Chapter 11 Flashcards
the sum total of all microbes found on and in a normal human that is critically important to the health and functioning of its host organism
human microbiome
rapidly lost microbes in the human microbiome
transients
any deviation from health, as when the effects of microbial infection damage or disrupt tissues and organs
disease
about how many protein-encoding genes do human cells contain?
-found from research in the Human Microbiome Project (HMP)
21,000
What are some more recently and newly discovered regions of the human body that harbor normal microbiota?
lungs (lower resp tract)
bladder and urine
breast and breast milk
amniotic fluid and fetus
What are some recently discovered sites in which DNA from microbiota has been detected?
brain
blood stream
relationship in which microorganisms compete for survival in a common environment by taking actions that inhibit or destroy another organism
ie. between normal microbiota and intruders
microbial antagonism
True or False
The uterus and its contents are sterile during embryonic and fetal development
False, and the placenta itself also harbors a small but significant array of bacteria
where do babies get a microbiome?
the womb, the vaginal canal or during c section, breast milk, caregivers, environment
the vaginas of healthy women of child bearing age contain a variety of bacteria, but are especially rich in __________ bacteria, which are capable of digesting milk.
Lactobacillus
sites previously known to harbor normal bacteria
skin and adjacent mucous membranes upper resp tract gastro tract including mouth outer portion of urethra external genitalia vagina eternal ear canal external eye (lids, conjunctiva)
*now know in lungs, bladder, breast/breastmilk, amniotic fluids/fetus, lungs
a microbe whose relationship with its host is parasitic and results in infection and disease
pathogen
true (primary) pathogens
capable of causing disease in healthy persons with a normal immune defenses; generally associated with a specific, recognizable disease, which may vary in severity from mold (colds) to severe (malaria) to fatal (rabies).
Opportunistic pathogens
cause disease when the host’s defenses are compromised or when the pathogens become established in a part of the body that is not natural to them.
; Pseudomonas species and Candida albicans
in infection, the relative capacity of a pathogen to invade and harm host cells
virulence
the term virulence and _________ are often used interchangeably
pathogenicity
__________ is the accurate term for describing the degree of pathogenicity
virulence
what two factors is virulence determined by
its ability to
- establish itself in the host
- cause damage
to cause damage, microbes produce ______ or induce a host response that is actually injurious to the host
toxins
what must microbes do to establish themselves in a host
enter the host
attach firmly to host tissues
negotiate the microbiome
survive host defenses
any characteristic or structure of the microbe that contributes to the preceding activities is called a __________
virulence factor
a set of rules for determining the cause of an unknown infectious condition
Koch’s Postulates
involving multiple distinct microorganisms
polymicrobial
what is the most common portal of entry?
respiratory tract
route of entry for an infectious agent; typically a cutaneous or membranous route
portal of entry
organisms coming from outside the body
exogenous
Portal of Entry: Skin
examples of organism/disease and how access is gained
organisms: Staphylococcus aureus, Streptococcus pyogenes, Clostridium tetani, Herpes simplex (type 1), Helminth worms, viruses, rickettsias, protozoa (.e malaria, West Nile virus), Haemophilus aegyptius, Chlamydia trachomatis, Neisseria gonorrhoeae
access: nicks, abrasions, areas of broken skin, mucous membranes of the lips, burrow through the skin, insect bites, conjunctiva of the eye
Portal of Entry: GI tract
organisms: Salmonella, Shigella, Vibrio, E. coli, poliovirus, Hep A., echovirus, rotavirus, enteric protozoans (Giardia lamblia, Entamoeba histolytica
access: drinking contaminated foods/fluids, fomites (inanimate objects contaminated with the infectious organism)
Portal of Entry: Resp tract
organisms: bacteria causing meningitis, influenza, measles, mumps, rubella, chicken pox, common cold, Streptococcus pneumoniae, Klebsiella, Mycoplasma, Cryptococcus, Pneumocystis, Mycobacterium tuberculosis, Histoplasma
access: via inhaling of offending organism
Portal of Entry: Urogenital Tract
organism: HIV, Trichomonas, Hep B., syphilis, Treponema pallidum, Neisseria gonorrhea, Chlamydia trachomatis, herpes, genital warts
access: skin/mucosa of penis, external genitalia, vagina/cervix, urethra; may enter through an unbroken surface of through a cut or abrasion
Infectious dose
the minimum number of microbes required to cause an infection
Infectious dose for typhoid fever
10,000 bacteria
Infectious dose for Cholera
1,000,000,000 bacteria
infectious dose for Coxiella burnetii (Q fever)
a single cell
process by which microbes gain a more stable foothold on host tissues at the portal of entry; dependent on binding between specific molecules on both the host and pathogen (limits the types of cells pathogens can bind to)
Adhesion (step two)
Adhesion:
attach most often by mechanisms such as fimbriae (pili), surface proteins, and adhesive slimes or capsules
Bacterial, fungal, and protozoal pathogens
adhesion:
attach by means of specialized receptors
viruses
adhesion:
mechanically fastened to the portal of entry by suckers, barbs, and hooks.
Parasitic worms
Microbial Infections: Step 3
surviving host infections
;microbes that are not established in a normal biota are likely to encounter resistance from host defenses ESPECIALLY from phagocytes (a WBC)
used by some pathogens to avoid phagocytes during step 3 of infection
Antiphagocytic factors
species of both Streptococcus and Staphylococcus produce __________, substances that are toxic to white blood cells.
leukocidins
some micros secrete an extracellular surface layer (slime or capsule) which does what?
this makes it difficult for phagocytes to engulf them
what is step four of infection?
Causing Disease
structures or capabilities that allow a pathogen to cause infection in a host
virulence factors