BIO220 Lecture 7 Flashcards

Resistance - Malaria - Antibiotics - HIV

1
Q

How is malaria spread?

A

Mosquitos

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2
Q

Symptoms of malaria

A

fever, chills

Anemia (loss of RBC)

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3
Q

Methods used to control malaria

A
  1. Drugs in humans
  2. Kill vector (mosquito)
  3. Decrease contact b/t human and vector
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4
Q

Malaria is caused by…

A

plasmodium

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5
Q

What part of the body does plasmodium affect?

A

Liver -> gametocytes

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6
Q

What drug was used to treat malaria in humans?

A

Quinine sulphate tablets

Used to make tonic (+sugar water)

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7
Q

What happened to human drug treatment of malaria?

A

Resistance spread

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8
Q

What are 2 ways to kill mosquitos?

A
  1. Larval stage: remove water

2. Adult stage: pesticides

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9
Q

Why is removing water good at combating mosquitoes?

A

Larval stage feed underwater

No water = no food

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10
Q

Why is there treatment of mosquitoes in Toronto as well?

A

West Nile Disease

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11
Q

What happened to pesticide treatment of mosquitoes?

A

During spraying (1968 - 1990), resistant alleles increased.
When spraying was stopped, resistant alleles also decreased.
Implications:
Some cost to the resistant allele

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12
Q

What causes tuberculosis?

A

Bacteria

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13
Q

What type of disease is tuberculosis?

A

Common, deadly

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14
Q

Where does tuberculosis affect?

A

The lungs

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15
Q

What affect did antibiotics have on tuberculosis new & relapsed cases?

A
  1. 5% of relapsed patients became resistant to antibiotics (take it for longer)
  2. 2% of new patients became resistant to antibiotics
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16
Q

Resistance is closely correlated with…

17
Q

How fast does resistance happen?

A

Very fast! 1-5 years.

18
Q

What happened when Iceland decreased use of penicillin?

A

Resistant strains declined

19
Q

How does the use of antibiotics select for the resistant phenotype?

A
  1. Separate resistant from non-resistant, and favour resistant
  2. Mutation of non-resistant types to resistant types
20
Q

How are plasmids with resistant genes be transferred between unrelated bacteria?

A

Horizontal gene transfer

Conjugation between bacteria.

21
Q

Consequence of not using the word “evolution” in biomedical journals regarding antibiotic resistance

A

Public press also avoid use of the word -> less public awareness of the issue

22
Q

How is HIV transmitted?

A

homosexual sex

sex trades

23
Q

Which country is has the highest occurrence of HIV?

24
Q

How to decrease HIV?

A

Use condoms

25
Why did the invention of a drug cause an increase in new HIV diagnosis?
People thought of it as a not-serious issue, and stopped being careful with safe sex
26
What drug was used to treat HIV?
AZT
27
How did AZT work?
Azide group replaces OH to prevent joining of next nucleotide during reverse transcriptase
28
Has there been resistance to AZT?
Yes; altered biding site that detects and avoid picking AZT Frequency of resistant type increases as duration of drug use increases (happens independently in each patient)
29
What does the azide group look like?
N3 instead of OH
30
Why does HIV evolve so fast?
1. High mutation rate 2. Short generation time 3. Giant population
31
Fast generation time =
Fast evolution
32
How to get treat HIV given that the virus becomes resistant quickly?
HAART: highly active antiretroviral therapy | = Use a cocktail of different drugs
33
HAART
Highly Active Anti-Retroviral Therapy
34
What happened as a result of HAART?
Deaths from HIV went down
35
Which strain of HIV is the one that makes us more sick?
HIV-1 (not HIV-2)
36
What is the HIV-like virus found in monkeys?
SIV
37
How was HIV transmitted to humans?
From chimps (SIV): 1. Keep them as pets 2. Eat them