Microbial disease Flashcards

1
Q

Where is the mucus layer thinner: the colon or the jejunum?

A

Jejunum

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2
Q

Dendritic cells play a central role in adaptive immunity? Why then do some types of microbes seek them out?

A

Some microbes can “hijack” dendritic cells for transport throughout the body using them as Trojan horses. This process is called leukocyte trafficking.

(Dendritic cells are found mixed with epithelial cells in mucosa, skin, and many organs. They are phagocytic, often migratory, antigen-processing and antigen-presenting cells that play a central role in adaptive immunity. Because they’re phagocytic and migratory they are frequently used as “Trojan horses”).

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3
Q

What is septic shock?

A

The systemic interaction of microorganisms and their products (toxins) with a spectrum of host cells and chemical mediators results in a clinical syndrome recognized as sepsis or septic shock. The host mediators and amplification systems initiating the syndrome vary with the type of organism and the nature of the infectious process (local or systemic). Regardless of the specific cause, the major elements of septic shock form a continuum, including (1) hemodynamic derangements (reduced blood pressure and increased heart rate), (2) abnormal body temperature, (3) progressive hypoperfusion of the microvasculature, (4) hypoxic injury to susceptible cells, (5) quantitative adjustments in blood leukocytes and platelets, (6) DIC, (7) multiple organ failure, and (8) death.

Animals dying of septic shock typically have evidence of fluid in the body cavities, pulmonary edema, petechial hemorrhages, congestion of the liver and intestines, and dehydration. Common microscopic lesions include acute necrosis of renal tubules, centrilobular hepatocytes, cardiac myocytes, adrenals, and tips of intestinal villi.

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4
Q

When a microbe accesses an animal’s body via the alimentary system there are three particular epithelial sites where the microbe can “cross” and gain access to deeper tissues. What are these three epithelial sites?

A

Tonsillar epithelium
Villus epithelium
M cells in Peyer’s patches

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5
Q

Fill in the blank: New and/or altered __________ allow microbes to more efficiently or rapidly establish infection, evade host defenses and develop resistance to treatments (e.g., antibiotic resistance).

A

Virulence factors

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6
Q

The skin is an important biologic as well as physical barrier. Which of the following is NOT a feature of skin that protects against microbial invasion?

(a) Continual shedding of surface squames
(b) Its acidity
(c) Its dryness
(d) Its thickness
(e) Its normal population of commensal microbes
(f) Secretion of sebum
(g) The presence of sweat glands

A

(g) The presence of sweat glands

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7
Q

What does viremia mean?

A

The condition of having viruses circulating in the bloodstream.

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8
Q

What is an exotoxin?

A

A toxin secreted by live (usually Gram-positive) bacteria

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9
Q

Where in the body, in general terms, are dendritic cells located?

A

They are found mixed with epithelial cells in mucosa, skin, and many organs. They are phagocytic, often migratory, antigen-processing and antigen-presenting cells that play a central role in adaptive immunity. However, because they’re phagocytic and migratory they are frequently used as “Trojan horses” to allow infection of lymphoid tissues (leukocyte trafficking).

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10
Q

The larger an inhaled particle, the further into the conducting airways it will pass before finally contacting a mucosal surface and being trapped in mucus. True or false?

A

False. Larger inhaled particles are generally trapped by mucus covering the nasal turbinates. It’s the smaller particles that may travel further down the conducting airways before being trapped.

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11
Q

From the list below choose particles that are small enough that, if inhaled, they may reach the exchange parts of the respiratory system (e.g., alveoli) and NOT be trapped in the conducting airways. Choose any that apply.

(a) 100 µm diameter
(b) 20 µm diameter
(c) 5 µm diameter
(d) 1 µm diameter
(e) 0.1 µm diameter

A

(d) 1 µm diameter
(e) 0.1 µm diameter

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12
Q

Where is the mucus layer thicker: the colon or the jejunum?

A

Colon

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13
Q

What are M cells, where are they found, and what is their purpose?

A

M(icrofold) cells are modified crypt epithelial cells found within the small intestine overlying GALT (e.g., Peyer’s patches). They act as the interface between materials in the intestinal lumen and the lymphoid nodules of GALT. They transfer antigens from the intestinal lumen across the mucosa to dendritic and immune cells (macrophages and lymphocytes) in GALT. To achieve this they are not covered by mucus, unlike the majority of intestinal epithelial cells. This makes them efficient at antigen transfer, but also makes them “easy targets” for microbial entry.

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14
Q

Which three body systems are the most common portals of entry by microbes gain entry to an animal’s body?

A

Alimentary / Digestive
Respiratory
Urogenital

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15
Q

A phagocytic, often migratory, antigen-processing and antigen-presenting cell is termed a __________ .

A

Dendritic cell

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16
Q

Where in the body, in general terms, are dendritic cells located?

A

They are found mixed with epithelial cells in mucosa, skin, and many organs. They are phagocytic, often migratory, antigen-processing and antigen-presenting cells that play a central role in adaptive immunity. However, because they’re phagocytic and migratory they are frequently used as “Trojan horses” to allow infection of lymphoid tissues (leukocyte trafficking).

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17
Q

What is the general term for microbial molecules encoded by genes that allow microbes to replicate and cause disease through, for example, colonization, invasion, evasion of defenses, suppression of immune responses, and acquisition of nutrition?

A

Virulence factors

18
Q

What is the name of the system by which inhaled particles are removed from the conducting airways?

A

The mucociliary clearance system

19
Q

What does septicemia mean?

A

SHORT VERSION: The presence of bacterial toxins (not just bacteria) in the bloodstream. The simple presence of bacteria in the bloodstream is called bacteremia, not septicemia.

LONG VERSION: Septicemia is a clinically significant form of bacteremia complicated by toxemia, fever, malaise, and often shock. Septicemia is characterized by the multiplication of microorganisms within the bloodstream and “seeding” into blood from fixed microcolonies present in one or more tissues. In septicemia, inflammation is not a localized reaction to injury, but instead mediators of inflammation are generated systemically, leading to diffuse “leakage” of plasma into the interstitium and sequestration of leukocytes in the microvasculature. Generation of cytokines, kinins, vasoactive amines, and lipid mediators of inflammation, combined with widespread endothelial damage, leads to profound circulatory disturbances. Because of the systemic nature of this host-microbial interaction, quantities of phagocytic cells, antibody, complement components, coagulation proteins, and platelets may become depleted unless septicemia is controlled in the early stages. Septic shock and disseminated intravascular coagulation (DIC) are the usual sequelae of advanced bacterial septicemia.

20
Q

What does the M in “M cell” stand for?

A

Microfold

21
Q

Pathogenic microbes may be divided into primary and secondary pathogens. A microbe that is often commensal and harmless, but that may cause disease if host defenses are reduced is a:

(a) Primary pathogen
(b) Secondary pathogen

A

(b) Secondary pathogen.

Examples of secondary pathogens include the commensal microbes Staphylococcus pseudintermedius, which causes pyoderma in dogs, and Mannheimia haemolytica, which causes bronchopneumonia in cattle.

22
Q

What is it about M cells that makes them at the same time good at their job and “easy targets” for microbial entry?

A

M(icrofold) cells are modified crypt epithelial cells found within the small intestine overlying GALT (e.g., Peyer’s patches). They act as the interface between materials in the intestinal lumen and the lymphoid nodules of GALT. They transfer antigens from the intestinal lumen across the mucosa to dendritic and immune cells (macrophages and lymphocytes) in GALT. To achieve this they are not covered by mucus, unlike the majority of intestinal epithelial cells. This makes them efficient at antigen transfer, but also makes them “easy targets” for microbial entry.

23
Q

After colonizing a cell or substance, microbes then need to cross a mucosal or cutaneous barrier to colonize deeper local cells. They cross this barrier with the general goal of reaching what type of underlying tissue.

A

MALT. (MALT cells include migratory leukocytes, which microbes can “hijack” for transport throughout the body using the leukocytes as Trojan horses. This process is called leukocyte trafficking.)

24
Q

Pathogenic microbes may be divided into primary and secondary pathogens. Secondary pathogens are microbes that are usually commensal and harmless, but that may cause disease if host defenses are reduced. What are some examples of conditions that can reduce host defenses?

A

Damage to mucosal or physical barrier systems
Immunosuppression
Concurrent primary infections
Environmental factors (e.g., transportation, overcrowding, dehydration, poor ventilation …)

25
Q

After colonizing a cell or substance, microbes then need to cross a mucosal or cutaneous barrier to colonize deeper local cells. They cross this barrier with the general goal of reaching underlying MALT. Why?

A

MALT cells include migratory leukocytes, which microbes can “hijack” for transport throughout the body using the leukocytes as Trojan horses. This process is called leukocyte trafficking.

26
Q

What is endotoxic shock?

A

Endotoxic shock is septic shock caused specifically by bacterial endotoxin, the LPS from the outer membrane of Gram-negative bacteria.

So … what is SEPTIC shock?

The systemic interaction of microorganisms and their products (toxins) with a spectrum of host cells and chemical mediators results in a clinical syndrome recognized as sepsis or septic shock. The host mediators and amplification systems initiating the syndrome vary with the type of organism and the nature of the infectious process (local or systemic). Regardless of the specific cause, the major elements of septic shock form a continuum, including (1) hemodynamic derangements (reduced blood pressure and increased heart rate), (2) abnormal body temperature, (3) progressive hypoperfusion of the microvasculature, (4) hypoxic injury to susceptible cells, (5) quantitative adjustments in blood leukocytes and platelets, (6) DIC, (7) multiple organ failure, and (8) death.

Animals dying of septic shock typically have evidence of fluid in the body cavities, pulmonary edema, petechial hemorrhages, congestion of the liver and intestines, and dehydration. Common microscopic lesions include acute necrosis of renal tubules, centrilobular hepatocytes, cardiac myocytes, adrenals, and tips of intestinal villi.

27
Q

What are microbial virulence factors? Give a couple of examples.

A

Virulence factors are microbial molecules coded for by genes that confer a survival advantage. These advantages include the enhanced ability to colonize mucosae, infect cells, grow and replicate, and cause cell lysis. They also include the ability kill phagocytic cells, block phagocytosis, evade fusion with lysosomes, block killing within phagocytes, and enhance replication within phagocytes.

28
Q

Unlike enterocytes, intestinal M cells are not covered by a layer of mucus. True or false?

A

True. The apical surface of an M cell (microfold cell, a specialized epithelial cell overlying Peyer’s patches) is devoid of mucus to allow the M cell access to antigens and microbes within the intestinal lumen.

29
Q

Mucus is an important biologic as well as physical barrier. Name the cell type that produces mucus.

A

Goblet cell

30
Q

Mucus is an important biologic as well as physical barrier. Which of the following is NOT a function of mucus?

(a) Acting as a free radical scavenger
(b) Acting as a favorable habitat for beneficial and competitive bacteria
(c) Binding to bacterial adhesins
(d) Phagocytosis of microbes
(e) Physically impeding microbial entry through its thickness and viscosity
(f) Serving as a reservoir for IgA and lysozyme

A

(d) Phagocytosis of microbes

31
Q

Pathogenic microbes may be divided into primary and secondary pathogens. A microbe that nearly always causes disease when it gains entry is a:

(a) Primary pathogen
(b) Secondary pathogen

A

(a) Primary pathogen.

Examples of primary pathogens include Bacillus anthracis, which causes anthrax, and canine morbillivirus, which causes canine distemper.

32
Q

Microbes do not colonize cells and tissues at random. Instead, they have certain “target cells” that they use for entry, dispersal and final infection. Choose from the list below the most common of these target cell or tissues types. Choose any that apply.

(a) Dendritic cells
(b) Epithelium
(c) Fibroblasts
(d) Lymphocytes
(e) Macrophages
(f) MALT
(g) Mast cells
(h) Myocytes
(i) Nerve cells (neurons)
(j) Neutrophils
(k) Osteoblasts

A

YES:
(a) Dendritic cells
(b) Epithelium
(d) Lymphocytes
(e) Macrophages
(f) MALT
(i) Nerve cells (neurons)

NO:
(c) Fibroblasts
(g) Mast cells
(h) Myocytes
(j) Neutrophils
(k) Osteoblasts

33
Q

What is the term for (usually) lipopolysaccharide / LPS in the wall of a (usually) Gram-negative bacterium? It is released when the bacterium dies.

A

Endotoxin

34
Q

Fill in the blank: The pathogenicity (i.e., ability to cause disease) of a microbe is regulated by its ____________.

A

Virulence factors

35
Q

Intestinal M cells are covered by a thick layer of mucus. True or false?

A

False. The apical surface of an M cell (microfold cell, a specialized epithelial cell overlying Peyer’s patches) is devoid of mucus to allow the M cell access to antigens and microbes within the intestinal lumen.

36
Q

The smaller an inhaled particle, the further into the conducting airways it will pass before finally contacting a mucosal surface and being trapped in mucus. True or false?

A

True. Larger inhaled particles are generally trapped by mucus covering the nasal turbinates, while smaller particles that may travel further down the conducting airways before being trapped.

37
Q

Dendritic cells play a central role in adaptive immunity? Why then do some types of microbes seek them out?

A

Some microbes can “hijack” dendritic cells for transport throughout the body using them as Trojan horses. This process is called leukocyte trafficking.

(Dendritic cells are found mixed with epithelial cells in mucosa, skin, and many organs. They are phagocytic, often migratory, antigen-processing and antigen-presenting cells that play a central role in adaptive immunity. Because they’re phagocytic and migratory they are frequently used as “Trojan horses”).

38
Q

What does bacteremia mean?

A

The condition of having bacteria circulating in the bloodstream. It is NOT synonymous with septicemia, in which bacterial toxins are also present in the bloodstream.

39
Q

What is an endotoxin?

A

A toxin (most commonly lipopolysaccharide or LPS) in the wall of a (usually) Gram-negative bacterium. It is released when the bacterium dies.

40
Q

After colonizing a cell or substance, microbes then need to cross a mucosal or cutaneous barrier to colonize deeper local cells. They cross this barrier in one of three ways. Which of the following are NOT methods used by microbes to cross barriers?

(a) Being taken up by a dendritic cell process
(b) Being taken up by a neuronal cell process
(c) Exocytosis
(d) Ingestion of the cell in order to create a site for entry
(e) Mechanical disruption of the barrier by secretion of exotoxin
(f) Passing directly through intercellular junctions
(g) Passing through intercellular junctions within a macrophage or lymphocyte
(h) Transcytosis

A

NOT USED TO CROSS BARRIER:
(c) Exocytosis
(d) Ingestion of the cell in order to create a site for entry
(e) Mechanical disruption of the barrier by secretion of exotoxin

USED TO CROSS BARRIER:
(a) Being taken up by a dendritic cell process
(b) Being taken up by a neuronal cell process
(f) Passing directly through intercellular junctions
(g) Passing through intercellular junctions within a macrophage or lymphocyte
(h) Transcytosis