superantigen microbiology presentation

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  • 8/12/2019 Superantigen Microbiology Presentation

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    Presented by:

    Shymaa Yousry Hassan

    [602]

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    Structure Superantigens are medium sized 22-29 kDa

    globular compact proteins.

    Crystal structures: ellipsoidal proteins withcharacteristic two domain protein folding.

    Have sites for binding MHC II and TCRs.

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    Structure Two-domain folding pattern and architecture

    (N and C terminal domains and helix in the center of the molecule)

    NH2-terminal barrel globular domain known as

    the oligosaccharide/oligonucleotide fold

    Long -helix that diagonally spans the center ofthe molecule

    COOH terminal globular domain

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    Structure The Nterminal domain:

    Hydrophobic residues in solvent exposed regions

    Determines the lethalityof the toxin.

    The Cterminal domain: Four stranded sheet capped by the central helix

    Determines the superantigenicityof the toxin.

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    Structure Each superantigen possesses slightly different

    binding modes when it interacts with MHC classII molecules or the T-cell receptor.

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    Special characters Presence of disulphide loop formed by the

    cystinyl residues (except in TSST I)in the Nterminaldomain [emetic properties of the enterotoxins].

    TSST-I:no extrastructural characters=> cleaved bypepsin.

    SE and SPE:extrastructural characters like:

    Lengthy amino terminal [resist the peptidedigestion in the stomach => Staphylococcal foodpoisoning].

    Emetic property: cystinyl residues.

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    Normally..

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    However,.. The unique feature of superantigen is that it

    bypasses the antigen processing mechanismand specifically binds to TCR v segment andforms a trimolecular complex along with majorhistocompatibility complex class II.

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    Mechanism of action. Superantigens bind to MHC class II molecules of

    antigen presenting cells and V region of T-cellreceptor in a non-antigen-specific manner.

    Stimulation of large number of T cells resulting incell activation, differentiation, proliferation, andproduction of cytokinesinvolved in variousinflammatory processes.

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    Activation

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    Effects of superantigenstimulation IL - I and TNF- bring about the vascular

    endothelial injury [toxic shock syndrome].

    of IL- 6, GM-CSF and E-selectin elicitproinflammatory and prothrombic responses[Kawasaki syndrome].

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    Direct Effects Thcells: IL-1, IL-2, IL-6, TNF-, Macrophage

    Inflammatory protein, Macrophagechemoattractant protein.

    Fever, rash, multi organ failure, coma & death.

    IL-10 [non responsive memory cells]: Deletion ofactivated T.

    INF : prolonged SAg exposure, induces autoimmunity[Kawasaki disease]

    MHC cross-linking: up-regulates apoptosis.

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    Indirect Effects Mitogenic activity.

    Monocytic cell activation & release of large

    amounts of TNF-: tissue necrosis Induce gastrointestinal toxicity and cause

    emesis: by SAg produced by bacteria causingfood poisoning [SE and SPE].

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    Interaction of T cell receptor (TCR) and MHC loaded with antigenicpeptide during the normal T cell activation (A) and duringsuperantigenic activation by staphylococcal enterotoxins (B). Thelatter can be inhibited by polyclonal antibodies such as anti-SEBhyperimmune serum as shown in (C).

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    Indirect Effects Monocytic cell activation and release of large

    amounts of TNF-leading to tissue necrosis.

    Emesis: by SAg produced by bacteria causingfood poisoning.

    Induction of gastrointestinal toxicity and emesis.

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    Consequences Shock: massive release of cytokines.

    Immunosupression: uncoordinated activation of

    immune system. Autoimmunity: bypass of auto reactive T & B cells