Definition
Fecal-oral route.
Term
Name 3 ETEC plasmid virulence factors.
Definition

 

  • Colonization Factor Antigens
  • Heat-labile enterotoxin
  • Heat-stable enterotoxin

 

Term
What do ETEC Colonization Factor Antigens do?
Definition
They bind oligosaccharides of specific host tissues
Term
Name a protein associated with the ETEC colonization factor antigens that contributes to host cell binding.
Definition
Adhesin
Term
Describe how ETEC heat-labile enterotoxin enters cell. What kind of toxin is it; describe its structure.
Definition

Heat-labile enterotoxin is an A-B toxin similar to cholera toxin. First the B pentamer binds to the GM1 GLUT ganglioside on the surface of the epithelial cell. Then one of two things may happen:

 

  • The whole A-B toxin is endocytosed
  • the A subunit enters through a pore created by the B-pentamer

 

Term
How does Heat-stable Enterotoxin withstand high heat?
Definition
Disulfide bonds hold the structure together.
Term
How does ETEC Heat-stable enterotoxin alter cell metabolism?
Definition
Heat-stable enterotoxin is an ADP-rybosylase. It ribosylates a G protein into a constitutively on position. This in turn turns on a guanylate cyclase receptor and causes an elevation in cGMP, which leads to an increase in Cl- efflux, and prevention of Na+ influx, thus causing efflux of water into the lumen.
Term

How does ETEC Heat-labile enterotoxin alter cell metabolism?

 

Definition
Heat-labile enterotoxin works in a very similar way to heat-stable enterotoxin, however instead of constitutively turning on guanylate cyclase, heat-labile enterotoxin turns on adenylate cyclase.
Term
True or False: Enterotoxigenic E. coli damages intestinal epithelial tissue
Definition
False. It causes self-limited watery diarrhea only.
Term
Enteropathogenic E. coli have two virulence factors: Adherence factors (Bundle Forming Pilus), and Attaching/Effacing factors (Type III secretion system). Which is encoded from a plasmid and which is encoded from a pathogenicity island?
Definition
The Bundle Forming Pilus is encoded on a plasmid, and the Type III secretion system is encoded on a pathogenicity island.
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