Module 4 - Microbes as Pathogens Flashcards
Name 4 key ways in which the microbiota help in defence against pathogens
- Cover every surface so less room for pathogens
- Some produce antibiotics
- Compete with pathogens for resources
- Role in digestion + help immune system
Name the three areas of the human body where most microbiota are found
- GI Tract
- Skin
- Mouth/nasopharynx
How is the gut microbiota initially acquired?
On passage through the birth canal
What change marks the transition to a more stable adult gut microbiota
The introduction of solid food
What is the only significant normal flora bacteria? (And what ailment is more common in people who have this?)
Heliobacter pylori (gastric ulcer)
What type of bacteria are most common in the colon (in terms of oxygen requirements)
Obligate anaerobes
What difference was found between normal mice and “germ free” mice with no microbiota?
Normal mice consume less food, but have 42% MORE body fat (better absorption)
What is dysbiosis?
A disruption of the normal gut flora, which is associated with disease
Name the opportunistic pathogen which is found in the soil and can affect burn patients
Pseudomonas aeuginosa
Name the opportunistic pathogen which can colonise intraveous catheters
Staphylococcus epidermidis
Name the opportunistic pathogen which causes meningitis, and where it is normally found
Neisseria meningitidis -> nasopharynx
What key symptom does Mycrobacterium tuberculosis (TB) cause in the body?
Ghon complexes (granulomas of caseous necrotic tissue, including dead and dying macrophages)
Describe the structure of Treopnema pallidum, the disease they cause and the three phases of the disease
Flexible, helical bacteria; syphilis; Primary lesion, secondary (spread) and latent phase
Name the 4 steps of Koch’s Postulates (and what this actually means)
Way to prove that a particular microbe causes a particular disease:
1. Organism found in lesion
2. Grow organism outside the body in lab
3. Organism must reproduce the disease
4. Re-isolate from test animal
Name three examples of problems with carrying out Koch’s Postulates
- Cannot grow cultures in lab media for some microbes (e.g., Mycbacterium leprae)
- Ethical problems (e.g., AIDS, Ebola)
- No suitable animal model, e.g., gonorrhoea)
What are the two metrics by which virulence can be measured?
Minimum infectious dose and LD50
Name two examples of virulence determinants in some bacteria
Capsule (often poly-D-glutamic acid) to inhibit phagocytosis
Toxins (suppress initially, then lethal)
Name the 4 stages of the infection process
Exposure - Adherence - Invasion - Multiplication
Name the 2(3?) stages of the disease process
Toxicity//Invasiveness -> Tissue or Systemic Damage
What is the difference between how commensal and pathogenic E. coli adhere to the host?
Commensal: attach by Type 1 peritrichous fimbriae (carrying a protein H tip adhesin) to mannose receptors on epithelial cells
Pathogenic: use CFA (colonisation factor antigen) fimbriae to attach to duodenal mucosa and release toxins
Give an example of non-fimbrial adhesion (species and mechanism)
S. pyogenes -> binds to respiratory tract epithelial cells using M PROTEIN (causes sore throat + rheumatic fever)
What is the difference between localised and systemic infection?
Systemic - gets into bloodstream
Localised - only affects one organ or body part
What are toxins (basic defintion)?
Simple soluble proteins (often enzymes) which are extracellular, rapidly transported in the body, and cause damage to the host
Name and give one example of the 3 main types of exotoxins
Enterotoxin (e.g., cholera toxin)
Cytotoxin (e.g., haemolysin of C. perfringens)
Neurotoxin (e.g., botulinium toxin)
What do enterotoxins do?
Stimulate GI tract cells in an abnormal way, eliciting profuse fluid secretion (dehydration)
What do Cytotoxins do?
Kill cells by enzymatic attack
What are the two main types of cytotoxins?
1 - Those that bind to cholestrol in membranes of host cells, forming pores -> ß-haemolysis
2 - Phospholipase enzymes