M4: Bacteria II Flashcards

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1
Q

Doubling times are faster for (prokaryotes/eukaryotes) than for (prokaryotes/eukaryotes)

A

prokaryotes

eukaryotes

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2
Q
Bacterial growth is often studied in vitro: 
Cultivation methods (2)
A

solid media

broth media

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3
Q

Bacterial growth is often studied in vitro:
Cultivation methods:

Solid media: useful for obtaining _ cultures by _

Broth media: can be used to propagate a _ culture using “_ technique”

A

“pure”
streak-plating

pure
aseptic

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4
Q

Bacterial growth is often studied in vitro:
To measure bacterial growth, you can evaluate either:

_ bacteria in a culture (measure _ with a _)

_ bacteria in a culture (count _ on plates, after sample _)

A

Total
turbidity
spectrophotometer

Viable
colonies
dilution

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5
Q

A typical bacterial growth curve:

Stages (4)

A

Lag
Exponential
Stationary
Total / Viable

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6
Q

A typical bacterial growth curve:

Lag

Exponential

Stationary

Total / Viable

A

preparing to grow

growth, doubling time

almost all bacteria are alive & viable

viable is less than total #

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7
Q

Important factors for bacterial growth: (5)

A
temperature
pH
oxygen (redox) concentrations
nutrients (e.g. iron)
osmolarity
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8
Q

Bacterial growth in vivo vs. in vitro

A

In vitro studies provide an inexact model for understanding bacterial growth in vivo

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9
Q

Bacterial Physiology and Pathogenesis:

Some host defenses are targeted at bacterial physiology

For example, the body uses _ proteins (_ and _) to restrict the availability of iron for
pathogens

However, pathogens can fight back:

a. By producing their own _ molecules (e.g. _)
b. Some bacteria (e.g. the pathogenic _) can bind human _ and _ to their surface and then use that bound iron.

A

iron-binding
lactoferrin and transferrin

iron-binding
siderophores

Neisseria spp.
lactoferrin and transferrin

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10
Q

Bacterial Physiology and Pathogenesis:

_ is key for growth of bacterial pathogens.

These organisms obtain it by:

_: uses an _ substance (e.g. O2) as the terminal electron acceptor

_: uses an _ substance as the terminal electron acceptor

_, e.g., _ and _

There is, usually, a relationship between _ and bacterial _

A

Energy

Respiration
inorganic

Fermentation
organic

Intracellular energy theft
Chlamydiae and Rickettsiae

energy production
growth rates

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11
Q

Aerobes

e.g.

A

grow only in the presence of O2

e.g. Pseudomonas aeruginosa

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12
Q

Microaerophiles

e.g.

A

a special group of aerobes requiring O2, but at lower concentrations than found in normal air

e.g. Campylobacter spp.

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13
Q

Facultative anaerobes

grow by _, but shift their metabolism to _

More ATP is produced during (fermentation/respiration) than (fermentation/respiration), so growth is faster here

e.g.

A

grow in either the presence or absence of O2

fermentations in the absence of O2
respiration in the presence of O2

respiration
fermentation

e.g. E. coli

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14
Q

Aerotolerants

e.g.

A

grow in presence or absence of O2, but metabolism always uses fermentation

most Streptococcus spp.

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15
Q

Strict anaerobes

e.g.

A

grow only in the absence of O2

e.g. Clostridium spp

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16
Q

Why some bacteria are anaerobic:

Anaerobes often lack _ (which breaks down _ formed after cells are exposed to _).

Anaerobes often lack _ (which detoxifies free radical forms of _ that form after cells are exposed to _).

Anaerobes may have very sensitive _ that require a _ environment.

Bottom line: anaerobes must be in a _ environment and O2 (raises/lowers) the _.

A

catalase
toxic H2O2
air

superoxide dismutase
O2
air

enzymes
reduced

low redox (reduced) 
raises
redox potential
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17
Q

The redox potential of healthy tissue is too (high/low) for anaerobes to grow.

However, a number of medical conditions can (raise/lower) tissue redox potential: (3)

A

high

lower

a. Circulatory problems (from heart disease, etc).
b. Tight orthopedic casts.
c. The co-presence of facultative anaerobes (which can consume oxygen) during an infection.

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18
Q

Anaerobes are often present as _ in many locations in the healthy human body:

a. _: e.g. _
b. _: e.g. _
c. _: e.g. _; _
d. _: e.g. _

A

normal flora

a. Skin: e.g. Propionibacterium spp.
b. Mouth: e.g. Porphyromonas gingivalis
c. Vagina: e.g. Lactobacillus spp.; Prevotella bivia
d. Colon: e.g. Bacteroides fragilis

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19
Q

Gram-positive anaerobes of medical importance:

Sporeforming rods: _

Non-sporeforming rods: _

Cocci: _, _

A

Clostridium spp.

Actinomyces spp.

Peptococcus, Peptostreptococcus spp.

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20
Q

Gram-negative anaerobes of medical importance:

Non-sporeforming rods: _-like group _

Cocci: _

A

Bacteroides-like group
Fusobacterium spp.

Veillonella spp.

21
Q

Medical conditions that could lead to anaerobic infection include:

(High/Low) tissue redox conditions from _ problems

_ therapy: can lead to _ infection

_ wounds

Aspiration of _ into the _

Spillage of _ into the _ due to perforation of the _

A

Low
circulatory

Antibiotic
Clostridium difficile

Bite

mouth flora into the lungs

intestinal contents
peritoneal cavity
GI tract

22
Q

Types of anaerobic infections: (2)

A

clostridial (exotoxin-mediated) - produce a lot of toxins

nonclostridial (usually non-exotoxin-mediated) - don’t produce toxins

23
Q

Characteristics of Nonclostridial Anaerobic Infections:

_ formation (can be anywhere in the body).

Often _.

Often involve highly _-resistant bacteria (anaerobes have intrinsic resistance to some _ but these bacteria also carry many resistance _).

Can involve a mix of _ anaerobes and _ anaerobes (_ can consume O2, (raising/lowering) local redox conditions)

A

Abscess

polymicrobic - many species involved

antibiotic-resistant
antibiotics
plasmids

facultative
true

facultatives
lowering

24
Q

Characteristics of Nonclostridial Anaerobic Infections:

Nonclostridial anaerobic infections are often very _ because an abscess has no _ for antibiotic delivery.

For abscesses: _ the abscess and (often) give multiple _

Nonclostridial anaerobes often have relatively (high/low) virulence (it takes (many/few) to start an infection), but can be _.

Nonclostridial anaerobes are often _, _, and produce _ (odors are a clue to an anaerobic infection)

A

difficult to treat
blood supply

surgically drain
antibiotics

low
many
fatal

slow-growing
fastidious - nutritionally demanding
fermentation gases

25
Q

Case Study:

39.9°C

white blood cell count was slightly elevated

retroperitoneal abscess, which was surgically drained

patient was placed on antibiotics

cultures made from the drained material grew anaerobic gram-negative bacteria

What type of bacteria?

A

Bacteriodes-like (the most important nonclostridial anaerobes)

26
Q

Biology and Pathogenesis of the Bacteroides-like Bacteria:
Characteristics:

Gram-(+/-), (aerobic/anaerobic) rods found as normal flora in the _, _, & _

At one time, these bacteria were all classified in the genus _, but the pigmented, bile-sensitive species are now assigned to the _ and _.

A

negative
anaerobic
colon, vagina and mouth

Bacteroides
Porphyromonas and Prevotella

27
Q

Biology and Pathogenesis of the Bacteroides-like Bacteria:
Virulence factors:

The LPS of Bacteroides spp. (is / is not) endotoxic, although LPS from Porphyromonas and Prevotella (does / does not) have endotoxic properties.

B. fragilis and P. melaninogenica make a _, which is probably _.

Some B. fragilis strains make an (enterotoxin / exotoxin), but generally these bacteria don’t make (enterotoxin / exotoxin).

All these species make _ and other enzymes that might help them spread through tissue.

Not all gram-negative anaerobes are equally pathogenic: B. fragilis is only 0.5% of the _ flora yet is the most frequently isolated anaerobe from _ and _ infections.

A

is not
does

capsule
antiphagocytic

enterotoxin - exotoxin in the gut
exotoxins - secreted by bacteria

proteases

colonic
intra-abdominal and bloodstream

28
Q

Biology and Pathogenesis of the Bacteroides-like Bacteria:
Entry:

These bacteria are part of the normal flora, so they cause (exogenous / endogenous) infections, breeching the _ via surgery, wounds, ruptures, etc.

Entry is important, but must also be accompanied by _ for growth. These infections (are / are not) contagious.

A

endogenous
epithelium

low tissue redox
are not

29
Q

Biology and Pathogenesis of the Bacteroides-like Bacteria:

Usually cause disease near their _:

Bacteroides fragilis: normally found in the _, often causes _ infections that involve two stages: _ and then (if untreated) _ formation.

Prevotella bivia: found in _, can cause _ inflammatory disease and _.

Prevotella melaninogenica and Porphyromonas gingivalis: found in _, can cause _ infections (e.g., _).

A

normal flora colonization body site

colon
abdominal
peritonitis
abscess

female genital tract
pelvic
infertility

mouth
respiratory tract
dental, chronic sinusitis, pulmonary infections

30
Q

Biology and Pathogenesis of the Bacteroides-like Bacteria:
Diseases:

Often involve _ and _ formation.

However, these bacteria can enter the _ and cause _. Can be rapidly fatal.

Not all gram-negative anaerobes are equally likely to cause disease.

Treatment for abscesses: _ and use of _effective against anaerobes (e.g., _).

A

inflammation
abscess

bloodstream
bacteremia

surgical drainage
antibiotics
metronidazole

31
Q

Case Study:

fever

bullous purple lesion

gram+ rods

occult blood

injury or degeneration of skeletal muscle

on incision of the muscle, gas issued forth

What type of bacteria?

A

histotoxic clostridia

32
Q

Histotoxic Clostridia:
Biology: includes several clostridial species:

Most common and important is _: involved in ~90% of infections caused by these organisms.

_: associated with infections in patients with cancer of the GI tract.

All are Gram-(+/-), (aerobic / anaerobic), _

Some are present as normal _ flora, some in the _ and some in both.

A

C. perfringens

C. septicum

positive
anaerobic
spore-forming rods

GI
soil

33
Q

Histotoxic Clostridia:
Virulence Factors:

(Endotoxins / Exotoxins): protein toxins made and secreted (inside / outside) the cell.

Most important single toxin for C. perfringens is _, which is a lecithinase (phospholipase C) that disrupts _

A

Exotoxins
outside

α toxin
mammalian plasma membranes

34
Q

Histotoxic Clostridia:
Entry:

Histotoxic clostridia can cause (endogenous / exogenous / both endogenous and exogenous) infections.

Usually result from entry of _ or _ into wounds, ruptures, tumors, etc.

Need (high/low) tissue redox for growth.

A

both endogenous and exogenous

vegetative cells
spores

low

35
Q

Diseases caused by the histotoxic clostridia:

A full spectrum of wound infections ranging from:

_ (_): bacteria are present in _ (low redox condition); toxins kill cells to form _ tissue (low redox), allowing progressive spread of infection. Toxins also enter _ and damage distant organs. Rapidly fatal w/o treatment (if possible).

_: somewhat less serious, involves only _ and _ tissue.

_: least serious, only involves _ tissue.

A

Gas gangrene (clostridial myonecrosis)
muscle
necrotic
circulation

Anaerobic cellulitis
cutaneous and subcutaneous

Simple wound infections
cutaneous

36
Q

Diseases caused by the histotoxic clostridia:

_ infections: e.g., _ infections (in past were particularly associated with illegal abortions but can occur with any poorly-performed abortion)

_ / _

_: 3rd most common food poisoning; not usually life-threatening, an (enterotoxin / exotoxin) causes diarrhea and abdominal cramps.

A

Organ
uterine

Septicemia/bacteremias

C. perfringens type A food poisoning
enterotoxin

37
Q

Diseases caused by the histotoxic clostridia:
Treatment/Control:

Very difficult for _, but involves:

_ of affected tissue by surgery (must be performed early in infection), often involves _. _ are in a supportive role.

_ (?)

_ better option: keep wounds clean.

A

gas gangrene

Removal
amputation
Antibiotics

Hyperbaric O2

Prevention

38
Q

Bacterial Endospores: The Most Resistant Life Forms:

Among the pathogens, endospores are only formed by _ (aerobic or facultative anaerobic) and _ (anaerobic).

_ is a survival response to a _ environment.

This (is / is not) a reproductive strategy (1 cell gives rise to (#) spore(s)).

A

Bacillus
Clostridium

Sporulation
poor

is not
only 1

39
Q

Bacterial Endospores: The Most Resistant Life Forms:

Bacterial endospores are highly resistant to: (4)

Therefore, spores are very (easy / hard) to kill.

_ is aimed at killing bacterial endospores; if successful, all other life forms will also be killed.

A

Heat
Radiation
Chemicals (including some disinfectants)
Drying

hard

Sterilization

40
Q

Bacterial Endospores: The Most Resistant Life Forms:

Microscopic appearance of bacterial endospores

A

cell with endospore –> [lysis] –> debris + free spore

41
Q

Why spores are so resistant

A

They have low internal water and are rich in DNA

stabilizing proteins

42
Q

Why spores can last a long time

Name for this phenomenon

A

Spores lack any internal H20, so they lack metabolism

“suspended animation”

43
Q

Several diseases can result from implantation or inhalation of spores: (4)

A

Anthrax: Bacillus anthracis

Tetanus: Clostridium tetani

Infections caused by the histotoxic clostridia

Clostridium difficile

44
Q

Endospores and Disease: Tetanus:
Biology:

Caused by _, a Gram-(+/-), _-forming, (aerobic / anaerobic) rod

Spores of this bacteria are found in _ throughout the world.

A

C. tetani
positive
spore
anaerobic

soils

45
Q

Endospores and Disease: Tetanus:
Virulence Factors:

Toxin

Factor

Extremely _

A

Tetanus neurotoxin (tetanospasmin)

Inhibits release of inhibitory neurotransmitters (e.g., glycine), resulting in uncontrolled muscle contractions

lethal

46
Q

Endospores and Disease: Tetanus:
Entry:

Usually involves implantation of _ at a wound or during _ (_), via contaminated umbilical stump

If the tissue redox potential is sufficiently low, the spore _ and makes _

Can have a long _ while an implanted spore waits for proper conditions to grow and germinate.

A

spores
childbirth (neonatal tetanus)

germinates into a new cell
tetanus toxin

incubation time

47
Q

Endospores and Disease: Tetanus:
Disease:

Toxin produced in wound and then migrates along _ into _

Toxin _; muscles are _.

Convulsive muscle contractions of voluntary muscles of the _, _, and _.

Death results from _.

A

nerves
CNS

blocks inhibitory neurotransmitter release
constantly stimulated

jaw (trismus, lockjaw), back, and extremities

respiratory failure

48
Q

Endospores and Disease: Tetanus:
Treatment/Prevention:

Treatment: very (easy / difficult), give _, _, and assisted _.

Prevention: The disease itself does not confer _ but immunization can be induced using _, part of the _ vaccine.

A

difficult
tetanus antitoxin
muscle relaxants
ventilation

immunity
tetanus toxoid
DPT