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20 Cards in this Set

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3 mech of host cell lysis + ex's
1 Toxins - RBC lysis from Clostridia toxin in Gas Gangrene
-lecithinase (lipase)

2 - intracellular growth --> lysis. Rickettsae growth kills host cells in RMSF (endothelial cells)

3 - Cell Mediated immunity erradication of infected cells - TB
7 questions for a toxin?
does it, isolated, cause damage? does it contribute to virulence?
can a specific AB prev/alleviate
if AB'd, is disease process effected?
-->
What is the mech?
Why does it target spec. cells?
Is it only toxin, or interact w others?
What is the reason/theory behind most toxins being held on plasmids?
Toxins are not required for bacterial growth, are dispensible. However they may be essential for colonization, obtaining nutrients, etc
Exotoxins -
Type 1 secretion?
Type 2
1 - autotransport built into toxin
2 - mech built into bacterial CM
Where is the B domain in exotoxins? Cytotoxin IIIs?
B domain is built into toxin in exotoxins, is part of parent cell in cytotoxin t3s
What Bact use ADP Ribosylation?
How are their effects different?
Diptheriae - shuts down EF-2, inhib
growth
exotoxin A of P.Aeruginosa -
Cholera - excess cAMP (lock GTP)
massive fluid release
B.Pertussis - Also G-protein, diff site
***TABLE9.1**** ON IPAD
^____^;
How are exotoxins activated?
commonly by breaking of a disulfide bond
To what genus do botulism and tetanus belong to?
The anaerobic spore-forming Clostridium
What constitutes true intoxication?
Damage in the absence of the microbe (Botulism)
General mechanism of TypeIII Cytotoxins?
Degradation of the host cell cytoskeleton. Phagocytosis requires an operational actin skeleton
What arm do endotoxins initiate?
The innate immune system
**Pattern Recognition Receptors**
Activate? Catalyst to?
G-
G+
Fungal
Mycobacterial
Activates Innate, catalyses activation of Adaptive
LPS
lipoteichoic acid
mannans (yeast)
lipoglycans
Reactions to Endotoxin + Effect
1 - Macrophages
2 - Neutrophils
3 - B Lymphocytes
4 - Complement
1 - ^IL-1, TNF --> FeverAcutePhaseR
2 - Kinnin System --> Vasodilation
3 - activation / AB synthesis (via IL-1)
4 - Alt Pathway, Inflammation
-MAC,Anaphylaxis, Neut Activati
How does the release of endotoxin lead to DIC?

Where is this most severe?

What disease of this type is caused by Meningococci
endotoxin causes serious coag by activiating Hageman Factor (XII), Granule release from platelets, and release of neutrophil clot stabilizers

This is most severe in the kidney

Waterhouse-Friedrichson, an acute infarction of the adrenal glands
Mechanism of bacterial sepsis?

Common bacteria?
massive endotoxin release triggers mass infection by gram negative bacterias and leads to Shock

E.Coli, P.aeruginosa, Meningococcci
prototypical homogenous pore former? similar to? advantages?
Alpha hemolytics from staph, very similar to MAC complex, cannot be broken down by many common proteases
Heterogenous pore forming toxin?
Stretolysin-O which binds to the cholesterol of RBCs
function of exoenzymes?
commonly to break down host tissues
-hyalurinidase, deoxyribonuclease, streptokinase
Immunization against toxins?

New Techniques?
use of antitoxins or toxoids(inactivated versions)

interest in focusing solely on B domain