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17 Cards in this Set

  • Front
  • Back

Describe the classical pathway of compliment

Antibody binds


C5 binds


C3 catalyses formation of C5-C6-C7 complex


C8 and C9 are also required to damage the membrane and cause lysis

What complex does compliments classical pathway form and how does it work?

The membrane attack complex (MAC) which forms a pore in the surface of bacteria

Name 2 alternative pathways to activating MAC

Mannan binding lectin - serum protein, recognises polysaccharides


Uses some of the classic pathways with other proteins

Name 5 methods that avoid the immune response

Non specific - LPS avoids compliment


Organism specificity


Avoid the immune effector mechanism - phase variation, physical shield


Diversion using vesicles


Control immune receptors, down regulate complement

What kind of LPS can sterically hinder the MAC

Smooth LPS is much thicker than rough LPS so the MAC proteins will get stuck on the layer

Describe the streptococcus pyrogenes infections

Strep throat, impetigo, necrotising fasciitis, toxic shock

Describe the M protein

Fibrillar protein - repeating 7 amino acid sequence, conserved C - terminal, variable N - terminal, occurs as a coiled dimer


Covalently attached to peptidoglycan


Proinflammatory - may cause toxic shock

How does the M protein evade the host immune response

Binds to down regulate complement - no deposition on the surface


Binds to fibrinogen and albumin - decrease in complement deposition, steric hindrance of antibodies


Inhibits phagocytosis - interferes with complement opsonisation

Describe the characteristics of phase variation

NOT GENETIC REGULATION


The reversible ON-OFF switching in genes will show mixed populations


The environment will determine which type dominates


Switching will also be affected by the environment


This switch can change expression of fimbrae


Change the variable antigenic region - Nessesaria gonorrhoeae

Describe the Nessesaria gonorrohoeae bacteria

Gram negative, diplococcus

Explain phase variation in Nessesaria gonorrhoreae

PilE gene is the major pilin subunit


Up to 20 silent PilS genes


pilE and pilS are highly similar and can undergo RecA mediated recombination where they are swapped


Neisseria are naturally transformable which adds more variation


Mixed populations of other Pillus will cause the immune system to struggle

Explain surface sialic acids

N.gonorrhoeae


LPS is mostly absent


Acquire Salic acids from the host glycoproteins and glycolipids added to LPS by sialyl transferase


Forms a capsule like structure which is highly resistant


Mimics host cell surface structures


What is phase variation in E. coli

Type 1 fimbriae in urinary pathogenic E. coli - this adheres to the bladder and allows infection as UPEC is invasive in superficial bladder epithelium

ON/OFF phase variation of e.coli

314bp DNA element with 9bp inverted repeats


These repeats may flip and cause FimS not to express and Type 1 fimbriae not being expressed will cause destruction of the bacteria by detection and so those expressing will dominate

How can bacteria 'trick' the immune response

Destroy antigen - capsule/slime, OM vesicles (wrong target)

Describe and give an example of a polysaccharide capsule

Polysaccharide outer layer


Anthrax capsule is composed of poly-D-glutamic acid

Name 3 organisms and how they use their capsules

Streptococcus pyrogenes - nonimmunogenic hyaluronan capsule


Neisseria gonorrhoeae - sialic acids added to LPS


Streptococcus pneumonia - uncapsulated strains are rapidly cleared