Bacterial Virulence Mechanisms Flashcards

1
Q

host-pathogen relationship

A

*dynamic relationship, each modifying the activities and functions of the other
*outcome is dependent on:
-virulence of the pathogen
-relative degree of susceptibility or resistance of the host

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2
Q

pathogenesis

A

ability of an agent of infection to produce disease

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3
Q

virulence

A

an agent of infection’s degree of pathogenicity
*how effectively it causes the disease
*the severity of the disease

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4
Q

virulence mechanisms

A

genetic or biochemical features which allow an organism to produce disease

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5
Q

pathogens must be able to accomplish the 5 requirements for infection:

A
  1. entry
  2. colonization
  3. immune evasion
  4. propagation
  5. transmission
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6
Q

portals of entry for pathogens

A

*mucus membranes
*skin
*parenteral (needles, bites, maternal-neonatal)

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7
Q

LD50

A

lethal dose required to kill 50% of experimentally inoculated test animals

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8
Q

ID50

A

infectious dose required to cause disease in 50% of inoculated test animals

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9
Q

which pathogen has a very HIGH ID50

A

vibrio cholera
(requires a lot of vibrio to become infected)

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10
Q

what pathogen has a really LOW ID50

A

shigella
(does not require very much shigella to become infected)

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11
Q

quorum sensing

A

*organisms sense and respond to their environment (produce, release, and sense extracellular signals to regulate gene expression)
*cell-to-cell communication

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12
Q

quorum sensing in gram NEGATIVE bacteria

A

*use acyl-homoserine lactones (AHL’s)
*diffuse freely through bacterial membrane

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13
Q

quorum sensing in gram POSITIVE bacteria

A

*use processed oligo-peptides
*two-component system: membrane-bound sensor kinase receptors and cytoplasmic transcription factors that direct gene expression

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14
Q

pathogenicity islands

A

*virulence genes in CLUSTERS (present in pathogens, absent in benign relatives)
*pick up genes from environmental gene pool by horizontal transfer
*large, distinct chromosomal regions

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15
Q

colonization by an organism

A

*the initial establishment of an organism within a particular habitat or of a colony at a particular site
*usually colonize sites that connect to the external environment
*often requires:
-IgA protease
-motility
-adherence
-biofilm production

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16
Q

IgA protease

A

-secretory IgA is the principal immunologic defense of respiratory and other mucosal surfaces in the body
***IgA protease causes LYSIS of IgA, allowing adherence of the organism to the mucus membrane

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17
Q

flagella

A

*motility
*can function as adhesins
*flagellin or FliC, filament forming component of bacterial flagella

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18
Q

type IV pili

A

*filaments at the poles of bacilli
*allow for gliding motility along a solid surface
*pili are extended and attach to a surface and then retract (causing a twitching motility) or can slingshot

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19
Q

examples of adhesins (virulence factors)

A

fimbria/pili & MSCRAMMS

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20
Q

fimbria

A

*adhesive hair-like structures extending from surface
*usually binds to a specific sugar on the cell surface (the adhesin in LECTIN)

21
Q

P fimbria in E. coli

A

*virulence factor found in a pathogenicity island of uropathogenic E. coli
*binds to Gal-Gal on uroepithelial cells
*this is the most common cause of UTIs in the world

22
Q

MSCRAMMs (microbial surface components recognizing adhesive matrix molecules)

A

*proteins that bind components of the ECM of epithelial cells, such as fibronectin, collagen, or laminin
*secreted by staph, strep, and others

23
Q

biofilms

A

*irreversibly attach to a surface and produce extracellular polymers (matrix formation)
*provides antimicrobial resistance
*ALL bacteria CAN form biofilms, but some are really good at it

24
Q

type III secretion systems (T3SSs)

A

*complex bacterial structures in gram NEGATIVE pathogens for injecting effector proteins directly into the host cell
*effector proteins commonly interfere with host cell cytoskeleton to promote attachment and invasion, create cytotoxicity and barrier dysfunction, and block immune system

25
T3SS apparatus
*consists of rings that provide a tube across the inner and outer bacterial membranes, including the peptidoglycan layer *needle-like structure extends from outer membrane ring and projects from the bacterial surface (effector proteins transported through the hollow "center" of the needle)
26
type IV secretion systems (T4SSs) - subfamilies
2 subfamilies: 1) conjugation systems (mediate interbacterial DNA transfer) 2) effector translocators (used by gram - for delivery of virulence proteins)
27
what pathogen has a T4SS
H. pylori
28
invasins
enzymes that promote invasion, including: -hyaluronidase -streptokinase -collagenase
29
what is invasion by an organism affected by
*colonization *production of invasins *ability to evade host defenses *blocking of phagocytosis
30
examples of enzymes that help an organism evade host defenses
-leukocidins -hemolysins -coagulase
31
leukocidins
*kill WBCs; releases and ruptures lysosomes *can create more tissue damage
32
hemolysins
*cause lysis of RBCs *alpha or beta hemolysis
33
coagulase
stimulates clotting to protect bacteria from phagocytosis
34
collagenase
*breaks down collagen (connective tissue) *RAPID SPREAD through tissue
35
hyaluronidase
*breaks down hyaluronic acid (connective tissue) *"spreading factor"
36
how can organisms survive host defenses
*antiphagocytic factors (kill phagocytes or facilitate avoidance of phagocytes) *kill the leukocyte (using leukocidins) *intracellular survival (readily engulfed but capable of surviving internally)
37
capsule - anti-phagocytic virulence factor
*polysaccharide layer outside the cell envelope *found in both Gram + and - *resists phagocytosis
38
protein A
*protein on cell wall of Staph aureus ***impairs phagocytosis by binding the Fc portion of antibodies** *staph with protein A is more likely to be a colonizer of the nose
39
M protein
*produced by some species of strep *messes up complement by binding to factor H, destroying C3-convertase and preventing opsonization, therefore STRONGLY ANTI-PHAGOCYTIC *our cells can generate antibodies against M protein
40
siderophores
iron chelators that are excreted into the environment, bind iron, and then re-enter the cell *iron is very important for bacteria
41
bacteriocins
toxins produced by bacteria to inhibit growth of related strains
42
toxins
bacterial products that directly harm tissue or trigger destructive biological activities
43
exotoxins
*generated by certain species of gram pos or neg ***ACTIVELY SECRETED** *each toxin has a specific action *generally does NOT produce fever ***heat labile (inactivated at high temps)**
44
types of exotoxins
-cytotoxins: kill cells -neurotoxins: interfere with normal nerve impulses -enterotoxins: cause changes in function of GI cells (usually resulting in diarrhea)
45
endotoxins
*source = **outer cell membrane of most gram NEGATIVE bacteria (lipid A component of LPS)** *no specific action: host response to endotoxin can result in severe inflammation ***induces TNF, IL-1, and IL-6** *heat STABLE ***PYROGENIC and can cause shock**
46
antitoxins
antibodies against exotoxins
47
toxoids
inactivated exotoxins (from heat, etc) -don't cause disease -DO stimulate antitoxin production *we can inject toxoids as vaccines to stimulate antitoxin production and provide immunity
48
superantigens
exotoxins that cause non-specific activation of T cells, resulting in polyclonal T cell activation and massive cytokine release *excessive uncoordinated cytokine release causes rash, fever, and can lead to multi-organ failure