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66 Cards in this Set

  • Front
  • Back
infectious diseases are complex and involve a series of shifting interaction between _________and____________
host and pathogen
In a host-pathogen relationship, interaction with regards to pathogen depends on
1. pathogens ability to evade or overcome host defense
2. pathogens ability to increase in numbers
3. pathogens ability to identify transmission mechanisms to new hosts
In a host-pathogen relationship, interaction with regards to host depends on
1. host having useful functioning defenses
2. host's susceptibility to infection
3. degree of compromise found within the host immune system
pathogenicity
for the pathogen, infection is a matter of survival
opportunistic pathogens
cause infection by taking advantage of a hosts' increased susceptibility to infection
primary pathogens
cause disease in healthy individuals
characteristics of primary pathogens
1. include viruses and bacteria
2. have evolved mechanisms that can overcome host defenses
3. once inside they can multiply rapidly
4. some primary pathogens are restricted to humans
pathogenic virulence
refers to how harmful pathogen is to host, depends on pathogen's genetic factors - genetic elements are often turned on only in the host
pathogens carry virulence genes in clusters called____________
pathogenicity islands (can be located on plasmids)
ex. H.pylori
plasmids can be transferred between________
cells - transfer genetic elements to other bacterial cells
biofilms
aggregated assemblies fo bacteria formed on a surface in response to various host factors (nutrition, antibiotics, recognition of attachment sites)
biofilms consist of________________
bacteria and self-produced matrix of extracellular polymeric substance (EPS) - DNA, proteins, polysaccharides
characteristics of biofilms
differential regulation of genes - immunity to host factors, antibiotics etc.
biofilms communicate via________________
quorum sensing
biofilms are clinically important because
1. can capture and retain nutrients (allowing continued growth)
2. they impede uptake of antibiotics and disinfectants
3. inhibit phagocytosis
biofilms can build up on medical devices such as
catheters
heart valves
prosthetic devices
biofilms are one of the causes of ____________on teeth
plaque build-up
quorum sensing
when an organism senses their environment using special sensing proteins
bacterial "language"
sensor proteins are produced by bacteria, released from bacterial cells and interpreted by other bacterial cells (sensing based on population densities)
it is important for the _________of bacteria to communicate and coordinate behavior with members of same species and other species
survival
certain genes are only turned on when there are enough_________present
cells
ex. enterotoxin production in salmonella
glycocalyx is sticky substance composed of__________and___________or both
polypeptides
polysaccharides
glycocalyx is produced in the_____________ and secreted to the outer pat of the______________
cytoplasm
cell wall
glycocalyx provides a protective element against __________________ and can be used for ________________
environmental stress
nutrition
Bacterial Cell wall: gram (+) bacteria
theichoic acid
lipoteichoic acid
M protein
Mycolic acid
theichoic acid (gram positive bacteria)
can cause colonization of the nasal epithelium
lipoteichoic acid (gram positive bacteria)
causes an inflammatory response
M Protein (gram positive bacteria)
required for infections
Mycolic acid (gram positive bacteria)
acts as a barrier against antibiotics and host defenses
Gram negative cell wall is a complex structure involved in____________in may ways
infection
outer layer of gram negative cell wal is a barrier to ________________. Porin proteins exclude__________________
antiseptics, disinfectants and antibiotics

lage molecules
the outer layer (LPS) of the gram negative cell wall functions as endotoxin with 2 parts having clinical relevance:_________________
lipid A
O polysaccharide
if the glycocalix is loosely attached to the cell wall it is called a __________________
slime layer - associated with some forms of dental decay
if the glycocalyx is tightly attached to the cell wall it is called a____________________
capsule
functions of a capsule
inhibits phagocytosis
many organisms are not infectious without a capsule
capsule genes can be transferred between organisms
both slime layer and capsule variation of glycocalyx give an________________to the organism
adherence capability
3 structures (outside of bacterial cell wall) are primarily involved with adherence (staying in)
glycocalyx
fimbrae
pili
2 structures (outside of the bacterial cell wall) are primarily involved with motility (defeating host defenses and damaging host)
flagella
axial filament
fimbrae and pili
involved in adherence
appear as sticky projections (shorter than flagella)
found on gram negative organisms
composed of pilin protein subunits
genes can be transfered from one organism o another
flagella used only for ____________
motility: make it possible for bacteria to move from their point of origin to other places in the body ex. E. Coli can move from LI (harmless) to urinary tract where it can cause serious infection
flagella consists of 3 parts
filament - flagellin protein forms twisted helical chain
hook - links filaments to basal body
basal body
clinical significance of fimbrae and pili
help pathogens fulfill the staying in requirement through adherence
fimbrae is only used for adherence, particularly in the_____________and_____________tracts
urinary
intestinal
pili give bacteria motility in 2 ways
twitching or gliding movements
through extension and retraction of pili
pili is involved in the development of_______________
biofilms
pili facilitate the transfer of genetic material from one bacterial cell to another through___________
antibiotic resistance
toxin production
defense against host defenses
clinical significance of flagella - allow movement which allows___________________
opportunistic infections
escape from host defense (defeat host defense)
systemic infection (damage to host)
axial filaments
flagellum-like structures that are found on spirochets (gram negative bacteria)
axial filament wrap around bacterial cell wall and are confined to the space between the_____________and _____________
plasma membrane
and the cell wall
axial filaments are used for_____________ and cause he entire organism to rotate like a________________
motility
corkscrew
the corkscrew motion gives the bacterium the ability to bore through____________(staying in). They allow organisms to get into the________ as well as___________ (damage the host)
tissue
blood
other tissues
six major structures found inside the bacterial cell wall:
plasma membrane
nuclear region
plasmids
ribosomes
inclusion bodies
endospores
if a bacterium is pathogenic when it undergoes _______________, it will be pathogenic once it emerges
sporogenesis
endospores are resistant to almost all____________________
disinfectants, antiseptics and antibiotics
endospores are also resistant to_________ and can cause severe problems for the food industry. ex. ________________
heat
Clostridium Botulinum
plasmids
extra-chromosomal pieces of DNA that are separate from the main DNA structure
some bacteria can carry_____________plasmids
more than one
plasmids often carry __________for toxins and ______________ resistance
genes
antibiotic
plasmids can be transfered from one cell to another through___________during_______________
pili
conjugation
lawsuit was filed against maker of_________________chili
botulism-tainted
bacterial structures that have direct clinical significance
cell wall, glycocalyx, fimbrae, pili, axial filaments, flagella and endospores
bacterial structures that target antibiotics
cell wall, plasma membrane, DNA and ribosomes
endospores are formed through the process of ______________
sporulation
endospores form when a bacterium is exposed to great_________________.
environmental stress
endospores characteristics
1. confer a type of dormancy on the cell
2. extremely resistant to heta, desiccation, toxic chemicals, UV irradiation and antibiotics
3. bacteria can survie for extraordinary lengths of time in endospore state
endospore process is restricted to gram__________rods. with one exception:
positive
exception: coxiella burnetti (gram negative coccus)