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90 Cards in this Set

  • Front
  • Back
What Order is the pork worm in?
Trichurida
What are characteristics of Trichinella spiralis?
Largest known intracellular parasite
Int. & Def. hosts are same animal
Creates a nurse cell
Humans are dead ends to lifecycle
Normal hosts are rats, pigs, bears, hyenas
Define nurse cell (in Trichinella spiralis)
infected myocyte, devoid of muscle proteins; multinucleated
How is a T. spiralis nurse cell formed?
simultaneous differentiation and redifferentiation
What is the function(s) of a T. spiralis nurse cell?
to support growth and development
What is the timeline of nurse cell formation?
DRAW OR REVIEW NOTES
Why does T. spiralis produce an anaerobic environment for the nurse cell?
J1=anaerobic
If host dies, tissues rot and it will be anaerobic
Why does the nurse cell create a collagen capsule?
Prevent O2 diffusion
Prevent immune attack
Why induce angiogenesis of venules to the nurse cell?
Deoxygenated blood
Carry away waste products
What is tyvelosylated protein?
protein with a sugar side chain
What species makes tyvelosylated protein and why?
Trichinella spiralis;
Don't know why
What are the 2 pathogenic phases of domestic trichinosis?
1. Enteral phase
2. Parenteral phase
What occurs in the enteral phase of trichinosis? What are the symptoms?
Damage to intestine cause by J1 --> adult;
diarrhea, abd. pain, vomitting
What occurs in the parenteral phase of trichinosis? What are the symptoms?
Myocarditis or meningitis occurs from larvae migrating through circulation and penetrating skeletal muscle;
muscle pain & weakness, heart failure
How does one get T. spiralis infection?
Eating raw meat
What are diagnostic tools for T. spiralis infection/trichinosis?
Immunodiagnostic tests
-ELISA
-counterelectrophoresis
Of what order are the filarial worms?
Filaroidea
Of what family are the filarial worms?
Onchocercidae
What NTDs are caused by nematodes?
Lymphatic filariasis
River blindness
Loaisis
Heart worm
What nematode causes Lymphatic filariasis?
Wuchereria bancrofti

(also Brugia malayi)
What are the functions of the lymphatic system?
1. Recollect lymph
2. Transport lipids to circulatory system
3. Immune function
What is the epidemiology of W. bancrofti?
1. Transmission solely dependent on vector
2. Barriers to infection in mosquito and environment
3. Distributed around equator
4. Prevalence of more than 120M people
What stage of W. bancrofti infects people?
J3
What are the 3 pathogenic phases of W. bancrofti infection?
1. Asymptomatic phase
2. Inflammatory phase
3. Obstructive phase
What methods of testing are available during the asymptomatic phase of W. bancrofti infection?
1. Finger prick
2. ELISA
3. ICT card test (immunochromatographic)
What is the active part of the ICT card test? What are the benefits and drawbacks?
Colloidal gold;
expensive, needs cold storage
can be done anytime of day; instant; very sensitive
What is the most common pathology of the inflammatory phase of W. bancrofti infection?
lymphadema - adult worms block up lymph channels
What are the common pathologies of the obstructive phase of W. bancrofti infection?
Hydrocele (filarial dance sign), lymph varices, chyluria
What is the secondary pathology of obstructive phase infection with W. bancrofti?
elephantiasis
What are the causes of elephantiasis?
chronic lymphadema
skin thickening
granuloma build up
What are the treatment(s) for lymphatic filariasis?
Combination of 2 of 3 drugs:
DEC
Albendazole
Ivermectin
What does DEC stand for and what does it do?
diethylcarbamazine
-sensitizes microfilariae to phagocytes
What does albendazole do to W. bancrofti?
stops embryonic development
What does ivermectin do to W. bancrofti?
induces worm paralysis
How is bacteria related to W. bancrofti pathologies?
Wolbachia live symbiotically with the filaria. When the worms die, the bacteria are released and cause immune response
What is TLR-4? What does it do?
Toll-like receptor 4; recruits neutrophils to corneal stroma
What does Guinea worm (Dracunculus medinensis) cause?
dracunculiasis
What does the serpent on the pole have to do with D. medinensis?
The fiery serpent from the staff of Asclepius (greek god of healing)
What family is D. medinensis in?
Dracunculidae
What are characteristics of the Dracunculidae?
tissue parasites of vertebrates
-reptiles
-aquatic birds
-mammals
What is the basic biology of D. medinensis?
Like general nematode bio!
-sexual dimorphism
-ovoviviparous female (possesses non-functional vulva)
-blood feeders
What are the epidemiological conditions of dracunculiasis?
1. Infected person must enter water
2. Water must contain cyclops
3. Water must be consumed
What is the distribution of dracunculiasis?
Equitorial regions
Pathogenesis of dracunculiasis?
1. Emergent adult worm-related
2. Secondary bacterial infection
3. Non-emergent worms
When emergent D. medinensis is going on, what are the pathologies and symptoms?
a. migrating female releases metabolic wastes, triggering immune response
b. causes nausea, rash, localized edema
What are pathologies/symptoms of non-emergent D. medinensis?
worms migrated to wrong part of body, e.g:
-scrotum
-joints (arthritis)
-CNS (paraplegia)
What is the immunology of D. medinensis infection?
NO cellular, humoral, acquired immune responses!
1. Antigenic cloaking
2. Release M6G to suppress immune system
What is M6G? What species releases it?
morphine-6-glucoronide; D. medinensis
How do you immunodiagnose D. medinensis infection?
You don't. There are no circulating antigens.
What is the treatment for dracunculiasis?
none; aspirin or anti-inflammatories; bactericides; slowly curl the worm
Can D. medinensis be eradicated? How?
Maybe. Education (filter or boil water containing cyclops)
How does D. medinensis cause arthritis?
Calcification of the worms by the immune system
Why do only female mosquitos bite?
They take a blood meal for their eggs
Characteristics of the phylum Arthropoda
1. Segmented animals.
2. Heteronomy
3. Tagmosis due to strong heteronomy
4. Hemocoel
5. Ecdysis
What is tagmosis?
regional specialization of body parts
What are the tagmata of spiders? What joins them?
prosoma and opisthosoma; pedicel
What class and order are ticks in?
Arachnida, Ixodida
What is a synapomorphy of ticks?
obligate ectoparasites
What are 3 characteristics of ticks?
hypostome; hematophagous; Haller's organ
What is evidence for the Devonian hypothesis of tick evolution?
some ticks parasitize amphibians, so they coevolved with the tetrapod lineage
What is evidence for the Cretaceous hypothesis of tick evolution?
Most ticks parasitize mammals, so they coevolved with mammals and amphibian/reptile parasitism is secondary
Why do we care about the evolution of ticks?
Insight into their evolution and the evolution of the hemostatic system
What is the function of the hemostatic system? How does it work?
prevent blood loss
1. Vasoconstriction
2. Platelets
3. Coagulation factors
4. Fibroblasts
If ticks evolved during the Devonian, what does that tell us?
Ticks may have had an effect on the evolution of the HS (arms race); Hematophagy is OLD
If ticks evolved during the Cretaceous, what does that tell us?
Ticks had a minor influence on the evolution of the HS (overcame HS quickly); hematophagy is young
What are pedipalps for in the gnathosoma?
Chemosensory
What is the physical anchor in the tick's gnathosoma?
hypostome
Ixodes scapularis is also known as...
blacklegged or deer tick
How many hosts are in the tick's lifecycle?
3 (small, medium, largest)
What is the most likely period for human parasitism by the tick?
October to January
Ticks go from being larvae to ___________
nymphs
What are some interesting behaviors of ticks?
Questing
Quiescence
What is questing?
a strategy to search and wait for a host; detect host chemostimuli with Haller's organ
What does the Haller's organ include and respond to?
capsule, pit, setae;
CO2, NH3, organic acids
What is quiescence?
a period of movement down the vegetation and into the soil, in order to reabsorb water from the soil
What do the salivary glands of a tick secrete?
enzymes, attachment cement
What is the host response to tick infection?
1. Neutrophils cause inflammation
2. Platelets move in create plug
3. Clotting factors coagulate blood
4. Other immune cells move in
What are the actions during a tick's taking a blood meal?
1. Parasite penetration
2. Host response
3. Parasite counter-response
How does a tick respond to a host's immune response?
Salivary glands release:
1. prostaglandin E2
2. anti-histamine
3. carboxypeptidase to cleave bradykinin
What is cleaved by carboxypeptidase to prevent pain?
bradykinin
What are the funtions of PGE2?
prostaglandin E2:
a. promote vasodilation
b. inhibit platelet aggregation
c. inhibit mast cell degranulation (stop histamine)
d. Inhibit t-lymphocyte activation
What are tick adaptations to hematophagy?
1. SGs excrete excess water
2. Idiosoma is only partially sclerotized
3. Mating only occurs after initial attachment by female
What do ticks transmit?
spirochate Borrelia bugdorgeri
What is passage of an agent to offspring called?
trans-ovarial passage
What are the pathologies and symptoms of Lyme disease?
Inflammation due to spirochaete invasion;
Erythema migrans (bulls-eye)
Fatigue, chills, fever, arthritis, facial palsy
How do you diagnose and treat Lyme disease?
visual, ELISA, Western blot;
oral antibiotics
Define zoonosis
disease resulting from transmission of a parasite from a wild/domestic animal to a human
What are types of host defense?
Integumentary
Alimentary
Immune
What are some challenges to parasitism?
Digestive environment
Osmotic variation
Low O2 tension
Host finding
What are 4 ways NTDs promote poverty?
1. Chronic disability
2. Death
3. Flourishing in impoverished conditions
4. Community and political destabilization