04 Bacterial Pathogenesis Flashcards

1
Q

Adherence to host surfaces

A

Adherence to host surfaces*

  • Prevents bacteria from being carried away by mucus or washed swept away by fluids

Pili/fimbriae

  • Neisseria gonorrheae and E.coli adhere to urethral mucosa
  • Teichoic acids
    • main function of teichoic acids is to provide rigidity to the cell-wall by attracting cations such as magnesium and sodium
  • Adhesins (appendages of bacteria)
  • Slime layer (glycocalyx)
  • Capsular material of Staph epidermidis allows it to attach to prosthetic devices and form a biofilm
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2
Q

Antiphagocytic surface factors*

A

Antiphagocytic surface factors*

Ways bacteria escape phagocytosis:

  • Antiphagocytic surface factors*
    • via their Capsules
    • via cell wall proteins
  • IgA proteases
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3
Q

Antiphagocytic surface factors

A

Antiphagocytic surface factors

(way bacteria uses to evade phagocytosis)

  • Capsules – allow the bacteria to escape phagocytosis until they become opsonized (coated by antibodies)
  • Cell wall proteins of some bacteria
    • M protein of Streptococcus pyogenes
    • Protein A of Staphylococcus aureus
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4
Q

IgA proteases

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A

IgA proteases

(way bacteria uses to evade phagocytosis)

  • Breakdown IgA immunoglobulin present on mucosal surfaces
  • 3 agents causing meningitis, all are encapsulated and produce IgA proteases
  • Neisseria meningitidis*
  • Haemophilus influenzae type b*
  • Streptococcus pneumoniae*
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5
Q

invasion methods of bacteria

A

invasion methods of bacteria

Several enzymes secreted by bacteria play a role in invasion:

  • Collagenase and hyaluronidase
    • Degrade collagen and hyaluronic acid allowing spread
  • Coagulase
    • Eg. Produced by Staph aureus, enhances clot formation and walls off bacteria from phagocytic host cells
  • IgA protease
  • Leukocidins
    • Which can destroy neutrophils and macrophages
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6
Q

What is Coagulase? Give me an example.

A

Coagulase

  • Eg. Produced by Staph aureus, enhances clot formation and walls off bacteria from phagocytic host cells
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7
Q

Mechanisms for escaping Host Defenses using Capsule. Give an example bacteria.

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A

Mechanisms for escaping Host Defenses

Capsule *

  • Help evade phagocytosis
  • Protects from destruction within phagolysosome of macrophage or leukocyte
  • Hyaluronic acid capsule of Strep. pyogenes
    • Mimics human connective tissue – masks the bacteria
  • Biofilm production
    • Adherence to structures eg. Slime of Staph epidermidis helps it to infect prosthetic devises
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8
Q

Mechanisms for escaping host defenses via Antigenic variation. name example for each

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A

Mechanisms for escaping host defenses via Antigenic variation

Antigenic variation *

  • Eg. Neisseria gonorrhoeae
    • Varies the structure of the pili on it’s surface thereby evading the immune system

Inactivation of complement components

  • Eg. Strep pyogenes degrades complement C5a
    • Limits chemotaxis of neutrophils to site of infection
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9
Q

What iron binding compounds do some bacteria produce?

A

Bacteria produce iron-binding compounds Siderophores that compete for iron*

  • Capture iron from the host by chelation
  • Ferrated siderophore binds receptors on bacterial surface
  • Iron is actively transported into the bacterial cell
  • (Exception – Pathogenic Neisseria species
    • Do not produce siderophores
    • Utilize host-binding proteins (transferrin, lactoferrin) as iron sources
    • Possess dedicated receptors that bind these host proteins and remove the iron for internalization)
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10
Q

Exotoxins Polypeptides characteristic

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A

Exotoxins Polypeptide characteric

**Polypeptides **

  • Genes coding for toxins usually located on plasmids
  • Some toxin genes are carried and transmitted by bacteriophages (viruses that infect bacteria)
    • Egs. Diphtheria toxin, cholera toxin, botulinum toxin

Note:

List of exotoxin characteristics:

  • Polypeptides
  • Antigenic
  • Can be converted to Toxoids
  • A-B subunit toxins

Exotoxins are produced by many bacteria (gram+ and gram-)

exotoxins are secreted into the surrounding environment.

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11
Q

exotoxins antigen characteristic

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A

Exotoxins antigen characteric: Antigenic

Most are Antigenic*

  • stimulate the formation of specific antibodies
  • These specific antibodies can bind and neutralize toxin – are called “Antitoxins”

Note:

List of exotoxin characteristics:

  • **Polypeptides **
  • **Antigenic **
  • **Can be converted to Toxoids **
  • A-B subunit toxins

Exotoxins are produced by many bacteria (gram+ and gram-)

exotoxins are secreted into the surrounding environment.

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12
Q

exotoxins toxoids characteristic

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A

exotoxins toxoids characteristic

exotoxins can be made into Toxoids*

-Subjecting exotoxins to **low **heat and chemicals (eg. Formaldehyde) in the laboratory environment inactivates them

-Lose toxicity (cannot cause host tissue damage)

-Retain antigenicity

  • Can still stimulate the immune system to produce antibodies
  • Therefore Toxoids are used in some vaccines*
  • *-Egs. Tetanus toxoid, diphtheria vaccine**

Note: List of exotoxin characteristics:

Polypeptides

Antigenic

Can be converted to Toxoids

A-B subunit toxins

Exotoxins are produced by many bacteria (gram+ and gram-)

exotoxins are secreted into the surrounding environment.

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13
Q

Exotoxins A-B subunit characteristic

A

​Exotoxins A-B subunit characteristic

  • Most have A-B subunit* structure (dimeric)
    • B (binding) subunit binds the exotoxin to specific receptors on target cells
    • A (active) subunit enters the host cell and exerts it’s effect
  • 2 examples of A-B subunit toxins:
    • Diphtheria toxin – inhibits protein synthesis
    • Cholera toxin – activates cAMP

Note: List of exotoxin characteristics:

  • Polypeptides
  • Antigenic
  • Can be converted to Toxoids
  • A-B subunit toxins

Exotoxins are produced by many bacteria (gram+ and gram-)

exotoxins are secreted into the surrounding environment.

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14
Q

Cholera toxin*

A

Cholera toxin*

Cholera toxin is an example of A-B subunit toxins:

  • B subunit binds to ganglioside GM1 receptors on intestinal epithelial cells
  • A subunit is internalized
  • Causes ADP-ribosylation of G-protein
  • Activates Adenylate cyclase *
  • Increase in cyclic AMP (cAMP) *
  • Hypersecretion
  • Loss of water and ions
  • Diarrhea

Note: List of exotoxin characteristics:

Polypeptides

Antigenic

Can be converted to Toxoids

A-B subunit toxins

Exotoxins are produced by many bacteria (gram+ and gram-)

exotoxins are secreted into the surrounding environment.

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