Parasite Survival Strategies and Persistent Infections Flashcards

1
Q

avoiding innate IR

antiphagocytic strategies

A
toxins
prevention of oponisation 
prevention of contact 
inhibition of phagolysosome fusion 
escape into the cytoplasm 
resistance to killing
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2
Q

how is ciliary action avoided?

A

bordetella pertussis interferes with the cilia

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3
Q

how is the complement alternative pathway inhibited

A

outer surface (e.g. capsule) prevents either C activation or access to fixed C3b

bacterial membrane is resistant to MAC complex formation

Decoy proteins divert C components away from bacterial surface

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4
Q

what does Neisseria spp. produce in the host

A

produces iron-binding molecules -steal iron from transferrin

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5
Q

blocking interferons (INF)

A

host cells respond to dsRNA/RNA from infecting microbes by producing INF

some viruses are poor inducers of INF, (e.g. hapatitis B) or produce molecules that block action of INF in cells (e.g. HIV)

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6
Q

examples of how lymphocytes avoided (adaptive IR)

A

viruses, very good at avoiding immune defenses

no extensive tissue damage, better survival

latent viruses -remain hidden to resurface later

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7
Q

evasion strategies for adaptive IR

A

hit and run
concealment of antigens
antigenic variation
immunosuppression

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8
Q

Hit and run

A

microbe invades, multiplies and sheds within a few days

too quick for adaptive IR activation (e.g. rhinovirus, rotavirus)

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9
Q

concealment of antigens

A

hide in host cells
-prevent Ag presentation by MHC (adenovirus protein + class 1 MHC prevent its passage to cell surface)
hide at sites not exposed to circulating lymphocytes (skin. CNS, testis, placenta)
molecular mimicry -fragment similar to host cells
covering microbial surface with host molecules

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10
Q

hide at sites not exposed to circulating lymphocytes

A

IgA may interact but not enough to kill, only reduce disease

can hide in many glands
skin, intestinal lumen, secretions, testis, placenta, CNS

most privileged location=host DNA (occupied by retrovirus) -retroviral DNA
as long as viral products not expressed, remain undetected indefinitely (HIV)

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11
Q

molecular mimicry

A

microbial antigens look like host cells
streptococcal M-protein and human heart (streptococcal biogenis)

other variants of streptococci colonize local heart tissue

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12
Q

covering microbial surface with host molecules

A

antibodies can only attach in useless upside down position on the FC portion

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13
Q

antigenic variation

A

changing cell surface antigens -> escape immune system

during infection of single individual

during spread throughout population

eg relapsing fever, Borrelia spp

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14
Q

what the three molecular mechanisms for antigenic variation

A

mutation -nucleotide change

recombination -rearrangement of genes

gene switching -turn genes on and off

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15
Q

antigenic variation: mutation

A

e.g. influenza virus -spreads through population

genes encoding hemagglutinin and neuraminidase undergo mutation

leads to Ag change that makes them unrecognizable by B and T memory cells

=”antigenic drift”

also rhinovirus and enteroviruses

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16
Q

Antigenic variation: recombination

A

e.g. influenza A virus
genetic shift
sudden chnage in surface Ag can occur when genetic material between two different viruses recombine after infecting same host

gives rise to a completely new virus

17
Q

Antigenic variation: gene switching

A

e.g. African trypanosome -genes for 1000 different surface molecules
can switch one gene weekly for Ag
e.g. Neisseria gonorrhoaea -changes bacterial surface properties as infection proceeds
initially expresses pili and outer membrane proteins allowing attachment to urethral epithelial cells
once established, switch those off so less sticky for phagocytes, allows for reinfection

18
Q

immunosuppression

A

infection of immune cells
T cells -HIV, measles
B cells -EBV
macrophages and dendritic cells -HIV

interference with immune response
-reduction in MHC-1 expression by adenovirus
IgA protease -N. gonorrheoae and S. pneumoniae

19
Q

examples of disease that are persistent infections with shedding

A

epstein-barr virus

tapeworms

20
Q

examples of persistent latent infections

A
herpes simplex virus 
VZV
reactivating tuberculosis 
malaria 
chicken pox enters lymph nodes -> shingles
21
Q

examples of persistent slow infection following acute infection

A

SSPE
PML
HIV
HTLV-1 (leukemia)

22
Q

examples of persistent slow infection (no acute stage)

A

CJD
kuru prions
hard to treat

23
Q

microbes may persist as

A

continuously infectious form (hep B virus in blood)
low infectivity (adenovirus in tonsils and adenoids)
non-infectious (latent virus (HSV -viral DNA persists for life in host nerves)

24
Q

importance of latent infections

A

reactivation
association with chronic infections (HIV->AIDS)
association with cancer (HBV->liver cancer)
persistence in community

25
Q

reactivation

A

typically in immunocompromised patients (disease, cancer, tissue transplant, elderly, pregnancy)

Stage A: stimulus-> HSV: sunlight, fever, hormonal shifts
Stage B: spread and replication
HSV: travel via sensory axon to skin/mucosal surface
infection of epithelial tissue and form virus-rich vesicles -cold sore
arrested by IS before lesion forms: itchy, tingly sensation w/o cold sore