Uptake and function of diphtheria toxin

Summary
Organism
Homo sapiens (human)
Reactome
R-HSA-5336415
PubChem
R-HSA-5336415
Description
  • Diphtheria is a serious, often fatal human disease associated with damage to many tissues. Bacteria in infected individuals, however, are typically confined to the lining of the throat or to a skin lesion; systemic effects are due to the secretion of an exotoxin encoded by a lysogenic bacteriophage. The toxin is encoded as a single polypeptide but is cleaved by host furin-like proteases to yield an aminoterminal fragment A and a carboxyterminal fragment B, linked by a disulfide bond. Toxin cleavage can occur when it first contacts the target cell surface, as annotated here, or as late as the point at which fragment A is released into the cytosol. Fragment B mediates toxin uptake into target cell endocytic vesicles, where acidification promotes a conformational change enabling fragment B to form a channel in the vesicle membrane through which fragment A is extruded into the target cell cytosol. Cleavage of the inter-fragment disulfide bond frees DT fragment A, which catalyzes ADP ribosylation of the translation elongation factor 2 (EEF2) in a target cell, thereby blocking protein synthesis. Neither fragment is toxic to human cells by itself (Collier 1975; Pappenheim 1977; Murphy 2011).
Click on a node on the pathway to see its details. Glycoproteins are marked with a glycoprotein icon in their name.
Displaying all 5 entries
UniProt ID Protein Name Gene Symbol Pathway Viewer
P07900 Heat shock protein HSP 90-alpha
  • HSP90A
  • HSP90AA1
  • HSPC1
  • HSPCA
view
P08238 Heat shock protein HSP 90-beta
  • HSP90AB1
  • HSP90B
  • HSPC2
  • HSPC3
  • HSPCB
view
P13639 Elongation factor 2
  • EEF2
  • EF2
view
P21926 CD9 antigen
  • CD9
  • GIG2
  • MIC3
  • TSPAN29
view
Q99075 Proheparin-binding EGF-like growth factor
  • DTR
  • DTS
  • HBEGF
  • HEGFL
view

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Acknowledgements

Supported by JST NBDC Grant Number JPMJND2204

Partly supported by NIH Common Fund Grant #1U01GM125267-01


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Last updated: April 6, 2026