INF1 - E. BACTERIA AND PATHOGENICITY-COVERED Flashcards

1
Q

what are prokaryotes

A
  • no defined nucleus
  • smaller (<1-2 microns)
  • bacteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are eukaryotes

A
  • defined nucleus a
  • bigger (10-100+ microns)
  • animals, plants, fungi, protozoa, algae
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is unique to bacterial cells compared to ours

A

peptidoglycan cell wall

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

what is peptidoglycan made of

A
  • N-acetylglucosamine (NAG) and N-acetylmuramic acid (NAM) pentapeptide (glycan monomer)
  • D-alanine in postions 4 and 5
  • additional pentaglycine sequence in some gram-+ve bacteria - attached to lysine at position 3
  • glycan monomers transported across cytoplasmic by bacteoprenol
  • monomers joined through glycosidic bonds by glycerotransferases to make polymer chains
  • polymer chains cross linked through peptide bonds between third positions on one polymer and D-alanine of another chain by transpeptidases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

describe the gram-positive cell wall

A
  • 80-90% peptidoglycan
  • gram stain dyes cell blue/purple
  • teichoic acid embedded in wall which facilitates movement in to and out of bacterium (can stimulate inflammatory response)
  • proteins embedded in the wall: adhesins help with adhesion to host cells and surfaces
  • enzymes aid nutrient acquisition and can damage host cells and tissue
  • permeable to most antibiotics some species sporulate (bacilli)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

examples of gram-positive bacteria

A
  • Staphylococcus aureus
  • Streptococcus pyogenes
  • Streptococcus pneumoniae
  • Clostridium difficile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

describe the gram-negative wall

A
  • 10-20% peptidoglycan
  • gram dye stains cell pink
  • has an outer membrane which is linked to peptidoglycan by lipoprotein anchor
  • rich in lipopolysaccharide (endotoxin) which allows entry of molecules into cell (can stimulate strong inflammatory response)
  • proteins like enzymes and adhesions
  • impermeable to many antibiotics
  • no sporulating bacteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

examples of gram-negative bacteria

A
  • Escherichia coli
  • Salmonella enterica
  • Campylobacter jejuni
  • Vibrio cholera
  • Heliobacter pylori
  • Chlamydia trachomatis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what does lipopolysaccharide consist of

A

lipid A
core region oligosaccharide and other molecules
O-polysaccharide tail (O antigen)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describe the acid-fast cell wall (mycobacterium tuberculosis)

A
  • mostly made of mycolic acid (glycolipid) - Ziel-Neelson stain (red)
  • small amount of peptidoglycan
  • mycolic acids impede entry of molecules so slow growing bacteria but greater resistance to chemical agents and enzymes
  • this is why you need antibiotics for months due to hard access across cell wall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

differences between prokaryotic and eukaryotic cells

A
  • fimbriae and pili in prokaryotic cells
  • capsules and slime layers in some bacteria
    (form biofilms: collection of micro-organisms surrounded by the slime they secrete and attached to an inert or living surface and hence antimicrobials can’t penetrate)
  • flagella in some bacteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are endospores

A
  • formed by some gram+ve bacteria due to ‘starvation’ or adverse environment, can cause infection
  • exist in state of dormancy, can persist for long periods
  • highly resistant to extreme of temp, pH, desiccation, radiation, chemical agents (ie - antibiotics, disinfectants)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the microbiome

A
  • bacteria in/on our body which don’t cause damage and can be beneficial or protective
  • unique in everyone
  • low virulence bacteria ie, low risk of causing disease
  • reduce risk of colonisation by pathogenic bacteria
  • disrupted by overuse/inappropriate use of antibiotics (we need antibiotic stewardship)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is an infection

A
  • any microorganism or toxin (ie produced by bacteria and contaminating foodstuff) capable of entering human body and causing harm
  • via initial interaction/invasion of epithelial tissue (skin, eye, internal mucosa of airways, gut, genitourinary)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is bacteraemia

A

presence of bacteria in blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is sepsis

A

systemic infection
host immune response to bacteria wall (LPS/teichoic acid)

17
Q

what is a disease

A

recognisable systems/illness often with defined damage of injury to host tissues

18
Q

what is pathogenicity

A

ability to cause disease

19
Q

what are pathogenicity/virulence factors

A

features that enable attachment, colonisation, tissue invasion, production of toxins or enzymes etc

20
Q

examples of pathogenicity factors

A

Enzymes
Adherence - pili/fimbriae, M protein, lipoteichoic acids
Toxins - exotoxins and endotoxins (released by damaged bacteria)
Resistance to antibiotics - prevent entry, degradation, modification/increased expression, efflux
Invasion of sterile body sites - invasions, enzymes, toxins or opportunistic wounds
Circulation - systemic infection, spread through host
Evasion of immune responses - capsule, enzymes, toxins

21
Q

what is virulence

A

measure of ability to cause disease

22
Q

what is infectiousness

A

ease of spread in a population, linked to pathogenicity and virulence

23
Q

what is intoxication/food poisoning

A

ingestion of bacterial-derived toxin or in absence of infection (toxin contaminating food)

24
Q

what do bacteria need apart from ability to cause infection

A

opportunity
- can minimise this by hygiene, social distancing, wound care, PPE etc

25
what is epidemiology
monitoring and studying of incidence disease eg - tracing and controlling epidemics etc
26
what are exotoxins
- made by the bacteria and excreted (true toxins as actively made by bacteria) - produce local/systemic actions and symptoms - pyogenic effects (local) - pyrogenic effects (local but can spread) - emesis/diarrhoea (food poisoning)
27
what are the different types of exotoxins
- cytolytic toxins (damage cell membranes) - A-B toxins (disrupt protein synthesis or intracellular signalling) - 'superantigen' toxins (non-specific activation of our immune system)
28
what happens when bacteria secretes collagenase
breaks up collagen which holds our cells and tissues together
29
what happens when bacteria secretes streptokinase
breaks up blood clots
30
what are endotoxins
- not true toxins, parts of the bacterial cell wall that induce a toxic response - accidental toxins - cause immune system to become over-activated, resulting in excessive production of cytokines so get symptoms of inflammation and fever - LPS can get into bloodstream (sepsis) - teichoic acids produce similar response as LPS
31
how do bacterial infections arise
- invasion of wound (Staphylococcus aureus - boils) - antibiotic therapy as disrupt natural flora (Clostridium difficile - HCAI) - nosocomial infections - latrogenic infections (wounds, catheters, antibiotics, asymptomatic carriers, poor disinfection policies)
32
examples of bacteria associated with hospital-acquired infections
- MRSA - Clostridium difficile (GI infection, spore-forming) - Streptococcus pneumoniae (intubation/air support) - Acinetobacter baumannii (wound infections)
33
examples of bacteria which cause GI infections by faecal-oral route due to poor hygiene standards
- Escherichia coli - Campylobacter and salmonella (chicken is source) - Vibrio cholera (water - sewage)
34
examples of bacteria which cause person-person infections
- Neisseria meningitidis (bacterial meningitis) - Staphylococcus aureus - Streptococcus pyogenes - Mycobacterium tuberculosis - Chlamydia trachomatis - Neisseria gonorrhoeae
35
examples of environmental bacteria which cause infections
- Clostridium tetani (muscle cramps - lives in soil) - Legionella (pneumonia - failure to maintain air conditioning units)
36
what are biofilms
- collection of microorganisms surrounded by the slime they secrete, attached to an inert or living surface - ie: plaque on teeth - can exist wherever surfaces contact water (catheters) - altered phenotype so resistance to antibiotics