chapter 15: host pathogen interactions Flashcards
pathogenicity
the ability of a pathogen to cause disease
virulence
a quantitative measure of pathogenicity
virulence factors
the properties (gene products) that enable a microorganism to establish itself on or within a host of a particular species and enhance its potential to cause disease
what are the chain of infection events (for a successful infection) ? **5
agent identity, virulence of agent, means of exposure to the agent, dose of agent (number of organisms), susceptibility of host to agent
what is the infectious process?
a pathogen must contact a host, enter the host, and survive and multiply within the host to cause disease
all pathogens exhibit a preferred _____ of ____ to establish a disease
portal of entry
examples of portals of entry
skin, eye, mucosal surfaces (respiratory tract, GI tract, genitourinary tract), parenteral route (barriers are penetrated or injured)
infectious dose 50 (IDsub50) is
the number of pathogens that will infect 50% of an experimental group of hosts in a specified time, will vary with a pathogen, handwashing reduces # of pathogens, thus decreasing likelihood of disease due to ID threshold
in order to survive, a pathogen needs…
a suitable environment, a source of nutrients (in competition with eukaryotic host cells), a protection from harmful host defense mechanisms
microbial virulence factors…
provide the pathogen with mechanisms to out-compete host cells and resit their defenses
virulence is the
degree/intensity of pathogenicity
virulence is determined by specific virulence factors:
toxins, adhesins, capsules, hydrolytic enzymes
toxins
kill or impair the host, defeat immune system
adhesins
for cell surface attachment
capsules
to prevent phagocytosis
hydrolytic enzymes
mediate spreading, destroy molecules of immune system
pathogenicity islands are
major virulence factors on large segments on chromosomal or plasmid DNA
major virulence factors on large segments on chromosomal or plasmid DNA do what?
increase bacterial virulence, absent in nonpathogenic members, common sequence characteristics (insertion-like sequences for mobility, G+C content different from bacterial genome, several open reading frames, can be spread through horizontal transfer of virulence genes to back)
adhesins and ligands…
bind to receptors on host cells
examples of adhesins and ligands (different for different bacteria)
glycocalyx, fimbriae, M protein
capsules…
prevent phagocytosis by macrophages and neutrophils
different components of cell walls
M protein (resistant to phagocytosis), Opa proteins (inhibit T helper cells, Mycolic acid (waxy lipid that resists digestion
enzymes that aid in colonization
coagulase, kinases, hyaluronidase, collagenase, IgA proteases
coagulase
coagulates fibrinogen