6. Virulence Factors Flashcards

1
Q

define virulence

A

refers to the degree of damage caused by a microbe to its host

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2
Q

what do adhesins bind to

A

sugar residues in host receptors

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3
Q

what do the pili of neisseria gonorrhoea bind to

A

galactose

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4
Q

what do the fimbriae of Escherichia coli bind to

A

mannose

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5
Q

what do flagella (adhesin) bind to

A

toll-like receptor 5

this is not a glycoprotein

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6
Q

adhesins provide initial attachment, what follows this?

A

docking with membrane adhesin proteins

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7
Q

what do membrane adhesin proteins bind to

A

collagen, fibronectin & laminin

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8
Q

what virulence factors ARE quorum-sensing controlled

A

capsule
invasions
exotoxins

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9
Q

what virulence factors ARE NOT quorum-sensing controlled

A

adhesins
endotoxins
siderosphores

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10
Q

briefly describe the capsule

A

polysaccharide layer (mainly composed of alginate), lies outside the cell envelope

involved in attachment, protection from antimicrobials

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11
Q

what do invasins do

A

act to break down host cells in the immediate vicinity of bacterial growth

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12
Q

what enzymes do invasion’s use to penetrate through epithelium cells

A

hyaluronidase, neuraminidase, collagenase, coagulase

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13
Q

what produces hyaluronidase

A

Gram-positives

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14
Q

name two Gram-positive bacteria

A

streptococci, staphylococci

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15
Q

what does hyaluronidase do

A

attacks interstitial cement of connective tissues by depolymerising hyaluronic acid

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16
Q

what does collagenase target? how? what produces it?

A

muscles
breaks down collagen
clostridium

17
Q

what has longer range: invasins or toxins

A

toxins - these can be spread around the body

18
Q

what are endotoxins? when does it become toxic?

A

the lipopolysaccharide found in the walls of gram negative bacteria, it becomes toxic when the cell wall is damaged and lipid A leaks from the cell wall

19
Q

once in its toxic state, what effects do lipid A have

A
  • causes host cels to release endogenous pyrogens which target the hypothalamus
  • this activates many host systems that cause damage
20
Q

what is the problem with endotoxins in the pharmaceutical industry

what is the solution?

A

drugs are filtered for Gram-ve bacteria which can cause lysis = lipid A leakage.

  • must be carbon filtered once again to remove endotoxin traces
21
Q

what bacteria produce exotoxins

A

both gram+ and gram-ve

22
Q

name 3 types of exotoxins

A

cytolytic toxins
A-B toxins
superantigens

23
Q

describe cytolytic toxins mechanism of action

A

insert a pore into the membrane or producing enzymes to attack phospholipids

24
Q

staph aureus Alpha toxin is a cytolytic toxin, how does it work

A

inserts itself into the host membrane, allowing cell contents to flow out of its pore

25
describe the structure of A-B toxins
one A subunit and 5 B subunits
26
how do A-B toxins use
the B subunit binds to the outside of the cell to get the A subunit into the cell (A subunit interferes with protein synthesis)
27
what do B subunits in A-B toxins bind to
glycans
28
give an example of a A-B toxin, how does it work
botulinum neurotoxin | binds to glycans on the pre-synaptic membrane - causing paralysis
29
superantigens are another form of exotoxin, what do they do
stimulate large numbers of t-cells and subsequent cytokines = severe inflammation, shock, organ failure
30
how do siderophores work
confiscate iron from host cells (e.g. transferrin), for it to be taken up by bacterial cells
31
describe the mode of action of the gastroenteritis toxin
- toxin is endocytose into the cell where it is transported to the ER via phagosome - causes cAMP to rise and cause electrolyte imbalance - water leaves the cell causing dehydration and diarrhoea
32
what do cytokines activate
activate macrophages = inflammation
33
what happens in toxic shock syndrome
staph. aureus toxin 1 causes secretion of fluids and electrolytes = reduced bp and blood volume
34
by what two ways can we be exposed to toxins
1. intoxication -> taking in a preformed toxin | 2. colonisation of a surface - once quorum is reached- toxins are produced
35
how does clostridium botulinum toxin enter the body
ingested into the body - pre-formed toxin found in food