lecture 16 Flashcards

1
Q

Kupfer cells are the entry point of malaria into

A

the liver

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2
Q

Malaria is a unicellular, ________ parasite

Phylum

Genus

_ species infect humans

Many other species infect animals

A

Malaria is a unicellular, eukaryotic parasite

Phylum: Apicomplexa

Genus: Plasmodium

4species infect humans

Many other species infect animals

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3
Q

People with the heterozygous gene for sickle cell anaemia are ____ to malaria

A

resistant

Malaria has a strong selective force

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4
Q

The cell of malaria is polar or non-polar?

A

polar

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5
Q

True or False

The apical complex helps malaria to live inside cells

A

True

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6
Q

The life cycle begins in the _______

end in the ___

A

Mosquito

ends in the blood

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7
Q

As malaria grows it eats the ______

A

Haemoglobin

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8
Q

The iron based haem is toxic so it crystalises in the malaria cell - which is used as a…

A

diagnostic tool

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9
Q

The 3 stages of Malaria are:

A
  1. Mosquito stage - sexual reproduction
    - The definitive host (thats where sex happens)
  2. Liver stage - asexual reproduction
    - few parasites get to the liver
    - released as merizootes
  3. Blood -stage - asexual reproduction, major amplification stage
    - 1000 initial cells–> 10^11
    - 10^13 total RBCs
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10
Q

True or False

there are clinical syndromes relating to the malaria cell infecting liver cells

A

False - the numbers are too low

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11
Q

Sexual stage in the female Anopheles mosquito lasts how long usually?

A

1-2 weeks

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12
Q

Injected sporozoites enter ________ via the skin

A

Hepatocytes

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13
Q

Asexual liver stage last…

A

1-2 weeks

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14
Q

Asexual blood stage is relatively synchonous and takes ____ days

A

2-3 days

depending on the species of malaria

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15
Q

Disease occurs a week to a months after ______

A

infection

has to go through all the stages

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16
Q

________ form in the blood and are taken up by a feeding mosquito

A

Gametocytes

17
Q

There are >_____ proteins that make up a malaria parasite

A

There are >5000 proteins that make up a malaria parasite

18
Q

Most of the Malaria deaths are caused by which species?

A

Plasmodium falciparum

19
Q

Plasmodium vivax also results in significant ____ but low ______

A

Plasmodium vivax also results in signifcant morbidity but low mortality

20
Q

Returning soldier usually get infection with which species?

why?

A

Plasmodium vivax

It has a latent form in the liver - called a Hypnozoites

21
Q

Spleen checks the blood cells every now and then…

Therefore what is cytoadherence/sequestration and how does it help Malaria cells

A

A mechanism used to hang onto blood vessel walls - generally small capillary or post-capillary walls

for dear life - so it doesn’t make it to the spleen

22
Q

True or False

Cytoadherence is a cause of most death in malaria patients

Is it straight ischemic damage though?

A

true

especially in brain capillary

no straight blcokage, like a stroke, action and recovery can lead to normal brain function, unlike a stroke

23
Q

PfEMP1 is responsible for

A

ctyoadherence

24
Q

Parasites modify the wall of the RBC, to display _______, which is an adherence ligand

25
PfEMP1 binds to receptors on _______cells
epithelial cells
26
PfMP1 can switch to 60x variants, what does this mean for the immune response
Antibodies made for the initial adherence ligand will not be effective of the duration of the disease, will change
27
True or False Some adherence ligands like sticking to ICAM1, CD36 or other molecules and the severity of disease is dependant on which variant of PfEMP1 is chosen
true
28
There are __ chromosomes in the malaria genome
14 with 60 different copies of PfEMP1
29
PfEMP1 gene variants are called
var genes only 1 is expressed at a time
30
The clonal antigenic variation of PfEMP1 results in recrudescence, which is..
parasite persistence