Host Bacterial recognition & SIRS Flashcards

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1
Q

What are PAMPs

A

Pathogen associated molecular patterns

- pathogens express specific components that are recognized by the host as “danger signals”

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2
Q

What are PRRs

A

Pattern Recognition Receptors

- Host expresses specific receptors that recognize the PAMPs

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3
Q

Give examples of a bacterial PAMP

A

Flagellum
DNA
Cell Wall

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4
Q

What are the main PAMPs that are recognized in gram +ve and -ve bacteria

A

gram +ve= peptidoglycan

gram -ve= LPS

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5
Q

Describe the roles of TLR receptors in pathogen recognition

A

Extra-cellular part (LRRs) - recognizes PAMPs

Intra-cellular part- complex signaling network

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6
Q

What are TLRs

A

Toll-like receptors (is a transmembrane receptors)

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7
Q

Describe TLR4

A

Recognises LPS

  • has a role endotoxic shock
  • Essential for host response to gram negative bacteria
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8
Q

Describe TLR2

A

Recognises lipoprotein and lipopeptides

-Essential for host response to gram positive bacteria

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9
Q

True or false commensal bacteria and pathogenic bacteria have similar PAMPs

A

True

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10
Q

What are TLRs essential for

A
  • pathogen recognition

- achieve homeostasis on mucosal epithelium colonized by commensal bacteria

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11
Q

Define Bacteremia/ Septicemia

A

Presence of viable bacteria in blood stream

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12
Q

Define SIRS

A

Systemic inflammatory response syndrome

systemic response to an array of severe clinical insults

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13
Q

Define Shock

A

SIRS induced hypotension (reduced blood pressure) unmanageable by fluid resuscitation in association with hypoperfusion (low blood flow) leading to reduced oxygen level in organs/tissues (ischemia)

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14
Q

Define Sepsis

A

SIRS due to infection

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15
Q

Define severe sepsis

A

sepsis associated with organ dysfunction, hypoperfusion or hypotension

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16
Q

Define MODS

A

Multiorgan dysfunction syndrome

Altered organ function in an acutely ill patient requiring intervention to maintain homeostasis

17
Q

Outline potential therapeutic intervention strategies

A
  • Early diagnosis
  • Treatment of primary disease process
  • Supportive care
18
Q

Why is therapeutic intervention very difficult

A

Since a careful balance has to be achieved to prevent detrimental effects without suppressing beneficial effects