Immune Evasion Strategies Flashcards

1
Q

What are two possibilities when bacteria invade the immune system?

A

1) If, the immune system effectively recognize, and destroys all of the organisms that are present in any given infection, then that organism has failed to establish itself in the body, and thus cannot manifest in disease.
2) If, the immune system does fail in its task, often the reason for this failure is that the invading organism has evolved a strategy for evading or suppressing the hosts immune response to that organism.

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2
Q

What are seven strategies for bacteria to evade the immune system?

A

1) Strategies directed against acquired immunity.
2) Strategies directed against phagocytes.
3) Suppression of antibodies - hiding inside cells.
4) Anti-oxidant enzymes.
5) Forming spores.
6) Developing special adherence mechanisms.
7) Production of toxins and causing tissue damage.

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3
Q

How do bacteria suppress antibodies?

A

Here, the invading organism targets those cells of the immune system that specifically react against them. The organism prevents the body from mounting an immune response against it.

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4
Q

What bacteria species suppress antibodies?

A

Mycobacterium tuberculosis, the cause of the disease tuberculosis.

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5
Q

What substance does Mycobacterium tuberculosis reduce?

A

Interleukin-2.

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6
Q

How do bacteria hide inside cells?

A

The cells of the immune system with bacteria inside them do not present antigens that will evoke an immune response. They multiply inside these cells, and then further invade the body when they are greater in number.

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7
Q

What three bacteria hide inside cells?

A

1) Brucella.
2) Listeria.
3) Mycobacterium tuberculosis.

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8
Q

What cell do these three bacteria infect?

A

Macrophages.

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9
Q

What are two examples of bacteria that can escape the vacuole to access the cytoplasm?

A

1) Shigella.

2) Listeria.

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10
Q

What is the enzyme some bacteria have that negates superoxide produced by granulocytes?

A

Superoxide dismutase.

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11
Q

Which bacteria’s spores have been known to reinfect animals over 70 years after burial sites were disturbed?

A

Bacillus anthraces.

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12
Q

What is the major finding in the bodies of animals that have anthrax?

A

An enlarged spleen.

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13
Q

What are major clinical signs of anthrax?

A

1) Septicemia.
2) Respiratory distress.
3) Drooling.
4) Stupor.
5) Convulsions.
6) Collapse.

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14
Q

What are the two things that cause death in anthrax cases?

A

1) Asphyxiation.

2) Organ collapse.

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15
Q

What are the two toxins produced by bacteria that cause tissue damage?

A

1) Exotoxins.

2) Endotoxins.

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16
Q

What is an exotoxin?

A

An exotoxin is a toxin excreted by a microorganism.

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17
Q

How does an exotoxin cause damage to the host?

A

By destroying cells or disrupting normal metabolism. They are highly potent and can cause major damage to the host.

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18
Q

What are two well known exotoxins?

A

1) Botulinum toxin produced by Clostridium botulinum.

2) Corynebacterium diphtheriae exotoxin.

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19
Q

What bacterial organisms typically use exotoxins?

A

Cocci bacteria.

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20
Q

What are endotoxins?

A

They are part of the outer membrane of the cell wall of Gram-negative bacteria.

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21
Q

What do endotoxins do?

A

They trigger phagocytes to release cytokines that produce local or systemic symptoms.

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22
Q

What organisms usually have endotoxins?

A

Bacterial species ending in “-ella”.

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23
Q

What are three common symptoms caused by endotoxins?

A

1) Fever.
2) Shock.
3) Leukopenia.

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24
Q

What are four strategies directed against phagocytes?

A

1) Inhibit chemotaxis.
2) Inhibition of phagocytosis.
3) Killing the phagocyte.
4) Colonization of the phagocyte.

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25
What is chemotaxis?
It is the chemical process by which the phagocytes are led to the site of infection, so that they can begin their task.
26
Which bacteria produces toxins which inhibit the movement of phagocytes?
Staphylococcus aureus.
27
How do some bacteria evade phagocytosis?
By not presenting anything for the phagocytes to grip onto.
28
What are four bacteria that can kill phagocytes?
1) Mycobacterium tuberculosis. 2) Streptococcus pyogenes. 3) Staphylococci species. 4) Bacillus Anthraces.
29
What cell do many types of bacteria use as sites of sanctuary?
Macrophages.
30
What two bacteria hide within macrophages?
1) Mycobacterium leprae. | 2) Mycobacterium tuberculosis.
31
What bacteria causes botulism?
C. botulinum.
32
Where are the botulism toxins found in the infected organism?
1) Feces. 2) Blood. 3) Food source.
33
Where do the botulism toxins invade?
The peripheral nerves.
34
What does the botulism toxin block release of?
Acetylcholine.
35
What does the blocking of acetylcholine cause?
Flaccid paralysis, usually of ocular and respiratory muscles first.
36
What are two other signs of botulism?
1) Blurred vision. | 2) Swallowing difficulty.
37
What organism causes tetanus?
Cl. tetani.
38
Where do tetanus spores enter?
Enter deep tissues with low oxygen tension.
39
What happens in 3-21 days of ingesting tetanus spores?
Tetanospasmin toxin blocks neurotransmitter release.
40
Where are the two places tetanus toxins spread along?
1) Peripheral nerves: ascending tetanus (from wound to trunk). 2) Hematogenous through lymph: descending tetanus (lockjaw).
41
What are two clinical signs of tetanus?
1) Vascillating spasms. | 2) Respiratory distress.
42
What are the three main toxins of tetanus?
1) Tetanospasmin. 2) Hemolysin. 3) Nonspasmogenic toxin.
43
What is tetanospasmin?
A neurotoxin that causes clinical disease and is highly lethal.
44
What does hemolysin cause?
Tissue necrosis.
45
What toxin does C. diptheriae cause?
Diptheria toxin.
46
What two toxins does S. aureus produce?
1) Alpha-toxin. | 2) Toxic shock.
47
What toxin does V. cholera produce?
Cholera toxin.
48
What are superantigens?
They are powerful, immunostimulatory and disease-causing toxins that polyclonally activate large fractions (2-20%) of the T-cell population.
49
What does overproduction of cytokines cause?
Shock.
50
What do superantigens cause?
Non-specific activation of T-cells resulting in a polyclonal T cell activation and a massive cytokine release.
51
What is the most important cytokine that is released from superantigen activation of T cells?
TNF-alpha.
52
What do high levels of TNF-alpha cause?
Severe and life-threatening symptoms, including shock and multiple organ failure.
53
What bacterium causes "lumpy jaw"?
Actinomyces bovis.
54
What does infection of A. bovis result in?
A dense mat of Actinomyces surrounded by neutrophils, macrophages, and plasma cells.
55
What is seen with "lumpy jaw"?
Dense, fibrous masses, as are peritoneal or pleural exudates.
56
What does Mycobacterium bovis cause?
Granulomatous lesions referred to as tubercles.
57
What disease does Mycobacterium paratuberculosis cause?
Johne's disease.
58
What is Johne's disease?
A chronic enteritis of cattle and other ruminants.
59
Where does the organism penetrate within the animal?
The ileum and colon.
60
What are six clinical signs associated with Johne's disease?
1) Thickening of the intestinal wall due to epithelial cell proliferation. 2) Emaciation despite normal appetite. 3) Swelling of regional lymph nodes. 4) Coat becomes dry and rough. 5) "Bottle jaw", a mandibular edema caused by protein loss. 6) Chronic or intermittent diarrhea.