1984
DOI: 10.1097/00006454-198409000-00019
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The concept of pertussis as a toxin-mediated disease

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Cited by 248 publications
(121 citation statements)
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“…Several of these mutations are in regions that dictate the level of gene expression and would be expected to increase this level in B. pertussis. At one time pertussis toxin was thought to be responsible for much of the pathology associated with whooping cough, 30 but the fact that B. parapertussis does not express the toxin yet causes 8,31 Thus, although it is possible that the progenitor of B. pertussis expressed pertussis toxin (albeit at low levels) and that B. pertussis evolved to express the toxin at higher levels, the role of the toxin in disease and thus adaptation to humans is still unclear.…”
Section: Adaptation Of B Pertussis and B Parapertussis To The Humanmentioning
confidence: 99%
“…Several of these mutations are in regions that dictate the level of gene expression and would be expected to increase this level in B. pertussis. At one time pertussis toxin was thought to be responsible for much of the pathology associated with whooping cough, 30 but the fact that B. parapertussis does not express the toxin yet causes 8,31 Thus, although it is possible that the progenitor of B. pertussis expressed pertussis toxin (albeit at low levels) and that B. pertussis evolved to express the toxin at higher levels, the role of the toxin in disease and thus adaptation to humans is still unclear.…”
Section: Adaptation Of B Pertussis and B Parapertussis To The Humanmentioning
confidence: 99%
“…In contrast, severe disease was never observed following B. parapertussis infection (3)(4)(5). Although pertussis toxin is considered to play a critical role for disease occurrence and severity (6,7), it has also been suggested that pertussis toxin may not play a decisive role in causing the typical symptoms of whooping cough (8).…”
mentioning
confidence: 99%
“…Our results demonstrate Bvg-dependent activation of a ptxA-lacZYA fusion in E. coli and indicate that bvg is the only Bordetella locus required for ptxA activation in this heterologous system. Bordetella pertussis, the causative agent of whooping cough, synthesizes toxins and adhesins which appear to aid the bacterium in colonization and multiplication (15,23,28,38,56,59). Expression of toxins (pertussis toxin, adenylate cyclasehemolysin, and dermonecrotic toxin) and adhesins (filamentous hemagglutinin, fimbriae, and pertactin) is positively regulated by the products of the bvg operon (11,57,59).…”
mentioning
confidence: 99%