Lecture 6: Parasite Survival Strategies Flashcards

1
Q

What are the clinical stages of African sleeping sickness and what is the critical difference in treatment of these two stages?

A

In the first stage the parasite is only in the blood and has characteristic systemic symptoms: fever, headache, malaise, etc. In the second stage the parasite has crossed the blood-brain-barrier and causes a reversion in the sleep/wake cycle (hence the name sleeping sickness), neurological symptoms like mental disturbance. Finally they go into a coma and die. The critical difference in treatment is that for the second stage of Eastern African sleeping sickness, there is no effective treatment.

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2
Q

How is African sleeping sickness called in cattle?

A

Nagana

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3
Q

What controls the differentiation and proliferation of the Trypanosoma?

A

Cyclin-dependent kinases control the differentiation and proliferation of the Trypanosoma

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4
Q

What is striking about the lifecycle of Trypanosoma?

A

There is alternating proliferation and differentiation

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5
Q

What is striking about the energy production in Trypanosoma?

A

They only have one mitochondrion per cell. This is strange because all other eukaryotes (except for a family of protozoa) have more than one mitochondria per cell. This also means that in cell division of Trypanosoma, a new mitochondrion needs to be created. They have a lot of DNA in that mitochondrion interlinked like a “maliënkolder”.

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6
Q

What is different about the mitochondrial DNA of Trypanosoma?

A

There is a lot more and it is organised in mini and maxi circles that are highly interconnected. This makes it more difficult to separate and makes replication take longer.

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7
Q

Why does the mitochondrial genome not reflect the proteins in Trypanosoma?

A

It is highly edited at RNA level. mRNA is edited with different mechanisms. Within the mitochondrial RNA are also guide-RNAs (small RNAs) that bind to mRNA and bases are either inserted, deleted or chimeras are formed.

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8
Q

Why is it useful to edit mitochondrial mRNA in Trypanosoma?

A

Because they have only one mitochondrion, and it is sensitive to mutation.

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9
Q

What are glycosomes?

A

They are basically peroxisomes. They have the same import system and are comparable in part of the content (etherlipid biosynthesis, isoprenoid biosynthesis, β-oxidation of >C20 fatty acids). The differences are that glycosomes do not have catalase, have a pyrophosphate metabolism and have compartmentalised glycolysis and nucleotide biosynthesis.

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10
Q

What is striking in clinical measures during Trypanosoma infection?

A

The amounts of parasites in the blood fluctuate heavily

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11
Q

What causes the fluctuation of the amount of Trypanosoma in the blood?

A

The Trypanosomes have Variant Surface Glycoprotein or VSG on their outer surface. The adaptive immune system will form antibodies against this VSG. Once these antibodies have been formed, the immune system will use the membrane attack complex on these parasites, activate complement. The population of Trypanosomes decreases. However, Trypanosomes have antigenic variation. One parasite will express another VSG and escape the immune response. This cycle then repeats itself, causing the fluctuation of the amount of Trypanosoma in the blood. It is important to remember that this antigenic variation does not occur because of the immune pressure! It will happen in lab culture as well.

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12
Q

Where are the DNA for VSGs located?

A

On telomeres of the chromosomes.

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13
Q

How are the VSGs connected to the Trypanosoma membrane?

A

They are GPI-anchored

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14
Q

How is the expression of VSG genes switched?

A

There are three different mechanisms that occur with different frequencies: in situ switch, telomere exchange and gene conversion. In situ switch: the genes remain in the same place, one is just activated instead of the other. Telomere exchange: One gene has an expression site, this gene is switched out for a different gene that did not have an expression site. This “crossing over” happens during replication. Gene conversion: There are multiple genes without an expression site, one of these replaces a gene with an expression site.

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15
Q

How is Ascaris lumbricoides successful with a complex lifecycle like it has?

A

The eggs are sticky, so they stick to eggs. They infect their hosts for a long time so they can produce a lot of eggs, meaning they increase the chances that one of their offspring will infect a new host. It also helps that they don’t cause a lot of disease, because they keep their host alive long enough to produce sufficient offspring.

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16
Q

What are the implications of the high distance of helminths in the phylogenetic tree?

A

The worms are not a single phylogenetic cluster and treatment of these different worms requires distinct therapeutic drugs.

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17
Q

What is the definitive host of the Faschiola hepatica?

A

Cattle

18
Q

Where does the Fasciola hepatica live and what is its lifecycle?

A

In the bile duct. Here it produces eggs that are excreted via the intestine. The eggs hatch in fresh water, where the larvae infect the snail, produce cercaria that attach to plants and get ingested by the cattle.

19
Q

What is a challenge of the lifecycle of Fasciola hepatica?

A

It encounters distinct environments that can be aerobic or anaerobic. This requires adaptations of the cell metabolism. This is true for many helminths

20
Q

What are the changes in environmental conditions for Fasciola hepatica?

A

In the free living stages it has oxygen, but no food. In the parasitic stages it has food but no oxygen.

21
Q

What is the end product of the free living stages of Fasciola hepatica?

A

CO2

22
Q

What are the end products of the parasitic stages of Fasciola hepatica?

A

Acetate and propionate

23
Q

What aspects of mitochondria can vary?

A

Size, morphology, DNA content (genome size), organization and expression of mitochondrial genome, protein content and electron-transport chain, amounts per cell

24
Q

What is striking about the energy metabolism of ALL parasites?

A

All of them have a fermentative metabolism, even when they use oxygen.

25
Q

What is the crucial difference in progression of an infection caused by a parasitic protozoa versus an helminth?

A

Protozoa replicate within their host, while helminths do NOT replicate within their host, only produce offspring to infect another host. The only exception is Strongyloides stercoralis.

26
Q

What are the different survival mechanisms used by protozoal parasites?

A

Antigenic variation (Trypanosoma, Plasmodium), Intracellular location (hidden from the immune system: Plasmodium, Toxoplasma, Leishmania) and manipulation of the host immune system

27
Q

What is a different name for schistosomiasis?

A

Schistosomiasis = Bilharzia

28
Q

What determines the areas of schistosomiasis and the Schistosoma species?

A

Water needs to be nearby as it infects a fresh water snail as part of its life cycle. The species of fresh water snail determines the Schistosoma species. Biomphalaria is infected by S. mansoni, Bulinus is infected by S. haematobium and Oncomelania is infected by S. japonicum.

29
Q

What causes the pathogenesis of Schistosomiasis?

A

Circa 50% of eggs are secreted and non-secreted eggs trapped in host tissue. Here, they cause an immune response, which leads to granuloma formation. This can cause liver fibrosis and liver failure.

30
Q

Do adult Schistosoma worms cause significant pathology?

A

No, not significantly. They can survive for years and even up to decades. Apparently an adequate immune response is prohibited

31
Q

What type of immune response is initiated at the start of the Schistosoma infection?

A

A Th1 response with macrophages and Th1 cells that produce TNF and IFNgamma

32
Q

What type of immune response is initiated after the first response to a Schistosoma infection?

A

A Th2 response takes over from the Th1 response. This response contains NKT cells secreting IL-4, Th2 cells and dendritic cells

33
Q

What type of immune response is present to a chronic Schistosoma infection?

A

A Treg response. The Th2 response is downregulated

34
Q

What can be learned from schistosomes?

A

How to suppress the immune system to help make new medication for allergies, auto-immune diseases and organ transplantations. Possibly how to identify specific immune modulating factors. How to prevent blood clotting: identification of novel (non-immunogenic) inhibitors of blood blotting (anti-thrombotic drugs), as patients with schistosomiasis don’t suffer from thrombosis (despite having parasites in their blood vessels), but rather have a lack of clotting factors (they have difficulty stopping bleeding).

35
Q

What is special at the outer surface of adult schistosomes?

A

The site of interaction between host and parasite. It is an unique structure: tegument. It has a continuous layer of fused cells, the syncytium. This means that a protein can diffuse all the way around the parasite through the cytosol. This structure is covered by at least double plasma membrane. From this there are vesicles being transported to refresh the layers of membrane (the outer layer sheds). This double membrane is present in all blood-dwelling helminths. This trick protects them from the membrane-attack complex.

36
Q

What are the components of the outer membrane of adult schistosomes?

A

> 50% cholesterol (mol/mol), mainly saturated phospholipids, high content of lyso-phospholipids, rich in unusual fatty acids: C18:15 and C20:1. This is a very unusual lipid composition.

37
Q

How was the lipid and protein composition of the outer membrane of adult schistosomes determined?

A

Lipid composition was determined by LC - Mass Spectrometry and protein composition was determined by proteosome analysis of the S. mansoni genome

38
Q

What is the function of the unusual lipids in the outer membrane of adult schistosomes?

A

Glycolipids stimulate the production of IL10, IL6 and TNFalpha. Lyso-Phosphatidylserine (PS) stimulates TLR2, IL10 production and reduces the immune response

39
Q

What is striking about thrombocyte-schistosome interaction?

A

Thrombocytes bind to Schistosoma eggs, but not to the adult worm. Maybe the eggs need it for attachment to the blood vessel wall and adults need to lose it for long term survival in the host blood vessel.

40
Q

How do schistosomes survive for years in the human blood vessel?

A

Tegument surface structure (double membrane to protect from the complement system, turnover of cell membrane and shedding/sloughing), mimicry (binding of host components on the surface, e.g. LDL particles), immune modulation by excreted factors (Th2 by omega1 and Treg maybe by lyso-phospholipids), anti-thrombotic activity (inhibition of platelet activation).