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59 Cards in this Set

  • Front
  • Back

Pathogenicity

- Ability to cause disease by overcoming host defenses


- To cause disease, must gain access to the host, adhere to host tissues, penetrate of evade host defenses and damage host tissues

Virulence

- Term referring to the degree of pathogenicity

- Mucous membranes (Respiratory, GI and genitourinary tracts, conjunctiva)


- Skin


- Parenteral Route (Bites, wounds)




MSP

3 Types of Portals of Entry for Pathogens

ID50

- Measures virulence of a microbe


- Infectious dose for 50% of sample population


- Lower numbers means easier to acquire


Ex: Bacillus anthracis and endospores - Skin < Inhalation < Ingestion

LD50

- Measures potency of a toxin


- Lethal dose for 50% of a sample population


- Lower numbers means easier to cause symptoms

Adherence

- Usually necessary process of attachment of pathogens to host tissues by the use of ligands to host cell receptors

Adhesins




Glycocalyx, Fimbriae

- Ligands on the pathogen that bind to host cell receptors (typically mannose sugar)


- Made of glycoproteins or lipoproteins


- Name 2 Examples

Biofilms

- Formation of microbial communities that share nutrients


Ex: Dental plaque, swimming pool wall algae, shower door scum

Capsules





- Glycocalyx layer around cell wall


- Impairs phagocytosis, increases virulence




Ex: Streptococcus pneumoniae and Haemophilus influenzae

Streptococcus pneumoniae


Haemophilus influenzae




HIM - SP

- Name 2 Types of Bacteria that cause pneumonia and/or meningitis; Aided by its capsule

- M Protein


- Opa protein


- Waxy lipid (mycolic acid)

3 Components of the Pathogen's Cell Wall that aids in Penetration of Host Defenses

M Protein




Streptococcus pyogenes




MSP

- Cell wall component that helps pathogen in resisting phagocytosis because it is heat and acid resistant




Give example of bacteria that utilizes this

Opa protein




Neisseria gonorrhoeae




ONG

- Cell wall component that helps pathogen attach to host cells


- This component is also capable of antigenic variation




Give example of bacteria that utilizes this

Waxy Lipid (Mycolic Acid)




Mycobacterium tuberculosis




MT

- Cell wall component that helps pathogen resist digestion by phagocytes, can even be facultative intracellular phagocyte reproductive




Give example of bacteria that utilizes this

Coagulases: Coagulate fibrinogen


Kinases: Digest fibrin clots


Collagenase: Collagen break down




KCC

Name 3 Types of Enzymes that aids pathogens in penetrating host defenses and what they do

Antigenic Variation

- Term referring to when pathogens alter their surface antigens, rendering antibodies ineffective


- Thus, by the time body mounts an adaptive immune response, pathogen is unaffected

Invasins

- Surface proteins produced by bacteria that rearrange nearby actin filaments of the cytoskeleton, thus aiding in penetration of the host cell cytoskeleton

Salmonella typhimurium






STECI

Name 1 example of bacteria that uses invasins to "ruffle" host cell's plasma membrane, aiding in penetration

Shigella


Listeria




ASL

Name 2 Genuses of Bacteria that uses actin filaments of the host cell's cytoskeleton to move from one cell to the next, after penetration

Iron

- Key nutrient that is required for most pathogenic bacteria within the host


- Siderophores are proteins secreted by pathogens that bind to this nutrient more tightly than host cells

Siderophores

- Proteins secreted by pathogens that bind iron more tightly than host cells

- Disrupts function


- Uses nutrients


- Produces waste products


- Multiplies causing rupture




DNWM

4 Steps of Direct Damage to Host Cell

Lysogenic Conversion

- Term referring to when characteristics of a microbe are changed due to incorporation of a prophage




Ex: E. coli strain

- Toxins


- Antibiotic Production


- Enzymes




TEA

Name 3 things plasmids may carry genes for

Toxins

- Poisonous substances produced by microorganisms


- Primary factor contributing to pathogenic properties


- May produce fever, cardiovascular problems, diarrhea and/or shock

Toxigenicity

Term referring to the ability of a microorganism to produce a toxin

Toxemia

- Term referring to the presence of toxin in the host's blood

Intoxications

- Term referring to the presence of toxin; there is no microbial growth

Exotoxins

- Toxic Proteins produced inside pathogenic bacteria (More commonly Gram +) as part of their growth and metabolism


- Then secreted out to surrounding medium during 'log phase' following cell lysis


- Soluble in body fluids; destroy host cells and inhibit metabolic functions


- Highly specific




Ex: A-B, Membrane-disrupting, Superantigens

Antitoxins

- Term referring to antibodies against specific exotoxins


- Can be produced even if exotoxins are inactivated by heat or mordant chemicals (iodine)

Toxoids




Diphtheria


Tetanus




DT

- Term referring to inactivated exotoxins (typically by heat or mordants such as iodine) used in vaccines


- Stimulates antitoxin production so immunity is produced


- Name two genuses of bacterium that can be prevented by this vaccination

Clostridium botulinum




CBX

- Example of a gram positive bacterium that produces exotoxins

- Active Enzyme Component


- Binding Component








Diphtheria toxin

Which component of the A-B exotoxin is the A Part? B Part?




Give an example of this toxin:

1. B Part


2. Receptor-mediated endocytosis


3. Inhibiting protein synthesis


4. Released from host cell


5. Reused by plasma membrane

1. Which part of the A-B toxin binds to the host cell receptor?


2. The exotoxin enters the cell by which process?


3. A-B part separates, A component alters host cell function how?


4. What happens to the B component?


5. What happens to the receptor on the B component?

Membrane-Disrupting Toxins

- Exotoxins that lyse host cells by disrupting plasma membranes


- Contribute to virulence by killing host cells such as phagocytes

Superantigens





- Exotoxins that cause an intense immune response due to release of cytokines (Small protein molecules to regulate immune responses and mediate cellular communication) from host's T-cells (Lymphocytes that act against foreign organisms and tissue)


- Excessive levels of cytokines leads to symptoms of fever, nausea, vomiting, diarrhea, shock and even death



Genotoxins


- Damage the DNA and thus causing mutations, disrupting cell division and leading to cancer

Lipid A Portion (From the lipopolysaccharides of Gram Negative Bacteria cell walls)

- Portion of the cell wall that is released during bacterial multiplication for gram negative bacterial or when it dies


- Stimulates macrophages to release cytokines


- Causes disseminated intravascular coagulation (small blood clots)

Endotoxin




Salmonella typhimurium




STD

- Lipid portions of lipopolysaccharides of Gram negative bacteria cell walls that causes disseminate intravascular coagulation


- Liberated when bacteria die or cell wall lyses, such as during multiplication


- Do not promote formation of effective antitoxins, instead tend to enhance bad effect


- Give 1 example of a bacteria that produces this

Exotoxins

- Specific for a particular cell structure or function in the host (Ex: Nerves, gastrointestinal tract)


- Unstable at high heat (Except: staphylococcal enterotoxin)


- High toxicity


- No fever, can be converted to toxoids to immunize, neutralized by antitoxin


- Small lethal dose

Botulism


Diphtheria


Gas gangrene


Scarlet Fever


Tetanus




BDGST (Building Street)

5 Representative Diseases of Exotoxins

Endotoxins

- Produces general symptoms such as fever, weaknesses, aches, shock, sometimes induce miscarriage


- Stable at high heat, can withstand autoclaving


- Low toxicity


- Not easily neutralized by antitoxin, no effective toxoids can be made to immunize


- Larger lethal dose

Typhoid Fever (Salmonella Typhi)


Urinary Tract Infection (Proteus spp)


Meningcoccal meningitis (Neisseria meningitides)




TUM - SPN

3 Representative Diseases of Endotoxins and their Bacteria

Cytopathic Effects (CPE)

- Term referring to Visible effects of viral infection on a cell



- Stops cell synthesis


- Lysosomes release enzymes


- Inclusion bodies


- Synctium: Fusing cells


- Function change, chromosomal changes


- Antigenic changes on surface


- Contact inhibition loss


- Production of Interferons protect uninfected cells

8 Examples of Cytopathic Effects for host cell (Visible effects of viral infection)




SS CCALII

- Respiratory Tract: Coughing/Sneezing


- Gastrointestinal Tract: Feces/Saliva


- Genitourinary tract: Urine/Genital secretions


- Skin: Blood/Arthropods/Needles




GGRS

4 Examples of Portal of Exit for Pathogens, and examples

Respiratory




Inhalation

Common Cold, Pneumonia, Tuberculosis, Influenza, chicken pox and measles are diseases that can be contracted via the mucous membranes of the _____________ tract by ________________ (action)

Gastrointestinal




Ingestion (Food/Water)




Hydrochloric Acid




Bile


Poliomyelitis, hepatitis A, typhoid fever, amebic dysentery, giardiasis, shigellosis (bacillary dysentery), salmonellosis, mumps and cholera are examples of pathogens that can be contracted via the mucous membranes of the ___________________ tract by ____________ (action) and contaminated fingers.




Most are destroyed however by _______________ and enzymes in the stomach and ___________ and enzymes in the small intestine.

Genitourinary




Sexual


HIV infection, AIDS, genital warts, chlamydia, herpes, syphilis and gonorrhea are examples of pathogens that are contracted via the broken and UNBROKEN mucous membranes of the ____________ tract through _______________ contact.
Skin


- When unbroken, impenetrable by most microbes


- Openings such as hair follicles and sweat gland ducts


Ex: Hookworm larvae can pierce through even if intact, fungi

Conjunctiva


- Delicate mucous membrane that lines eyelids and covers white of eyeballs


- Relatively effective


- Trachoma, ophthalmia neonatorum can be acquired through here


Parenteral Route


- The pathway for microbes entering body when deposited directly into the tissues beneath the sin or into mucous membranes when there are penetrated/injured barriers


- HIV, hepatitis viruses, tetanus, rabies, malaria and gas gangrene are examples of pathogens that can be transmitted this way

Coagulases


- This enzyme coagulates fibrinogen to form fibrin blood clots that can protect the bacterium from phagocytosis and isolate it from other defenses of the host

Kinases




- Enzymes that digest fibrin and thus blood clots, preventing the body from isolating the infection

Cytokines


- Small protein molecules produced by various body cells, especially T lymphocytes, that regulate immune responses and mediate cellular communication


- Excessive amounts can cause fever, nausea, vomiting, diarrhea, shock and even death

Shock


- Refers to any life threatening decrease in blood pressure, produced by endotoxins in relation to secretion of macrophage cytokines


- It is called 'septic' when caused by bacteria and 'endotoxic' when caused by Gram-negative bacteria

Septic Shock

- Shock caused by bacteria




- Shock caused by Gram-negative bacteria

Tumor Necrosis Factor

- Phagocytosis of gram-negative bacteria cause causes secretion of this factor from phagocytes


- Sometimes called cachectin


- Binds to many tissues in the body and alters their metabolism in a number of ways


- Effects: Damage to blood capillaries, their permeability is increased, they lose large amounts of fluid, drop in blood pressure resulting in shock

- Inhibiting synthesis of viral proteins and host cell proteins


- Kill virus-infected host cells by apoptosis

Interferons protect uninfected cells from infections in two ways