Mechanisms of Pathogenicity Flashcards

1
Q

Define pathogenicity

A

ability to cause disease

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2
Q

Define virulence

A

the extent to which the microorganism is pathogenic

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3
Q

Define virulence factors

A

molecules/structure produced by pathogens that contribute to their pathogenicity

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4
Q

Some microorganisms have a ____ portal of entry & only capable of causing disease via a ____ route

A

preferred, specific

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5
Q

Ways for pathogens to enter the host cell (5)

A

Most of the time: mucous, skin, parenteral route via mouth

Bypass ways: surgical sites, implants

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6
Q

What determine a pathogen’s tropism? (6)

A
  • distribution of cell receptors for microbes
  • correct host cell types
  • competing microbes
  • nutrients for growth
  • physical and innate defenses
  • environmental condition (eg. pH)
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7
Q

How do pathogens remain at the site of infection and do not have to spread to cause disease?

A

Produce toxins that get into cells

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8
Q

What is the first step of infection?

A

Adherence

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9
Q

How does adherence work?

A

structures on the pathogen called adhesins or ligands (most are glycoprotein or lipoprotein) bind to host cell’s receptors (most are sugars)

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10
Q

What are the factors that allow bacteria to penetrate host defenses? (10)

A
  • capsules (or glycocalyx)
  • cell wall components
  • biofilms
  • enzymes
  • invasins
  • superantigens
  • toxins
  • secretion system
  • antigenic variation
  • intra/extracellular growth
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11
Q

How do capsules (or glycocalyx) protect bacteria?

A

prevent the phagocyte from recognizing and ingesting the bacteria

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12
Q

How do cell wall components protect bacteria?

A

Fc receptors on bacterium binds to Fc area of an antibody to prevent opsonization

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13
Q

How do biofilms protect bacteria?

A

Reduces antibiotic penetration

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14
Q

What are the three exoenzymes bacterial cells release? Describe the function of each exoenzyme.

A

Leucocidin: destroy WBC
Kinase: break down fibrin and dissolve clots formed (important for spread)
Hemolysin: Break down RBC

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15
Q

How do invasins (surface protein) protect bacteria?

A

Activate and rearrange actin and facilitate bacterial engulfment and movement

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16
Q

How do M protein (a cell wall component) protect bacteria?

A
  • heat and acid resistant

- allow attachment of the bacteria to epithelial cells and inhibits phagocytosis

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17
Q

What are 3 types of exotoxins?

A

cytotoxins, neurotoxins, enterotoxins

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18
Q

How do secretion system protect bacteria?

A

Genes encoded on their chromosomes for pathogenic characteristics

(Eg. type III secretion apparatus enables a bacterial cell to inject protein into a host cell)

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19
Q

How do antigenic variation protect bacteria?

A

Immune system sees old pathogens as new ones as they change the makeup of their antigens when replicating

20
Q

Define obligate intracellular bacteria.

A

Bacteria that can only grow inside of host cells

eg. Chlamydia, Rickettsia

21
Q

How do M protein as a cell wall component protect bacteria?

A

Allow attachment of the bacteria to epithelial cells and inhibits phagocytosis

22
Q

How do mycolic acids as a cell wall component protect bacteria?

A

waxy substances in cell walls can prevent bacterium to be digested easily

(eg. M. tuberculosis)

23
Q

What are the three methods of horizontal gene transmission? Define each.

A

Conjugation: transfer of plasmids
Transduction: transfer of DNA from one bacterium into another via bacteriophages.
Transformation: uptake of naked DNA from the environment around the bacterium (extracellular)

24
Q

Define plasmid.

A

small circular DNA molecules separated from the main bacterial chromosome

25
Define bacteriophages. How do they transfer genes?
viruses that infect specific bacteria; transduction
26
Plasmid may encode ______ or ______.
antimicrobial resistence or virulence factors
27
When do cytopathic effects (CPE) occur?
It happens when a pathogen kills or damages the host cell
28
Define syncytium formation. What is its advantage?
Infected cells fuse to form a giant cell; permits viral multiplication without exposing virus to antibodies
29
How are genes for exotoxins carried by?
Bacteriophages or plasmids
30
Is exotoxin heat labile?
Yes
31
Body produces antibodies called ____ for neutralization.
antitoxin
32
How do AB toxins cause disease?
A: toxic part B: binds to cells
33
What is endotoxins? How does it affect host cells?
lipid A is the endotoxin (heat stable); activate the blood clotting system and can cause shock (life threatening loss of blood pressure)
34
What are two major types of toxin?
endotoxin and exotoxin
35
How do superantigen work?
Unspecific binding to MHC II and TCR, which results in excessive release of cytokines.
36
How do superantigen work? What does it result?
- Unspecific binding to MHC II and T cell receptor, which results in excessive release of cytokines. Without: <1% of T helper cells are activated. With: up to 20% of T helper cells are activated.
37
What is endotoxins? How does it affect host cells?
lipid A is the endotoxin (heat stable); activate the blood clotting system and can cause shock (life threatening loss of blood pressure)
38
What are two major types of toxin?
endotoxin like LPS | exotoxin like superantigen
39
How do superantigen work?
- Unspecific binding to MHC II and T cell receptor, which results in excessive release of cytokines. Without: <1% of T helper cells are activated. With: up to 20% of T helper cells are activated.
40
What does invasin allow pathogen to avoid?
Coming in contact with WBC
41
____ is often a primary virulence factor.
Toxin
42
How do virus evade immunity? (2)
downregulate MHC 1, syncytium formation
43
How do viruses disrupt the cellular life cycles and activity? (3)
inhibit the synthesis of host proteins/mitosis release cause host cells to release enzymes in lysosomes resulting in cell death deregulate cell function (eg. affect hormone production)
44
How do virus cause cancer? (2)
induce chromosomal changes in cells, deregulate contract inhibition (uninhibited cell growth)
45
M protein (cell wall component) is ___ and ____ resistant.
heat; acid
46
What is a pathogenicity island?
A segment of the bacterial chromosome/plasmid that has multiple genes for virulence factors.