Pathogenesis Flashcards

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1
Q

Virulence is measured by______, or the dose needed to cause symptoms in 50% of hosts

A

ID50 (Infective dose); cause symptoms in 50%

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2
Q

Pathogenicity Island

A

-Several genes that direct invasion are clustered together on the chromosome contain DRs (direct repeats) and ISs (insertion sequences)
- can contain genes that cause systematic disease
- appear to have been horizontally transmitted via conjugation or transduction

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3
Q

Why does is seem that most pathogenicity islands have been horizontally transmitted via conjugation or transduction?

A
  • Unique GC/AT rations
  • Codon biases
  • Flanked by inverted repeats
  • Found in specific strains of a species
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4
Q

Which of the following is evidence that a pathogenicity island was initially acquired by horizontal transfer?

A. It contains genes for core, fundamental biological processes such as transcription.
B. It has a GC percentage different from the rest of the genome.
C. It is passed on to daughter bacteria during cell division.
D. It contains genes for a sex pilus.

A

B. It has a GC percentage different from the rest of the genome.

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5
Q

Which of the following statements about virulence factors is true?

A

They increase the ability of a pathogen to cause disease

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6
Q

Some intracellular pathogens can use unipolar structures to mediate host cell actin polymerization. This gives the microbe motility within the host cell. In order for a pathogen to avoid being killed by the phagolysosome, which mechanism relies most upon motility?

A

escape of the phagosome, for example by capsule interactions

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7
Q

How do capsules prevent phagocytosis

A

blocks opsonization - no access of receptors to opsonins –> MOST IMPORTANT
blocks antibody, complement interaction
mimics “self molecules”
- prevents stimulation of antibody complement responses

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8
Q

Suppose a suspected virulence gene is deleted from a pathogenic organism. If the gene product did indeed decrease virulence, the modified organism will have

A

a higher LD50 than the unmodified, gene-containing organism.
- remember the inverse relationship higher Ld50 or id 50 means it takes a higher dose for same effect

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9
Q

Through a search of the genetic databases it is found that a protein expressed by a microbial pathogen resembles a host protein. What is this resemblance most likely to indicate?

A

The microbial protein mimics the host protein’s function.

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10
Q

A localized, focal point of infection found within a patient’s catheter is most likely employing which virulence mechanism?

A

biofilm

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11
Q

The bacterial pathogens Salmonella and Shigella can live either inside a host cell or independently of a host cell. Such pathogens are known as what?

A

facultative intracellular pathogens
- intracellular when it’s need

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12
Q

Which type of secretion system resembles conjugation machinery?

A

Type IV secretion

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13
Q

AB toxin

A

A subunit - toxic activity (2 domain A1 - toxic activity, A2 fixes to B)
B subunit - binding activity (Binds GM1)
- triggers endocytosis ends up at ER the A1 peptide is released and will modify a G Protein by using NAD+and adding ribose ADP to the alpha subunit to prevent the deactivating through the hydrolysis of GTP and so it stays active producing a ton of cAMP which keeps Cl- channels open they leave the cell and so does water to try to regulate osmolarity. –> diarrhea

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14
Q

The cholera toxin, an AB exotoxin, attaches an ADP-ribose group to the host’s stimulatory G factor (Gs). The normal function of Gs is to stimulate the host’s adenylate cyclase, which produces the second messenger molecule cAMP. This toxin-mediated ADP-ribosylation of Gs has which of the following effects?

A

constant activation of Gs, causing an increase in cAMP levels and resulting in increased ion transport from the infected host cell

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15
Q

The cholera toxin, an AB exotoxin, creates a(an)
________ environment in the intestinal lumen when compared to the cytoplasm of the intestinal cells.

A

hypertonic

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16
Q

What characteristic of V. cholerae allows it to cause widespread epidemics?

A

V. cholerae can survive in marine environments and can thereby spread to many areas where people live.

17
Q

What aspect of V. cholerae allows it to spread quickly from one person to many people?

A

People infected with V. cholerae produce copious fecal particles containing V. cholerae cells.

18
Q

A gene coding for __________ proteins is likely to be found in a genomic island of a pathogenic bacterial strain and NOT found in a nonpathogenic strain.

A

host cell attachment

19
Q

The pathogenic strain of Escherichia coli, E. coli O104:H4, expresses the Shiga toxin and is highly resistant to many antibiotics. How did the E. coli O104:H4 strain originally obtain the genes for the Shiga toxin and antibiotic resistance?

A

horizontal gene transfer

20
Q

A hypothetical drug with which of the following effects would be the most useful in treating the diarrhea caused by cholera?

A

increases the GTPase activity of the ADP-ribosylated stimulatory G factor (Gs)

21
Q

How do phagocytes overcome the immune protection that the bacterial capsule gives to pathogens?

A

They bind to the Fc region of antibodies that opsonize the capsule.

22
Q

The ability of HIV to use a capsular protein to bind to the host cell CCR5 receptor is an example of which type of virulence factor?

A

Nonpilus adhesins

23
Q

Which of the following information could not be gained from a genomic study of a pathogenic strain and a nonpathogenic strain of the same species of bacteria?

A

genes that are expressed when the pathogenic bacteria infect a host

24
Q

Hosts differ in how susceptible they are to certain infections due to differences in

A

cell surface receptors.

25
Q

The pathogen Listeria monocytogenes produces exotoxins that disrupt membranes. What is the purpose of the membrane disruption caused by Listeria monocytogenes?

A

to allow the bacteria to escape the phagosome and grow in the cytoplasm of the host

26
Q

An obligate intracellular pathogen like Rickettsia compares to a facultative one like Salmonella in that it

A

cannot grow outside the host cell.

27
Q

The image below shows Staphylococcus aureus colonies growing on an agar plate. What exotoxin-mediated process is shown in this image?

A

colonies budding off “eggs” are clearing around them