Lecture 11: Pathogenicity & Epidemiology Flashcards
What is the ability to cause disease
Pathogenicity
What is the extent of pathogeniciy?
Virulence
What are the virulence factors?
adhesion factors
extracellular enzymes
toxins
antiphagocytic factors
What are the exo enzymes/ secreted enzymes?
Coagulase: coagulate blood
Kinases: Digest fibrin clots
Hyaluronidase: Hydrolyses hyaluronic acid
Collagenase: Hydrolyzes collagen
IgA proteases: destroy IgA antibodies
Siderophores: take iron from host iron-binding proteins
Antigenic variation: alter surface proteins
What are the adhesion factors on microbes?
Surface lipoproteins or glycoproteins called ligands bind to receptors on host cells
Ability to change or block the ligand or its receptor can prevent infection
Inability to make attachment proteins or adhesions renders the microorganisms avirulent
What are substances that contribute to pathogenicity?
Toxin
Ability to produce a toxin
Toxigeniciity
Presences of toxin the host’s blood
Toxemia
Inactivated toxin used in a vaccine
Toxoid
Antibodies against a specific toxin
Antitoxin
What are the characteristics of exotoxins that are extracellular and secretal?
Source: mostly Gram+
Metabolic product: by-products of growing cell
Chemistry: protein
Fever?: No
Neutralized by antitotoxin: yes
LD50: Small
Where are exotoxins produced?
Inside mostly gram-positive bacteria as part of their growth and metabolism.
They are then secreted or released following lysis into the surrounding medium
Type I, type II, and type III toxins
Explain type 1 toxins: superantigens
Cause an intense immune response due to (overhwelming amount of) cytokine released by hosts
Fever, nausea, vomiting, diarrhea, shock, death
Explain II toxins
Membrane-disrupting toxins
Lyse host’s cells:
Makes protein channels in the plasma membrane (eg leukocidins, hemolysins)
Disrupts phospholipid bilayer
Explain III A-B toxins
- Bacterium produces and releases exotoxin
- B (binding) component of exotoxin binds to host cell receptor and exotoxin enters cell
- A (active) component of exotoxin alters cell function by inhibiting protein synthesis
Describe endotoxins characteristics
Source: Gram negative
Metabolic product: present in LPS of outer membrane
Chemistry: Lipid A
Fever?: Yes
Neutralized by antitoxin: no
LD50: relatively large
Describe endotoxins
Endotoxins are part of the outer portion of the cell wall of gram-negative bacteria. They are liberated when the bacteria die and the cell wall breaks apart
Describe antiphagocytic factors
Certain factors prevent phagocytosis by the host’s phagocytic cells
-Bacterial capsule: composed of same chemicals found in host’s body
-Slippery - difficult for phagocytes to engulf the bacteria
-Antiphagocytic chemicals
-some prevent fusion of lysosome and [phagocytic vesicles
-Leukocidins directly destroy phagocytic white blood cells
What are the cytopathic effects of viruses?
Pathogenic properties of fungi
Fungal waste products may cause symptoms
Chronic infections provoke an allergic response
some fungi have toxins called mycotoxins
can also have capsule that prevents phagocytosis
Pathogenic properties of protozoa
presence of protozoa
protozoan waste products may cause symptoms
avoid host defenses by
-growing in phagocytes
-antigenic variation
Pathogenic properties of helminths (parasites0
use host tissue
presence of parasite interferes with host function
parasites metabolic waste can cause symtoms
Principles of epidemiology
Pathology: study of disease
Etiology: study of the cause of a disease
-Pathogenesis: development of disease
-Infection: colonization of the body by pathogens
-Disease: an abnormal state in which the body is not functionally normal
Pathogenic properties of algae
neurotoxins produced by dinoflagellates
-saxitoxin
- paralytic shellfish poisoning
Normal microbiota or macrobiota
permanently colonize the host
Mechanisms of pathogenicity (chart)
Transient microbiota
present for hours, days, weeks, or months
-cannot persist in the body
-competition from other microorganism
-elimination by the body’s defenses cells
-chemical or physical changes in the body
can’t colonize in the body
Symbiosis
close, long-termed reactions between two organisms
Commensalism
one organism is benefited and the other is unaffected
Mutualism
both organisms benefit
Parasitism
one organism is benefited at the expense of the other
Relationship between normal microbiota and the host is an example of?
Mutualism
Probiotics
Living microbes applies to or ingested into the body intended to exert a beneficial effect