Bacterial Pathogenesis Flashcards
What is the difference between an infection and a disease?
Infection is the presence of a micro-organism in/on host tissue while disease is the pathological + clinical consequence of an infection
What is an opportunistic pathogen compared to a true pathogen?
Opportunistic pathogens are usually commensal/environmental while the mere presence of a true pathogen can initiate disease
What is the normal function of a commensal bacterium?
Metabolism
Immune system development
Colonisation resistance
Protection
What are some aseptic sites?
Lower resp tract
Upper urogenital tract
Blood, CSF, Synovial fluid
Internal organs and tissues
Define pathogenesis
Mechanisms by which an infectious agent induces symptoms or pathology
What are the different sources of disease?
A. Endogenous
B. Animals within a group
-epidemic
-endemic
C. Animals of other species
D. Environment
What are direct methods of transmission?
Mucosal or droplets: oral, respiratory, urogenital
What are methods of indirect tranmission?
A. Food and water (fecal oral)
B. Fomites
C. Arthropods - biol and mech
D. Iatrogenic
E. Nosocomial
Why are arthropod infections considered invasive/systemic?
There is direct entry into the vascular system
Why are the Outer Surface Proteins of Borrelia burdorferi important to their pathogenicity?
OspA and OspB are the most abundant
Contribue to phase and antigenic variation
Manipulate their expression for survival in different body temps/pH of hosts
What allows pathogenic bacteria to overcome normal microflora?
Large inoculum
Abx
Host factors - immune suppression, reduced peristalsis
Physical destruction
What are some of the mechanisms of persistence in Borrelia burgdorferi?
Active immune suppression
-Innate and adaptive: C’ inhibition, induce anti-inflammatory cytokines, tolerization of MAC and lymphocytes, sequester AB
Immune evasion
-Phase and antigenic variation: gene conversion/mutn/recomb, variable Ag expression
-Physical seclusion
What are the symptoms of canine lyme disease?
Long incubation - arthritis after weeks/months
Rare neurological issues
May cause glomerulonephritis due to immune complexes -> blood in urine
Does Coxiella burnetti require ticks as a vector for transmission to humans?
No, not tick dependent
What disease does Coxiella burnetii cause?
Q fever in humans
Ruminant infections usually asymptomatic
Ovine - abortions
What is Tularemia?
Bacteria septicemia caused by Francisella tularensis - highly virulent, bacterial weapon
List some potential sites of entry for bacteria
- Inhalation - Resp Tracts
- Ingestion - GI tract
- Coitus - Urogenital
- Mucous membranes
- Wounds, bites, injections
- Transplacental
Whats the difference between the challenge dose and the infective dose, and when does infection occur?
Challenge dose is the number of bacteria that are actually encountered while the infective done is the minimum number of bacteria that are required to initiate infection. When challenge dose >/ inf dose, infection may occur
Why are flagella important in motility and chemotaxis?
Movement to invasion/attachment site or away from negative stimuli, can function as adhesin
How does the flagella contribute to entry and establishment of Borrelia burgdorferi?
Endoflagella
Spirochete moves as a corkscrew
Hidden from immune recognition
Allows mobility even in viscous environmnet
What are the steps of actin polymerisation motility of Listeria?
Internalized in primary vacuole
Secretion of bacterial escape proteins
Vacuole membrane disrupted
Free cytoplasmic bacteria recruit and polymerize host’s actin
Propel bacteria and allows intrusion into adjacent cell
What receptors to fimbriae adhesins tend to bind to?
Host glycolipid or glycoproteins such as:
Mannose
Sialic acid
Galactose
Glucosamines
What receptors do non-fimrial adhesins tend to bind to?
Host glycoproteins or glycan
ECM glycoproteins such as fibronectin, E-cahderin, Integrins
Form cross bridges that confer robust adherence
What does invasion refer to?
Breach of epithelial barriers
Can be into or between euk, cells.
Utilize invasins and proteases
What are invasins?
Pathogen surface factors that drive invasion and can function as adhesins. Can manipulate rearrangement of cell cytoskeleton to promote uptake.
Briefly outline salmonella invasion
Induce membrane ruffling and consequent pseudopoda uptake of bacteria.
Remain within phagosome and replicate there while cell surface returns to normal