I-C. Protozoology | 27. Characterisation of the protozoa. Antiprotozoal drugs. Flashcards
I. Characterisation of the protozoa
1. Describe the eukaryotic cell structure of protozoa
- 2-100 um in diameter
- cell membrane
- nucleus (diploid)
- other cell components
- mitochondria
- ER, ribosomes
- vaculoees
- cytosckeletal proteins (aktin, tubulin)
I. Characterisation of the protozoa
2. What are the 2 forms of eukaryotic cells of protozoa? What is the main feature of their reproduction?
- vegetative (trophozoit) and cyst form
- Encystation in harsh environment - bi-phasic reproduction
- alternating sexual and asexual cycles
I. Characterisation of the protozoa
3. How many species of protozoa are there
more than 15 000 species
- nearly 20 human pathogens
I. Characterisation of the protozoa
4. What type of metabolism do protozoa use?
- kemo-heterotrophe metabolism
I. Characterisation of the protozoa
5. How do protozoa reproduce?
- binary fission as asexual reproduction
- gametocyte production
- female and male is the same size: isogamet
- different size: anisogamet (micro- és macrogamet)
I. Characterisation of the protozoa
6. Do Protozoa tolerate hydration well?
- they do not tolerate dehydration well
I. Characterisation of the protozoa
7. Do protozoa have the resistant property? Explain
YES! They are resistant against chemicals / disinfectants
I. Characterisation of the protozoa
8. How easy it is to culture protozoa?
difficult to culture
* on cell cultures
* embryonated egg
I. Characterisation of the protozoa
9. What are the 2 forms of protozoa?
II. Classification of protozoa
1. What is Classification of protozoa based on?
- microbiological classification is based on movement
- Clinilcally we can differentiate luminal and tissue / blood protozoa
II. Classification of protozoa
2. Give the Classification of protozoa
- Amoebas
- Flagellates
- Ciliates
- Sporozoas
II. Classification of protozoa - Amoebas
3A. What is the structure of Amoebas?
- Moves by pseudopodia (false feet)
- most of them live asymptomatically within the host (carriers)
- Transmitted fecal-oral route by the infective form
-> the cyst (homosexuals are at high risk)
=> water, spring, flies and cockroaches - vectors
II. Classification of protozoa - Amoebas
3B. What is the life cycle of Amoebas?
- Ingested as mature non-motile cyst (trophozoites)
- Gastric acid stimulates excystation
II. Classification of protozoa - Amoebas
3C. What are virulence factors of amoebas?
- Germ number: less than 10 cysts are enough
- Adhesive molecules
- Cytotoxin production – alteration of host cell membrane permeability – increase intracellular calcium level
- histolytic enzymes: proteases, cysteine kinase, phospholipase A, hyaluronidase, collagenase, elastase, RNase
II. Classification of protozoa - Amoebas
3D. Name of diseases caused by Amoebas
Amoebic dysentery and abscesses
II. Classification of protozoa - Amoebas
3E. What are the symptoms of diseases caused by Amoebas
- mostly asymptomatic
- can invade the intestinal mucosa:
- abdominal pain, mucous & bloody diarrhoea
- if penetrates the portal circulation -> liver abscesses
- reach the diaphragm causing pulmonary abscesses-> death
II. Classification of protozoa - Amoebas
3F. How do we diagnose disease caused by amoebas?
- Examine stool (trophozoite found with RBC= positive diagnosis)
- Ag detection (ELISA)
- Check nuclei on cyst
II. Classification of protozoa - Amoebas
3G. What are the features and treatment of Entamoeba coli?
- Non-pathogenic, but from unpeeled fruits, raw vegetables
- Treatment: metronidazole
II. Classification of protozoa - Amoebas
3H. What are the features and treatment of Entamoeba histolytica?
Entamoeba histolytica → amoebic colitis (dysentry)
- Blood and mucus in stool
- Predilection sites: lungs, liver, brain abscess
II. Classification of protozoa - Amoebas
3I. Give examples of Amoebas
- Entamoeba Coli
- Entamoeba histolytica - Entamoaba sp.
- Acantameoba sp
- Naegleria sp.
II. Classification of protozoa - Flagellates
4A. What are the features of Flagellates
- Flagellata, moving with their flagella
- Transmitted by sexual contact
- In female vagina, male urethra
- No cyst, only trophozoite form
II. Classification of protozoa - Flagellates
4B. What are the diseases caused by Flagellates
- Trichomonas
- Leishmania
II. Classification of protozoa - Flagellates
4C. What are the symptoms, treatment and diagnosis of Trichomoniasis
- Symptoms: itching, dysuria
- males are usually asymptomatic or having urethritis - Diagnosis:
- highly motile parasite revealed under the microscope - Treatment:
- Metronidazole, tinidazole
II. Classification of protozoa
5A. What are the features of sporozoa?
Unable to move
II. Classification of protozoa
5B. What are the diseases caused by sporozoa?
- Plasmodium
- Toxoplasma
II. Classification of protozoa
6A. What are the features of CILIATA?
They have Ciliates
III. Anti-protozoal drugs
1. What are the features of Anti-protozoal drugs
- we have only limited number of options
- to achieve selective toxicity is less likely (eukaryotes!)
III. Anti-protozoal drugs
2. Give the classification of Anti-protozoal drugs
- Heavy metal ions
- Kinonlines
- Folate antagonists
- Protein synthesis inhibitors
- Other drugs
III. Anti-protozoal drugs
3A. What are the feature of “Heavy metal ions” as Anti-protozoal drugs?
Against certain tissue / blood protozoa
III. Anti-protozoal drugs
3B. Give examples of “Heavy metal ions” as Anti-protozoal drugs?
- arsenic (melarsoprol)
- antimony
III. Anti-protozoal drugs
4A. What are the feature of KINOLINES as Anti-protozoal drugs?
- Either inhibit protein synthesis or they bear direct toxicity to the pathogen.
- Againts RBC infecting agents
III. Anti-protozoal drugs
4B. What are the examples of KINOLINES as Anti-protozoal drugs?
- quinine, quinidine
- chloroquine
- primaquine
- mefloquine
III. Anti-protozoal drugs
5A. What are the feature of FOLATE ANTAGONISTS as Anti-protozoal drugs?
Against certain tissue / blood protozoa
III. Anti-protozoal drugs
5B. What are the examples of FOLATE ANTAGONISTS as Anti-protozoal drugs?
- pirimethamin
- trimetophrim
III. Anti-protozoal drugs
6A. What are the examples of PROTEIN SYNTHESIS INHIBITORS as Anti-protozoal drugs?
Antibiotics used againts protozoa
III. Anti-protozoal drugs
6B. What are the examples of PROTEIN SYNTHESIS INHIBITORS as Anti-protozoal drugs?
- clindamycin
- tetracyclinek
- macrolidok
III. Anti-protozoal drugs
7A. What are the features of other drugs as Anti-protozoal drugs?
DNA damaging agents, or agents with direct toxicity
III. Anti-protozoal drugs
7A. What are the examples of other drugs as Anti-protozoal drugs?
- pentamidin
- metronidazol
- tinidazol
- artemisin (***)