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29 Cards in this Set

  • Front
  • Back

Virulence factors: Vibrio cholerae

exotoxin binds to GI cells > severe diarrhea

Clostridium botulinum

neuro-exotoxin> paralysis

Gram-negativeendotoxin (LPS)

excessTNF > septic shock

Evasive mechanisms: Streptococcus pneumoniae

Capsule– resists phagocytosis (inhibits binding to phagocyte receptor)

Evasive mechanisms: Streptococcus pyogenes

◦Mprotein in capsule interferes withadhesion to phagocyte


◦Toxinsthat harm phagocytic cells

Evasive mechanisms: Listeriamonocytogenes

◦Escapesfrom phagosome& multiplies in cytoplasm


◦Hijacksactin filaments to enter adjacent cells


Evadesphagocytes outside the cell

Evasive mechanisms: Mycobacterium tuberculosis

◦Blocksfusion of phagosome& lysosome


◦Downregulates MHCI and MHC II in dendritic cells

Mycobacterium leprae

Replicatein non-phagocytic cells

Evasive mechanisms: Treponemapallidum

◦Coatsitself with host proteins, delays immune response byinhibiting complement binding

Evasive mechanisms: Borreliaburgdorferi

Coatsitself with complement inhibitory protein Factor H

Evasive mechanisms: Neisseria gonorrheae& Haemphilusinfluenzae

Producesprotease that degrades IgA

Evasive mechanisms: Yersinia enterocolitica

Bacterialphosphate binds to macrophage intracellular proteins & inhibits thephagocytosis process

Evasive parasites: Plasmodium falciparum

promotes Thsecretion of IL-10 >> down regulates MHC II expression

Evasive parasites: Leishmania

sequesters inside macrophages

Evasive parasites: Trypanosomes

change surface antigens


◦Somecoat selves with host glycolipids & glycoproteins

Evasive parasites: Toxoplasma gondii

Generatesits own intracellular vesicle – does not fuse with other vesicles

Evasive parasites: Echinococcus

hydatid cyst

Evasive fungi

Some lack PAMPs in cell wall/membrane


Multi-stage life cycle – changing ofantigens


Yeast with capsules


◦Cryptococcus


Histoplasmosis


◦Spelunker’sdisease


◦Residesin macrophages


Pneumocystis jiroveci


◦opportunistic

Viral evasiveness: Herpes simplex and CMV

◦Virallyencoded Fc receptor – binds IgG


◦Inhibitionof MHC Class I expression – impairs recognition of infected cells by CD8 Tcells


◦Latencyin cells

Viral evasiveness: Epstein-Barr virus

◦Viralinhibition of adhesion molecules – blocks adhesion of lymphocytes to infectedcells


◦Virallyencoded cytokine homolog of IL-10 – inhibits Th1 lymphocytes & reducesinterferon productionf

Viral evasiveness: Varicella

Latencyin dorsal root ganglia >> shingles

Viral evasiveness: Influenzavirus

antigenic variation

Attenuated Vaccines

Live pathogens weakened by growth under modified conditions


Ex. BCG, Typhoid fever, Oral polio, and MMR

Inactivated Vaccines

Killed microorganism


Ex. Influenza, Hepatitis A

Subunit: Toxoid

Bacterial toxins chemically inactivated


Ex. Diphtheria, Tetanus

Subunit: Purified components

Purified components of microorganisms


Ex. Pertussis

Subunit: Recombinant antigen

Protein produced by genetically modified nonpathogenic bacteria, yeast or other cells


Ex. Hepatitis B, HPV

Subunit: Polysaccharides

Purified polysaccharide from bacterial capsule


Ex. Strep. Pneumonia, Neisseria meningitides, Haemophilus

Adjuvants

additional substances that increaseimmune responseto target antigens-promote migration and antigen uptake by APCs inducing release of pro-inflammatory cytokines and chemokines