L3 Virulence & Virulent Factors Flashcards
How do we know a bacterium is a pathogen?
Koch’s Postulates
Briefly summarise Koch’s Postulates
- Bacterium should be found in all people with disease, & in correct location
- Bacterium should be isolated from infected site & maintained in pure culture
- Pure culture should be capable of causing disease
- The same bacterium should be isolated from the intentionally infected host
What are some problems associated with Koch’s postulates?
- Doesn’t always account for host factors
- Not always possible to isolate organisms in pure culture
- Some diseases involve polymicrobial infections
- Cultivation of bacteria can lead to loss of virulence factors
What is virulence?
The ability of a bacterium to cause disease
What is a virulence factor?
A bacterial product or structure or strategy which contributes to virulence
Define infection
An infection occurs when a bacterium (including those capable of causing disease) becomes established in the body
Define disease
An infection producing symptoms that are detrimental to the host
How do we know that a specific attribute of a pathogen is a virulence factor?
Molecular Koch’s Postulates - attempts to define a virulence factor (gene product) rather than a pathogen
What is the most important thing to know re Molecular Koch’s Postulates?
Disrupting the gene in a virulent strain should diminish virulence, or, introducing the gene to an avirulent strain should make it virulent
True or False: Not all bacteria that infect cause disease
True
What are examples of virulence factors that mediate colonisation & survival in infection?
Adherence, motility, invasion & intracellular residence, evasion of host defences
What virulence factors damage the host (determine disease)?
Toxins: endotoxins (lipid A), exotoxins
Enzymes: hyaluronidase, DNAse
What are some factors that have been implicated in order for bacteria to survive antibacterial features of the mucosal surface?
- Motility & chemotaxis
- sIgA proteases (sIgA binds Ag & mucin)
- Iron acquisition (produce siderophores to compete against transferrin)
What genes are pili encoded by?
Pap genes
What genes are fimbriae encoded by?
Fim genes
What do fimbriae tightly bind to?
Mannose residues (found on most human cells)
What are pili?
Protein hair-like structures found on the outside of many bacterial cells - long hair-like structures that have a protein at their tip that binds to host sugars
What is an example of an infection that best represents the function of both pili and fimbriae?
- UTI caused by E.coli
- Fimbriae stick to bladder cells, pili stick to kidney cells
- Fimbriae and pili help the bacterial cell to attach to host cells (don’t get washed out in urination)
Specificity of binding to host cell carbohydrate depends on…
the pilus tip
What do afimbrial adhesins do?
Mediate tight binding between bacterium & host cell
What is an example of a bacterium that has an adhesin?
Streptococcus pyogenes has an adhesin, protein F, which binds to fibronectin → causes throat & wound infections
What are invasins?
A collective term for proteins that are important for bacterial invasion