Association of Pertussis Toxin with Severe Pertussis Disease

Pertussis, caused by respiratory tract infection with the bacterial pathogen <i>Bordetella pertussis</i>, has long been considered to be a toxin-mediated disease. Bacteria adhere and multiply extracellularly in the airways and release several toxins, which have a variety of effects on th...

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Main Authors: Karen Scanlon, Ciaran Skerry, Nicholas Carbonetti
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/11/7/373
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author Karen Scanlon
Ciaran Skerry
Nicholas Carbonetti
author_facet Karen Scanlon
Ciaran Skerry
Nicholas Carbonetti
author_sort Karen Scanlon
collection DOAJ
description Pertussis, caused by respiratory tract infection with the bacterial pathogen <i>Bordetella pertussis</i>, has long been considered to be a toxin-mediated disease. Bacteria adhere and multiply extracellularly in the airways and release several toxins, which have a variety of effects on the host, both local and systemic. Predominant among these toxins is pertussis toxin (PT), a multi-subunit protein toxin that inhibits signaling through a subset of G protein-coupled receptors in mammalian cells. PT activity has been linked with severe and lethal pertussis disease in young infants and a detoxified version of PT is a common component of all licensed acellular pertussis vaccines. The role of PT in typical pertussis disease in other individuals is less clear, but significant evidence supporting its contribution to pathogenesis has been accumulated from animal model studies. In this review we discuss the evidence indicating a role for PT in pertussis disease, focusing on its contribution to severe pertussis in infants, modulation of immune and inflammatory responses to infection, and the characteristic paroxysmal cough of pertussis.
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spelling doaj.art-d3401686fad64042ab264c30cc0ec9552022-12-22T02:14:51ZengMDPI AGToxins2072-66512019-06-0111737310.3390/toxins11070373toxins11070373Association of Pertussis Toxin with Severe Pertussis DiseaseKaren Scanlon0Ciaran Skerry1Nicholas Carbonetti2Department of Microbiology &amp; Immunology, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Microbiology &amp; Immunology, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Microbiology &amp; Immunology, University of Maryland School of Medicine, Baltimore, MD 21201, USAPertussis, caused by respiratory tract infection with the bacterial pathogen <i>Bordetella pertussis</i>, has long been considered to be a toxin-mediated disease. Bacteria adhere and multiply extracellularly in the airways and release several toxins, which have a variety of effects on the host, both local and systemic. Predominant among these toxins is pertussis toxin (PT), a multi-subunit protein toxin that inhibits signaling through a subset of G protein-coupled receptors in mammalian cells. PT activity has been linked with severe and lethal pertussis disease in young infants and a detoxified version of PT is a common component of all licensed acellular pertussis vaccines. The role of PT in typical pertussis disease in other individuals is less clear, but significant evidence supporting its contribution to pathogenesis has been accumulated from animal model studies. In this review we discuss the evidence indicating a role for PT in pertussis disease, focusing on its contribution to severe pertussis in infants, modulation of immune and inflammatory responses to infection, and the characteristic paroxysmal cough of pertussis.https://www.mdpi.com/2072-6651/11/7/373Pertussis toxinbacterial infectionrespiratory diseaseleukocytosispulmonary hypertensionimmunomodulationinflammationcough
spellingShingle Karen Scanlon
Ciaran Skerry
Nicholas Carbonetti
Association of Pertussis Toxin with Severe Pertussis Disease
Toxins
Pertussis toxin
bacterial infection
respiratory disease
leukocytosis
pulmonary hypertension
immunomodulation
inflammation
cough
title Association of Pertussis Toxin with Severe Pertussis Disease
title_full Association of Pertussis Toxin with Severe Pertussis Disease
title_fullStr Association of Pertussis Toxin with Severe Pertussis Disease
title_full_unstemmed Association of Pertussis Toxin with Severe Pertussis Disease
title_short Association of Pertussis Toxin with Severe Pertussis Disease
title_sort association of pertussis toxin with severe pertussis disease
topic Pertussis toxin
bacterial infection
respiratory disease
leukocytosis
pulmonary hypertension
immunomodulation
inflammation
cough
url https://www.mdpi.com/2072-6651/11/7/373
work_keys_str_mv AT karenscanlon associationofpertussistoxinwithseverepertussisdisease
AT ciaranskerry associationofpertussistoxinwithseverepertussisdisease
AT nicholascarbonetti associationofpertussistoxinwithseverepertussisdisease