last lecture Flashcards
commensals
coexist (neutral relationship) however, the commensals are kind of beneficial when kept in check as they gobble up resources that would otherwise be used by more harmful bacteria
opportunists pathogens
pathogens that take advantage of breaks/disruption in the host defense system
primary pathogens
cause disease on their own
what environments are dental plaque found
fissures, approximal surfaces, gingival crevices
what are the nutrient sources for dental plaque found in fissures, ph, and redox potential
saliva and diet, neutral-acidic, positive
what are the nutrient sources for dental plaque found in approximate surface
saliva, diet GCF, neutral to acidic, slightly negative
what are the nutrient sources for dental plaque found in gingival crevice
GCF, neutral-alkaline, negative
biofilm
a community of bacteria attached to a surface that is encased in an extracellular polymer substances of “EPS”.
biofilm formation aids the participating bacteria by
1) providing protection against host defenses
2) limit the diffusion of nutrients
3) protection against antimicrobial substance
4) providing energy storage
5) quorum sensing
quorum sensing
a form of bacterial communication that allows a community of bacteria to coordinate gene expression in response to the size of the population or environmental cues
autoinducers
molecules released during quorum sensing. released by all members of a particular species. once enough of these molecules bind to transcriptional regulators on the cell surface, target gene expression is induced
threshold value
how many molecules needed for a specific particular transcriptional regulator in quorum sensing
what are the 4 virulence factors of s. mutant that contribute to dental caries
- acidogenic
- acid tolerant
- glycolsyltranferase (GTF)
- gluten binding proteins
acidogenic
ability to metabolize carbohydrates and produce acid
acid tolerant
ATR more tolerant to acid environment than commensal bacteria
glycosyltransferase
extracellular enzyme that forms polymers of glucose from sucrose, liberating fructose. BIOFILM formation
gluten binding proteins
surface proteins that bind to glucan
what are the three commensal bacteria that prevent dental caries
- S.oligofermentans
- S. australis
- S. Gordonil
how do S. oligofermentans help prevent dental caries
production of H2O2 from lactic acid which inhibit S. mutans
how do S. australis prevent dental caries
production of NH3 from arginine which will raise plaque pH
how do S. gordonii help prevent dental caries
production of a protease that degrades CSP and antagonizes S. Mutans
periodontitis
chronic inflammatory disease which affects the tooth- supporting tissue and increases risk for other disease like atherosclerosis, diabetes, and rheumatoid arthritis
virulence factors of Pg that contribute to periodontitis
- capsule- antiphagocyctic, down regulates cytokine production, encapsulated strains more virulent
- gingipains- degrades extracellular matrix components, cytokines, immunoglobulin and complaint factors. decreases fibrinogen which increases bleeding
- fimbriae- required for binding to host cells
- LPS- lipid A modification evade TLR4 interactions
sterilization
kills all forms of microbial life
1 Chemical: gas, formaldehyde vapor
2. physical: autoclave, hot air oven, incineration
disinfection
doesn’t kill all microorganisms (spores)
1. chemical: alcohol, h2o2, chlorine, chlorhexidine, formaldehyde
2 physical: boiling, filtration, pasteurization
antiseptics
can be used with living tissues h202
antimicrobials
used for treatment of infectious disease. derived from FUNGI or BACTERIA (penicillin, tetracyclines, sulfonamides)
Nosocomial infections
acquired in a hospital, symptoms may show during or after say
sources of nosocomial infections
- endogenous-patients own microbiota
2. exogenous- transmission from external environment
known nosocomial pathogens
MRSA and VRSA often caused by staphylococcus aureus that is commonly on the external skin layers but not within the body
drugs b-Lactams and non b_lactams target
cell wall. interfere with cross linking by lysing cell wall (penicillin, vancomycin)
ahminoglycosides, tetracylines, chloramphenicol and macrolides target
protein synthesis. prevent tRNA from itialitng or translocating or prevent ribosomes from completing task
quinolone, sulfonamides, metronidazole and rifampin
target nucleic acid synthesis . either DNA or RNA will be broken down and folate synthesis will stop
polymyxin b target
cell membrane. permeability lost and cellular material leaks out
things present in bacteria that are not present in host cells
bacteria cell wall, 70 s bacterial ribosome, folic acid synthesis
drug resistance
drug kill most bacteria and the surviving bacteria are resistant to drug. new bacteria can thrive. antibiotics creates selection for resistance
5 mechanisms of bacterial resistance
- efflux pump
- blocked penetration
- altered target
- enzymatic activation
- genetic resistance
efflux pump
happens at cell wall and btonrols what passes through
blocked penetration
happens at cell walll
altered target
some organisms have altered receptors preventing drugs from binding. MRSA modified so penicillin cannot bind