(8-19) Host-Microbe Interactions Flashcards

1. Define normal flora and list ways that it plays a protective role in the health of the host. 2. Define the following: Pathogen, Virulence, Opportunistic Infection, Inapparent disease, Disease, Primary infection, Secondary infection, Communicable disease 3. Describe the course of an infectious disease including the following periods: Incubation period, Phase of illness, Period of convalescence 4. Define or identify: Acute disease, Chronic disease, Latent disease 5. List Koch’s postulates a

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1
Q

What does colonization of a host by a microorganism imply?

A

Colonization of a host by a microorganism implies that the microbe has become established and is multiplying.

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2
Q

If colonized microorganisms derive benefit at the expense of a host, it is termed what?

A

An infection

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3
Q

Does an infection always lead to noticeable adverse effects?

A

No

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4
Q

What are two terms for symptoms that do not appear or are mild enough to go unnoticed?

A
  1. subclinical
  2. inapparent
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5
Q

An infection that results in disease is termed what?

A

An infectious disease

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6
Q

What is the term for a noticeable impairment of body function?

A

Disease

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7
Q

An initial disease is termed what?

A

primary infection

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8
Q

What are additional infections resulting from primary infection called?

A

secondary infection

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9
Q

What are (Primary) Pathogens?

A

Organisms that can cause disease in otherwise healthy people

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10
Q

What are opportunistic pathogens?

A

Organisms that cause disease when the body’s defenses are down.

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11
Q

Where do opportunistic pathogens come from?

A

They may be part of normal flora or common in environment.

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12
Q

What is virulence?

A

It is quantitative term referring to a pathogen’s disease-causing ability.

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13
Q

Which organisms have a high degree of pathogenicity and are more likely to cause disease?

A

Highly virulent organisms

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14
Q

What are the 2 terms for a disease that spreads from host to host?

A
  1. communicable
  2. contagious
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15
Q

What 3 stages does a disease course follow?

A
  1. Incubation
  2. Illness
  3. Convalescence
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16
Q

What is the incubation stage?

A

The time between introduction of organism to onset of symptoms.

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17
Q

What is the illness stage?

A

The period when an individual experiences the symptoms of disease.

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18
Q

What is the convalescence stage?

A

The period of recuperation and recovery (many infectious agents can still be spread)

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19
Q

What are the Classifications regarding Timing and Duration of symptoms of a disease?

A
  1. Acute
  2. Latent
  3. Chronic
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20
Q

Describe an acute virus and give one example.

A

Symptoms have a rapid onset and last only a short time
~ ex. strep throat

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21
Q

Describe a chronic virus and give one example.

A

Symptoms develop slowly and persist
~ ex. tuberculosis

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22
Q

Describe a latent virus and give one example.

A

Infection never completely eliminated, and the infection can later reactivate with either similar or different symptoms
~ ex. tuberculosis, chicken pox → shingles

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23
Q

Who found a way to grow bacteria in pure cultures (colonies on infusions + agar)?

A

Robert Koch

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24
Q

Who identified the bacterium that cause the disease anthrax (B. anthracis)?

A

Robert Koch

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25
Q

What is the purpose of Koch’s Postulates?

A

They establish the cause of infectious disease.

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26
Q

What are Koch’s (4) Postulates?
[Hint: P.C.D.R.]

A
  1. The microorganism must be PRESENT in every case of disease
  2. Microorganism must be grown in pure CULTURE from diseased host
  3. Inoculation of sample of culture into health animal must produce same DISEASE.
  4. Microorganism must be RECOVERED from inoculated animal
27
Q

Koch’s Postulates could be carried out for which of the following infections: Treponema pallidum, M. tuberculosis, C. botulinum, Meningitis, or HIV?

A

Clostridium botulinum

[Rationale: Treponema pallidum cannot be cultured; M. tuberculosis can cause several diseases; Meningitis can be caused by several organisms; HIV does not have an animal model. Clostridium botulinum is the only option that fits Koch’s Postulates, in that it would 1) be present in every case of disease, 2) be able to be grown in pure culture from diseased host, 3) produce same disease upon inoculation into a healthy individual, and 4) be able to be recovered from the inoculated animal. ]

28
Q

Can Koch’s Postulates be carried out in organisms that cannot be cultured? Cite 2 examples of such organisms.

A

No.
~ ex. Treponema pallidum
~ ex. Mycobacterium leprae

29
Q

Can Koch’s Postulates be carried out for viruses that don’t have animal models? Give one example.

A

No.
~ex. HIV

30
Q

What is Shigella’s distinct sign/ symptom?

A

Bloody diarrhea

31
Q

Is Meningitis caused by a single organism?

A

No, it is a disease that can be caused by several organisms.

32
Q

What do we currently use to identify cause of infection?

A

Molecular Techniques

33
Q

What are the 3 basic Mechanisms of Pathogenesis?

A
  1. Adherence
  2. Invasion
    3.Avoidance of host defenses
34
Q

What must pathogens first do, in order to establish infection?

A

Pathogen must adhere to host cells

35
Q

What do bacteria use in order to bind to specific host receptors?

A

Adhesins

36
Q

Which 2 places are bacterial adhesions located?

A
  1. At the tip of pili (fimbriae)– more often
  2. Can also be part of capsule (glycocalyx)
37
Q

What does the bacterial Invasion stage consist of?

A

Breaching Anatomical Barriers

38
Q

Because penetration of skin is difficult, bacteria that penetrate via this route rely on what?

A

Trauma that destroys skin integrity

39
Q

Which is the more common route of entry for a microbe invasion: skin, or mucous membranes?

A

Mucous membranes

40
Q

What are the 2 general mechanisms of penetration of mucous membranes?

A
  1. Directed uptake
  2. Exploitation of antigen sampling
41
Q

What is Directed Uptake of cells, with regards to pathogenesis?

A

Directed uptake is an induction by non-phagocytic cells to engulf pathogens by “injection” of signaling molecules into cell.

42
Q

How does Salmonella breach anatomical barriers in order to enter a host? Elaborate.

A
  1. Salmonella utilizes Directed Uptake.
  2. It induces mucosal epithelial cells of intestine to engulf it by endocytosis through their apical surface,
  3. They multiply within the pseudstratified columnar epithelium, and then exit the basal surface of the cell via exocytosis.
43
Q

How does Shigella breach anatomical barriers in order to enter a host? Elaborate.

A
  1. Shigella enters an M-cell (non-villiated intestinal epithelial cell) via endocytosis.
  2. It survives being phagocytosed by the macrophage waiting outside the basal surface.
  3. It reenters a new epithelial cell, then is propelled horizontally from cell to cell via the action of actin filaments.
  4. It can thus effectively hide from the immune system.
44
Q

What is antigen sampling? Why is it performed?

A
  1. M cells in intestine collect antigen and pass to macrophages, macrophages can then present antigen to lymphocytes located below mucosa.
  2. It is performed so that the body can be prepared for whatever might be invading the lumen of the small intestine (ex. cestodes).
45
Q

What organism can escape from and survive phagocytosis by a macrophage?

A

Shigella

46
Q

In which 3 ways can a pathogen avoid destruction by phagocytes?

A
  1. Survive within the phagocyte
  2. Produce compounds that kill phagocytes
  3. Avoid phagocytoses
47
Q

How does Shigella survive within a phagocyte?

A

Shigella lyses the phagosome before if fuses with the lysosme

48
Q

Which compound does Streptococcus pyogens produce in order to kill phagocytes?

A

Streptococcus pyogens produces “streptolysin O” that damages cell membranes of phagocytes

49
Q

How does Streptococcus pneumoniae avoid phagocytosis?

A

Streptococcus pneumoniae produces a capsule that prevents complement-mediated phagocytosis.

50
Q

How does Neisseria gonorrhoeae avoid complement?

A

~ Normal body cells bind a protein that protects against complement-mediated destruction.
~ Neisseria gonorrhoeae binds this protein to, protecting against complement

51
Q

How does Neisseria gonorrhoeae avoid antibodies?

A

Neisseria gonorrhoeae has an enzyme that degrades IgA

52
Q

Which 4 general types of defenses do pathogens avoid, once they have invaded a host?

A
  1. Destruction by phagocytes
  2. Complement-binding
  3. Antibody detection
  4. Viral avoidance of TC-cell killing
53
Q

Which 2 ways can pathogens avoid antibodies?

A
  1. Degrading IgA
  2. Antigenic variation
    ~ ex. of pili
54
Q

How does Cytomegalovirus avoid being killed by a TC cell after invading a host’s cell?

A

Cytomegalovirus makes a “counterfeit” MHC I to display on the surface of cell.

55
Q

Which 2 types of toxin damage a host?

A
  1. Endotoxin
  2. Exotoxin
56
Q

What is exotoxin?

A

A protein with specific damaging effects.

57
Q

What is endotoxin?

A

The LPS of Gram-negative outer membrane.

58
Q

In which 2 ways is exotoxin released?

A
  1. Either secreted
  2. Released when bacterium is lysed by host immune response
59
Q

What are the disease symptoms associated with endotoxin?

A

Disease symptoms associated with vigorous immune response, which can lead to septic shock.

60
Q

Which type of toxin is heat stable?

A

Endotoxin

61
Q

Cite 2 examples of exotoxin?

A
  1. Botulinum toxin from Clostridium botulinum
  2. Steptolysin O from Streptococcus pyogenes
62
Q

What is Botulinum toxin?

A

A heat labile neurotoxin that causes paralysis.

63
Q

How does Steptolysin O effect cell membranes? Cite 2 specific cell types that it affects.

A

Steptolysin O makes pores in cell membranes.
~ Lyse red blood cells to release iron – hemolysis
~ Lyse leukocytes to avoid host defense