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Microbiology, 2021

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398 10 • Biochemistry of the Genome<br />

Clinical Focus<br />

Resolution<br />

Within 24 hours, the results of the diagnostic test analysis of Alex’s stool sample revealed that it was<br />

positive for heat-labile enterotoxin (LT), heat-stabile enterotoxin (ST), and colonization factor (CF),<br />

confirming the hospital physician’s suspicion of ETEC. During a follow-up with Alex’s family physician, this<br />

physician noted that Alex’s symptoms were not resolving quickly and he was experiencing discomfort that<br />

was preventing him from returning to classes. The family physician prescribed Alex a course of<br />

ciprofloxacin to resolve his symptoms. Fortunately, the ciprofloxacin resolved Alex’s symptoms within a<br />

few days.<br />

Alex likely got his infection from ingesting contaminated food or water. Emerging industrialized countries<br />

like Mexico are still developing sanitation practices that prevent the contamination of water with fecal<br />

material. Travelers in such countries should avoid the ingestion of undercooked foods, especially meats,<br />

seafood, vegetables, and unpasteurized dairy products. They should also avoid use of water that has not<br />

been treated; this includes drinking water, ice cubes, and even water used for brushing teeth. Using bottled<br />

water for these purposes is a good alternative. Good hygiene (handwashing) can also aid the prevention of<br />

an ETEC infection. Alex had not been careful about his food or water consumption, which led to his illness.<br />

Alex’s symptoms were very similar to those of cholera, caused by the gram-negative bacterium Vibrio<br />

cholerae, which also produces a toxin similar to ST and LT. At some point in the evolutionary history of<br />

ETEC, a nonpathogenic strain of E. coli similar to those typically found in the gut may have acquired the<br />

genes encoding the ST and LT toxins from V. cholerae. The fact that the genes encoding those toxins are<br />

encoded on extrachromosomal plasmids in ETEC supports the idea that these genes were acquired by E.<br />

coli and are likely maintained in bacterial populations through horizontal gene transfer.<br />

Go back to the previous Clinical Focus box.<br />

Viral Genomes<br />

Viral genomes exhibit significant diversity in structure. Some viruses have genomes that consist of DNA as<br />

their genetic material. This DNA may be single stranded, as exemplified by human parvoviruses, or double<br />

stranded, as seen in the herpesviruses and poxviruses. Additionally, although all cellular life uses DNA as its<br />

genetic material, some viral genomes are made of either single-stranded or double-stranded RNA molecules,<br />

as we have discussed. Viral genomes are typically smaller than most bacterial genomes, encoding only a few<br />

genes, because they rely on their hosts to carry out many of the functions required for their replication. The<br />

diversity of viral genome structures and their implications for viral replication life cycles are discussed in<br />

more detail in The Viral Life Cycle.<br />

CHECK YOUR UNDERSTANDING<br />

• Why do viral genomes vary widely among viruses?<br />

MICRO CONNECTIONS<br />

Genome Size Matters<br />

There is great variation in size of genomes among different organisms. Most eukaryotes maintain multiple<br />

chromosomes; humans, for example have 23 pairs, giving them 46 chromosomes. Despite being large at 3<br />

billion base pairs, the human genome is far from the largest genome. Plants often maintain very large<br />

genomes, up to 150 billion base pairs, and commonly are polyploid, having multiple copies of each<br />

chromosome.<br />

The size of bacterial genomes also varies considerably, although they tend to be smaller than eukaryotic<br />

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