CAS BI 203 Study Guide - Quiz Guide: Adenylyl Cyclase, Cholera Toxin, Cholera

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Part 1
1) Cholera is found in feces-contaminated water or food sources. It is mostly spread via
poor sanitation and hygiene. So, the MSPP recommendations for cholera help maintain
good hygiene, and help prevent the contamination of water and food sources.
2) Perhaps the toxin binds only to cells with the right type of receptor- and in this case, that
would be intestinal epithelial cells.
a) Toxins are specific molecules that bind to receptors and either inhibit the start of a
process, or invoke the start of a messed up process
3) a) The cholera toxin binds to a specific receptor, G protein binds and allows for the
endocytosis of the toxin.
a) Once inside the cell, the toxin separates into the A1 and A2 domains, in which A1
acts as an enzyme
b) A1 activates G protein, in which it is hydrolyzed to lock in the GTP conformation,
allowing for an excess production of cAMP, which triggers the CFTR to release
of ions out of the cell, resulting in diarrhea.
b) GTP hydrolysis by G-alpha usually allows for the termination of the cAMP signal,
allowing for an eventual stop in release of ions via CFTR channel.
c) ??
4) Cholera toxin activates the pathway, resulting in a very low concentration of ions inside the
cell, and a very high concentration of ions outside the cell, resulting in diarrhea.
Part II
5) Same as the cholera toxin pathway. She’s dehydrated because her cells are in a hypertonic
solution. Water in cell leaves to area of high solute conc, resulting in cell shrinkage.
6) Perhaps you could produce a drug that inhibits proper folding of the CFTR protein
Prevents the activation of A1, prevents the locking of GTP
Part III
7) Shriveled skin- cells are in hypertonic solution, water from blood goes to intestinal epithelial
cells, and water from skin goes to blood stream.
8) allows for increase in water inside cell, isotonic solution should be administered. Also re-
establishes right blood volume to increase blood pressure to normal levels.
9) want to get ion concentrations back in equilibrium
10) Glucose based solution works better because with an electrolyte solution, you’re just
increasing the number of Cl- ions. Need glucose to initiate ion transport in intestines
11) intestinal epithelial cells are affected, so IV allows for other cells to be affected.
Part IV
12) Antibiotics were not the first line of treatment for Bedeline because it’s the toxin that’s
already in the cell, and the actual bacteria plays no role in the manifestation of the infection.
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Document Summary

Part 1: cholera is found in feces-contaminated water or food sources. It is mostly spread via poor sanitation and hygiene. Part ii: same as the cholera toxin pathway. She"s dehydrated because her cells are in a hypertonic solution. Water in cell leaves to area of high solute conc, resulting in cell shrinkage: perhaps you could produce a drug that inhibits proper folding of the cftr protein. Prevents the activation of a1, prevents the locking of gtp. Part iii: shriveled skin- cells are in hypertonic solution, water from blood goes to intestinal epithelial cells, and water from skin goes to blood stream, allows for increase in water inside cell, isotonic solution should be administered. Need glucose to initiate ion transport in intestines: intestinal epithelial cells are affected, so iv allows for other cells to be affected. Ligand (steroid hormones) bind to external receptor (attached to g protein).

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