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Microbiology Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli) 1b25a1eb

The mechanism of action of the exotoxin produced by Corynebacterium diphtheriae can be characterized by which of the following?

A
Acting as a superantigen that binds to MHC class II protein and the T-cell receptor
B
Blocking the release of acetylcholine causing anticholinergic symptoms
C
Blocking the release of glycine
D
Inhibits protein synthesis EF-2 adenosine diphosphate (ADP) ribosylation.
High-Yield Explanation
C. diphtheriae Produces a potent exotoxin encoded by a lysogenic beta-prophage. The toxin has a mol. Wt of 61,150 daltons 2 pas; A: 21,150 & B:40,000; A: active; B: binding Following proteolytic cleavage, the A segment is released into the host cell where it inhibits protein synthesis ADP ribosylation of elongation factor/ EF-2 (which is a t RNA translocase). Inhibition of protein synthesis disrupts normal cellular physiologic functions that are believed to be responsible for the necrotizing and neurotoxic effects of diphtheria toxin.

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