BLOCK 1 Dr. Robson Flashcards
What is the main difference between enveloped and non enveloped viruses ?
Non enveloped viruses are more resistant. Enveloped virus need an extra coat which is rich in glycoproteins to survive.
Virus with DNA genomes typically replicate where in the cell using DNA dependent DNA-polymerase of the host ?
Nucleus
RNA viruses can be positve sense or negative sense. Where does replication occur in case of RNA viruses ?
Cytoplasm.
Positive sense : comes already as a mRNA and can be translated.
Negative sense has to come preloaded with RNA dependent RNA-polymerse.
What do Toll-like-receptors bind ?
PAMPs
pathogen associated molecular patterns.
What specific PAMPs do TLR-2 and TLR-6 bind ?
LTA
Lipotheic acid (Gram +)
What specific PAMP binds to TLR-5?
Flagellin
Targets stuff outside the cell.
What specific PAMP does TLR-4 binds to?
Lipid A
Lipid A is found in the extra outer membrane of Gram - bact.
Target stuff outside the cell.
TLR-3 specifically binds ?
Double stranded RNA viruses
TLR-1 & 2 generally bind what ?
Bacterial lipoproteins (all bacteria) as well as mannose-conjugated proteins (all fungi)
Targets stuff outside the cell.
B-lactam atb target what?
Penicillin, Amoxicillin, Ampicillin, Ceftriaxone…
Transpeptidase enzyme
Builds the peptidoglycan layer forming alanine-alanine bridges.
Because the Lactam ring looks so similar to D alanine-alanine motif that is crosslinked, the enzyme actually binds the ring instead, which disables it. Cells can’t make normal cell walls.
Vancomycin & Daptomycin target what respectively ?
Vanco : Glycopeptide atb (targets alanine-alanine bridges)
Dapto : lipopetide atb (targets cell membrane)
IV rx (last resort for Gram + bacterial inx resistant to other meds)
What is polymyxin B ?
- Polymyxin B in the class of Colistin drugs
- Attack LPS (O-polysaccharide & Lipid A) , which are required for the bacteria to survive.
Super nephrotoxic. Usually used topically or as last resort.
What is Isoniazid used for ?
Trx of acid-fast bacterial infections.
Targets mycolic acid synthesis.
What is Pyrazinamide used for ?
Treats acid-fast bacterial infections by preventing interaction b/w mycolic acid cell wall and other cell layers, dirsupting aerobic respiration.
What is the advantage of making a capsule?
Made of polysaccharides that make them slippery. The aoid phagocytosis mainly this way. Also our immune system is bad at making response aginst CHO.
Gram + & Gram - can make a capsule.
What are biofilms?
Made by a dense population of bacteria. Comprised of CHO, lipids & proteins. Provide the same advantages as a capsule, plus resistance to antiseptics and atb.
What is type 3 secretion system ?
Especially used by gram - bacteria to inject protein that restructure actin filaments in host cells.
They use similar system than flagellum, pumping ATP via hollow tube.
4 steps of bacterial division:
- DNA replication resulting in 2 identical chromosomes
- As the cell elongates, chromosome segregate (they are attached to different parts of the membrane)
- Formation of septum by FTFZ ring that will divide the cell
- New cell wall and cell membrane completely divide the cell at the septum
These 4 steps represent the GENERATION TIME.
What is the generation time ?
time it takes for an initial population of bacteria to double
thicker and fancier the cell wall, the longer the generation time
Gram + longer than Gram - (more peptidoglycan layers)
- Acid fast bacteria is even longer (mycolic acid long +++)
Describe the bacterial growth curve.
Lag phase
Log phase
Stationnary phase
Decline phase
What are spores ?
Very very durable, non-metabolic state that a subset of gram + rods form to survive harsh conditions.
What class of bacteria causes infections in human bodies ?
Mesophiles.
What temperature range favorises these :
- a-helix structure
- î [unsaturated fats]
- î [AT] bases
Low temperatures.
What temperature range favorises these :
- b-sheets
- î [saturated fats]
- Î [CG] bases
Hot temperatures.
What enzyme neutralizes ROS ?
Catalase
What is the difference between obligate aerobes and obligate anaerobes?
Obligate aerobes : require O2 and are catalase-positive.
Obligate anaerobes: cannot tolerate O2 and are catalase negative.
Aerobes use oxidative phospho wheras anaerobes use fermentation.
What are facultative anaerobes?
Grow best with O2, but can also grow without. They are catalse-positive.
They use both oxidative phospho and fermentation.
Oxidative phospho is more efficient however, so favored.
What are aerotolerant anaerobes?
They tolerate, but do not use O2. They are catalse-positive.
Use fermentation.
They will just grow everywhere equally.
What are microaerophiles?
Use small amont of O2 to grow. They produce a small amount of catalse.
What is the mechanism of action of metronidazole?
drug reduced by ferredoxin (iron storage molecule)
Free rads obligate aerobes only can deal with that because they have a catalase enzyme.
Can be used against OBLIGATE ANAEROBES ONLY regardless if gram + or – .
Sulfa atb and trimethoprim disrupt what synthetic pathway in bacteria?
Folate synthesis.
Bacteria are RESISTANT if they can use EXOGENOUS FOLATE.
What is a nuclotid oligomerization domain (NOD)?
A type of protein that recognizes PAMPS in the cytoplasm of cells.
Specifically recognized peptidoglycan alanine bridges + NAMs.
Which type of bacteria has many layers of peptidoglycans (murein) making up their cell walls ?
Gram +
Why do Gram + bacteria stain purpule on gram-stain?
Thicker cell walls.
However, the peptidoglycan layer is the outermost layer making them more susceptible to b-lactam atb and lysosymes.
What atb are destroyed by b-lactamases?
First generation b-lactams
Penicillin, Amoxicillin, Ampicillin
An example of atb that is resistant to b-lactamases ?
New generation b-lactam such as Ceftriaxone
What are b-lactamases inhibitors ?
Chemicals that block b-lactamases, enabling the b-lactam atb to be effective even against bacteria that make b-lactamases.
Clavulanic acid ; bactams (sulbactam, monobactam, tazobactam)
What are Ziehl-Neelsen stains used for?
Acid-fast bacteria.
Pink means high mycolic acid contents and purple, means low mycolic acid content.
E.g. mycobacteria
What is capsule type switching?
Immunity against one capsule type (serotype) does not confer immunity against other capsule types.
What color do gram negative bacteria stain on gram-stain?
Pink