The primary action of cholera toxin in intestinal epithelial cells is:

A Inhibition of Na+/K+ ATPase pump

B Activation of adenylate cyclase enzyme

C Blocking of voltage-gated calcium channels

D Stimulation of guanylate cyclase activity

Solution

Correct Answer: Option B

- Cholera toxin enters intestinal epithelial cells and activates adenylate cyclase by permanently stimulating the Gs protein.
- This leads to a massive increase in cyclic AMP (cAMP) levels, which causes chloride ions to be secreted into the intestinal lumen.
- The resulting osmotic gradient draws water out, leading to severe watery diarrhea, the hallmark of cholera.
- This mechanism directly explains the toxin's primary effect on intestinal cells.

Reference: Robbins Basic Pathology, 10th Edition, Chapter 18/ p.765

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