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7 Cards in this Set

  • Front
  • Back

Botulism

- progressive paralysis of voluntary muscles


-> abdominal symptoms, respiratory paralysis=> death



Treatment:


- avoid questionable food w/ possible spores of C. botulinum


- administration of antitoxin, other supportive measures for paralysis

Clostridium botulinum

- Gram +ve endospore rod


-> forms spores in water, soil, foods


- spores can germinate in guts of animals (not adult humans), in anoxic wounds


-> fish/animals are natural reservoir


-> germination produces heat-sensitive toxin

SNARE proteins

1. Synaptobrevin on vesicles required to bind SNAP-25


2. Together they bind Syntaxin at the plasma membrane of neurons to release the contents of the vesicle

Botulism toxin

- B-chain binds to neuronal receptor of motor neurons, taken up by endocytosis


-> acidification of endosome allows A chain into cytoplasm


- A chain cleaves SNAP-25


- no more fusion of vesicles to membrane


-> no acetylcholine release


- no muscle contraction; paralysis

Tetanus

- uncontrollable, sustained cramp-like muscle spasms


- death due to exhaustion, respiratory failure



Treatment:


- Tetanus vaccine (booster every 10 years)


-> made of inactivated toxin (tetanus toxoid)


- injection of human tetanus immune globulin (TIG)


-> neutralize the unbound toxin

Clostridium tetani

- spores are widespread in environment (soil, dust etc)


-> requires vaccine to protect from toxin


- spore germinate in anaerobic wound and release toxin to bloodstream; phage encoded


Tetanus toxin

- B chain attaches to receptors of motor neurons


-> endocytosis, A toxin released into cytoplasm from acidification of endosomes


- A toxin travels up axon to nerve cell body


- cleaves synaptobrevin in inhibitory neurons


-> no glycine released to inhibit motor neurons


-> constant acetylcholine release; muscle spasms