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Discussion

Cholera toxin produces watery diarrhoea by ________.

  • A.destroying the intestinal epithelium
  • B.irreversibly activating adenylate cyclase and raising cyclic AMP
  • C.invading the mesenteric lymph nodes
  • D.inhibiting protein synthesis in enterocytes

Answer: A

Correct answer: irreversibly activating adenylate cyclase and raising cyclic AMP

The A subunit ADP-ribosylates the Gs regulatory protein, locking adenylate cyclase in the active state. The resulting flood of cyclic AMP drives chloride and water into the lumen, which is why the mucosa remains intact and the stool contains no blood or pus.

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