Fungi Flashcards

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1
Q

The study of fungi is called ____?

Disease caused by fungi are called _____?

A

Study of fungi = mycology

Diseases caused by fungi = mycoses

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2
Q

Of more than 100,000 fungal species, only _____ have pathogenic potential for humans, only _____ account for clinically important infections

A

Only 100 have pathogenic potential for humans

Only a FEW account for clinically important infections

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3
Q

List 4 general features of fungi

  1. Prokaryotic or Eukaryotic?
  2. Cell wall, cell membrane, both?
  3. Autotrophs or heterotrophs?
  4. Anaerobic or aerobic respiration?
A
  1. Eukaryotic (have nucleus w/ nuclear membrane and membrane-bound organelles)
  2. Cell wall and Cell membrane
  3. Heterotrophs
  4. Respire aerobically
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4
Q

Fungi cell membrane contains ______

Fungi cell wall contains ______

A

Cell membrane: contains ergosterol (rather than cholesterol found in mammalian cells)

Cell wall: composed mainly of chitin (rather than peptidoglycans like bacteria…. so, unaffected by antibiotics)

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5
Q

Antifungal Agents = Antimycotic

A

Note: the fungal cell wall and plasma membrane are critical for cell viability and pathogenicity
-NO place for antibiotics (they will NOT work)

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6
Q

4 Examples of Antifungal Agents

A
  1. Echinocandins - inhibit enzyme that synthesizes B-glucans
  2. Polyenes - bind ergosterol, weaken membrane, lead to PORE formation
  3. Azoles - inhibit enzyme that synthesizes ergosterol
  4. Allylamines - inhibit enzyme that synthesizes ergosterol
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7
Q

Which antifungal(s) target the cell wall? Which target the cell membrane?

A

Cell wall - echinocandins

Cell membrane = polyenes, azoles, allylamines

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8
Q

Explain what is meant by fungi being “heterotrophs”

A

They acquire nutrients by absorption
They are extracellular digesters of food & nutrient absorbers
– They secrete hydrolytic enzymes and acids into the surroundings to decompose complex molecules into simpler ones that can be absorbed

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9
Q

Heterotrophic fungi are specialized into 3 main types:

  1. Saprobes
  2. Parasitic Fungi
  3. Mutalistic Fungi
A
  1. Saprobes: absorb nutrients from dead organic material
  2. Parasitic Fungi: absorb nutrients from cells of living hosts, some are pathogenic
  3. Mutalistic Fungi: absorb nutrients from a host but reciprocate to benefit the host
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10
Q

Types of Pathogenic Fungi: Morphological Classification

A
  1. Filamentous Molds
  2. Yeast
  3. Dimorphic
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11
Q

Filamentous Molds

A
Multicellular
Branching filaments (hyphae) which may be septate or non-septate

Mycelium- mass of connected hyphae (complex of hyphae), grows through and digests its substrate

Reproduce via asexual spores
Most are dispersed by wind

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12
Q

Sporulation

A

Fungal spores are metabolically dormant, protected cells, released by the mycelium in enormous numbers
Spores can withstand drying out b/c of their waterproof outer layer
When a spore lands on an appropriate food source, it germinates (starts to grow) and establish new colonies
Borne by the air or water to new sites where they won’t have to compete for food
Spores contain identical genetic material to the original fungi

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13
Q

Yeasts

A

UNIcellular!
Oval or round cells
Asexual budding = reproduction
May form pseudohyphae as Candida and Cryotococcus neoformans

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14
Q

Dimorphic Fungi

A

Ability to SWITCH between two morphologies

  • Fungi able to conver from hyphal to yeast
  • Can be subdivided into thermal (morphologic switch induced by temperature) and non-thermal dimorphic fungi (included by example by oxygen carbon dioxide concentration)
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15
Q

How does the morphologic switch to fungi impact pathogenesis?

A

The morphologic switch is essential for the pathogenesis of dimorphic fungi

For mammalian fungi, the transition to a yeast or yeast-like growth results in altered cell wall composition, as well as production of proteins to evade immune defenses or toxins to alter host behaviour

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16
Q

Pathogenic Fungi – true pathogens vs. opportunistic pathogens

A

True Pathogens: have the ability to invade & cause disease
Opportunistic Pathogens: normal -> will not cause harm… other conditions -> decreased immunity, will cause injury & infection

17
Q

Clinical Classification of Fungi

A

Superficial Mycoes
Cutaneous Mycoses
Subcutaneous Mycoses
Deep – Endemic Mycoses, Opportunistic Mycoses

18
Q
  1. Superficial Mycoses
A

Confined to superficial layers of the skin

No tissue invasion

19
Q
  1. Cutaneous Mycoses
A

Involve the skin, nail or hair with tissue destruction and immunological reaction

20
Q
  1. Subcutaneous Mycoses
A

Sporotrichosis (“rose gardener’s disease”) , a rare infection caused by a fungus called Sporothrix

21
Q
  1. Deep Systemic: Endemic Mycoses
A

Primary pulmonary lesions that may disseminate to any organ, mainly in immunocompromised patients
They are caused by dimorphic infections (inhalation of spores)

22
Q
  1. Deep Systemic: Opportunistic Mycoses
A

RARE in normal individual, but affect the immunocompromised as with:
-Organ transplantation, post chemotherapy for cancer, immunodeficient due to AIDS

EX: systemic candidaisis, crytococcosis, apergillosis, pneumocystitis jirovecii

23
Q

Endemic vs. Opportunistic Fungi

  • Geographical
  • Portal of Entry
  • Host
  • Recovery
A

Endemic

  • Environmental
  • Lungs
  • Immunocompetent and immunocompromised
  • GOOD prognosis

Opportunistic

  • Normal flora/environmental
  • Variable
  • ImmunoCOMPROMISED
  • POOR prognosis
24
Q

Transmission of fungal infections

A

Depends on infectious agent (fungus) & type of infection

Ex: touch = skin & mucous membrane infections; inhalation = lung infections (deep seated mycoses)

25
Q

Laboratory identification

A

Depends on infectious agent (fungus) and/or type of infection
Specimens: skin scrapings, swabs, nail clippings, blood, pus, CSF, sputum, tissue biopsies, bronchoscopy washings
1) Microscopy
2) Cultures
3) PCR
4) Serology Antigen Testing (blood)

26
Q

Management of Fungal Infections

A

Depends on infectious agent (fungus) and/or type of infection
Some such as superficial skin infections require topical therapy, only with cream
Some require local therapy
Some require oral therapy for skin & nail infections, up to 1 year
In the immunocompromised – systemic therapy is required