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31 Cards in this Set
- Front
- Back
What affects virulence?
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Invasiveness and Toxigencity
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What factors increase spread (penetration)?
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enzymatic factors, resists phagocytosis and other factors
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What are examples of enzymatic factors that increase spread?
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a. Hyaluronidase
b. Collagenase c. Streptokinase d. Lecithinase e. Hemolysins |
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What is hyaluronidase?
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an enzyme which increases microbe's invasiveness by breaking down hyaluronic acid (connective tissue matrix)
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What is collagenase?
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an enzyme which breaks down collagen
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What is streptokinase?
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a fibrinolysin (lyses fibrin) which dissolves clots.
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What is lecithinase?
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an enzyme which breaks down lecithin (phospholipid component of cell membranes).
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What is hemolysins?
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special lecithinases which can break down erythrocyte plasma membranes. Destruction of RBCs will ultimately favor and promote the growth of bacterial anaerobes
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What are some examples that resist phagocytosis?
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1. Enzymatic factors
2. Capsule production 3. Cell Wall Components 4. Flagellation |
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What enzymatic factors resist phagocytosis?
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leukocidin and coagulase
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What is leukocidin?
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Streptococcal (some Staphylococci too) WBC (leukocyte) killing factor WBCs (phagocytes specifically) are literally exploded when they engulf organisms capable of elaborating leukocidin.
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What is coagulase?
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enzyme which clots fibrin (reverse activity of streptokinase). Creates walled off areas such as boils (furuncles). Staphylococci can elaborate this enzyme.
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How does capsule production help resist phagocytosis?
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well organized and firmly attached glycocalyx forms a capsule. The bacterial organism with its capsule is too large for engulfment by a phagocyte.
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How do cell wall components that resist phagocytosis?
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M protein: protein that helps bacteria stick to host epithelial cells. This makes phagocytosis difficult
A protein: see M protein |
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How to flagellation help resist phagocytosis?
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motile organisms can literally move away from phagocytic cells.
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What are the other factors that resist phagocytosis?
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1. Necrotizing factor
2. Hypothermic factor 3. Edema producing factors |
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What is the Necrotizing factor?
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kills body cells and in doing so, can create anaerobic conditions
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What is the Hypotherimic factor?
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decreases body temperatures and decreases immune cell activity
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What is the Edema producing factor?
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makes capillaries more permeable. Bacteria can more readily leave these capillaries
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What factors effect Toxigenicity?
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exotoxins and endotoxins
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exotoxins
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Extremely lethal in some cases. 1 mg. of botulinum toxin can kill approximately 1 million guinea pigs.
1. Produced by mostly Gram positives and some Gram negatives 2. Secreted into fluids by living cells 3. Chemically they are polypeptides 4. Specific tissue affinities and functions a. cytotoxins b. neurotoxins c. enterotoxins 5. Can be denatured by heat or U.V. and inactivated by chemicals. They are not stabile. Therefore, they can be made into a type of vaccine known as toxoids. Toxoids can be injected and will trigger the body into antibody production against the original active exotoxin. 6. Febrile reactions are minimal |
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What are cytotoxins?
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kill host cells directly or affect functions of cells which are ultimately fatal. Impetigo which is typically caused by Staphylococci in the newborn and Streptococci in toddlers and grade school children is spread by contact and is characterized by pustules that become crusted and rupture. These organisms are producing cytotoxins that can damage RBC’s and injure tissues.
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What are neurotoxins?
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interfere with nerve impulse transmission. Clostridium botulinum can secrete a neurotoxin which can cause muscle paralysis.
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What are enterotoxins?
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affect cells lining the G. I. tract. Escherichia coli can produce an enterotoxin that is associated with the symptoms of Traveler’s Diarrhea.
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endotoxins
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located in cell walls of Gram negative bacteria.
1. Produced by Gram negatives only 2. Released upon lysis of dead cells (walls) 3. Chemically they are lipopolysaccharides (LPS component of Gram negative cell walls) 4. Produce non-specific or generalized reactions. Proteus, for example, can cause urinary tract infections (UTI’s) with the associated symptoms of endotoxins. a. fever (can be quite pronounced) b. weakness and aches c. shock (endotoxic shock from vasodilation and capillary permeability) 5. Endotoxins are heat stabile and cannot be made into toxoids. |
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True/False: Endotoxins are produced by mostly gram positive and some gram negatives.
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FALSE
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True/False: Exotoxins are secreted into fluids by livings cells.
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TRUE
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True/False: Endotoxins are chemically polypeptides.
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FALSE
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True/False: Endotoxins are produced by gram negatives only.
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TRUE
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True/False: Exotoxins are released upon lysis of dead cells (walls)
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FALSE
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Endotoxins, chemically they are ___.
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lipopolysaccharides
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