Exam II Flashcards
What is co-aggregation based upon?
most important needs of sp
- localization, nutrition, atmosphere and protection
What is the bridge sp between late and early colonizers?
F nucleatum
What is the non-specific plaque hypothesis?
dental infections caused by non-specific overgrowth of all bacteria in dental plaque
What is the specific plaque hypothesis?
dental disease are infections by specific pathogens
- potential pathogens are part of normal microflora, can’t be eliminated by antibiotics like foreign pathogens
What is the updated non-specific hypothesis?
all bacteria in plaque contribute to virulence of microflora by playing role in colonization, evasion of host defenses, provoking inflammation or tissue destruction
What is the ecological plaque hypothesis?
disease results from imbalance due to ecological stress, resulting in enrichment of some “oral pathogens” or disease related bacteria (explains caries)
What is the keystone pathogen hypothesis?
certain low abundance sp can cause inflammatory disease by increasing quantity of normal microbiota and changing its composition
What is dysbiosis?
imbalance of abundance of individual sp in microbiome compared to abundance in healthy microbiome
What does GAS cause?
pharyngitis, impetigo, necrotizing fasciitis, STSS, acute rheumatic fever, acute post-strep glomerulonephritis
What does GBS cause?
neonatal - sepsis, pneumonia, meningitis
What does Pneumococcus cause?
community acquire pneumonia - most common
empyema (complication)
What does staphylococci cause?
furuncles and carbuncles, scalded skin syndrome, food poisoning
What does E.coli and Shigella cause?
ETEC, EPEC, EHEC (possible HUS), Shigellosis
What does salmonella typhimurium cause?
salmonellosis
What does H.pylori cause?
acute gastroenteritis, gastritis and peptic ulcers
What are the types of H. influenza and what do they cause?
NTHi (unencapsulated) - community acquired pneumonia and empyema (complication)
Hib (encapsulated) - epiglottitis
What does legionella pneumophilia cause?
legionellosis
What does mycoplasma pneumonia cause?
walking pneumonia
What does pseudomonas aeruginosa cause?
wide range of infections - chronic lung infections in cystic fibrosis
What does actinomycetes Israeli cause?
cervicofacial actinomycetes (lumpy jaw)
What does nocardiosis brasiliensis cause?
subcutaneous mycetoma
What does B.fragilis cause?
intraperitoneal abscesses
What does Bacillus anthracis cause?
cutaneous anthrax (95% cases) inhalation anthrax (most lethal)
What does treponema palladium cause?
syphilis
What does borrelia burgdorferi cause?
lyme’s disease
What does neisseria meningitides cause?
meningococcal
What does Rickettsia ricketsii cause?
Rocky Mountain spotted fever
What does yersinia pestis cause?
bubonic plaque
What does francisella tularensis cause?
ulceroglandular tuleremia - most common
What does brucella abortus cause?
brucellosis
Where do you encounter vibrio cholera?
salt/brackish water
Encounter H.pylori?
stomach
Legionella pneumophilia encounter?
fresh water habitats, man-made aquatic environments (hot tub, AC)
Bordetella pertussis encounter and entry?
adults with chronic bronchitis or URT
- localizes in tracheobronchial tree
Pseudomonas aeruginos encounter?
typically soil and water BUT
- ubiquitous b/c requires minimum nutrients for growth
Actinomyces Israeli encounter?
colonizes oropharynx, digestive tract, female genital tract
Nocardia brasiliensis encounter?
environment (soil)
Listeria monocytogenes encounter?
soil, water, vegetation, GI tract of animals
Bacillus anthracis encounter?
soil, animals (herbivores)
Borrelia burgdorferi encounter?
ticks that feed on mice and deer
Ricketsia ricketsii encounter?
ticks
Yersinia pestis encounter?
rodents
Francisella tularensis encounter?
blood sucking insects
Brucella abortus encounter?
domesticated animals
S.mutans virulence factors?
acidogenicity, acidity, glycosyl transferases
GAS virulence factors?
streptococcal pyogenic exotoxins SpeA and speC, and M protein > 100 types
Pneumococcus pneumonia virulence factors?
Capsule > 90 serotypes, pneumolysin (pore forming toxin), autolysin (cell lysis releasing pnemolysin)
S.aureus virulence factors?
staphylococcal enterotoxins (superantigens), exofoliatin exoenzyme (degrades intercellular jxns b/t keratinocytes)
ETEC virulence factors?
pili (Cfa), toxins: labile toxin and stable toxin
EPEC virulence factors?
pili (BFp), intimin, Tir, EPEC secreted proteins (Esps)
EHEC virulence factors?
long polar fimbriae, intimin, tip, shiga toxin
Shigella virulence factors?
IcsA, shiga toxin
Salmonella virulence factors?
long polar fimbriae, SpI1, SpI2
Vibrio Cholera virulence factors?
cholera toxin (A-B toxin), pilus (co-regulated pilus, TCP)
H.pylori virulence factors?
urease (urea -> ammonia), vacuolating cytotoxin A (VacA, kills gastric epithelial cells), cytotoxin associated gene (CagA)
Mycobacterium tuberculosis virulence factors?
lipoarabinomannan (prevents phagocytosis-lysosomal fusion), superoxide dismutase , catalase, scavenge ROS
Treponema pallidum virulence factors?
no classical virulence factors
Borrelia burgdorferi virulence factors?
OspC (outer surface protein C) - antiphagocytic
BBA70 - plasminogen binding protein
Neisseria meningitidis virulence factors>
pili - adhesion
capsule
Opc protein - invasion
LOS - pro inflammatory, resists complement degradation
Neisseria gonorrhea virulence factors?
pili
opacity (Opa) protein - adhesion and resist phagocytosis
LOS
Chlamydia trachomatis virulence factors?
Tarp (translocated actin recruiting protein) - promotes uptake
IncA (inclusion protein A) - inhibits lysosomal fusion
Ricketsia ricketsii virulence factor?
rOmpA, outer membrane protein A - adhesion
phospholipase - lyses phagosome
actin polymerizing proteins - cell to cell spread
Yersinia pestis virulence factors?
Yops (yersinia outer membrane protein) - inhibit phagocytosis, cytokin signaling, promote apoptosis
F1 capsule
Francisella tularensis virulence factors?
IglABCD operon (intracellular growth locus) - phagosome escape
NTHi virulence factors?
outer membrane proteins, OMPs and pili
IGA protease
LOS -> toxic to cilia and lung epithelial cells
Hib virulence factors?
same as NTHi plus capsule
Legionella pneumophilia virulence factos?
Dot/Icm type 4 secretion, injectosome > 200 effector proteins
- operates inside host
Bordetella pertussis virulence factors?
filamentous hemagglutinin and pili
pertussis toxin
adenylate cyclase
tracheal cytotoxin
Mycoplasma pneumonia virulence factors?
attachment proteins
CARDS toxin (community acquired respiratory distress symptom)
Hydrogen peroxide
Psuedomonas aeruginosa virulence factors?
alginate, exopolysaccharide
clostridium tetani virulence factors?
tetanospasmin, neurotoxin
Bacteroides fragilis virulence factor?
superoxide dismzutase, catalase, detoxify ROS
capsule
Corynebacterium diphtheria virulence factors?
diphtheria toxin (A-B toxin) - local and systemic effects
Listeria monocytogenes virulence factors?
internals, InlA and InlB (bacterial uptake)
listerolysin O, LLO (pore-forming hemolysin vacuole lysis)
ActA (polymerizes host actin, propulsion, cell to cell spread
Bacillus anthracis virulence factors?
exotoxins
- edema factor (A-B toxin)
- lethal factor
- protective antigen, “B” domain of EF and LF makes pores in host cell membrane