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119 Cards in this Set

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Terms from Lecture 19

Pathogen - organism that produces disease


Opportunistic pathogen - infects host with weakened immune system (compromised)


Carrier -infected individual, potential source of infection


Zoonoses -disease transmitted from animals to humans


Vectors - organism that transmit diseases to humans (Ex: mosquitoes), ticks, pleas


Pathogenicity - ability to produce disease


Virulence -degree of pathogenicity


Virulence factors or determinants -genetic, biochemical, structural features which contribute to virulence


Latency - pathogen stops reproducing, Dormant, can become active again


Pathogenicity Island (19)

Large segments of chromosomal or plasmid DNA, encoding virulence determinants


Absent in non-pathogenic strains


G+C content different from bacterial genome (evidence of transduction)


-mobile

How to measure virulence? 19

Infectious Dose 50 (ID50) - number of pathogens required to cause clinical disease in 50% of innoculated hosts


Lethal Dose 50 (LD50) - number of pathogens required to kill 50% of hosts


Example


Strain A = ID 3000 , Strain B = ID 5000


Strain A is more virulent than strain B - doesn't require as much doses to infect 50% of population

Viral Replication cycle 19

1. attachment


2. entry


3. uncoating


4. genome replication


5. gene expression


6. assembly


7. release

Viral attachment 19

Capsids and envelope spike proteins can mediate attachment


Examples:


GP120 of HIV binds to CD4 receptor


Hemagglutinin of influenza binds sialic acid

Viral spread 19

Viruses can spread by using blood, neuronal and lymphatic system



Syncytia - multinucleated giant cells



Tropism - cell, tissue, organ specificity which is determined by host cell receptors

Effects of viruses on immune responses 19

Innate


-block or breakdown complement


-block interferon production



Adaptive


-block antigen processing, MHC export


-evade antibody - Antigenic variation


Ex: amino acid changes in virion spikes (common in RNA viruses)

Mechanisms of bacterial pathogenicity 19

-Adherence


-invasion and spread


-colonization - establishing a site of microbial reproduction on or in host


-evading innate an adaptive immune responses

Bacterial Adherence Factors 19

-Pili (fimbriae)


Ex: Type I pili of Uropathogenic Escherichia coli binds mannose residues on human cells


-capsules


Examples of bacteria


-Streptococcus pneumoniae


-Haemophilus influenzae


-Neisseria menigitidis


Vaccines made of capsular polysaccharide can attack the above


-some strains of Pseudomonas aeruginosa


- opportunistic pathogen

Bacteria Invasion and Spread 19

-active penetration of host's mucous membranes or epithelium


-can be passive penetration (Ex: wounds, insect bites)


-once below mucous membrane, bacteria can spread to deeper tissues

Coagulase 19 (bacterial virulence factor BVF)

Staphylococcus aureus


MOA: coagulates (clots) the fibrinogen in plasma. the clots protects the pathogen from phagocytosis and isolates it from other host defenses

Streptokinase - BVF 19

also called fibrinolysin, staphlyokinase


Group A, C & G of streptococci, staphlyococci



MOA: protein that binds to plasminogen and activates the production of plasmin, thus digesting fibrin clots; this allows the pathogen to move from the clotted area

Collagenase - BVF 19

Clostridium species


MOA: breaks down collagen that forms the framework of connective tissues, allows the pathogen to spread

Hemolysins - BVF 19

Staphylococci, Streptococci, Escherichia coli, Clostridium perfringens



MOA: lyse erythrocytes; make iron available for microbial growth

Immunoglobulin A protease (IgA) - BVF 19

Streptococcus pneumoniae



MOA: cleaves immunoglobulin A into Fab and Fc fragments

Leukocidins - BVF 19

Staphylococci, pneumococci and other streptococci



MOA: pore forming exotoxins that kill leukocytes, cause degranulation of lysosomes within leukocytes, which decreases host resistance

Deoxyribonuclease - BVF 19

Group A streptococci, staphylococci, Clostridium perfringens



MOA: lowers viscosity of exudates, giving the pathogen more mobility

NET - 19

Neutrophil Extracellular Trap


-DNA + antibmicrobial peptides and enzymes


kill pathogens and engulf microbe


secrete anti-microbials

Bacterial Colonization

-occurs when pathogen finds appropriate environment in host



- some bacteria invade specific cells



-some bacteria can be found in blood



Bacteremia -bacteria present in bloodstream

Bacteria evading innate immune response

Evading complement system by capsules


- inhibit opsonization by C3b of membrane attack complex formation



Proteases


Lengthened O-side chains


Evading cytokines


- Type III systems - deliver proteins that block TLR (toll-like receptors) signaling, cytokine expression results


Bacteria invading adaptive immune response

Capsules



IgA proteases



Antigenic variation


-change cell surface outer membrane or pili proteins

Bacteria evading phagocytosis

Capsules


Blocking of phaogyctic cell


(Ex: Streptococcus pyrogens M protein)


Leukocidins - destroys phagocytes


Proteases inactivate complement system for opsonization

Phagocytosis

1. Pseudopodia surrounds food


2. Phagosome


3. fuses with lysosome (phagolysosome)


4,5. nutrients diffuse into cytoplasm, waste released

Bacterial intracellular pathogens

Mycobacterium tuberculosis


-Legionella


-Chlamydia



Listeria monocytogenes


-gram +, food borne pathogens


-psychrophile


-can cross placenta -> motile

Examples of biofilm forming bacteria invading immune responses

Pseudomonas in Cystic Fibrosis lung


Staphlyococcus and Enterococcus on heart valves -endocarditis


Streptococcus pneumoniae - otitis media (ear infection)


Bacterial biofilm invading immune response cycle

1. planktonic cells are sensitive to antibiotics and are detected by host phagocytes and antibodies


2. planktonic cells settles to form a biofilm and become biofilm cells


3. biofilm cells resist antibiotics and antibody detection. Host phagocytes detect and attempt to destroy biofilm cells


4. Unable to capture biofim cells, phagocytes release antimicrobial products that kill host cells but not biofilm cells

Bacterial toxins

Substances that damage host


-Exotoxins - made by microbes, secreted to environment


-Endotoxins - not secreted component of microbial cells

Exotoxins

Four types


-Membrane disrupting


-AB toxin (A &B components)


- can be host site specific


-Superantigens

Membrane disrupting exotoxins

-pore forming exotoxins


-leukocidins


- hemolysis



1. form a pore/MAC (membrane attack complex) in host cell


2. water moves in


3. cell lysis and death



Ex: beta -hemolysis

Superantigens

-binds MHC and T cells together while no antigen is presented, T cells become very stimulated and produce lots of cytokine



- causes T cells (30%) to overexpress, release cytokines


-failure of multiple host organs


Ex: Toxic shock syndrome caused by Staphylococcus aureus superantigen

AB Exotoxins

Two subunits


A-toxic effect


B-binds target cell receptor


Ex: Corynebacterium diphtheriae


1. B binds to epidermal growth factor receptor


2. enters by receptor mediated endocytosis


3. Acidification - lowering of pH breaks disulfide bond between A and B, releasing A


4. ADP-ribosyl transferase catalyze the attachment of ADP ribose (from NAD+) onto EF-2


(translation elongation factor 2)


5. Stop synthesis

Specific host site exotoxins

Examples:


Vibrio cholerae


-enterotoxin (associated with intestine)


-ADP-ribosyl transferase modifies host G protein


-controls adenylate cyclase and increase cAMP


-altered Na, Cl transport


-H2O loss


Diphtheria and Cholera toxin genes are encoded by lysogenic prophage

Botulinum Toxin

Clostridium botulinum


-gram +, spore forming bacterium


-produces neurotoxins - blocks acetylcholine release at neuromuscular junctions (die of suffocation)


-flaccid paralysis


NO muscle contraction


acetylcholine cause muscle contraction

Exotoxins that are antigenic

-antitoxin (antibody) can neutralize toxicity


-exotoxins are generally unstable, can lose toxicity but remain antigenic


-toxoid - inactivated toxin but still can elicit immune response


- part of a DTaP vaccine


(D & T components are toxoids)

Endotoxins

mostly gram (-)


-Lipid A of LPS


-effects are often direct via TLR4 (toll like receptor 4)


-stimulates endogenous pyrogen from macrophages (cytokine interleukin)


-stimulates TNF release (tumor necrosis factor)


-uncontrolled amount leads to capillary leak, hypotension (low blood pressure)


Ex: tissue necrosis due to Nisseria meningitidis


-septic shock


(gram - shock leads to multiple organ failure and tissue destruction)

Type III secretion system

-Gram (-) pathogens


-inject effors


invasion, control host immune response, intracellular survival


-have injectisome (genes on pathogenicity islands)


- needle like structure w/ hollow tube, bacteria shoot the protein up the hollow tube into the eukaryotic membrane and block phagocytosis

Targets for Type III secretion effectors

Host cell cytoskeleton


-actin


Host cell signaling


-NF kappa B


Ex: Enteropathogenic Escherichia coli induces pedestral formation on host cells

Enteropathogenic E.coli (EPEC) type III secretion system

EPEC - major cause of infantile diarrhea


Binds host cells using bundle forming pili then delivers effectors, including protein Tir


Tir represented on host cell surface - binds bacterial intimin

Microbial Control Terms

Cidal - kills


static - inhibits growth


sterilization - completely remove or kill all microbes


disinfection - reduction of microbial population, destruction of pathogens


sanitization - reduction of microbial contamination to levels safe by public health standards


Antiseptic - chemical reagent applied to tissue to prevent infection by inhibition or killing

Microbial control Methods

Mechanical removal - filtration


Chemical agents - gases


Physical agents - radiation, heat


Radiation


-UV can sterilize but poorly penetrates, mostly used to disinfect


-Ionizing radiation (X, gamma ray) - penetrates and sterilizes


Heat


-moist heat more effective than dry


-steam under pressure (autoclave -> sterilizes)


-15 lbs/sq in, 121C, 15 mins (standard operating condition)


Pasterurization (milk)


-62.8C for 30 mins, rapid cool or 72C for 15 sec, rapid cool


-doesnt sterilize but kills most pathogen including Listeria, Salmonella

Antimicrobial agents

used to treat disease


destroy pathogenic microbes or inhibit growth


most are antibiotics


-microbial products that kill or inhibit


Ex: Streptomyces spp, Bacillus spp, Penicillium

Development of Antimicrobial Therapy


History

Paul Enrlich (1904) - selective toxicity


-compound that would kill a germ but wouldn't kill you


Alexander Fleming (1928) - accidentally rediscovered penicillin


Florey, Chain, and Heatley (1940)


-purified penicillin, when injected into mice infected with Staphylococcus, mice survived


Selman Waksman (1944)


-cultured over 10,000 strains of soil bacteria and identified streptomycin


also identified many types of media

Spectrum of antibiotics

Broad - attacks many different pathogens


ex: Mycobacterium


Narrow - attack only a few different pathogens


Ex: Penicillin, Bacitracin

Considerations for developing antibiotics

-money


-allergic? toxic?


-resistance? 20 years to develop antibiotics and 2 years to develop resistance


-broad vs narrow


-reach effective concentration


-Not inactivated


-doesn't eliminate microflora


- Pseudomembranous colitis


- Clostridium difficile - anaerobic, spore-forming, toxin-producing bacillus

Mechanism of Action of Antimicrobial Agents

Targets:


-cell wall


-plasma membrane


-nucleic acid synthesis


-protein synthesis


-metabolic enzymes

Cell Wall inhibitors

Penicilins


-broad or narrow, cidal


-MOA: inhibit transpeptidation enzymes involved in cross-linking the polysaccharide chains of peptidoglycan by beta-lactam structure, also inhibit bacterial penicilin binding proteins (PBPs) used for transpeptidation


-Structure: R group for stability and spectrum, Penicillinases can attack beta lactam ring


Cephalosporins


-broad and cidal


-same MOA as penicilins


Vancomycin


-narrow and cidal


-inhibits transpeptidation by binding to terminal D-alanine


Bacitracin



Plasma Membrane inhibitors for bacteria

Polymyxins - disrupt lipid bilayer (cidal, narrow spectrum), effective against gram negatives


Ex: colistin (disrupts LPS)

Plasma membrane inhibitors for fungi


Antifungal agents

Miconazole - blocks sterol synthesis


-candida yeast infections and athletes foot (fungus Tinea pedis)


Nystatin - binds sterol


-candida yeast infections


Some target cell wall - Nikkomycin


-blocks synthesis of chitin

Nucleic Acid inhibitors

Quinolones (Nalidixic acid, Ciprofloxacin)


-cidal, broad spectrum


-synthetic


-inhibits DNA gyrase -blocks DNA replication


Rifampin


-cidal, broad spectrum


-binds bacterial RNA polymerase

Protein synthesis inhibitors

Aminoglycosides


-cidal, narrow or broad


-bind 30S, cause mRNA misreading


-ex: streptomycin, kanamycin


Tetracyclines


-static, broad


-bind 30S, distorts A site, inhibits amino acyl tRNA binding


Macrolides


-static, broad


-bind 23S rRNA of 50S, blocks peptide elongation


-Ex: Erythromycin, Azithromycin -> treating Chlamydia


Chloramphenicol


-static, broad


-Same MOA as macrolides


-toxic, limited to life-threatening situations

Metabolic Enzyme inhibitors

Sulfonamides and Trimethoprim


-static and broad


-synthetic


-Antimetabolites -> disrupt metabolic pathways


-Similar to metabolic intermediates (analogs)


-bind enzymes for folic acid synthesis


-block bacterial purine, pyrimidine synthesis


Triclosan


-broad spectrum antibacterial


-binds enoyl reductase -> enzyme for fatty acid synthesis


Antiviral drugs

few- because viruses enter host cells and make use of host cell enzymes and constituents


Ex:


-Acyclovir -inhibits DNA polymerase of herpes viruses (guanine analog)


-Tamiflu - blocks neuraminidase which is a catalytic enzyme in influenza

Anti-HIV drugs

HAART - highly active antibial retroactive therapy


Azidothymidine (AZT) -RT inhibitors


-targets reverse transcriptase


-nucleoside analog, causes DNA chain termination


Ritonavir (protease inhibitor)


-HIV protease processes viral proteins for virion assembly

Antiprotozoan Drugs

Malaria -Chloroquine, Malarone


-chloroquine blocks polymerization of heme polymerase which neutralize toxic heme metabolites to non-toxic form


-toxins accumulates


Malarone


-blocks e- transport and pyrimidine synthesis


Metromidazole


-Giarida, Trichomons -> both protozoan parasites of STDs


-also anaerobic and microaerophilic bacteria


(Clostridium and Helicobacter-> peptic ulcers)


-enters parasite -> activated by reduction -> DNA nicking

Superbugs

Microbes that are resistant to many antibiotics


Examples:


Vancomycin Resistant Enterococcus (VRE)


-vanA gene


-encodes enzyme that replace D-Ala with D-Lactate


Methicillin Resistant Staphylococcus aureus (MRSA)


-mecA gene


-encodes PBP resistant to penicillin

Mechanism of drug resistance

1. Altered antibiotic target - prevent access to the target of antibiotic


2. Degrading antibiotic enzyme


3. Enzymes that chemically modified the antibiotic so its function is blocked


4. Rapidly extruding the antibiotic - ABC efflux pumps drugs before it functions


Also contains R plasmid containing one or more resistance gene that can be transferred by transformation and conjugation

Overcoming drug resistance

Antibiotic don't mutate microbes, but rather create environments that select for antibiotic resistant mutants


Use drugs only when necessary, take prescribed course


Don't treat viral infections with antibacterials


Give drug in high concentrations


Give two or more drugs at same time


-Penicillin + Clavulanic Acid

LISTEX(TM) P100

new antimicrobial


a culture of safe microorganisms (bacteriophage preparation) in use as a processing-aid, characterized by the broad spectrum toward Listeria monocytogenes

Furanones

new antimicrobial



Furanones


-block bacterial biofilm formation


-inhibit AHL (Acylhomoserine lactone - autoinducer in Gram-) mediated QS - Quorum sensing


used to study P.aeruginosa

Viral - Airborne disease

Chickenpox and Shingles


Influenza


Measles, Mumps, Rubella

Viral - Arthropod-Borne

yellow and West Nile Fever


Dengue Fever

Viral-Direct contact

Common cold, Mono


Warts, AIDS


Ebola

Viral - food and water borne

Gastroenteritis


Polio

Viral - Zoonotic

Rabies

Chickenpox

Varicella-Zoster virus


Family Herpesviridae


-enveloped viruses


-icosahedral shape


-DNA genome


Inhalation or conjunctiva of eye


Virus spreads via blood, lymphatic and neuronal system


~10 days infection of skin leads to vesicular rash


Treatment - drug - acyclovir


Attenuated (live) vaccine

Vaccines

Inactivated (killed)


-chemicals or heat


-induce humoral -> B cells -> antibodies


-drawback: require booster


Ex: Rabies, Flu (shot)


Attenuated (live but avirulent)


-inactive specific genes


-can reproduce, but weakened


-humoral and cell-mediated


-drawback: may revert


Ex: chickenpox, MMR, Flu (intranasal)

Herd immunity

Protection of unvaccinated people in a population where most people are vaccinated due to lessened risk of disease transmission

Shingles (Zoster)

individuals who recover from chickenpox are often resistant to disease


however, viral DNA can reside in dormant state in nuclei of nerves, sensory neurons -latency


immunocompromised state (age, organ, transplant, AIDS, stress) can reactivate virus -leading to shingles


assembled to infectious new virions

Influenza (flu)

(-)ssRNA, segmented genome


must bring in its own RNA replicase to convert to (+)


Entry -endocytosis


Release - Budding

Changes in Antigenicity of Influenza viruses

Antigenic drift - minor


-mutations in viral genes in single strain


-viral RNA replicase -error prone


Antigenic shift -major


-different strains (animal or human) infect cell, genomes re-assort


-Animal influenza -> zoonotic


-Epidermic - sudden increase in disease


-Pandemic - increase in large geographically widespread population


ex: spanish flu

Measles, Mumps, Rubella

RNA viruses


MMR attenuated (live) vaccine


Measles - bumpy


Rubella -smooth


Mumps -on face

Yellow fever, West Nile Fever, Dengue fever

Arthropod-borne diseases - transmitted via mosquito


400 million infected yearly - trophic (Puerto Rico)


subtrophic


All caused by Flaviruses


(+) ssRNA, enveloped, icosahedral


Common cold, Mononucleosis, AIDS and Ebola

direct contact diseases


Common cold


-major cause -> Rhinovirus


-(+) ssRNA, naked, icosahedral


->100 different serotypes


wash your hand!

Mononucleosis (Mono)

-Epstein-Barr virus (Herpesviridae)


-DNA, enveloped, icosahedral


-enters, replicates in epithelial cells of throat


-then infects B cells (latant) <- use MHC II to interact with B cells


-Cancer - Burkitt's (B cell) lymphoma


- primarily Africa, in children with Malaria

Warts

Human Papillomaviruses (HPV)


-naked, icosahedral, DNA


->100 different strains


-Genital HPV - most common sexually transmitted infection


-some are oncogenic -cervical cancer


How do viruses cause cancer?

Most viruses act as cofactor and have dsDNA genomes


-called oncoviruses


-encodes protein that binds and inactivate tumor suppressor proteins (Ex: Rb and p53)


Ex:


HPV - viral protein E6 targets destruction of host p53 (E-early)

Acquired Immune Deficiency Syndrome (AIDS)

Human immunodeficiency virus (HIV)


-retrovirus


-enveloped, RNA genome


-partly icosahedral, cone-shaped core


-originated in Africa from non-human primates (HIV-1-Chimpanzees)


-binds host CD4 & CCR 5 co-receptor


-have gp120 and gp41 receptors on surface


-reverse transcriptase, integrase, ssRNA , protease


Gene: LTR-gag-pol-env-LTR


gag - capsid proteins


pol- RT, integrase, protease


env - spike proteins



HIV life Cycle

1. Docking and fusion - bind CD4, enters by endocytosis


2. Internalization and uncoating


3. RT reverts ssRNA to ssDNA


4. ssDNA replicates into dsDNA and circularized


5. Integrase integrate DNA into host genome


6. the protein necessary gets transcribed.


7. Protease helped assemble the necessary viral proteins

HIV Transmission and Pathogenesis

When infected blood, semen, or vaginal secretions come in contact with uninfected person's broken skin or mucous membranes (sexual contact, transfusion, needle sharing)



Pathogenesis


-T cell depletion


-also macrophages, dendritic cells


-virus mutates rapidly, evades immune system


HIV cure?

HIV infected individual with <200 CD4+T cells/ul of blood.


T cell destruction -> immune system collapse -> opportunistic infections (ex: samonella)


no cure for AIDS, treatments are mostly


-reducing viral load (HAART)


-treating opportunistic infections and malignancies (Kaposi's sarcoma -> reactivation of Herpes virus)


-education key to prevention and control


-Latency - a challenge

Ebola Hemorrhagic Fever

-virus


ssRNA, filamentous, enveloped


-contains 7 genes, RNA replicase in virion, glycoproteins (spikes), Nucleoprotein (N)


Family Filoviridae


-Viral protein block interferon, clot blood


-transmission: direct contact w/ blood or body fluids of infected symptomatic person


-Airborne transmission hypothesized but not demonstrated at this time in human


-evidence zoonotic - fruit bats, primates


treatment - largely supportive


Gastroenteritis

food and water borne


Rotavirus


-Noro (Norwalk-like) virus


-Rota and Norovirus are naked, RNA viruses


-fecal-oral, also person -person

Polio (infantile paralysis)

Poliovirus (enterovirus, +ssRNA)


-stable food, water (ingestion)


-multiplies, throat, intestinal cells


-targets motor nerve cells in spinal cord - paralysis


Vaccines: Salk (killed) and Sabin (live, oral)

Viral Zoonotic diseases

multiplies in animal salivary glands


Rabies virus (bullet shaped, enveloped virion RNA)


In human, targets muscle cells


spread via CNS to brain (Negri bodies)


-paralysis

Zoonotic diseases

spread between animals and humans


rodents, amphibians, reptiles, insects, domestic and wild animals


causes: viruses, bacteria, fungi, protozoa, even malaria


~75% of recently emerging infectious disease affecting humans are diseases of animal origin


viral examples: yellow, west nile and dengue fever, ebola, rabies

Bacterial - Airborne

-Diphtheria


-Tuberculosis


-Streptococcal Diseases


-Pertussis


-Meningitis

Bacterial - Arthropod-borne

-Plague


-lyme disease

Bacterial - direct contact

-anthrax


-Staphylococcal disseases

Bacterial - food, water -borne

-Listeriosis


-Cholera


-Botulism


-Escherichia coli


-Samonella typhimurium infections


can be controlled and prevented by sanitation measures, antitoxins, and antibiotic therapy

Tuberculosis (TB)

Mycobacterium tuberculosis


-inhaled - lung


-phagocytosed, survive intracellulary


-mycolic acids in cell wall protection


-host response - tubercles


-latency


-tubercles can liquidfy - bacteria spread to blood, organs - death


Tubercle - bacteria, macrophages, Tcells, proteins

TB skin test

Mantoux tuberculin skin test -standard method of determining whether a person has had TB or been exposed to M.tuberculosis


-performed by injecting purified protein into forearm


-Reaction (in duration) measured in mm (48-72 hours)


-delayed hypersensitivity - memory T cells


-care must be taken in interpreting


-False positives


-Infection with nontuberculosis Mycobacterium


-previous BCG vaccination


-incorrect administration or interpretation


Follow up: Chest X ray, bacterial culture, microscopy with acid-fast staining

TB - Vaccines

BCG vaccine - Bacille Calmette-Guerin


-live avirulent M.bovis


Diagnosis


-bloody sputum, chest X-ray, acid-fast staining, culture


Antimicrobial therapy


-Rifampin + Isoniazid (acid synthesis)


-daily, 6-9 months


-MDR and XDR strains emerging

Streptococcal Diseases

-Streptococcus pyrogenes (group A beta hemolytic) or S. pneumoniae


-Infections - impetigo (skin), throat and lung infections, pneumonia, otitis media


Diagnosis- strep test, culture


Treatment - penicillins, erythromycin


Carbohydrate group streptococcus

Streptococcal Virulence determinants

-capsule


-streptokinase


-hemolysins


-leukocidins


M protein


-attachment


-inhibit C3b


-Ab to M may x-react with heart tissue (Rheumatic fever)


-similar amino acid sequences in M and human cardiac myosin

Group A streptococci

-can cause invasive infections


some strains make tissue destroying protease


Necrotizing fasciitis


fresh eating bacteria


- also associated with tooth decay


Streptococcus mutans


part of dental plaque (biofilm)


Fermentation -> acid -> enamel (decay)


Whooping cough (Pertussis)

-Bordetella pertussis (Gram -)


-Colonizes ciliated cells of respiratory tract


Stage 1: cold-like symptoms


Stage 2: prolonged paroxysmal cough


Virulence factors:


-type III secretion, pili, siderophores -used by microbe to acquire iron


-PTx -> AB exotoxin, same MOA as cholera toxin


Subunit vaccine - DTP1940s


-2 toxoids - heat killed Bordetella pertussia


D- Diphtheria, T- Tetanus, P-pertussis


DTaP currently


Tdap booster


Antibiotics -tetracycline, erythromycin

Meningitis

Inflammation of brain, spinal cord meninges (membranes)


-bacteria, viruses, fungi


Bacteria


-Haemophilus influenzae


-Streptococcus pneumoniae


-Neisseria meningitidis

Neisseria meningitidis

leading cause meningococcal disease in children and young adults


person to person, respiratory or throat secretions


can cross mucosal barrier into blood -> bacterimia


Serogroups - groups of strains with common surface antigens (A,B,C, Y, W)


Virulence factors: pili, capsules , endotoxin

Clinical of Neisseria meningitidis

clinical-initial sore throat, vomitting, confusion, stiffness in neck, rash


Prevention (vaccines)


-MCV4 - capsular polysaccharides (CPS)


protects against A,C, Y and W (not B)


-MenB -group B outer membrane proteins


(CPS of MenB is identical to human polysaccharide)


Diagnosis, treatment


-gram stain spinal fluid, culture


-antibiotics (cell wall, protein synthesis)

The plague (black death)

Yersinia pestis (Gram - rod)


2 forms:


Bubonic -fleas


Pneumonic - person to person


-flu like (almost 100% fatal if not treated early)


Category A Bioweapon Agent


Type III secretion system - major virulence factor


-injectisome delivers effector proteins called YOPs into host cells including macrophages


YOP-Yersinia outer protein

Lyme Disease

Most commonly reported ticke-borne disease in US


caused by spirochete - Borrelia burgdorferi


Vector = blacklegged (deer) tick - lxodes


Clinical - varies with stage of disease

Stages of Lyme disease

Localized (7-10 days)


-bull eyes rash (erythema migrans)


flu-like symptoms


-most treatable


-doxycycline (tetracycline)


-penicillins


Disseminated (weeks or months)


-muscle pain, arthritis (autoimmunity)


Late (years)


-nervous system

Anthrax

Bacillus anthracis


Virulence factors


-capsule


-toxin - AB but 3 parts


1. Protective antigen (PA)


2. Edema factor (EF)


3. Lethal factor (LF)


-toxin and capsule genes encoded on separate plasmids

Anthrax toxin

AB exotoxin


1. PA attaches to receptor on macrophages (7 PA +receptor complex - like a syringe)


2. PA complex binds to EF/LF


3. Engulfment and into endosome


4. PA forms a pore and pierce endosome membrane


5. EF/LF released. Edema forms


EF +LF = fluid release, NF kappa B blockage, cell death


EF - adenylate cyclase, ATP -> cAMP


LF - protease, degrades MAP kinases -> needed for transcription of NF kappa B

Forms of Anthrax

Cutaneous -cut, abrasion


Pulmonary - inhaled spores


-fatal if bacteria reach bloodstream


-bioterrorism (2001)


Treatment - ciprofloxacin -> DNA gyrase inhibitor (replication)

Staphylococcal Diseases

Members of the gram-positive genus Staphylococcus are among the most important bacteria that cause disease in humans


Two major species


S.aureus - invasive, virulent (coagulase +)


S. epidermidis - less invasive, less virulent (coagulase-)


Disease include: boils, carbuncles, toxic shock syndrome, food poisoning

Virulence factor of S. aureus

Superantigens -Toxic shock syndrome toxin (TSST-1)


Capsules


IgA protease


Coagulase


DNase - target NET


Biofilms


Biofilms and toxins controlled by QS and 2 component system

Escherichia coli O157: H7


O-antigen


H flagella antigen

Enterohemorrhagic E.coli (EHEC)


Infectious Dose <100


carriers - cattle, swine


Shiga-like toxin - Ab toxin


-binds glycolipid receptors on kidney and intestinal cells and enters


Cleaves human rRNA


hemolytic uremic syndrome (kidney failure)


Toxin genes on prophage

Fermentation process


Substrate level phosphorylation ADP-> ATP


Reduction NAD+ -> NADH


NAD+ oxidized


NADH reduced


Oxidation NADH -> NAD+


2 pyruvate accept electrons


Glucose -> 2 pyruvate -> Lactic acid ethanol Propionic acid

Yogurt production

Lactic acid bacteria


Lactobacillus + Streptococcus


-starter culture


Lactose (in milk) hydrolyzed to glucose, fermented to lactic acid

Cheese production

Lactococcus lactis starter culture and renin (enzyme, hydrolyzes casein in milk causing coagulation)


Ripening by adding more microbes


Propionibacterium - propionic acid fermentation Swiss


Penicilium roqueforti - fungus Bleu cheese

Plastic and Lactic acid fermentation

Polylactide (natureworks) bio-based plastic


Dextose from corn fermented to lactic acid, purified, polymerized


Bioengineered E.coli, Lactobacillus

Probiotics

microbes added to diet to improve health


Lactobacillus


Bifidobacterium


Potential benefits


-vitamin production


-improved digestion


-pathogen inhibition

Beer

Malting and mashing


Plant enzymes breakdown complex, starches, proteins


hops added for flavor


Wine

Must -> wine


yeast = Saccharomyces ethanol fermentation

Biofuels

fuels from biological material


corn to ethanol with bacteria, yeast fermentation


Industrial microbiology - microbial growth occurs in bioreactors

Metabolic products made by microbes

Primary metabolites


-required for growth


-made during active growth - exponential phase


Ex: amino acids


Secondary metabolites


-not required for growth


-made under nutrient limiting conditions - end of stationary phase before death phase


-following active growth


Ex: antibiotics

Triclosan

Fermentation