Edge of colony shows irregular comma-shaped outgrowths on blood agar (also referred to as Medusa head).

Virulence factors

• Antiphagocytic capsule
  • B. anthracis is the only bacterium that is capable of forming a polypeptide capsule
  • Contains poly-D-glutamate
  • The capsule protects the bacterium from lysis following phagocytosis. B. anthracis is not infectious if not encapsulated.
• Anthrax toxin: responsible for the local and systemic manifestations of anthrax; made up of A and B subunits
  • The A subunit has 2 components:
    • EF (edema factor): binds to calcium and calmodulin and gains adenylate cyclase activity → ↑ cAMP → cell edema
    • LF (lethal factor): a metalloprotease that destroys MAPKK (mitogen-activated protein kinase kinase ) → cell death
  • The B subunit (PA; anthrax toxin protective antigen) binds to endothelial receptors and facilitates entry of the A subunit into the host cell.