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38 Cards in this Set

  • Front
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What is the difference between pathogenicity and virulence?
Pathogenicity is qualitative: yes or no ans
Virulence: Quantitative, can be +1 virulence, or +2 etc
How is virulence defined?
Depends on point of reference
M. tb is more virulent for humans than cows (if put it in cows, they're vaccinated vs M. bocis)
M. bovis is more virulent for cows than humans
Can M. bovis harm ppl?
Yes, but mostly only immunocompromised ppl (ppl with AIDS)
Which is more virulent: bovis or tb?
Bovis more virulent for wider species. Also infects mice and rabbits, unlike TB
TB also infect guinea pigs
How is virulence studied?
-Biohazard: lvl 3, highly transmissible, but treatable (TB) or low transmittance, but untreatable (AIDS)
What are some problems with studying virulence?
Slow generation time (doubling time =24 hours)
Targeted gene disruption is difficult
-homologous recombination tricky
TB KO= mouse KO
Takes 6-9 months to make it
What are some animals used?
Humans (least easy to use, but most relevant)
Monkeys: closest disease to humans, but expensive and ethical issues, need to use a lot to get useful results
Rabbits: close in pathology, get cavitary lung lesions, high transmission, bad for handler but good for studying disease, but can't just do KO
Mice: easier to work with, help with primary infections
Cell culture: easiest, only one cell, .: immunologically simplified
What's the problem with wokring with mice or one cell culture?
Mice: are we still studying the same disease?
Can study the infection, but not reinfection or transmission
Cell culture: use macs cuz TBs live in them
Hallmark of M. tb in macs= granuloma, can't study this with only 1 macrophage
Describe the BCG vaccine
Attenuated mutant
Derived from M. bovis (1908-1921)
More than 100 million doses/yr
Disease= 1/100, 000
Why is the virus still attenuated after all this time?
Attenuation in vitro
Grow bacteria long enough in the lab, it will become attenuated
-> Genomics of reduced virulence
Compare TB vs BCG
Birthplace
M. tb: Africa
M. bovis BCG: France
Compare TB vs BCG
Birthdate
TB: Paleolithic
BCG: 3rd Republic (1908)
Compare TB vs BCG
Home
TB: Host mac
BCG: vaccine lab
Compare TB vs BCG
Job
TB: Cause disease
BCG: Prevent disease
Compare TB vs BCG
Infected
TB: 2 billion ppl
BCG: 100 million/year
Compare TB vs BCG
Disease
TB: 1 in 10
BCG: 1 in 100,000
Relatedness
>99% genetic identity
v/ similar at genetic level, but very different virulence
MICROARRAY
LOOK at slide bottom of page 5
Lots of similarity btw TB and BCG
How many genes are different btw TB and BCG?
16 deletions in BCG that are in TB
These16 deletion code for 129 genes (ORFs)
What did these dif deletions code for?
4 of these deletions could be difference in TB strains (TB variance)
7 deletions are the dif btw TB (human) and Bovis (parent of BCG) .: difference btw human and cow pathogenesis
1 deletion: present in M. bovis isolate, but missing from all BCG strains
What was this 1 last deletion?
RD1
Candidate for how BCG lost its virulence btw 1908 and 1921
Where is RD1 present?
RD1 is present in virulent bacteria
RD1 is absent in avirulent bacteria
RD1 clue to virulence in TB?
What is common btw M. microti, M. bovis and Dassie bacillus?
All have an independent deletion in RD1
At least btw 3874 and 3876
=> 3 genes
What are these 3 genes?
2 of them are secreted Ag
ESAT-6
CFP-10 (culture filtrate ptn 10)
Describe RD1
9.5 kb
9 ORFs, none with a known fct
2 secreted Ag
What is the goal of BCG attenuation?
Delete RD1 from H37Rv by allelic exchange
Look for virulence phenotype
If attenuated, explore why
What were the reuslts of the RD1 deletion in M. TB?
-Dec growth in macs
-Dec destruction of macs
-Dec growth in lungs
-Dec spread from lungs to spleen
-Dec pathology in host
=> Dec virulence
=>RD1 important for virulence
What does M. marinum do?
Hot tub granuloma in ppl
TB in fish
What happened when RD1 was deleted from M. marinum?
The bacteria grow in the macs but don't elicit granuloma formation
What happens if RD1 not deleted?
Bacteria directs macrophages to aggregate, allowing intracellular spread
Does the virulent strain want to make granulomas?
Doesn't turn off system or hide
Attracts the host and uses its signalling
Is the bacteria trying to evade the immune system?
Not necessarily
Maybe granuloma perfect for bacteria, not host
M. TB = intracellular pathogen .: if mac recruits other macs, can infect more cells
M. tb could propagate cell to cell in paracrine manner
What happens if RD1 disrupted within the region?
Can disrupt ESAT-6, the secreted ptn and .: won't make ESAT-6
Can disrupt any of the other genes (1 by 1), would see that ESAT-6 is made, but is NOT secreted
Without the other genes, ESAT-6 could never be secreted and would just stay in the bacteria
What happens to RD1 secretion when you disrupt outside RD1?
Disruption of Rv3616c-3614c genes allows expression of RD1 genes, but no expression of ESAT-6
What happen to secretion in reciprocity?
Disruption of RD1 prevents secretion of these other genes
What is CFP-10 thought to be?
Chaperone for ESAT-6
4 paralogs for CFP-10, but its the only one that has 7 aa tail (might help with direct secretion)
What is the CFP-10 7 aa tail for?
Ubiquitin-fusion: might direct export of ubiquitin from bacterial cell
-Infer that CFP-10 directs secretion of ESAT-6
Summary
M. tb manipulates IR to initiate host-pathogen dialogue
Process depends oin part on a secretory system
-RD1 enables escape from phagosom to cytosol
-RD1 enables spread from cell to cell
Ultimate effect of this system spans granuloma formation to virulence
-Interaction with other virulence determinants also requires further study