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110 Cards in this Set

  • Front
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chemotherapy
the treatment of infectious diseases with chemicals or antibiotics that are inhibitory or lethal to the infecting agents
selective toxicity
the property of some antimicrobial agents to be toxic for a microorganism and nontoxic for the host
antibiotic
a low molecular weight chemical agent produced by one organism that is harmful to other organisms
antibacterial spectrum
range of activity of an antibacterial agent
broad spectrum
the drug can inhibit a wide variety of gram positive and gram negative bacteria
bactericidal
the drug KILLS the bacterial cell
bacteriostatic
the drug prevents the growth of microorganisms. The drugs must be used for a sufficient time to allow the host's own defenses, such as phagocytosis and antibodies, to destroy the organism
major mechanisms of antibacterial agents
1. inhibition of cell wall sythesis
2. inhibition of protein synthesis
3. alteration of cell membranes
4. inhibition of nucleic acid synthesis
5. antimetabolites
How does inhibition of cell wall synthesis work?
cell wall acting antibacterial agents interfere with the synthesis of intact peptidoglycan, as a result, cell wall weakened undergoes lysis
Why does cell well synthesis inhibition not affect mammals?
because mammalian cell walls do not have peptidoglycan
How do antibiotics that bind to 30s subunit work?
1. block binding of fmet tRNA to the ribosome, preventing initiation complexes
2.prevent attachment of tRNA to binding site, preventing addition of amino acids to polypeptide chain
3. cause misreading of codons on mRNA
4. lead to the formation of nonfunctional proteins
How do antibiotics that bind to 50s subunit work?
1. chloramphenicol blocks the action of peptidyl transferase, preventing peptide bond formation
3. erythromycin blocks translocation step, preventing release of tRNA after peptide bond formation
Chloramphenicol
blocks action of peptidyl transferase, preventing peptide bond formation in growing polypeptide chain
erythromycin
blocks the translocation step, preventing the release of tRNA after the peptide bond formation
Mechanisms of drug resistance:
1. develop an altered metabolic pathway, bypasses reaction inhibited by drug
2. produce enzyme that destroys drug
3. may change permeability to drug
4. develops altered structural target for drug
antibiotic sensitivity tests
valuable for selecting chemotherapeutic agents active against the infecting organism
Factors when selecting a drug
pharmokinetic properties of the drug, drug toxicity, site of infection, patient's general medical status (pregnancy, renal/hepatic dysfunction)
Fungus
yeasts, mold, mushrooms
General Properties of fungi
multicellular eukaryotes, except yeast are unicellular
chemoheterotrophs-organic compounds
-sexual and asexual reproductive spores
-two basic forms-yeast and molds
hyphae
tubular, branching filaments of fungal cells, the mold form of growth
mycelium
mass of branching hyphae, typically found in molds
yeasts
unicellular, spherical to ellipsoid fungal cells that reproduce by budding
septum
a cross wall in a hyphae
dimorphic fungi
fungi that have two growth forms, such as a mold and yeast, which develop under different growth conditions
pseduohyphae
elongated chains of buds or blastoconidia
conidiospore
an asexual spore produced in a chain from a conidiophore
conidiophore
an areial hyphae bearing conidiospores
athroconidia
conidiospores that result from the fragmentation of hyphal cells
blastoconidia
conidial formation thorugh a budding process
ectothrix
presence of arthroconidia outside the hair shaft
endothrix
arthroconidia found within the hair shaft
morphologic forms of fungus
yeast-single cell
mold-filamentous
coenocytic hyphae
molds in which hyphae contain no septa and appear as long, continuous cells with many nuclei
vegetative (substrate) hyphae
hyphae that penetrate the supporting medium and absorb nutrients
aerial hyphae
project above the surface of the medium on which the mold is growing, usually bear the reproductive structures of the mold
budding
parent cells forms a protuberance on its outer surface, bud elongates and parent's cell nucleus divides and one nucleus migrates into bud, cell wall material laid down, bud breaks off
yeast colonies
usually soft, opaque, 1-3 mm in size, cream colored
dimorphic fungi in soil or below 35 C
produces vegetative and aerial hyphae, spores formed are the infective particle
dimorphic fungi in tissues or above 35 C
fungus is yeastlike and reproduces by budding
spores differ from bacterial endospores?
1. reproductive spores (detach from parent and form new spore)
2. can survive for extended periods in dry or hot environments, most DO NOT exhibit the extreme tolerance and longevity of bacterial endospores
Asexual spores
produced by an individual fungus through mitosis and subsequent cell division, no fusion of nuclei of cells, become organisms identical to parent
medically important fungi produce two major types of asexual spores?
conidia and sporangiospores
arthroconidia
formed by the fragmentation of septae hyphae into single, slightly thickened cells
chlamydospore
thick walled spore formed by rounding and enlargement within a hyphal segment
sporangiospores
formed within a sac (sporangium) at the end of an aerial hyphae called a sporangiophore, may contain hundreds of sporangiospores
sexual reproduction
sexual spores result from the fusion of nuclei from two opposite mating strains of the same species of fungus, progeny show characteristics of both parents
Fungi produce sexual spores...
less often than asexual spores
Fungi pH
5.0, slightly acidic, skin 3-5
Molds grow under
aerobic conditions
Yeast are...
facultative anaerobes
Fungi more resistant to osmotic pressure changes than bacteria...
can grow in relatively high sugar or salt concentration
keratin
protein found in hair, skin, and nails
predisposing factors to fungal infection
1. prolonged administration of broad spectrum antibiotics
2. exposure to a large number of spores
superficial mycoses
limited to outermost layers of stratum corneum of skin and along hair shafts, do not elicit a cellular response from host b/c they colonize non living tissue
cutaneous mycoses
generally restricted to keratinized layers of skin and its appendages
-vast cellular immune responses provoked
Most important cause of cutaneous mycoses?
Dermatophytes-infection transmitted from human to human or human to animal by direct contact RINGWORM
subcutaneous mycoses
-involve dermis, subq tissues, muscles, fascia and sometimes bone
-usually granulamatous lesions that expand slowly from site of implantation
Subcutaneous mycoses usually?
saphrophytic that live on soil and on vegetation, infection usually occurs by direct implantation of spores or mycelial fragments into a puncture wound in the skin
systemic mycoses
fungal infections deep within the body
usually caused by dimorphic fungi that live in the soil
Route of transmission for systemic mycoses?
Inhalation-disease usually starts in lungs and then spreads through body
hypersensitivity disease
allergies, spores constantly present in nature elicit allergic reaction in some individuals and animals
mycotoxicoses
secondary metabolites and their effects are not dependent on fungal infection or viability
aflatoxins
hepatotoxins, produced by aspergillis spp. growing on peanuts and various grainds
ergot poisoning
caused by alkaloids growing on cereal grains and grasses, have oxytocic and vasoconstrictive effects
mycetismus
mycotoxins produced by mushrooms that can result in hallucenogenic, serious/fatal mushroom poisoning
amanita phalloides
cause 90% of all deaths by mushrooms, "death cap", produce heat stable cyclic polypeptides that are toxic to kidneys and liver
adolf mayer
dutch chemist, 1886 showed that tobacco mosaic disease could be transmitted from a diseased plant to a healthy plant
dmitri iwanowski
russian bacteriologis, 1892 attempted to est. cause of tobacco mosaic disease by filtering the sap of diseased tobacco plants through a porcelain filter that was designed to retain bacteria, passed through filter but still assumed from a bacterium
martinus beijerinck
dutch botanist, 1899, determined that agent causing tobacco mosaic disease was different from that of a bacterium
wendell m stanley
american chemist, 1935, isolated the tobacco mosaic virus making possible for the first time to carry out chemical and structural studies on a purified virus
obligate intracellular parasites
viruses, able to multiply only inside living cells by using the synthesizing machinery of the cell
Why give antibiotics for viruses?
viruses are not sensitive to antibiotics but they are given for possible secondary bacterial infection
host range
animal species and the spectrum of host cells the virus can infect
Host range determined by...
-attachment sites
-ability to provide cellular factors required for viral multiplication
Virus consists of..
nucleic acid surround by capsid (protein coat)
reverse transcriptase
RNA dependent DNA polymerase, transcribes the information in the viral RNA into a DNA intermediate
envelope
surrounds the nucleocapsid, composed of lipid bilayer with proteins, usually glycoproteins, embedded in it
spikes
attach the virus to the host cell membranes
icosadhedral (cubic) virions
20 equilateral, triangular faces, 12 corners, 30 edges
-most efficient arrangement for capsomeres in a closed shell b/c uses smallest number of subunits to build a shell
-may be naked or enveloped
helical virions
-resemble long rods
-length determined by nucleic acid, width by size and packing of protein subunits
complex virions
-poxviruses
-complex in structure, several parts with diff. shapes/symmetries
positive sense RNA genome
translation to polypeptides
negative sense RNA genome
transcription to mRNA then translation to polypeptides
Grouped into families based on:
1. nucleic acid type
2. strategy for replication
3. morphology
DNA virus families (9)
asfar-, pox-, irido-, parvo-, circo-, hepadna-, herpes-, papillo-, adeno-,
RNA virus families (16)
reo-, bima-, orthomyxo-, rhabdo-, boma-, paramyxo-, bunya-, filo-, corona-, arteri-, toga-, flavi-, picoma-, astro-, calici-, retro-
Embryonated eggs for viral replicaton
hole drilled in shell and virus injected into fluid of egg most appropriate for growth, hole covered with parafilm or scotch tape and incubated
Types of fluid in egg
yolk, amniotic, allantoic
Viral growth in egg may result in
-death of embryo
-paralysis of embryo
-stunted growth of embryo
-formation of pock lesions on egg membranes
pock lesions
necrotic lesion
What is a cell culture?
tissue removed from lab animal, grown, watched for viruses to deteriorate monolayer
cell culture medium provides
osmotic pressure, nutrients, and growth factors
Cells in culture produce?
glycoprotein like material that permit adherence to glass in monolayer
Two morphological forms of viral capsids?
icosahedral and helical
Steps of Virus Replication
1.adsorption (attachment)
2.penetration (engulfment)
3. uncoating
4. replication
5. assembly
6. release
adsorption(attachment)
attach to complementary receptor sites on host cell
-host cell receptors usually proteins or glycoproteins
penetration (engulfment)
virus particle taken into cell
-receptor mediated endocytosis or surface fusion
receptor mediated endocytosis
hose cell enfolds the virion into a fold of plasma membrane forming a vesicle
surface fusion
the envelop of some enveloped viruses contain fusion proteins, proteins promote fusion between the envelope and the plasma membrane with subsequent release of the capsid into the cells cytoplasm
uncoating
-physical seperation of viral nucleic acid from the outer structural components
-done by lysosomal enzymes of host cells
replication of + sense RNA genome
via a - sense intermediate template called replicative template
replication of - sense RNA genome
-complementary to mRNA must be transcribed into mRNA before translation can take place
Naked virus release
progeny are released following lysis of the host cell
Enveloped virus release
acquire envelope by budding through host cell plasma membrane
interference with dna gyrase
quinolones, nalidixic acid
interference with DNA synthesis by blocking folic acid production
sulfonamides
inhibition of cell wall synthesis
penicillin, vancomycin
inhibition of protein synthesis
neomycin, doxycycline
inhibition of protein synthesis at 50 s subunit
chloramphenicol, tylosin, clindamycin
inhibition of cell membrane function
polymyxin