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20 Cards in this Set

  • Front
  • Back
Pathogenicity
the ability to cause disease
Virulence
Virulence : the extent or degree of pathogenicity

~100 bacteria cause significant disease in humans
The Establishment of Disease
1. Portal of Entry (correct portal / multiple portals)
2. Dose (sufficient number / virulence factors)
3. Adhere (adhesions)
4. Tissue penetration / invasion
5. Resist Host Defenses
6. Toxins
2. Effect of Number (Dose) : ID50 Experiment
Relationship between Portal and Dose
3. Adherence
Adhesions / ligands on pathogen bind specifically* to receptors on host cells
4. Penetration/Invasion in host cell
invasins cause cell membrane to ruffel
5. Resist Host Defenses (enzymes)
Coagulase= coagulate blood (avoid bacteriocidal substances and antibodies)
bacteria coat themselves with fibrinogen
fibrin (soluble) ——> fibrinogen (insoluble)
Ex:
Staphylococcus and Streptocccus


IgA proteases= destroy IgA antibodies
Ex:
Neisseria gonorrhoeae and Neisseria meningitidis
Toxin
Substances that contribute to pathogenicity
Toxemia
Presence of toxin the host's blood
Toxoid
Inactivated toxin used in a vaccine
Antitoxin
Antibodies against a specific toxin
Exotoxin verses Endotoxin
A-B Toxins
Membrane-disrupting toxins
Lyse host’s cells by:
form protein channels in the plasma membrane
disrupting phospholipid bilayer


Streptococcus pyogenes (enterotoxin A)
necrotizing fascitus or flesh eating disease
Endotoxins Fever and Septic Shock
Macrophages also release TNF-alpha (Tumor necrosis factor)

septic shock
inflammatory mediator
clotting, organ failure and circulatory collapse


(No antitoxin stimulation - No toxoids available - No Immunity)
kinases
dissolves blood clots
hyaluronidase
spreading factor dissolves tissues
gan gragrene- clostridium perfringenes
collagenase
breaks down protein collagen
Staphylococcus aureus TSST-1
toxic shock syndrome result of superantigen- intense immune response
fever, nausea, vomiting, diarrhea, shock, death