What is the direct cause of cell death by diphtheria toxin?
Answer: B
Correct answer: Inactivation of a translational elongation factor
Diphtheria toxin ADP-ribosylates elongation factor 2, which is required to move the ribosome along the message. One toxin molecule can inactivate enough EF-2 to halt protein synthesis in the cell entirely, and the cell dies. Its catalytic action is why so tiny a quantity is lethal.
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