1. Variation of bacterial surface structures Flashcards
(98 cards)
What is the purpose of bacterial surface variation?
To allow colonisation and hide from the immune system
What species are we using as an example of surface variation?
The pathogenic Neisseria
1. N. meningitidis
2. N. gonorrhoeae
How genetically similar are N. meningitidis and N. gonorrhoeae?
over 90% identical
What is the major difference between N. meningitidis and N. gonorrhoeae?
- Nm has a polysaccharide capsule and Ng doesn’t.
- Ng doesn’t have the loci to encode a capsule but can still coat themselves with environmental molecules.
Why do neisseriae pathogens present a challenge?
- They are human specific so are very well adapted to infect us.
- But it does mean that it is possible to eradicate it.
What conditions does Neisseria require to grow?
- Lots of iron
- They are very fastidious
- They only really grow at 37oC and nothing else (very human specific)
What is gonorrhoea?
- A collection of infections that cause inflammation at different sites.
- They are all different infections caused by the same organism.
- Most commonly infects urogenital sites.
- The main effect is inflammation.
What is asymptomatic gonorrhoea?
- Gonorrhoea with no clinical signs.
- It creates an infectious reservoir.
- around 10% of infections in men and 30/40% of infections in women.
What complications can gonorrhoea cause?
- Pelvic inflammatory disease
- Salpingitis (inflammation of the fallopian tubes)
Why are there no vaccines for N. gonorrhoeae?
Due to its variation
Is antibiotic resistance a problem in N. gonorrhoeae?
- It is a big problem.
- We have a limited amount of antibiotics that can treat N.gonorrhoeae.
- It is highly transmissible, so it can gain resistance quickly.
What are the risk factors for N. meningitidis?
- No specific risk factors
- Low serum levels of antibodies can increase the risk.
Who does N. meningitidis infect?
- Mostly neonates and adolescents
- Can still infect anyone at anytime.
Can N. meningitidis be carried as a commensal?
- 5-30% of people carry it
- This can increase to up to 95% during outbreaks.
What infections does N. meningitidis normally cause?
- Disseminated infections
- Mostly septicaemia
- Also meningitis
- These can occur at the same time or independently.
Is the N.meningitidis capsule always expressed?
no
How is N. meningitidis classified?
- Serogroups - by the capsule
- Different outer membrane components determine sub groups.
- Immunotypes are determined by LPS types.
Is antibiotic resistance a problem in N. meningitidis?
- Not really
- This is weird due to the close relation to Ng.
Why is N. meningitidis hard to treat?
Due to the rapid progression of the disease treatment is often too late.
What do pathogens need to do in order to cause disease?
Grow to high enough numbers to colonise and obtain nutrients in order to overwhelm the immune system.
What pathogens don’t need to colonise the host to cause disease?
Exotoxin secreting organisms
What natural defence do bacteria need to overcome for colonisation?
- Cilia and mucus to attach to the surface.
- avoidance of the immune system like antibodies, T cells and phagocytes.
What are the four main strategies bacteria use for effective colonisation?
- Expression of multiple adhesins through molecular redundancy
- Antigenic variation
- Phase variation
- Overcoming charge barriers
What is molecular redundancy?
- Expression of different molecules that target the same receptor/cell/ECM target.
- OR Expression of 1 molecule that can target different host adherence molecules
- This allows adaptation and survival of a bacteria no matter what happens to a population.