molecular basis of parasite host-cell interactions Flashcards

1
Q

pathogenicity

A
  • not all micro-organisms cause disease
  • most are never pathogenic
  • few can be, and few are always pathogenic
  • very few can cause death
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2
Q

process of infection

A
  • growth/multiplication of microbe in host
  • doesn’t always result in injury of the host i.e. disease
  • classed by site of infection:
    • localised - sore throat
    • generalised - influenza
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3
Q

outcomes of infection

A
  • infection without illness
  • infection will illness but no long term consequences
  • infection, illness and death
    • not in the microorganism’s best interest to kill the host
    • host can’t transmit infection
    • e.g. rabies
      • humans can never transmit rabies so doesn’t matter if it dies or not - dead end so they kill host
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4
Q

asymptomatic infection

A
  • common
  • microorganism often cannot multiply for several reasons
    • temperature non-optimal
    • killed by immune system
    • unable to attach
    • lack of food source
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5
Q

recurrent illness

A
  • can occur when relationship is established between host and pathogen
  • host controls microorganisms but doesn’t eliminate it
  • e.g. chicken pox
    • remains in host for lifetime
    • if host’s immune system weakens disease returns in the form of shingles
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6
Q

host defences

A
  • physical and mechanical barriers
  • chemical barriers
  • innat eimmuntiy
  • acquired/adaptive immuntiy (vertebrates only)
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7
Q

host toleration

A
  • host allows colonisation but restricts it to certain regions where there will be no harm
  • e.g. staph aureus - sore throat
  • e.g. strep pneumoniae - usually restricted to pharynx, but spread to lungs causes severe disease
  • progression beyond colonisation and breaching of defences = infection
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8
Q

requirements of a disease-causing microorganism

A
  • transmission between hosts
  • entry and adherence to target tissues
  • evasion of host defences and multiplication in host tissues
  • obtain iron and other essential nutrients
  • produce symptoms
  • exit the host
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9
Q

target tissue adherence

A
  • shapes the infection
  • different influenza strains have different surface molecules
  • allow adherence to different regions of respiratory tract
  • lower respiratory tract infection much more dangerous
    • site of oxygen exchange
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10
Q

host parasite relationships

A
  • highly dynamic
  • determines outcome of infection
    • parasite pathogenicity and host susceptibility
  • each modifies activites functions and genetics of the other
  • genetic variability of both host and pathogen is important
    • symptoms and severity differs between individuals
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11
Q

stages of the infectious process

A
  • entry
    • oral, respiratory, parenteral
  • attachment
    • pili, capsules, proteins
  • colonisation
    • metabolism, replication, clearance evasion
  • tissue damage
    • toxins, invasion, immune repsonse
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12
Q

route of entry

A
  • depends on microorganism’s ability to survive in the environment
  • some can survive for months
    • mycobacterium - oral transmission
  • some very sensitive to the environment and die upon exposure
    • HIV - transmission by sexual intercourse
  • some can only use arthropod vectors
    • malaria
    • also helps bypass main host barrier (skin)
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13
Q

infection routes

A
  • depend on biology of organism
  • respiratory and salivary spread - aerosol transmission for more durable microorganisms
  • fecal-oral spread common - humidity and nutrient availability
  • animal vectors or vertebrate reservoirs
  • some combine vector, vertebrate reservoir and human host
    • plague, yellow fever
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14
Q

attachment

A
  • key factor in determining entry route and localisation within the host
  • adhesion molecules must bind host cell membranes
  • inability to attach to mucosa means the microorganism will die and be washed away
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15
Q

colonisation

A
  • involves multiplication and use of host resources
  • host cell remodelling to establish closer relaitonship
  • counteracting host immune system
  • phagocytosis - microorganisms can:
    • inhibit fusion
    • escape phagolysosome
    • multiply within it - mycobacterium
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16
Q

tissue damage

A
  • improtant for release of nutrients
  • destroy cell membrane or connective matrix
  • can use exotoxins
    • often bipartite - one component binds cell, induces phagocytosis, other component allows escape and has toxic effect e.g. diphtheria toxin, blocks protein synthesis
17
Q

dynamics of attachment

A
  • specific interaction between receptor and ligand
  • number and density of each is important
  • individual binding forces are weak so high numbers are needed to decrease probability of interactions breaking
  • dynamic
    • rates of attachment and detachment determine rate of invasion
18
Q

avidity

A
  • tendency for multiple receptors or multiple ligands to combine
  • represents cumulative strength of all receptor ligand pairs
  • RL pairs are not independent in terms of binding
    • binding of one pair increases chance of another binding event
  • dissociation requires multiple bonds to be broken simultaneously
19
Q

RL density

A
  • density = sum of all receptors/surface area
  • the smaller the surface, the lower the density and the higher the probability of detachment
    • inverse relationship
20
Q

kinetics of parasite-host binding

A
21
Q

parasitic binding affinity

A
  • driving force is avidity so affinity constant is low
  • high abundance of ligands/receptors
  • pili/fimbriae must recognise abundant ligands
  • likely to involve glycosaminoglycan family
    • host receptors for various microorganisms
22
Q

proteoglycans

A
  • extreme form of protein glycosylation
  • carbohydrate units are polysaccharides that contain amino sugars (glycosaminoglycans)
  • GAGs - repeating disaccharide chains of 3 types
    • chondroitin sulfate, dermatan sulfate, heparan sulfate
23
Q

GAG heterogeneity

A
  • highly heterogeneous in structure
  • every N-linked glycan subject to extensive modification in golgi
  • different GAGs in tissues explains variable infection regions of different strains e.g. influenza
  • high heterogeneity between tissues and cells
24
Q

P. falciparum

A
  • infected RBCs must attach to endothelium
  • mediated by knob structures containing variable surface antigens that bind GAGs
  • parasite expresses different antigens to evade immune system
    • also alters specificity - different GAGs are bound
    • interact with different endothelial regions of host
25
Q

PfEMP1

A
  • P. falciparum surface antigen
  • specifically interacts with chondritin sulfate
  • when on knob surface, if pregnant womanis infected, chondritin sulfate on placenta surface is bound causing stillbirth of the foetus