Novel Strategies to Inhibit Pertussis Toxin

Pertussis, also known as whooping cough, is a respiratory disease caused by infection with <i>Bordetella pertussis</i>, which releases several virulence factors, including the AB-type pertussis toxin (PT). The characteristic symptom is severe, long-lasting paroxysmal coughing. Especially...

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Main Author: Katharina Ernst
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/14/3/187
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author Katharina Ernst
author_facet Katharina Ernst
author_sort Katharina Ernst
collection DOAJ
description Pertussis, also known as whooping cough, is a respiratory disease caused by infection with <i>Bordetella pertussis</i>, which releases several virulence factors, including the AB-type pertussis toxin (PT). The characteristic symptom is severe, long-lasting paroxysmal coughing. Especially in newborns and infants, pertussis symptoms, such as leukocytosis, can become life-threatening. Despite an available vaccination, increasing case numbers have been reported worldwide, including Western countries such as Germany and the USA. Antibiotic treatment is available and important to prevent further transmission. However, antibiotics only reduce symptoms if administered in early stages, which rarely occurs due to a late diagnosis. Thus, no causative treatments against symptoms of whooping cough are currently available. The AB-type protein toxin PT is a main virulence factor and consists of a binding subunit that facilitates transport of an enzyme subunit into the cytosol of target cells. There, the enzyme subunit ADP-ribosylates inhibitory α-subunits of G-protein coupled receptors resulting in disturbed cAMP signaling. As an important virulence factor associated with severe symptoms, such as leukocytosis, and poor outcomes, PT represents an attractive drug target to develop novel therapeutic strategies. In this review, chaperone inhibitors, human peptides, small molecule inhibitors, and humanized antibodies are discussed as novel strategies to inhibit PT.
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spelling doaj.art-527ec6cfacf84b46a07bf34018b1b9542023-11-30T22:39:14ZengMDPI AGToxins2072-66512022-03-0114318710.3390/toxins14030187Novel Strategies to Inhibit Pertussis ToxinKatharina Ernst0Institute of Pharmacology and Toxicology, Ulm University Medical Center, 89081 Ulm, GermanyPertussis, also known as whooping cough, is a respiratory disease caused by infection with <i>Bordetella pertussis</i>, which releases several virulence factors, including the AB-type pertussis toxin (PT). The characteristic symptom is severe, long-lasting paroxysmal coughing. Especially in newborns and infants, pertussis symptoms, such as leukocytosis, can become life-threatening. Despite an available vaccination, increasing case numbers have been reported worldwide, including Western countries such as Germany and the USA. Antibiotic treatment is available and important to prevent further transmission. However, antibiotics only reduce symptoms if administered in early stages, which rarely occurs due to a late diagnosis. Thus, no causative treatments against symptoms of whooping cough are currently available. The AB-type protein toxin PT is a main virulence factor and consists of a binding subunit that facilitates transport of an enzyme subunit into the cytosol of target cells. There, the enzyme subunit ADP-ribosylates inhibitory α-subunits of G-protein coupled receptors resulting in disturbed cAMP signaling. As an important virulence factor associated with severe symptoms, such as leukocytosis, and poor outcomes, PT represents an attractive drug target to develop novel therapeutic strategies. In this review, chaperone inhibitors, human peptides, small molecule inhibitors, and humanized antibodies are discussed as novel strategies to inhibit PT.https://www.mdpi.com/2072-6651/14/3/187pertussis toxinnovel inhibitorschaperoneshumanized antibodieshuman defensinsADP-ribosylation inhibitor
spellingShingle Katharina Ernst
Novel Strategies to Inhibit Pertussis Toxin
Toxins
pertussis toxin
novel inhibitors
chaperones
humanized antibodies
human defensins
ADP-ribosylation inhibitor
title Novel Strategies to Inhibit Pertussis Toxin
title_full Novel Strategies to Inhibit Pertussis Toxin
title_fullStr Novel Strategies to Inhibit Pertussis Toxin
title_full_unstemmed Novel Strategies to Inhibit Pertussis Toxin
title_short Novel Strategies to Inhibit Pertussis Toxin
title_sort novel strategies to inhibit pertussis toxin
topic pertussis toxin
novel inhibitors
chaperones
humanized antibodies
human defensins
ADP-ribosylation inhibitor
url https://www.mdpi.com/2072-6651/14/3/187
work_keys_str_mv AT katharinaernst novelstrategiestoinhibitpertussistoxin