GRAM POSITIVE COCCUS: PATHOGENECITY Flashcards
EXTRACELLULAR ENZYMES
Coagulase
Lipase
Hyaluronidase (Spreading Factor)
Staphylokinase
Nuclease (DNAse)
97% of Staphylococcus aureus
isolated in human produce the
enzyme
Coagulase
enzyme that reacts with the blood
factor in the plasma to initiate clot
formation
Coagulase
Coagulase enhance the deposition of the______around the organism to protect them from phagocytosis
fibrin
lipid – hydrolyzing enzyme
Lipase
counteracts the action of fatty substances secreted by the body
Lipase
help in the colonization of organism – oily
skin surfaces
Lipase
found in the intracellular ground
substance of connective tissue
Hyaluronidase (Spreading Factor)
promote invasion of organism by
digesting the intracellular ground
substance “glue” that binds connective tissue in host
tissue
Hyaluronidase (Spreading Factor)
that binds connective tissue in host
tissue
hyaluronidase
causes dissolution of clot – spread
infection further
Staphylokinase
Production by most strain of
Staphylococcus
Staphylokinase
heat – resistant protein
Nuclease (DNAse)
degrade nucleic acid DNA
Nuclease (DNAse)
most specific test for Staphylococcus
aureus
Nuclease (DNAse)
found in cell surfaces of _____ of
Staphylococcus aureus
Nuclease (DNAse) 90% - 96%
lyse RBC by destroying their membrane:
producing tissue damage and abscess formation
Hemolysins/Cytolytic Toxins
Types: a, β, , , P-V
Hemolysins/Cytolytic Toxins
Chromosomal mediated
Hemolysins/Cytolytic Toxins
A heterogenous protein that acts on a broad spectrum of eukaryotic cell
membranes.
alpha Hemolysin
most powerful toxin that lyses RBC of various animals (platelets and macrophages= tissue damage)
alpha Hemolysin
produce hemolysis in blood agar medium
alpha Hemolysin
Predominant hemolysin produced by S. aureus
alpha Hemolysin
Degrades sphingomyelin, and is
therefore toxic for many kinds of cells including human red blood cells
β Toxin
Heat labile
β Toxin
heterogenous and dissociates into subunits in non – ionic detergents.
delta hemolysis
Disrupts biologic membranes and may
have a role in Staphylococcus aureus
diarrheal diseases.
delta hemolysis
Disrupts biologic membranes and may
have a role in Staphylococcus aureus
diarrheal diseases.
Active against macrophages,
lymphocytes, and neutrophil.
delta hemolysis
A leukocidin that lyses white blood cells.
gamma toxin
Composed of two proteins designated S
and F which may interact with the two proteins of Panton – Valentine
Leukocidin.
gamma toxin
composed of two (2) protein components
that can kills white blood cells of humans
and incapacitate the phagocytic line of the
defense of the host.
Panton – Valentine Leukocidin
cause pore formation in the cellular membrane necrosis and severe
inflammation
Panton – Valentine Leukocidin
An important virulence factor in CA – MRSA infections.
Panton – Valentine Leukocidin
Encoded on a mobile phage
Panton – Valentine Leukocidin
Multiple Types: A, B, C, D, E, G – J, K – R, and U, V
Enterotoxins
most frequently associated with Staphylococcus food poisoning
A & D
associated with hospital acquired infection (nosocomial); ingestion of 25μg results in vomiting and diarrhea (pseudomembranous enterocolitis- milk product)
B
Recently recognize toxin, associated with toxic shock syndrome
F
2 Types:
1. Exfoliative Toxin A
2. Exfoliative Toxin B
Exfoliative Toxins
Heat – stable; resist boiling for 20 minutes
Exfoliative Toxin A
Plasmid mediated and heat labile
Exfoliative Toxin B
These epidermolytic toxins of Staphylococcus aureus
yield the generalized desquamation of ________by dissolving the
mucopolysaccharide matrix of the epidermis.
staphylococcal scalded skin syndrome
Exfoliative Toxins Responsible for :
- Exfoliative Dermatitis
- Bullous Impetigo – Toxin A
- Staphylococcal Scarlet Fever – Toxin B
the same as enterotoxin F; prototypical SUPERANTIGEN
Toxic Shock Syndrome Toxin -1(TSST – 1)
binds to major histocompatibility class
(MHC) Class II molecules, yielding T – cell stimulation, which promotes the
manifestations of the______
TOXIC SHOCK SYNDROME
associated with fever, shock, multisystem
involvement, including desquamative skin rash.
Toxic Shock Syndrome Toxin -1(TSST – 1)