Exam 5 Flashcards
any situation in which a microbe is established and growing in a host; begins at mucous membranes found throughout the body
infection
pathogens adhere to mucosal surfaces through interactions between
pathogen and host macromolecules
4 adherence factors
capsule/slime layer, adherence proteins, lipoteichoic acid, fimbriae pili
Steps in pathogenesis
- Exposure to Pathogen
- Adherence
- Invasion
- Colonization & Growth
- Toxicity OR Invasiveness
- Tissue Damage/Disease
Describe invasion… what is needed?
pathogen penetrates the epithelium; needs nutrients and right growth conditions
substantial microbial growth in host tissue; dependent on location in the body
microbial colonization
microbial growth at the site of invasion
localized infection
spread of microbe throughout body via blood or lymphatic systems; more difficult to treat/ more likely to be deadly
systemic infection
microbe that cause disease; colonization early in life could be fatal
pathogen
microbe that causes disease when host defense is absent or compromised; some are resident flora (Staphylococcus or Candida)
opportunistic pathogen
damage or injury to the host that impairs host function; preceded by infection
disease
ability of a pathogen to cause disease
virulence
the number of pathogen required to kill 50% of the population
Lethal Dose 50
anything made by the pathogen to help it cause disease
virulent factors
help pathogen attach to host cell (ex. fimbrial protein subunit of E. coli)
adherence factors
help pathogen to invade host tissue (ex. Clostridium hyaluronidase breaks own hyaluronic acid that holds cells together)
invasive factors
help pathogen grow within host tissue (ex. Vibrio cholera secretes a protein (TcpF) that allows colonization of the small intestine)
Colonization Factors
help pathogen avoid phagocytosis (ex. Encapsulated Bacillus anthracis, Treponema pallidum binds host fibronectin for disguise)
Cell Surface Structures
soluble chemical excreted by viable pathogen
exotoxins
causes lysis of host cell (ex. Staphylococcal alpha-toxin)
cytolytic toxins
composed of two proteins covalently bound: B subunit binds to host cell and transfers the A subunit into the host cell to cause damage (ex. Diphtheria toxin produced by Corynebacterium diphtheriae)
A-B toxins
exotoxins that affect the small intestine, causing changes in intestinal permeability that lead to diarrhea (ex. Cholera toxin produced by Vibrio cholera)
enterotoxins
How is the cholera boxing produced by Vibrio cholera
- Normal ion movement, Na+ from lumen to blood, no net Cl- movement
- Colonization and toxin production
- Activation of epithelial adenyl cyclase by cholera toxin
- Na+ movement blocked, no net CL- movement to lumen
- Massive water movement to the lumen
stimulate large numbers of immune response cells causing extensive inflammatory reactions (ex. Staphylococcus aureus TSST-1 causes TSS)
superantigen toxin
toxic bacterial structural component released upon bacterial cell death; lipopolysaccharides derived from the outer membrane of gram-Neg bacteria
endotoxin
how do you detect endotoxins?
LAL assay
loss of virulence that can be attained by genetically engineered vaccines or naturally under non optimal growth conditions
attenuation
the ability of an organism to resist infection (ex. Bone marrow stem cells produce leukocytes)
Immunity
leukocytes
phagocytes & lymphocytes
4 types of phagocytes
dendritic cell
macrophage
neutrophil
mast cell
2 types of lymphocytes
t cell
plasma cells
where do all leukocytes come from
bone marrow stem cell
what body fluid systems transport immune cells throughout the body
circulatory and lymphatic systems
what is the first line of internal defense against pathogens
innate (non-specific) immunity
contact virus, bacterium, tumor cells; release perforin and granzymes to kill
Natural Killer Lymphocytes
if there is MHC 1 recognition, then the NK cell is deactivated
recognition of cells by Natural Killer cells
What happens when the Natural Killer cells recognizes cancer & viral infected cells
stress protein receptor recognizes stress protein on cell, then NK cell kills the cell
Neutrophils & Monocytes (macrophages and dendritic cells) that destroy the pathogen by phagocytosis
Phagocytes
pore forming protein
perforin
exogenous serine proteases
granzymes
steps in phagocytosis
- Phagocyte pattern-recognition molecules recognize pathogen-associated molecular pattern on pathogen
- phagocytosis
- Lysosome fuses with phagosome and secretes enzymes into the phagosome to digest the pathogen
What do phagocytes have on their cell surface to recognize pathogens?
phagocyte pattern-recognition molecules
What part of a pathogen is recognized by a phagocyte?
pathogen-associated molecular pattern
4 ways the pathogen can protect itself from phagocytosis
- Pigments to neutralize singlet oxygen (Staph aureus, carotenoids)
- Molecules scavenge toxic oxygen (Mycobacterium tuberculosis, cell wall glycolipids)
- Leukocidins kill phagocyte (Streptococcus pyogenes)
- Capsule prevents the adherence of phagocyte to the bacterial cell (Streptococcus pneumoniae)
localized nonspecific response to noxious stimuli (toxins, pathogens)
inflammation
arrive at site first in response to chemokine released from damaged host cells; release proteases, phospholipase, and collagenases to destroy bacteria; secrete chemokines such as Macrophage Inflammatory Proteins to signal macrophages to come help
neutrophils
secrete inflammatory cytokines (increase vascular permeability, swelling, reddening, heat); phagocytosis ensues if pathogen is present
macrophages
release histamines and cause vasodilation (increase in vascular capillary diameter)
mast cells
a systemic inflammatory response; life threatening
septic shock
main cause of septic shock
rupture of the large intestine causing leakage of gram negative enteric bacteria into sterile areas
adaptive (specific) immunity is defined by 3 properties
specificity, memory, and tolerance
immune cells recognize and react with antigens via direct molecular interaction
specificity property in adaptive immunity
memory T cells and B cells allow for faster and stronger secondary response
memory property in adaptive immunity
immune cells are not able to react with self antigen
tolerance property in adaptive immunity
Steps in adaptive immunity
- initial steps similar to innate immunity
- leukocyte displays digested pathogen peptide (antigen) on its cell surface thereby becoming an antigen-reseting cell
- t–cell recognizes the antigen on the antigen-presenting cell
- pathogen is destoyed
type of leukocytes and t cells in cell-mediated immunity
Leukocytes: Macrophages and Dendritic cells
Type of T-Cells: T-cytotoxic and T-helper 1 cells
type of leukocytes and t cells in antibody-mediated (humoral) immunity
Leukocytes: B cells
Type of T-Cells: T-helper 2 cells
positive selection in T cell tolerance
retains T-cells that recognize self MHC proteins
negative selection in T cell tolerance
retains T-cells that do not bind tightly to MHC/self-antigen complex
when T-cell receptor binds to antigen/MHC complex, T-cell:
- becomes activated
- divides to make more T-cells….
Effector Cells and Memory Cells
short lived and carry out function of T-cell
effector cell
remain inactive until they encounter the same antigen in the future; long-lived
memory cell
2 types of T-cell function in cell-mediated immunity
- t-cytotoxic cells destroy antigen-presenting cell (MHC 1 antigen presentation)
- t-helper 1 cells increase phagocytosis and cause inflammation (MHC 2 antigen presentation)
steps in antibody-mediated immunity
- Initial antigen exposure and primary response that leads to the production of antibodies and memory cells
- Secondary antigen exposure
- Subsequent antigen exposure