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Bacillus anthracis protective antigen (PA) is a critical 83 kDa protein component of the tripartite toxin produced by the bacterium Bacillus anthracis, the causative agent of anthrax [1, 10]. PA serves as the receptor-binding and translocation subunit (B-component) that facilitates the entry of the enzymatic A-components, lethal factor (LF) and edema factor (EF), into host cells [4, 11]. Upon binding to host cell receptors such as capillary morphogenesis protein 2 (CMG2) or tumor endothelial marker 8 (TEM8), PA is cleaved by host proteases into a 63 kDa fragment (PA63) that oligomerizes into a heptameric or octameric prepore [2, 8]. This prepore then binds LF and EF, undergoes endocytosis, and forms a membrane-spanning channel in the acidic environment of the endosome to translocate the toxins into the cytosol [4, 8]. Because PA is essential for the assembly and delivery of both lethal and edema toxins, it is the primary target for anthrax vaccines and therapeutic monoclonal antibodies [1, 14]. Drugs like raxibacumab and obiltoxaximab work by binding to PA and preventing its interaction with host receptors, thereby neutralizing the toxin's effects and preventing the progression of the disease [2, 14]. Additionally, PA is used as a diagnostic biomarker, as its presence in serum correlates with the level of bacteremia and disease severity [5]. The protein's structure consists of four domains, with domain 4 being primarily responsible for receptor binding and domain 2 involved in pore formation [1, 10].
Neutralization of the protective antigen to prevent its binding to host cell receptors (CMG2 and TEM8), thereby blocking the entry of lethal factor and edema factor into the cytosol [4, 14].
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