How do Microbes Cause Disease (2) ? Flashcards

1
Q

what first response of innate immune system?

A

The innate immune system is made of defenses against infection that can be activated immediately once a pathogen attacks. The innate immune system is essentially made up of barriers that aim to keep viruses, bacteria, parasites, and other foreign particles out of your body or limit their ability to spread and move throughout the body. The innate immune system includes:

Physical Barriers: such as skin, the gastrointestinal tract, the respiratory tract, the nasopharynx, cilia, eyelashes and other body hair.

Defense Mechanisms: such as secretions, mucous, bile, gastric acid, saliva, tears, and sweat.

General Immune Responses

such as inflammation, complement, and non-specific cellular responses. The inflammatory response actively brings immune cells to the site of an infection by increasing blood flow to the area. Complement is an immune response that marks pathogens for destruction and makes holes in the cell membrane of the pathogen. Check out our video that explains inflammation and complement, which we will touch on later.

The innate immune system is always general, or nonspecific, meaning anything that is identified as foreign or non-self is a target for the innate immune response. The innate immune system is activated by the presence of antigens and their chemical properties

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

what is the complement system?
what are the three main functions?

A
  • *group of blood soluble proteins:**
  • 30 proteins circulate in inactive forms
  • activated by pathogens detection
  • chain reaction: activated proteins activate other proteins by cleavage
  • *functions:**
  • opsonisation (C3b and IGG): opsonins tag foreign pathogens for elimination by phagocytes
  • membrane attack complex (MAC) (C5b): formation at surface of invading microbes of clustering of complement molecules. create a pore in microbe. leads to lysis and death
  • enhance inflammation: activation and recruitment of phagocytic cells by anaphylatoxins (C5a & C3a), released by digestion of complement components
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how does phagocytosis occur?

what antimicrobial lysosomal enzymes used?

A
  • microbe detected by receptor on phagocyte
  • engulfment of microbe in vesicle: phagosome
  • lysosome with degradative enzymes binds to phagosome: phagolysosome
  • toxic substances, like reactive oxygen species: (superoxide, H2O2), nitric oxide and lysosomal enzymes (cationic peptides, alpha defensins) destroy them
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how do some microbes resist phagocytosis by macrophages?

A
  1. **inhibit phagocyte mobilization
    - **inhibit chemoattractants. e.g. Streptococcus pyogenes degrades C5a
    - inhibit chemotaxis. e.g. Pertussis toxin causes intracellular rise in cAMP in neutrophils to impair chemotaxis
  2. avoid ingestion:
    - kill phagocytes
    - capsules protect from opsonization
    - stealth: bacterial capsules that resemble self (need to know e.g.s?)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

give an example of stealth strategy by microbes

A
    • S. aureus* produces protein A in its membrane
  • protein A binds to Fc portion of host antibody
  • prevents ingestion and phagocytosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are ways that microbibes can evade host defences when INSIDE the host? (4)

A

microbiocidal effects

  1. escape from endosome-phagosome and grow in cytoplasm: Listeria / Shigella
  2. inhibition of phagosome-lysosome fusion: Leigonella pneumophilia
  3. survive within phagolysosome

4. replicate within phagolysosome: Salmonella

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

how can some microbes survive detoxifcation of oxygen derived harmful substances?

A

detoxifcation of oxygen derived harmful substances from the host:

e.g. some microbes have:

  • superoxide dismutase (SOD): neutralises free radicals such as O2
  • *- catalase** (breaks down H2O2): e.g. Staph. aureas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how do some microbes destory antibodies?

A
  • create IgA proteases
  • these destroy IgA (IgA coat foreign microbes with mucous)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where do pathogens get their nutrients from?

what is hard to find for them :( - how do they get around this?

A

- sugar and fatty acids abundant in host

  • hard to get Fe :(
  • get around this by: produce siderophores - have v high affinity for Fe (take it from ferritin (where Fe naturally found))
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are microbial toxins?

main 2 categories? when are each released?

A

microbrial toxins: virulence factors that damage host:

  1. Endotoxins: cell wall components of bacteria. main one: lipopolysaccharide (also: peptidoglycan, teichoic acids). only released when bacteria die
  2. Exotoxins: actively released from live bacteria
    3 main types:
    - cytolysins: target cell membrane
    - bipartite A-B toxins: intracellular targets
    - toxins acting on host defences
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

which bacteria produce lipooploysaccharide (LPS)?

where located in bacteria?

made of? which part is toxic?

A

gram negative bacteria

location: outer membrane of bacteria cell wall

structure: lipid A, core polysaccharide, O antigen

lipid A = toxic

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

how does LPS inflict damage?

A

activates complement and stimualtes producion of cytokines: results in septic shock, ferver, intravascular coagulation = haemorrage and endotoxin shock.

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

what happens when have too much endotoxin LPS produced?

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

what are the 3 main type of exotoxins?

A
  1. toxins that damage membranes: cytolysines and pore forming toxins. help spread of bacteria
  2. toxins that act as enzymes: A/B toxins, more diverse group of toxins
  3. toxins that activate immune response: superantigens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

explain how A/B toxins work
what are the different subunits and what are their functions?

A

act as enzymes: most toxins acting as enzymes are A-B toxins

  • 2 subunits: A&B
  • A = enzymatic activity
  • B = binds to cell membrane (allows A to go into cell(
17
Q

name 3 A-B toxins, what they cause and by which bacteria

A
  • Dipertheria: toxin inhibits protein synthesis in heart muscle and and other cells. produced by Corynebacterium diptheriaie

- Tetanus: toxin affects neuromuscular junctions - blocks release of NT (GABA and glycine) in CNS. causes irreversible contraction of muscle and spastic paraylsis. Clostridium tetani

- Botulism: toxin affects neuromuscular junctions - prevents release of excitatory NM (acetyl choline): lack of stimulus to muscle and flaccid paralysis. Clostridium botulinum

18
Q

cholera toxin:

  • *-** produced by?
  • what does it do in the body?
  • does it induce ^?
A

Cholera toxin

produced by: Vibrio cholerae
effect: speeds up normal excreotry process in gut epithelium: massive fluid loss. diarrhoea
induces diarrhoea by:
- A-B toxin
- A part activates cell’s G-protein, modifies G-protein and keeps it in active state
- causes more and more production of adenylate cyclase: causes more cAMP
- this stimulates CFTR channel to have more Cl- leave cell: imbalance of electrolytes
- water follows Cl- and electrolytes
- causes severe diaarhea
- treatment: fluodsa and electroyltes

19
Q

what is normal situation when antigen causing T cell activation? How many T cells activated?
what occurs when superantigens occur/

A

normal situ: antigen is presented by class II MHC and recognised by a specific set of T cells right T cell receptor. T cells produce and release cytokins locally and actiave only B Cells specific from antigen. 0.01% to 0.001% of T cells activated

  • *superantigens:
  • **induces non-specific class II MHC and T cell receptor binding: widespread binding stimulation of T cells.
  • Excessive cytokine release: fever, vomiting, diarrhea, organ failure
  • *- 20 / 30% T cells activated**
20
Q

which bacteria causes toxic shock syndrome? (superantigen response)

A

Staphylococcus aureas: induces massive release of cytokines

21
Q

How can microbes cause cancers?

A
  • some microbes can cause development of chronic inflam processes: H. pylori (stomach cancer)
  • some viruses incorp. nucleic acids into host genome: cause development of cancers
  • *- Hep B: hepatocellular carcinoma
  • HIV: lymphoma
  • HPV: cervical carcinoma
  • Epstein Bar - Burkitt’s lymphoma**