**Core Concept**
Cholera toxin is a potent enterotoxin produced by Vibrio cholerae, causing a secretory diarrhea by altering intestinal ion and water transport. The toxin acts by activating a specific signaling pathway within intestinal epithelial cells.
**Why the Correct Answer is Right**
Cholera toxin acts by ADP-ribosylating the alpha subunit of the Gs protein (GsΞ±), which is a stimulatory G protein involved in adenylate cyclase activation. This modification leads to the continuous activation of adenylate cyclase, resulting in an increase in intracellular cyclic AMP (cAMP) levels. Elevated cAMP levels stimulate the secretion of chloride and water into the intestinal lumen, causing a massive watery diarrhea.
**Why Each Wrong Option is Incorrect**
**Option A:** This is incorrect because cholera toxin does not stimulate the production of inositol trisphosphate (IP3) or diacylglycerol (DAG), which are involved in the phospholipase C pathway.
**Option B:** This is incorrect because cholera toxin does not activate the phospholipase A2 (PLA2) pathway, which is involved in the production of arachidonic acid and its metabolites.
**Option C:** This is incorrect because cholera toxin does not stimulate the production of nitric oxide (NO), which is involved in various signaling pathways, including vasodilation and neurotransmission.
**Clinical Pearl / High-Yield Fact**
Cholera toxin's effects are mediated through the cAMP pathway, which is also involved in other clinical conditions such as hyperthyroidism, where an excess of thyroid hormones stimulates adenylate cyclase activity.
**Correct Answer:** C. cAMP.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.