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Published on: January 3, 2012
Role of pertussis toxin in causing symptoms of Bordetella parapertussis infection
C H Wirsing von König1, H Finger
1Institut für Hygiene und Laboratoriumsmedizin, Städtische Krankenanstalten, Krefeld, Germany.
Abstract:
Whooping cough can be caused by either Bordetella pertussis or Bordetella parapertussis. Although the two species share an almost complete DNA identity, Bordetella parapertussis does not produce pertussis toxin, which is thought to be the main virulence factor of Bordetella pertussis. In order to elucidate the role of pertussis toxin in causing the typical symptoms of whooping cough, clinical information from 33 patients with culture-positive Bordetella parapertussis infection was collected and compared to that from 331 patients with infection caused by Bordetella pertussis. Isolated strains of Bordetella parapertussis lacked pertussis toxin expression, as was demonstrated by negative tests for histamine sensitization. This was further substantiated in vivo by a significantly lower leukocyte count in the parapertussis group as compared to the pertussis group. Frequencies of typical symptoms of whooping cough, such as paroxysmal coughing, whooping and vomiting, were almost identical in the two groups. Nocturnal coughing and contact anamnesis were noted more often in the Bordetella pertussis group. Children in the parapertussis group were significantly more often vaccinated with whole-cell pertussis vaccine than children infected with Bordetella pertussis. The results indicate that pertussis toxin may not play a decisive role in causing the typical symptoms of whooping cough, such as paroxysmal coughing, whooping and vomiting.
Insights
Pertussis toxin may not be the primary cause of typical whooping cough symptoms. Bordetella parapertussis infections, lacking this toxin, presented similar symptoms to Bordetella pertussis infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Immunology
Background:
- Whooping cough is caused by Bordetella pertussis or Bordetella parapertussis.
- These bacteria share high DNA similarity, but B. parapertussis lacks pertussis toxin, a presumed key virulence factor.
Purpose of the Study:
- To investigate the role of pertussis toxin in causing characteristic whooping cough symptoms.
- To compare clinical manifestations between B. parapertussis and B. pertussis infections.
Main Methods:
- Clinical data from 33 B. parapertussis and 331 B. pertussis infected patients were analyzed.
- Pertussis toxin absence in B. parapertussis was confirmed via histamine sensitization tests.
- Leukocyte counts were compared between the two infection groups.
Main Results:
- B. parapertussis strains lacked pertussis toxin, evidenced by negative histamine sensitization.
- Patients with B. parapertussis showed significantly lower leukocyte counts than those with B. pertussis.
- Typical whooping cough symptoms (paroxysmal coughing, whooping, vomiting) occurred with similar frequency in both groups.
Conclusions:
- Pertussis toxin may not be essential for the development of hallmark whooping cough symptoms.
- Nocturnal coughing and known contact were more common in B. pertussis cases.
- B. parapertussis infected children had higher rates of prior whole-cell pertussis vaccination.
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