Mechanisms of Action Flashcards

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1
Q

Corynebacterium diptheriae

A

AB subunit toxin that ADP ribosylates EF2 inactiving it and translation of human mRNA into proteins
B subunit binds to glycoprotein receptor on epithelial cells

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2
Q

Clostridium tetani

A

tetanospasmin encoded on non-transmissible plasmid
Produces AB subunit exotoxin
B subunit binds to gnagliosides on CNS neurons
A subunit is ZN dependent metalloprotease enters by enodocytosis.
Cleaves synatpobrevins inhibiting release of GABA and glycine

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3
Q

Vibrio Cholerae

A

Toxin ADP-ribosylates and inactivates G-protein leading to persistent activation of adenylate cyclase
hypersecretion of H2O, Cl- and blocked Na+ reabsorption
Penetrate mucus but not cells

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4
Q

Clostridium botulinum

A

AB subunit toxin
A is toxic Zn protease subunit
B is protective against acid
botox enters neurons and blocks release of Ach
inhibits muscle contraction causing flaccid paralysis

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5
Q

Staphylococcus aureus

A

Extracellular

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6
Q

Streptococcus pyogenes

A

Extracellular
avoids phagocytosis and opsonization by hyluronic acid capsule, Stretolysin O kills phagocytes
Streptolysin O and C5a peptidase inhibit chemotaxis
M proteins block phagocytosis by bidning Ig Complement factor H

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7
Q

Legionella pneumophila

A

Produces B-lactamase
Enters macrophages via coiling phagocytosis-requires DOT and ICM proteins
No oxidative burst or lysosome fusion
Replicates until macrophage acidifies and virulence factors produced
Lyse macrophage and spread producing proteases and phsopholipases contributing to lung damage

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8
Q

Mycobacterium tuberculosis

A

Bacteria is inhaled
Primary infection: Ghon complex moves to lymph node
Intracellular pathogen multiplies within macrophages
survive and multiply within macrophages spread throughout lymph or blood
Or latency

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9
Q

Chlamydia Trachomatis

A

Adherence to cell’s heparin sulfate, estrogen receptor complex
Invasion-actin rearrangements to from pedestal. requires live bacteria endocytosis (clathrin) pinocytosis or phagocytosis
EB domant until enters cell
EB to RB uses ATP in EB
RB multiplication pH drops
No Ab formation or lysosmal fusion
Vacuoles form inclusions
RB to EB type III secretion or endosome fuse with cell membrane and EBs exit

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10
Q

Neisseria gonorrhoeae

A

Attachment via pili, Opa LOS porins
LOS and PG trigger inflammatory response to epithelium and sloughing off of ciliated epithelial cells
Bacterial spread along mucosal surface or go to submucosa

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11
Q

Neisseria meningitidis

A

Attachment via pili adis colonization of nasopharynx
Opa, LOS and porins mediate contact
in CNS bacteria shed LPS and PG which trigger inflammatory response

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12
Q

Borrelia burgoferi

A
Outer surface proteins
OspA: anchors to tick midgut
OspC: targets salivary gland
Osp E: inhibits complement
DpbA: binds decorin in ECM
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13
Q

Salmonella

A

infects through M cells in mucosa of large intestine
triggers endocytosis by M cell via membrane ruffling
Bacteria ingested by macrophage in lamina propria surviving and multiplying in phagocyte
carried to lymph, spleen liver mutiply and are released into bloodstream
LPS in bloodstream leads to inflammation
move into gallbladder and back to intestine

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14
Q

Shigella

A

Pass through small intestine to large intestine
Trigger mechanism and membrane ruffling intestinal epithelial cells
Escapes phagosome into host cell cytoplasm
Polymerize actin tails

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15
Q

ETEC

A
Enterotoxigenic
Not invasive
Toxin mediated
LT1 and LT2-Similar to cholera AB subunit
Sta-binds GC
increase cGMP hypersecretion of H2O
Stb-increase in bicarbonate
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16
Q

EIEC

A
Enteroinvasive
Much like Shigella but no toxin
Invasion proteins: Ipas
Intracellular spread: Ics
Plasmid encoded
17
Q

EPEC

A

Enteropathogenic
non-invasive
attachment and effacing lesions
Bundle forming pili-adherence
Lee locus
Esp proteins trigger signals and actin rearrangements
intimin and translocated intimin receptor

18
Q

EHEC

A

LEE locus encodes intimin, Tir, Esp
Shiga-like toxins
AB subunit toxins binds 28S rRNA

19
Q

UPEC

A

Pathogenicity islands I-IV
Type I pili binds mannose containing glycoprotein receptors (fim gene)
Pap-binds glycolipid (pap gene)
toxins: hemolysin- bound to Ca2+ inserts and creates pores leading to lysis
CNF-1-AB subunit toxin causes changes in cytoskeleton

20
Q

SEC

A

Capsule K antigen sialytaed
adhesin type I pili S-fimbrae
Bind to sialyl residues bidn to cells of choroid plexus and brain ventricles
Invasins: Ibe OmpA