Lessons 1-3 Flashcards
Concepts Introduced in first 3 Classes
Vibrio Cholerae
- Gram negative, γ-proteobacterium, motile.
- Causes cholera, fecal-oral transmission
- Lives in Aquatic Environments. Quorum sensing induces biofilm formation.
- Chitin, High cell density induce natural competence
- Toxin-coregulated pilus important for adhesion to intestine.
Gram negative Bacteria
- do not retain the crystal violet stain
1. An inner cell membrane is present (cytoplasmic)
2. A thin peptidoglycan layer is present
3. Has outer membrane containing lipopolysaccharides (LPS, which consists of lipid A, core polysaccharide, and O antigen) in its outer leaflet and phospholipids in the inner leaflet
4. periplasm
5. The S-layer is directly attached to the outer membrane rather than to the peptidoglycan
Gram positive Bacteria
- take up the crystal violet stain
1. Cytoplasmic lipid membrane
2. Thick peptidoglycan layer
3. Teichoic acids and lipoids are present, forming lipoteichoic acids, which serve as chelating agents, and also for certain types of adherence.
4. Peptidoglycan chains are cross-linked to form rigid cell walls by a bacterial enzyme DD-transpeptidase.
5. A much smaller volume of periplasm than that in Gram-negative bacteria.
Cholera
- Currently in 7th, 8th pandemics.
- Spread through infected food/water (open-air toilets, lack of clean water, no sewage treatment, contact w/ environmental water.)
- Severe, watery diarrhea, rapid dehydration
- Treatment: Oral rehydrating salts, not antibiotics
Virulence Factors:
- Toxin-coregulated Pilus: Mediates micro colony formation. Facilitates adhesion to intestinal epithelium.
- Cholera Toxin: activates adenylate cyclase secondary messenger pathway. An A-B5 subunit-type exotoxin. Released in small intestine. Responsible for secretory diarrhea, direct stimulation of chloride secretion by enterocytes and enteric nervous system. Induces exocytosis of mucins.
V. cholerae DNA uptake machinery
- Competence Pili: Type IV pilus. Composed of PilA monomers, and penetrates outer membrane through PilQ pores. Harnesses DNA in the extracellular environment and draws it into the outer membrane.
- ComEA: reels DNA into the periplasm and condenses it. DNA may be stored this way in the periplasm. Uptake to the cytoplasm spatially, but not temporally, linked. ComEC necessary for uptake.
- Type VI Secretion System: Part of competence regulon (originally suggesting function in competence). Predatory function -> Prey DNA release. Kin-discrimination through immune proteins. Delivers cell-wall degrading enzymes, pore forming toxins, lipases.
- Competence regulon activated by high cell density ( –> HapR -> qstR ) and chitin ( –> TfoX –> pil_operon, qstR ). QstR -> comEC, comEA, T6SS genes.
V. cholerae replication inside Amoebae
A. castellanii: - phagocytosis - occasional shuffling from endosomal vacuole to contractile vacuole - colonization of CV - CV lysis and cell lysis D. discoideum: Just toxic
Def. Infectious Disease + Mortality
- Def: Pathological condition of body parts or tissue characterized by an identifiable group of symptoms, caused by an infectious agent
- Causes 1/3 - 1/4 of Deaths, >50% in children <5 y.o.
- Top 3 single agents: HIV, Malaria, Tuberculosis.
Virulence
The relative ability of an agent to cause rapid and sever disease in a host
Phases of Infectious Disease
- Incubation period: Time between infection and symptoms
- Prodromal: General, mild symptoms
- Clinical: Typical symptoms
- Decline: What it sounds like
- Recovery: Disappearance of symptoms, regain strength, heal tissues
Epidemics and pandemics
Epidemic: an increase, often sudden, in the number of cases of a disease above what is normally expected in that population in that area. An outbreak is the same but local to a specific area.
Pandemic: an epidemic with a large geographic area.
Endemic: constant pressure, occurrence, in an area or population.
Yersinia Pestis - Plague
- Bacterial
- From rodent/flea bites or inhalation from other inf. people
- (Bubonic) swollen glands, (pneumonic) fever, extreme exhaustion, breathing difficulty
- Prev: avoid contact with fleas, animals + antibiotics
- Impact: Killed 1/3 of Europe’s population from 1348-1350.
Bubonic plague is most common.
Pneumonic plague infects the lungs and could be used in an aerosol bioterror attack. Can also be spread p2p by coughing and sneezing.
Septicemic plague can be a complication of bubonic or pneumonic plague, is systemic, and cannot spread p2p. Shock.
Tuberculosis
- Mycobacterium tuberculosis
- Usually attacks lungs, but can also affect kidneys, brain
- person-to-person transmission
- Bad (bloody) cough, Chest pain
- Prev: good ventilation, skin tests, treatment if active
- 1/3 of world pop thought to be infected, 2M deaths/year
T. bacillus exploits macrophage as niche of replication, prevents fusion of phagosome and lysosome, does not acidify.
To be infectious, bacterium must reach lower respiratory tract. Can be cyclically symptomatic and cured individuals can get reinfected.
MDR-TB present in virtually all countries.
Malaria
- 4 protozoan parasites (Plasmodium)
- High fever, flu-like illness
- Prev: avoid mosquito bites, take region-specific anti-malarials
- 300-500M cases per year -> 1 M deaths/year
AIDS
- Human immunodeficiency virus
- Sex, inf. needles/syringes, transfusions, mother-to-infant transmission
- Destroyes immune system -> opportunistic infections, cancer
- Prev: safe sex, sterile needles, testing transfusions, antiretrovirals.
Impact: Leading cause of death in 15-49 y.o., 1.7M deaths in 2011.
Yellow Fever
- Viral
- Mosquitos
- Jaundice, Fever, Kidney Failure
- Prev: Vaccine, avoid mosquito bites
- Common in rural sub-saharan African and South America