Bacterial Pathogenesis Flashcards

1
Q

What is the difference between an infection and a disease?

A

Infection is the presence of a micro-organism in/on host tissue while disease is the pathological + clinical consequence of an infection

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2
Q

What is an opportunistic pathogen compared to a true pathogen?

A

Opportunistic pathogens are usually commensal/environmental while the mere presence of a true pathogen can initiate disease

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3
Q

What is the normal function of a commensal bacterium?

A

Metabolism
Immune system development
Colonisation resistance
Protection

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4
Q

What are some aseptic sites?

A

Lower resp tract
Upper urogenital tract
Blood, CSF, Synovial fluid
Internal organs and tissues

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5
Q

Define pathogenesis

A

Mechanisms by which an infectious agent induces symptoms or pathology

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6
Q

What are the different sources of disease?

A

A. Endogenous
B. Animals within a group
-epidemic
-endemic
C. Animals of other species
D. Environment

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7
Q

What are direct methods of transmission?

A

Mucosal or droplets: oral, respiratory, urogenital

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8
Q

What are methods of indirect tranmission?

A

A. Food and water (fecal oral)
B. Fomites
C. Arthropods - biol and mech
D. Iatrogenic
E. Nosocomial

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9
Q

Why are arthropod infections considered invasive/systemic?

A

There is direct entry into the vascular system

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10
Q

Why are the Outer Surface Proteins of Borrelia burdorferi important to their pathogenicity?

A

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

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11
Q

What allows pathogenic bacteria to overcome normal microflora?

A

Large inoculum
Abx
Host factors - immune suppression, reduced peristalsis
Physical destruction

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12
Q

What are some of the mechanisms of persistence in Borrelia burgdorferi?

A

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

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13
Q

What are the symptoms of canine lyme disease?

A

Long incubation - arthritis after weeks/months
Rare neurological issues
May cause glomerulonephritis due to immune complexes -> blood in urine

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14
Q

Does Coxiella burnetti require ticks as a vector for transmission to humans?

A

No, not tick dependent

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15
Q

What disease does Coxiella burnetii cause?

A

Q fever in humans
Ruminant infections usually asymptomatic
Ovine - abortions

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16
Q

What is Tularemia?

A

Bacteria septicemia caused by Francisella tularensis - highly virulent, bacterial weapon

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17
Q

List some potential sites of entry for bacteria

A
  1. Inhalation - Resp Tracts
  2. Ingestion - GI tract
  3. Coitus - Urogenital
  4. Mucous membranes
  5. Wounds, bites, injections
  6. Transplacental
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18
Q

Whats the difference between the challenge dose and the infective dose, and when does infection occur?

A

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

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19
Q

Why are flagella important in motility and chemotaxis?

A

Movement to invasion/attachment site or away from negative stimuli, can function as adhesin

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20
Q

How does the flagella contribute to entry and establishment of Borrelia burgdorferi?

A

Endoflagella
Spirochete moves as a corkscrew
Hidden from immune recognition
Allows mobility even in viscous environmnet

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21
Q

What are the steps of actin polymerisation motility of Listeria?

A

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

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22
Q

What receptors to fimbriae adhesins tend to bind to?

A

Host glycolipid or glycoproteins such as:
Mannose
Sialic acid
Galactose
Glucosamines

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23
Q

What receptors do non-fimrial adhesins tend to bind to?

A

Host glycoproteins or glycan
ECM glycoproteins such as fibronectin, E-cahderin, Integrins
Form cross bridges that confer robust adherence

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24
Q

What does invasion refer to?

A

Breach of epithelial barriers
Can be into or between euk, cells.
Utilize invasins and proteases

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25
Q

What are invasins?

A

Pathogen surface factors that drive invasion and can function as adhesins. Can manipulate rearrangement of cell cytoskeleton to promote uptake.

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26
Q

Briefly outline salmonella invasion

A

Induce membrane ruffling and consequent pseudopoda uptake of bacteria.
Remain within phagosome and replicate there while cell surface returns to normal

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27
Q

List some non-specific host defence mechanisms

A

Physical barriers - skin, mucus +mucociliary elevator, pH, degradative enzymes, dessication
Nutrient sequestering
Commensal microbes
Innate immune response - complement, inflammatory response, PRRs, fever

28
Q

How do pathogens get the nutrients for proliferation?

A

Intracellular path - compete with host for nutrients available to the cell itself
Extracellular - enxzymes to degrade proteins and obtain short peptides for bacterial growth

29
Q

What are some Iron Acquisition mechanisms?

A

Haeme/Tf/Lf binding proteins ->Streptococci, Pasteurella
Binding proteins - siderophores, transport mechanisms for Hg, Heme, etc

30
Q

What proteins are currently being investigated as a vaccine candidate?

A

Iron binding proteins

31
Q

How do pathogens overcome host defences?

A

Rapid replication
Low immunogenicity
Anti-opsonic activity
Intracellular survival
Concealment
Antigenic variation
Extracellular products

32
Q

What are some methods that bacteria use to lower their immunogenicity?

A

Reduce antigenicity with capsules/LPS Oantigen

33
Q

How do polysaccharide capsules reduce the antigenicity of bacteria?

A

Composed of polysaccharides such as Hyaluronic acid + scialic acid present in human and animal tissue that is not recognized as pathogenic
Expressed in infection, used as vx

34
Q

Give an example of a capsule forming bacteria

A

Pasteurella multocida
Has 6 different capsular antigens that contribute to differentiating strains
16 serotypes identified based on LPS

35
Q

What is the potential role of hyaluronidase in pathogenesis?

A

Breaks down Hyaluronic Acid
Contributes to invatsion and dissemination - degrading ground substance in ECM
Tightly regulated - production where capsule loss may be beneficial

36
Q

Give examples of 2 bacteria species that produce hyaluronidase?

A

Pasteurella multiocida
Staphylococcus aureus

37
Q

What is an important bacteria species that forms sialic acid capsules?

A

Neisseria meningitidis -> sepsis and meningitis in humans
Bleb formation of capsule
Group C - unique bacerial sxr that can be a successful vaccine
Group B - homologous to human cell molecules, non immunogenic

38
Q

Define immune tolerance

A

The process in which host immune system does not attack an antigen
Self tolerance
Acquired/Induced tolerance - can be created to external antigens

39
Q

What are some potential problems with immune tolerance?

A

Tolerance of infection in pregnancy
High persistent doses of circulating Ag

40
Q

How does LPS work as an anti-opsonic factor?

A

Binds complement away from cell surface
Sugar side chains not well recognized by complement

41
Q

How do M-like proteins function as anti-opsonic factors?

A

Factor-H (complement blocker) binds to M protein, C3b binds to Factor H and blocks opsonization

42
Q

How does Protein A function as anti-opsonic factors?

A

Non-specifically bind to Fc region of IgG, no recognition by phagocytes

43
Q

How do bacteria survive intracellularly and inhibit inflammation?

A

Stimulate secretion of anti-inflammatory signalling
Block chemotaxis
Kill phagocytes

44
Q

How do extracellular enzymes prevent oposinisation?

A

Break down AB/Complement and prevent opsonization

45
Q

How do mycobacteria inhibit inflammation?

A

Infect macrophages
Produce:
IL-6 -> Inhibit TCell activation
IL-10 -> Immunosuppressant
TGF-B -> antiinflammatory

46
Q

How do bacteria inhibit chemotaxis and give an example

A

Formylated peptides secreted by growing bacteria are highly recognized by PMN
S. aureus produces CHIPS that binds to PMN receptor and blocks major ligand recognition -> no chemotaxis

47
Q

How do bacteria survive intracellularly and inhibit inflammation?

A

Stimulate secretion of anti-inflammatory signalling
Block chemotaxis
Kill phagocytes

48
Q

How do bacteria, such as M. haemolytica and salmonella, kill phagocytes?

A

Toxins + induce apoptosis.
M. haemolytica
Secrete leukotoxin which:
Impairs phagocytosis
As well as:
Reduces lymphocyte proliferation
Cytotoxic
Lyses platelets

49
Q

How do bacteria survive intracellularly?

A

Resist killing and multiply in phagocyte
Inhibit fusion of phagocytic lysosome with the phagosome

50
Q

Give examples of how bacteria inhibit phagosome fusion with phagocytic lysosome

A

M. tuberculosis - cell wall components released that modify lysosomal mem and inhibit fusion
Chlamydia - cell wall component modify phagosome mem
Listeria - escape proteins disrupt phagosome mem

51
Q

How do bacteria conceal themselves from the immune response?

A

Acquisition of host molecules
-ie. Fc bidning protein: binding Fc of IgG so it cannot be recognized
-ie. Fibrinogen binding protein: limit Ab detection
Intracellular locations
‘Privileged’ locations

52
Q

How do bacteria demonstrate antigenic variation?

A

Phase variation
-ie. salmonella flagella subunit
Antigenic drift
-changes in epitopes due to immune selection acting on aa sequences

53
Q

What are some extracellular products bacteria have to overcome host defences?

A

Secreted antigens - bind opsonins/ab and prevent interaction with pathogen
Toxins - compromise host defence
Modulins - modulate host response via cytokines

54
Q

What are 3 types of bacterial toxins?

A

Exotoxins
Endotoxins
Superantigens

55
Q

What are some classes of bacterial exotoxin?

A

Membrane damaging”
-enzymatic
-poreforming
Cellular modification of:
-regulatory proteins
-ion channels
-protein synthesis
-neurotransmitter release

56
Q

Give an example of bacteria with enzymatic lysis

A

C. perfringens alpha toxin
Targets phospholipid bilayer
Hydrolyses cell membrane lipids

Eyrthrocyte lysis important species tropism

57
Q

Give an example of pore formation exotoxin

A

S. aureus alpha toxin forms a pore in the membrane
Disrupts ion balance, lysis

58
Q

What is an example of a cellular modifying toxin?

A

Tend to be A-B toxins
E.Coli
The labile toxin- increase adenylate cyclase activity
Verotoxin or shiga-like toxin - blocks protein synthesis
C. diptheriae
Diptheria toxin - inactivate aa transfer and prevent protein synthesis
C. tetani
Tetanospasmin - block inhibitory trasnmitter release

59
Q

What is an example of bacterial endotoxins?

A

Primarily lipid A component of LPS of Gram-ve bac
interact with humoral and cellular factors and lead to inflammatory mediator release
High levels can lead to significant effects (fever, DIC, shock)

60
Q

How do superantigens confer toxic effects?

A

Non specific Tcell activation by binding to MHC class II mol
Excessive lymphokine production
Eg. Staph Toxic Shock Syndrome Toxin

61
Q

How do fungal exotoxins cause damage?

A

Hepatotoxicity
Mucosal haemorrhage
Immunosuppression
Carcinogenesis

62
Q

What is toxicosis intoxication?

A

Toxin presence can damage host even in absence of pathogen

63
Q

What are the possible outcomes of infection?

A

Acute or chronic disease
-infective agent excreted
-spontaneous recovery
Asymptomatic carriers
-include convalescent carriers
Latency
-dormant phase

64
Q

What influences the outcomes of infection?

A

Immune status
Bacterial factors - virulence
Host factors -stress, age, diet, general health, existing infections, genetic susceptibility
Environmental factor - hygiene, crowding, weather

65
Q

What are the possible ways infection can resolve?

A

Complete recovery
Recovery with persistent damage
Persistence and carriage
Death

66
Q

Why is understanding the pathogenic cycle critical?

A

Disease control:
-management and husbandry
-anti-microbial therapy
-immunotherapy
-preventative vaccines
-quarantine/culling