Infection Flashcards
virulence
ability of a microbe to cause pathological effects
steps in microbial disease
gain entry
invade of cross mucosa/skin
colonise and spread
crossing mucosal barriers
adherence - pilli, fimbrae, ligands for cell receptors
crossing -
m- cell trafficking
transcytosis
dendritic cell sampling
lymphocyte trafficking
neuronal transport
colonisation and spread
–> systemic disease
cell injury
virulence factors
first to local tissues –> lymph nodes –> organ systems
spread by leukocyte trafficking
virulence factors
factors that enable infectivity, colonisation, spread
motility - flagella
adherence -
bind directly to receptors
bind using a pili or fimbrae
invasins - assist invasion
immune evasion -
lipopolysaccharides in cell wall - resists chemical attack and acts as endotoxin
biofilm - resists phagocytosis and antimicrobials
capsule - resists phagocytosis
immune suppression -
toxins - phagocyte destruction
acquisition of nutrients -
siderophores - use iron from blood for nutrition
spread mechanisms
passive - free in blood or lymphatics
leukocyte trafficking - macrophages, lymphocytes or dendritic cells take on pathogen for phagocytosis and travel them around
- tb - blocks fusion of phagosome with lysosom
- johnes - blocks action of lysosomal enzymes
bacterial toxins
Lipopolysaccharides -
brucella abortus
gram -ves
part of wall, stabilises wall and released when bacteria dies
lipoteichoic acid -
gram +ve - released when they die
exotoxins -
produced by living gram +ve bacteria
clostridia perfingens - direct cytolysis
staph aureus - por forming
crynebacterium - inhibition of protein synthesis
e coli - inhibition of iron pumps
e coli
eneterotoxigenic (ETEC) -
fimbrae
toxins - alter secretion of water and electrolyes
alteration of cell membrane electrolyte and fluid transport –> diarrhoea
Enterpathogenic (EPEC) -
intimin - loosens tight junctions between enterocytes
villus atrophy
enterohaemorrhagic (EHEC) -
shiga/verotoxin - cytotoxic
coagulative necrosis –> haemorrhagic diarrhoea
anthrax
capsule
spore persist in environment
toxins -
protective antigen - pore forming
oedema - goes through pore - disrupts electrolyte/water transport –> oedema
lethal - goes through pore - causes cytokine production causing cell death
atrophic rhinitis - pigs
bortedella bronchiseptica and pasteurella multocida
bortedella phase -
dermonecrotic toxin, lets pasteurella in
pasteurella phase -
pasteurella mutolcida toxin
increases osteoclasts and inhibits osteoblasts –> turbinate atrophy
clostridia perfringens
A - alpha toxin
B - alpha, beta and epsilon
C - alpha and beta
D - alpha and epsilon
E - alpha and iota
Alpha toxin - gas gangrene, canine haemorhagic disease, ferret gastroenteritis
Epsilon toxin - pore forming in enterocytes and endothelial cells - pulpy kidney
mycobacteria - phagocytosis resistance
TB - blocks fusion of phagosome with lysosome
Johnes - block action of lysosomal enzymes
allows progression to multifocal chronic lesions
tropism
specificity in which cells a microbe interacts with
viruses usually quite specific - bing via ligand receptor interactions
tropism examples
listeria -
brain tropism
uses catecholamines as food source
canine parvo -
pan-tropic
infects many cell types
susceptible cells
cells that allow entry of viruses