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201 Cards in this Set

  • Front
  • Back
What are opportunistic pathogens?
Use humans as food source

Immune system keeps this number in check
What are biofilms?
Networks made by microbes to protect microbes and allow other microbes to move in. Made mainly of sugar
Ratio of microbial cells to body cells?
10 Microbial cells : 1 body cell
What is an infection?
A condition in which pathogenic microbes penetrate host defenses, enter tissues and MULTIPLY
What is a pathogen?
An infectious agent that causes infections and diseases
What is an infectious disease?
An infection that causes damage or disruption to tissues and organs
What are transients? What are residents?
Microbes that occupy the body for only short periods

Microbes that live in the body at all times
When do normal flora NOT cause disease?
Under normal conditions
What does blood NOT contain?
Microbes
Where are the most microbes found on the human body?
In moist areas and near openings but not inside openings
How many microbes do our intestines close to our stomach have? How many microbes does our colon have?
Intestines close to stomach don't have that many microbes

Colon has TONS of microbes
What is microbial antagonism?
Bacterial flora that benefit the host by preventing overgrowth of harmful microbes
What are endogenous infections?
Infections that occur when normal flora is introduced to a site that was previously sterile
What do microbes produce to fight for habitat?
toxins
Where do we ONLY want microbes?
non-sterile environments
Examples of microbes entering sterile environments:
Hernia in intestines

Appendicitis rupturing
What things can alter flora?
Antibiotics, dietary changes and disease
What are probiotics?
Introduce known microbes back into the body
What type of bacteria do antibiotics attack?
All bacteria, don't distinguish between good and bad
How do bacteria keep fungi in check?
By producing acid
What type of microbes are antibiotics?
Opportunistic microbes
What do we use that contains good bacteria to counteract antibiotics?
Probiotics contain good bacteria to counteract antibiotics
What happens during adhesion stage of the development of an infection?
Bacteria colonize and make more of themselves. Produce chemicals that effect the surrounding tissue. Make highways to spread and use the body as a food source
What are true pathogens?
Capable of causing disease in a health person with normal immune system. example: the flu
What are opportunistic pathogens?
Cause disease when the host defenses are compromised or when they grow in part of the body that isnt normal to them. Example: HIV
What does the severity of a disease depend on?
Virulence of the pathogen
What is a virulence factor?
Tells us how potent the pathogen is
What is SCID?
SEVERE genetic defect that makes you susceptible to immune defects
What is an infectious dose?
The minimum number of microbes required for infection to proceed
Describe the infectious dose if microbe has potent virulence factors:
ID is LOW if microbe has potent virulence factors

ID is HIGH if virulence factors arent that good
What are the distinct stages of clinical infections?
1. incubation period
2. prodromal stage
3. period of invasion
4. convalescent period
What is the incubation period?
Time from initial contact with the infectious agent to the appearance of the first symptoms. Can be several hours to several YEARS.
What is the prodromal stage?
Vague feelings of discomfort. Short period of time
What is the period of invasion?
MULTIPLIES AT HIGH LEVELS. More specific signs and symptoms. Take drugs during this time.
What is the convalescent period?
As person begins to respond to the infection, symptoms decline and you feel better. Most likely to spread the infection
What is a localized infection?
Microbes enter the body and remain confined to a specific tissue
What is a systematic infection?
Infection spreads to several sites and tissue fluids usually in the bloodstream. Worst type of infection. Uses blood stream to spread all over. Also called sepsis. Need to be treated immediately.
What is a focal infection?
When infectious agent breaks loose from a local infection and is carried to other tissues
What is a mixed infection?
Several microbes grow simultaneously at the infection site
What is a primary infection?
Initial infection. Lowers immune system
What is a secondary infection?
Infection caused by a primary infection
What is an acute infection?
Comes on rapidly with severe but short lived effects (comes and goes)
What are chronic infections?
Progress and persist over a long period of time. Stays with you.
What is latency?
After the initial symptoms in certain chronic diseases, the microbe can periodically become active and produce a recurrent disease. person may or may not shed the disease during latent stage. pathogen stays dormant until activated
What is a chronic carrier?
A person with a latent infection who sheds the infectious agent. Will not appear "ill"
What is sequelae?
Long term or permanent damage to tissues or organs
What is an example of a latent pathogen?
herpes. Can be considered part of normal flora
What is an example of a sequelae?
Strep throat which can lead to kidney problems, heart problems, etc.
What is a reservoir?
Primary habitat of pathogen (where pathogen is found in nature)
What is a source?
Where you pick the pathogen up from (might get from another human and not reservoir)
What is a vector?
A live animal that tansmits an infectious agent from one host to another
What is a biological vector?
Actively participates in a pathogens life cycle. Example: malaria agent
What is a mechanical vector?
Not necessary to the life cycle of an infectious agent and merely transports it without being infected
What is zoonosis?
an infection indigenous to animals but naturally transmissible to humans. impossible to eliminate the disease without eliminating the animal reservoir
Who is the host when dealing with small pox?
only humans
what are examples of nonliving reservoirs?
soil, water, and air (THESE ARE NOT VECTORS)
what do pathogens like to do?
mutate. think of flu and how there are tons of different strains
where does tetanus come from?
soil
what is epidemiology?
the study of the frequency and distribution of disease and health related factors in human populations.
what is prevalence?
total number of existing cases with respect to the entire population usually represented by a percentage of the population
what is mortality rate?
the total number of deaths in a population due to a certain disease (how many people die from disease)
what is morbidity rate?
number of people afflicted with a certain disease (how many people get a disease)
how do mortality and morbidity rate vary?
vary among population, age group and pathogen
what is an endemic?
disease that exhibits a relatively steady frequency over a long period of time in a particular geographic location. ex: malaria is endemic to africa and asia
what is epidemic?
when prevalence of a disease is increasing beyond what is expected. epidemic can come from increase in an endemic/sporadic
what is a pandemic?
epidemic across continents. pandemics we have: AIDS, flu. flu usually starts in asia. swine flu started in mexico
what are the two types of defense mechanisms of a host?
innate defenses & adaptive immunities
what are we injected with when given a vaccination?
either a toxide (unactivated toxin like tetanus) or a killed pathogen
what are innate defenses?
present at birth. consists of physical barriers, chemical responses, immune cells that act on pathogens.
what are adaptive immunities?
highly specific. must be aquired. most effective. these are cells that produce chemicals, once activated they must undergo lots of changes until they work, once they work they will always work. ex= vaccination
at what percent are vaccinations considered very effective?
50%
what are the functions of a healthy immune system?
surveillance of the body, recognition of foreign material, destruction of entities deemed to be foreign
what are white blood cells?
also called leukocytes.
fight foreign material
present in innate and adaptive defenses
what are pathogen associated patterns?
also called PAMPS
present in invaders
combine with PRRs to eliminate
what are pathogen recognition receptors?
also called PRRs
ex= toll like receptors
cells of the innate immune system have PRRs on their cell surface that recognize certain parts on a pathogen (PAMPs)
what is phagocytosis?
eating big stuff like yeast cells
what are the general activities of phagocytes?
1. to survey tissue compartments and discover microbes, particulate matter and dead or injured cells
2. to ingest and eliminate these materials
3. to extract immunogenic information from foreign matter
what are the major cells present in the adaptive line of defense?
B and T lymphocytes (white blood cells). Also called T cells and B cells.

T and B cells bind to an antigen, which activates these cells. can then eliminate pathogen.
what are the two features that characterize specific immunity?
specificity and memory
what does the "memory" feature in specific immunity do?
lymphocytes are programmed to recall their first encounter with an antigen and respond rapidly to subsequent encounters.

this is how vaccinations work
what is a specific immune system?
an adaptive/acquired immune system
what type of receptors do T cells have? what type of receptors do B cells have?
T cells have T cell receptors.

B cells have B cell receptors
what must T cells or B cells bind to in order to be activated?
must bind to an antigen with 100% perfect binding. lymphocyte binds to an antigen, this activates lymphocyte which then clones itself. leads to elimination of the pathogen.
what is a macrophage?
"big eater"
what is the clonal selection theory?
1. extremely effective because it can trigger memory and can select for a specific pathogen
2. each cell has one type of specific receptor
3. each genetically different type of lymphocyte (called a clone) expresses a single specificity
4. possible to create millions of different receptors on lymphocytes
what is each type of lymphocyte called?
a clone
how many receptors does 1 lymphocyte have?
has one type of receptor but can have many of these if they are the same TYPE
the receptor present in each lymphocyte looks different where?
looks different where it binds to an antigen (outermost part of receptor varies)
what is immunoglobulin?
1. large glycoproteins that serve as specific receptors of B cells
2. composed of 4 polypeptide chains
3. sit in organs and wait to be presented with an antigen to bind to
4. y-shaped (forks of y point out when sitting on cell which is what binds antigen)
what makes up the 4 polypeptide chains in immunoglobulin (B cell receptor)?
2 identical heavy chains (H)
2 identical light chains (L)
how many binding sites does a T cell receptor have?
1 binding site
How many antigens can one T cell receptor bind to?
1 antigen
what is B cell activation and antibody production?
Once B cells process the Ag, interact with T cells, they enter the cell cycle in preparation for clonal expansion

divisions give rise to plasma cells that secrete antibodies and memory cells that can react to the same antigen later

B cells kick out proteins (antibodies)
What do B cells become?
B cells become antibody producing machines called plasma cells
What do plasma cells secrete?
Secrete antibodies (make lots of these which are all the same). Then the antibodies go out and bind with all the antigens they can find when they're secreted. Will cover pathogen which then destroys the pathogen.
What can memory cells easily change into?
Plasma cells
What are T helper cells?
1. most prevalent type of T cell
2. act like "big bosses"
3. T helper cells is why HIV is such a potent virus (HIV infects Th cells and regulation is blocked)
4. regulate immune reaction to antigens, including other T and B cells
What are cytotoxic T cells?
1. Tc cells must get signal from Th cell to destroy a foreign cell
2. destroy foreign or abnormal cells
3. once tc cells are activated they will recognize infected cells. will see cells are infected. will go there. get signal from th cell and then destroy cell
to distinguish between Th and Tc cells what must you look for in molecules?
CD4= Th cells

CD8= Tc cells
what is the role of the th8 cell?
help, have regulatory function, once activated they will make specific chemicals which make different products. some will make B cells, some will trigger tc cells. Tc cells have to bind with an antigen
what are superantigens?
1. lead to false specific binding
2. molecules that fool lymphocytes. they can activate a large number of t cells
what is artificial active immunity?
deliberately exposing a person to material that is antigenic but not pathogenic
what is the principle of a vaccination?
to stimulate a primary and secondary anamnestic response to prepare the immune system for future exposure to a virulent pathogen

triggers/creates memory cells
what is herd immunity?
living in protected population

if we live within a population where most people are protected against disease (95%) noone really gets the pathogen
what triggers active immunity?
triggered by getting sick which produces memory cells or antibodies
what is an example of a natural active immunity?
chicken pox
what type of immunity is producing antibodies in animals and then giving it to humans?
passive immunity

WONT LEAD TO MEMORY
what is passive immunity?
refers to a shot or a pill that contains antibodies that were produced from another source
what type of immunity do you get from tetanus?
active and passive immunity
what structures are essential to the functions of all prokaryotic cells?
cell membrane, cytoplasm, ribosomes or one (or a few) chromosomes
what does chromosomal DNA contain?
ALL information for growth under normal conditions
what surrounds the cytoplasm?
a plasma membrane
what type of membrane does every living cell have?
plasma membrane
what are the two types of external structures present in prokaryotes?
appendages and glycocalyx (surface coating)
what are the two major groups of appendages?
motility and attachment/channels
what do prokaryotic cells use to move?
flagella or axial filaments (periplasmic flagella)
what do prokaryotic cells use to attach or use as channels?
fimbriae and or pili
what are the three parts of a flagella?
filament, hook, basal body
what is a filament?
long, thin, helical structure composed of flagellin (protein)
what is a basal body?
stack of rings firmly anchored in cell wall
what propels bacteria?
flagella (can rotate 360 degrees)
what part of flagella do we see?
filament (comes out of the cell)
describe the position of a flagella on a cell:
filament is stuck in a hook anchored to the cell by a basal body
what allows for rotation of flagella?
hook of the flagella
what is chemotaxis?
1. guide bacteria in a direction in response to chemical stimuli
2. respond to food/toxins
3. positive and negative
what is phototaxis?
1. guide bacteria in a direction in response to light stimuli
2. respond to light
in what two directions can flagella move?
1. counterclockwise- move flagella forward
2. clockwise- allows for change of direction of flagella
what are axial filaments?
1. type of flagella
2. internal flagella enclosed between cell wall and cell membrane of spirochetes
3. produce cellular motility by contracting/act like worms
what is periplasmic space?
space in cell wall
are filaments(flagella) in axial filaments present under a microscope?
no. filament part is stuck in cell wall
how do axial filaments move?
contract and flex like worms
what is a spirochete?
1. bacteria that have axial filaments
2. ex= t.pallidum which causes cyphillis
what are fimbriae?
1. hair like bristles that surround the cell surface
2. made up of adhesion proteins that help bacteria adhere to surface
3. also help adhere to tissue which is necessary for colonization
4. cranberry juice example
what is the function of fimbriae?
adhesion to other cells and surfaces
what are pili?
1. rigid tubular structure made of pilin protein
2. hollow tubes
3. opening of tube opens to cytoplasm
4. rigid structure sticks out and hooks onto a partner
5. these bacteria can make copies of their genes and give copies to their partner (process called conjugation) - can give antibiotic resistance tendencies to other bacteria
what is the function of pili?
1. join bacterial cells for partial DNA transfer called conjugation
2. conjugation is a major component used by bacteria. must have physical contact. tube goes to cytoplasm of partner to exchange DNA. this leads to antibiotic resistance
what is a glycocalyx?
1.coating of molecules external to the cell wall. made of sugars (carbohydrates) and/or proteins
2. cells secrete this and surround themselves with it
3.protect cells from dehydration and nutrient loss
4. inhibit killing of white blood cells by phagocytosis, contributing to pathogenicity
5.attachment (formation of biofilm-slime layer)
6. protects molecules from antimicrobial resistance
7. some bacteria make a glycocalyx similar to our tissue which our bodie wont recognize as a pathogen
what are the two types of glycocalyx's?
slime layer= loosely organized and attached

capsule= highly organized, tightly attached- more rigid structure
what is the best way to destroy a biofilm?
mechanically
what is biofilm a protection from?
1.protection from oxygen (we have many anaerobes in our mouth)
2. anaerobes will ferment (produce acids) in our mouth which cause cavities
3. when you eat sugar, biofilms form
what do phagocytes have a hard time attacking?
capsules
what is the function of the cell wall?
1. determines cell shape
2. prevents lysis (bursting) or collapsing of cell due to changes in osmotic pressure
what is the primary component of the cell wall?
peptidoglycan which is a unique macromolecule composed of repeating framework of long glycan chains cross-linked by short peptide fragments
what does plasma membrane NOT contain which would help them avoid osmosis if they DID have it?
steroids
if a bacterium has a cell wall, this means it also has what?
peptidoglycan
what type of glycans does peptidoglycan have?
alternating glycans (M and G) that are bound together in long strands
what types of bonds are present between glycans?
glycosidic bonds
what is ALWAYS between the "M"units of peptidoglycan?
peptide bridge
how much peptidoglycan does each cell have?
several layers
who invented the gram stain?
hans christian gram
what color is gram positive?
purple/blue
what color is gram negative?
pink/red
what determines if a cell is gram negative or positive?
based on cell wall components
what does gram staining help us with?
determining the right treatment
what type of peptidoglycan does gram positive cell wall have?
thick, many sheets (HUGE)
what two types of acid does gram positive cell wall contain?
teichoic acid and lipoteichoic acid
what is the function of teichoic acid and lipoteichoic acid in gram positive cell wall?
function in cell wall maintenance and enlargement during cell division
which has more complex cell wall? gram positive or negative?
gram negative
what makes up a gram negative cell wall?
outer membrane and a THIN peptidoglycan layer
what makes up the outer layer of the outer membrane of a gram negative cell wall?
outermost layer contains lipopolysaccharides (LPS) and lipoproteins

-lipid portion(endotoxin) may become toxic when released during infections
-may function as receptors and blocking immune response
-contain porin proteins in upper layer which regulate molecules entering and leaving cell
what is the bottom layer of the gram negative cell wall?
a thin sheet of peptidoglycan with periplasmic space above and below it
what makes up LPS in gram negative cell wall?
1.O polysaccharide (called an O antigen) - vary between bacterial strains
2. core polysaccharide made of charged sugars and phosphate
3. lipid A = potent toxin
what is another name for LPS?
endotoxin
what part of LPS sticks out of cell?
O polysaccharide (O antigen)
What are we NOT exposed to in LPS when bacteria is in tact?
when bacteria is in tact, were not exposed to lipid A. only when we break down bacteria.
where is lipid A in LPS of gram negative cell wall?
lipid A is embedded in membrane
what is a "porin" in a gram negative cell wall?
porin allows for exchange
Bacteria group that lacks typical cell wall:
Mycobacterium
What type of stain do we use for Mycobacterium?
Acid fast stain because they don't stain well since they are slow growers
What type of cell wall does mycobacterium have?
gram positive cell wall structure with lipi mycolic acid
what does mycobacterium cause?
causes tuberculosis. have mycolid acid (waxy lipid) that makes cell wall tough. gives bacteria alot of protection against chemicals and antibiotics

-penicillin doesn't work for tuberculosis
-mycobacterium makes organism a slow grower (can take up to a whole day to double)
what is an example of a bacterial group that has no cell wall?
mycoplasma
what is mycoplasma?
-has no cell wall
-cell membrane is stabilized by sterols in plasma membrane
-pleomorphic (can have many shapes)
what is the fluid mosaic model?
phospholipid bilayer with embedded proteins
what makes up the cell membrane?
phospholipid bilayer with embedded proteins

-proteins can move, number of proteins can change
-not alot of exchange takes place here because it is only semi-permeable
what are the functions of the cell membrane?
1. provide site for energy reactions, nutrient processing, and synthesis
2. transport into and out of cell
what is the cytoplasm?
-material inside cell
-dense gelatinous solution made of sugars, amino acids and salts
-70-80% water (serves as solvent for materials used in all cell functions)
what is a chromosome?
-where genetics (DNA) is held
-single, circular, double stranded DNA
-aggregated in a dense area called the nucleoid which is not seperated from the rest of the cytoplasm
-DNA is tightly coiled (compact)
what are plasmids?
1. "extra" DNA
2. small circular, double stranded DNA
3. duplicated and passed on to offspring
4. not essential to bacterial growth and metabolism
5. plasmids are much smaller than chromosomal DNA. easily extracted and then replaced within bacteria
6. used in genetic engineering
7. may encode antibiotic resistance, tolerance to toxic metals, enzymes and toxins
what are ribosomes?
-made of 60% ribosomal RNA and 40% protein
-prokaryotic differ from eukaryotic in size
-SITE OF PROTEIN SYNTHESIS
-present in all cells
-if ribosomes are damaged, no protein synthesis which stops the growth of bacteria
what are human ribosomes called?
80S ribosomes
what are prokaryotic ribosomes called?
70S ribosomes
what are inclusions and granules?
-STORAGE
-bacterial cell can use them when environmental sources are depleted
-vary in size, number and content
-products that cell doesnt need go here
what is the cytoskeleton?
-VERY PRIMATIVE
-many bacteria possess an internal network of protein polymers that is closely associated with the cell wall
-actin is a cytoskeleton protein. we find these in bacteria
what are endospores?
small dormant resistant derivative of a bacterial cell that germinates under favorable growth conditions into a vegetative cell. the bacterial genera "Bacillus" and "Clostridium" are typical sporeformers
what is sporulation?
formation of endospores
-withstands extremes in heat, drying, freezing, radiation and chemicals
-not a means of reproduction
what is germination?
return of vegetative growth
what does NOT get rid of endospores?
boiling water does NOT get rid of endospores. instead boil water, let it cool, boil again and repeat several times to reduce endospores
what is a vegetative cell?
actively growing and multiplying
what happens if endospores are in our body?
they will germinate which will make us sick
how long can endospores lie dormant?
for years
examples of endospores:
anthrax, tetanus, botulism (used in terrorism and botox)
what are the shapes of bacterial cells?
-cocci
-bacilli
-spirilli (have flagellum)

can also be branched which live in soil and look like mold
what are the two types of bacillus?
coccobacillus- very short and plump

vibrio- gently curved (look like commas)
what shape does spirochete have?
spirilli (spiral) and also spring like. no flagella
what are the two main arrangement of cocci bacteria?
1. chains = streptococcus
2. clusters = staphylococcus

these can cause upper respiratory infections
what was the tuskagee study?
studied people who had cyphillis. wouldn't give patients penicillin.
what is the worst stage of cyphillis?
tertiary
what are streptomycetes?
-branch like
-good at producing antibiotics
-this group lead to the first streptomyacin that led to kill tuberculosis
what is a species?
a collection of bacterial cells which share an overall similar pattern of traits in contrast to other bacteria whose pattern differs significantly
definition of type:
a subspecies that can show differences in antigenic makeup (serotype), susceptibility to bacterial viruses (phage type) and in pathogenicity

serotype: use antibodies (highly specific proteins from immune system) to determine strains