One of the toxins produced by Bacillus anthracis (the cause of anthrax) is known as EF, or edema factor (edema is the abnormal buildup of extracellular fluid). EF, which enters mammalian host cells, is a calmodulin-activated adenylate cyclase. Explain how this toxin causes edema.

OneClass: One of the toxins produced by Bacillus anthracis (the cause of anthrax) is known as EF, or ...

Part A

The ultimate problem with cholera that can lead to death is __________.

only water loss

fluid loss with electrolyte concentrations remaining normal

severe dehydration and electrolyte imbalance

only electrolyte loss

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Part B

The loss of chloride ions is occurring as a result of an continuously open __________, found in certain intestinal epithelial cells.

chloride channel protein

sodium pump

ATP dependent sodium/potassium pump

potassium pump

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Part C

The main purpose of the chloride channel proteins on the apical surface of the intestinal epithelial cells is to create an osmotic gradient that ultimately causes __________ to move through the intestinal epithelium and into the intestinal lumen to assist in the formation of mucus. These are the same chloride channel proteins, adversely affected in cystic fibrosis.

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Part D

The main physiologic mechanism used to control the opening of the chloride channel protein is through the use of __________.

G proteinâlinked receptors

potassium pump

enzyme-linked receptors

sodium pump

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Part E

The main factor that causes cholera is the overstimulation of __________ by the __________.

guanylate cyclase; the bacterium Vibrio cholerae

adenylate cyclase; the bacterium Vibrio cholerae

guanylate cyclase; cholera toxin

adenylate cyclase; cholera toxin

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Part F

The normal physiologic mechanism used by G proteinâlinked receptors is for a ligand to bind to the G proteinâlinked receptor; this in turn activates __________ located in the intracellular side of the plasma membrane, which eventually leads to the physiologic effector action.

diacylglycerol

inositol triphosphate

G protein

cyclic AMP

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Part G

Cholera toxin bypasses the normal sequential cascade of events involving G protein activation. The __________subunit of cholera toxin enters into the cell and directly activates __________. This leads to a non-physiologic (non-homeostatic) action of inappropriately maintaining the chloride channel proteins open. This causes excessive __________, sodium, and water to leave the intestinal epithelial cells.

A; G protein; chloride

B; G protein; chloride

B; inositol triphosphate; calcium

A; diacylglycerol; chloride

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Part H

A defect in the chloride channel protein, causing it to not open, will _________ the chloride, sodium, and water loss in cholera. However, it will also cause the individual to have __________ mucus.

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Part I

A drug that prevents the cholera toxin from attaching to the __________ in the intestinal epithelial cell could be a useful treatment.

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Part J

The best method to reduce the spread of cholera is to __________.

never travel to underdeveloped countries

provide properly treated water supplies

give everyone antibiotics

give everyone antacids

1. Select which of the following are mechanisms used by pathogens to avoid host defenses and to successfully colonize the host.

A. Producing siderphores to obtain iron from the host for growth

B. producing adhesins for damaging host cells

C. Avoiding IgA proteases for avoiding secretory IgA

D. Avoiding secretory IgA by rapid turnover of pili

E. Producing toxic substances to suppress host responses

2. People considered obese have a different normal flora in the gastrointestinal tract compared to people who are considered lean.

A. true

B. false

3. Which of the following is NOT a mechanism used by pathogens for avoiding or surviving phagocytosis?

A. Killing macrophages and neutrophils

B. Colonizing the phagocyte

C. inhibiting opsonization

D. Inhibiting phagocte chemotaxis

E. these are all methods of avoiding or surviving phagocytosis

4.Which of the following immune responses is best suited to prevent a virus from infecting a cell?

A. complement cascade

B. inflammation

C. Virus-specific antibodies

D. Fever

E. phagocytic cells

5. Which of the following is NOT a method used by pathogens for penetrating skin or mucous membranes?

A. Injection of effector proteins that induce endocytosis

B. Exploiting antigen-sampling processes

C. these are all mechanisms for penetrating skin or mucous membranes

D. Exploiting an injury

E. Production of endotoxin

6. Antibodies, which are produced as part of the adaptive immune response, can sometimes be damaging rather than beneficial. People suffering from an autoimmune disease called antiphospholipid antibody syndrome (APS) make antibodies that bind to phospholipids. Some of the signs and symptoms affected individuals experience are blood clots, stroke, heart attack, and kidney damage. What is the likely cause of these symptoms?

A. the anti-phospholipid antibodies cuse immune complexes that lodge in the affected organs

B. The person fails to make protective antibodies

C. The anti-phospholipid antibodies weaken certain organs that contain fat

D. the person makes antibodies that bind inappropriately to bacterial capsules, preventing phagocytosis of these cells

E. Cell damage caused by binding of these antibodies initates inappropriate coagulation events which inferfere with blood flow in affected organs.

7. Only Gram-positive bacteria produce exotoxins

A. true

B. False

8. Which of the following members of the normal microbiota inhibit the growth of Candida albicans?

A. Lactobacilus species

B. Staphylococci species

C. E. coli

D. Neisseria species

E. Propionibacterium species

9. Would an antibody response against the B subunit of an A-B toxin protect against the effects of the toxin?

A. yes. if antibodies bind to the B protion, the toxin can no longer bind to target cells and will thus not affect those cells

B. No, even if antibodies bindto the B portion of the toxin, it is the A portion that actually causes damage to the cell

C. This question cannot be answer. The immune system does not mount a strong response against proteins, so this situation is unlikely to occur.

D. Yes, if antibodies bind to the B protein, that portion of the toxin does not become activated, and thus does not damage the host cell

E. No, even if antiibodies bind to the B portion of the toxin, the toxin is still taken into the host cell by phagocytosis, damaging that cell

10. Please select the correct definition of balanced pathogenicity.

A. A host-parasite relationship in which the parasite persists in the host, causing maximal harm. The pathogen becomes more virulent while the host becomes increasingly susceptible.

B. A mechanism that allows bacteria to transfer gene products directly into host cells, inducing changes such as altering the cell's cytoskeleton structure

C. A generated balance in the microbiome that may be caused by taking antimicrobial medication. it generally helps the host maintain optimal health

D. A situation in which an abnormally high number of T-helper cells are stimulated, causing a massive release of cytokines.

E. A host-parasite relationship in which the parasite persists in the host while causing minimal harm. The pathogen becomes less virulent while the host becomes less susceptible

11. Bacteria may survive phagocytosis by

A. preventing encounters with phagocytes AND preventing fusion of two pathogosomes

B. avoiding recognition and attachment of lymphocytes AND lysinf the phagosomes

C. preventing fusion of the lysosome with the phagosome AND mimicking host molecules

D. lysing the phagosome AND mimicking host molecules

E. preventing fusion of the lysosome with the phagosome AND lysing the phagosome