Fungal Structure, Function, and Antifungals Flashcards

1
Q

Which of the following are defining properties of fungi: eukaryotic, 70S ribosome, peptidoglycan cell wall, ergosterol in cell membrane, LPS in cell membrane

A

Eukaryotic and ergosterol in cell membrane.
Fungi have 80S ribosomes and chitin + beta-glucan in their cell walls. These 2 features make them resistant to most antibiotics! They also lack endotoxin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Are most fungi obligate aerobes, obligate anaerobes, or facultative anaerobes; and are they autotrophs or heterotrophs?

A

Obligate aerobes, some are facultative anaerobes; heterotrophs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name the only commensal fungus.

A

Candida albicans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Name 3 environments in which fungi survive better than bacteria.

A

Dry, acidic, and high-osmotic pressure environments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do yeasts and molds reproduce?

A

Yeasts - budding; molds - spores (can be sexual or asexual)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What kind of fungi reproduce by budding, and how does the size of the daughter cell compare to the mother’s?

A

Yeast; daughter cell is smaller than mother

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What term describes the filamentous, long multinucleated cells that make up molds?

A

Hyphae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What term describes the mat-like appearance of some molds?

A

Mycelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Zygospores, ascospores, and basidiospores are what kind of fungi, and how do they reproduce?

A

Molds; reproduce by forming sexual spores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are conidia, and what kind of fungi reproduce by this method?

A

Asexual spores; fungi imperfecti

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does it mean to say that yeast reproduce by “closed mitosis”?

A

The nuclear envelope doesn’t disappear during yeast mitosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In thermal dimorphism, what form do fungi take at 37°C vs. 24°C?

A

37°C - yeasts, 24°C - molds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the 2 main immune responses to fungi.

A

Granuloma formation and acute suppuration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Immune review: what cells are involved in granuloma vs. pus formation?

A

Granulomas: T cells and macrophages
Pus: mainly neutrophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

PPD-type skin tests can sometimes be used to detect what kind of fungal reaction?

A

Delayed hypersensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is mycotoxicosis?

A

Toxigenic disease caused by ingestion - not an infection (ex. eating amanita mushrooms)

17
Q

What condition is caused by eating grain contaminated with Claviceps purpura, which produces LSD?

18
Q

What fungus, found in spoiled grains, produces aflatoxins, which may be linked to p53 mutation and hepatic carcinoma?

A

Aspergillus flavus

19
Q

Immediate hypersensitivity leading to asthmatic reaction (bronchoconstriction), eosinophilia, and “wheal and flare” reactions (like mosquito bites) can all be caused by what kind of response to fungi?

A

Allergic response

20
Q

What is a KOH mount?

A

A method of breaking down human tissue with KOH while leaving the fungi intact for microscopy

21
Q

What fungus, which may be isolated from CSF, has a characteristically thick capsule and can be stained with India ink?

A

Cryptococcus

22
Q

What fungus, also know as the cause of “valley fever,” can be detected by spherules in the sputum?

A

Coccidioidomycosis

23
Q

Fungi can be cultured on what type of low pH, antibiotic-containing agar?

A

Sabouraud’s agar

24
Q

Name 2 other methods of fungal identification besides direct microscopy and culture.

A

DNA probe tests/PCR and serology

25
Name the 3 major classes of anti fungal agents.
Polyenes, azoles, and echinocandins
26
Which is the only polyene that can be used systemically (because all the others are too toxic), and what is its major toxicity?
Amphotericin B - is nephrotoxic
27
What is only non-teratogenic, systemic anti-fungal, and thus the only one that can be used on pregnant women?
Amphotericin B
28
Describe how amphotericin B and its cousin nystatin work.
They bind ergosterol, disrupting and making pores in the fungal membrane
29
How does the liposomal preparation of amphotericin B compare to the normal solution in terms of efficacy, side effects, and cost?
Both are highly effective and broad spectrum. The liposomal prep is less toxic, but more expensive
30
Describe how azoles like Fluconazole/Diflucan, Itraconazole, and Ketoconazole work.
They inhibit ergosterol synthesis
31
What class of antifungals does Flucanazole/Diflucan belong to, and what 2 fungi is it used on?
Azoles; candida and cryptococcus
32
Describe how the lipopeptide echinocandins work against fungi.
They inhibit beta-glucan synthesis
33
What 2 fungi are targeted by the echinocandins, such as mycafungin and caspofungin?
Candida and Aspergillus (not cryptococcus or mucormycosis)
34
What is a significant side effect of ketoconazole, and what cancer is it therefore used to treat?
Decreases synthesis of gonadal steroids; can occasionally be used to treat prostate cancer