 | This articleneeds additional citations forverification. Please helpimprove this article byadding citations to reliable sources. Unsourced material may be challenged and removed. Find sources: "Exotoxin" – news ·newspapers ·books ·scholar ·JSTOR(June 2010) (Learn how and when to remove this message) |
Anexotoxin is atoxin secreted bybacteria.[1] An exotoxin can cause damage to the host by destroying cells or disrupting normalcellular metabolism. They are highly potent and can cause major damage to the host. Exotoxins may be secreted, or, similar toendotoxins, may be released duringlysis of the cell. Gram negative pathogens may secrete outer membrane vesicles containing lipopolysaccharide endotoxin and some virulence proteins in the bounding membrane along with some other toxins as intra-vesicular contents, thus adding a previously unforeseen dimension to the well-known eukaryote process ofmembrane vesicle trafficking, which is quite active at thehost–pathogen interface.
They may exert their effect locally or produce systemic effects. Well-known exotoxins include:botulinum toxin produced byClostridium botulinum;Corynebacterium diphtheriae toxin, produced during life-threatening symptoms ofdiphtheria;tetanospasmin produced byClostridium tetani. The toxic properties of most exotoxins can be inactivated by heat or chemical treatment to produce atoxoid. These retain their antigenic specificity and can be used to produceantitoxins and, in the case of diphtheria and tetanus toxoids, are used as vaccines.
Exotoxins are susceptible toantibodies produced by theimmune system, but some exotoxins are so toxic that they may be fatal to the host before the immune system has a chance to mount defenses against them. In such cases, antitoxin, anti-serum containing antibodies, can sometimes be injected to providepassive immunity.
Many exotoxins have been categorized.[2][3] This classification, while fairly exhaustive, is not the only system used. Other systems for classifying or identifying toxins include:
The same exotoxin may have different names, depending on the field of research.
Type I toxins bind to a receptor on the cell surface and stimulate intracellular signaling pathways. Two examples are described below.
Superantigens are produced by several bacteria. The best-characterized superantigens are those produced by the strains ofStaphylococcus aureus andStreptococcus pyogenes that causetoxic shock syndrome. Superantigens bridge theMHC class II protein onantigen-presenting cells with theT-cell receptor on the surface ofT cells with a particular Vβ chain. As a consequence, up to 50% of all T cells are activated, leading to massive secretion of proinflammatorycytokines, which produce the symptoms of toxic shock.
Some strains ofE. coli produceheat-stable enterotoxins (ST), which are small peptides that are able to withstand heat treatment at 100 °C. Different STs recognize distinct receptors on the cell surface and thereby affect different intracellular signaling pathways. For example, STaenterotoxins bind and activate membrane-bound guanylate cyclase, which leads to the intracellular accumulation ofcyclic GMP and downstream effects on several signaling pathways. These events lead to the loss of electrolytes and water from intestinal cells.
Membrane-damaging toxins exhibithemolysin or cytolysin activityin vitro. However, induction of cell lysis may not be the primary function of the toxins during infection. At low concentrations of toxin, more subtle effects such as modulation of host cell signal transduction may be observed in the absence of cell lysis. Membrane-damaging toxins can be divided into two categories, the channel-forming toxins and toxins that function as enzymes that act on the membrane.
Mostchannel-forming toxins, which form pores in the target cell membrane, can be classified into two families: the cholesterol-dependent toxins and the RTX toxins.
Formation of pores bycholesterol-dependent cytolysins (CDC) requires the presence ofcholesterol in the target cell. The size of the pores formed by members of this family is extremely large: 25–30 nm in diameter. All CDCs are secreted by the type IIsecretion system;[4] the exception ispneumolysin, which is released from the cytoplasm ofStreptococcus pneumoniae when the bacteria lyse.
The CDCsStreptococcus pneumoniae Pneumolysin,Clostridium perfringensperfringolysin O, andListeria monocytogeneslisteriolysin O cause specific modifications ofhistones in the hostcell nucleus, resulting in down-regulation of several genes that encode proteins involved in theinflammatory response.[5] Histone modification does not involve the pore-forming activity of the CDCs.
RTX toxins can be identified by the presence of a specific tandemly repeated nine-amino acid residue sequence in the protein. The prototype member of the RTX toxin family ishaemolysin A (HlyA) ofE. coli.[citation needed] RTX is also found inLegionella pneumophila.[6]
One example is theα toxin ofC. perfringens, which causesgas gangrene; α toxin hasphospholipase activity.
Type III exotoxins can be classified by their mode of entry into the cell, or by their mechanism once inside.
Intracellular toxins must be able to gain access to the cytoplasm of the target cell to exert their effects.
Once in the cell, many of the exotoxins act at the eukaryoticribosomes (especially the60S subunit), asprotein synthesis inhibitors.[citation needed]
Other intracellular toxins do not directly inhibit protein synthesis.
These "toxins" allow the further spread of bacteria and, as a consequence, deeper tissue infections. Examples arehyaluronidase andcollagenase. These molecules, however, are enzymes that are secreted by a variety of organisms and are not usually considered toxins. They are often referred to asvirulence factors, since they allow the organisms to move deeper into the hosts tissues.[7]
Exotoxins have been used to produce vaccines. This process involves inactivating the toxin, creating atoxoid that does not induce toxin-related illness and is well tolerated.[8] A widely used toxoid vaccine is theDPT vaccine, which is usually administered in multiple doses throughout childhood withadjuvants andboosters for long-term immunity.[8] DPT vaccine protects againstpertussis,tetanus anddiphtheria infections, caused by the exotoxin-producingBordetella pertussis,Clostridium tetani andCorynebacterium diphtheriae respectively.[9] Vaccination with the toxoids generates antibodies against the exotoxins, forming immunological memory as protection against subsequent infections.[8][10] The DPT vaccination may cause adverse side effects, such as swelling, redness and fever, and is contraindicated in some populations.[8] Effective vaccination schedules have reduced rates of mortality linked to pertussis, tetanus and diphtheria but formal controlled trials to test the efficacy of the vaccine have not been conducted.[8] Additionally, pertussis persists endemically[9] and is one of the most common causes of vaccine-preventable deaths.[10]
As exotoxins are highly potent, there has been development in their application to cancer treatment. Cancer cells can be eliminated without destroying normal cells like in chemotherapy or radiation by attaching an antibody or receptor ligand to the exotoxin, creating arecombinant toxin that is targeted to certain cells.[11] The cancer cell is killed once the toxin is internalized;[11] for example,Pseudomonas exotoxin disrupts protein synthesis after cellular uptake.[12] Multiple versions of recombinant exotoxin A, secreted byPseudomonas aeruginosa, have entered clinical trials against tumor growth but have yet to be approved byFood and Drug Administration (FDA).[12] A recombinant diphtheria exotoxin has been approved by the FDA for treatment ofcutaneous T-cell lymphoma, an immune system cancer.[12] Further testing to improve clinical efficacy of treatment using recombinant exotoxins continues.[11]
Media related toExotoxin at Wikimedia Commons
