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A drug with which of the following effects would be useful in preventing the disruption of intestinal tight junctions and the resulting diarrhea?

a. causes a tighter bond between the type iv pilus and the host cell
b. prevents intestinal peristalsis
c. interferes with teichoic acid on the surface of the e. coli bacteria
d. prevents depolymerization of the type iv pilus

User Vladinkoc
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1 Answer

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Final answer:

Interfering with teichoic acid on the surface of E. coli bacteria would likely be effective in preventing the disruption of intestinal tight junctions. The maintenance of tight junctions is crucial for preventing diarrhea that can occur due to infections like EPEC. Supporting gut health with probiotics and enhancing the mucosal immune response are also key strategies.

Step-by-step explanation:

A drug with effects that would be useful in preventing the disruption of intestinal tight junctions and the resulting diarrhea would need to strengthen the integrity of the mucosal barrier in the gastrointestinal tract. Option C, which interferes with teichoic acid on the surface of the E. coli bacteria, is the most directly applicable, as this could prevent E. coli from binding to and disrupting the cells lining the intestine. In contrast, the other options focus on the type IV pilus, which is not directly involved in maintaining tight junction integrity.

Enteropathogenic E. coli (EPEC) facilitates diarrhea via mechanisms that disrupt the normal function of the intestinal epithelium. Drugs targeting the adhesive interactions and pathogenicity islands like LEE that facilitate this disruption could be beneficial. Moreover, maintaining intestinal homeostasis through natural mechanisms such as the indigenous intestinal microbiome and utilizing probiotics can also help prevent diarrhea by competitive exclusion of pathogens. Immune modulation through the mucosa-associated immune system is another strategy to maintain gut integrity and function.

User Vincent Guillemot
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