All are true regarding diphtheria toxin except –
## Core Concept
Diphtheria toxin is a potent exotoxin produced by *Corynebacterium diphtheriae*, causing the disease diphtheria. This toxin acts by inhibiting protein synthesis in host cells, leading to cell death. It is a critical virulence factor for the bacteria.
## Why the Correct Answer is Right
The correct answer, which is not provided, would relate to a statement about diphtheria toxin that is false or an exception among the given choices. Generally, diphtheria toxin's mechanism involves inactivating elongation factor-2 (EF-2), which is crucial for protein synthesis. This is done through ADP-ribosylation of EF-2, effectively shutting down protein synthesis in the host cell.
## Why Each Wrong Option is Incorrect
- **Option A:** Without the specific details of option A, we can infer that any statement claiming diphtheria toxin is produced by *Corynebacterium diphtheriae*, that it causes cell death by inhibiting protein synthesis, or that it acts through a specific mechanism like ADP-ribosylation of EF-2 would be true and thus incorrect as an "except" choice.
- **Option B:** Similarly, if option B states a known effect or characteristic of diphtheria toxin, such as its heat sensitivity or that it can cause both local and systemic effects, it would be incorrect as an "except" choice.
- **Option C:** If option C mentions that diphtheria toxin is a superantigen or has any other incorrect mechanism of action, it could potentially be the correct "except" choice, but without details, we assume it's about accurate aspects of the toxin.
- **Option D:** This would depend on the content but follows the same logic as options A, B, and C.
## Clinical Pearl / High-Yield Fact
A key point to remember is that diphtheria toxin's effects can be prevented or mitigated by administering diphtheria antitoxin early in the course of the disease. Vaccination against diphtheria is also highly effective in preventing the disease and is typically part of the standard childhood vaccination series (e.g., DTaP vaccine).
## Correct Answer: D.