Perio Microbiology 6: Virulence Factors, P. gingivalis, A.a. Flashcards

1
Q

What do virulence factors help accomplish in terms of biofilm formation?

A

Colonization and invasion
Adherence
Direct or Indirect host tissue damage
Evasion of host defense mechanisms

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2
Q

Subgingivally what are available surfaces for bacterial adherence?

A

Tooth/Root
Plaque mass
Tissue

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3
Q

Subgingivally, what species can attach to the fibrinogen and fibronectin in CT?

A

P. gingivalis

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4
Q

What is LPS?

A

Endotoxin

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5
Q

What cytokines does LPS induce?

A

IL-1 (fever, interferon, lymphocyte)
TNF (inflammation)
Prostaglandins (Clotting, pain, fever)

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6
Q

What cells release these cytokines?

A

Monocytes
Macrophages
PMNs

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7
Q

What else does the LPS induce from the host?

A

Cytokine production
Inflammatory response
Bone resorption

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8
Q

What is the virulence factor that allows for bacterial induced host tissue damage?

A

Collegenase

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9
Q

What species produces collengenase

A

P. gingivalis

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10
Q

What type of Collagen is in the gingiva

A

Type I

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11
Q

What 4 species directly invade host tissues

A

Aa
P. gingivalis
F. nucleatum
T. denticola

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12
Q

What is the full name of P. gingivalis?

A

Porphyromonas gingivalis

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13
Q

What is the morphological description of P. gingivalis?

A

Gram (-)
Non-motile
Anaerobic
Rod

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14
Q

What do we know about P. gingivalis levels in periodontitis?

A

Elevated levels

Elevated antibody levels

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15
Q

Why is this called the Keystone Pathogen for Chronic Perio Disease?

A

Its ability to adhere to pocket epithelial cells

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16
Q

What are P. gingivalis’ primary virulence factors?

A

Cell adherence and tissue invasion
Collagenase
Endotoxin LPS

17
Q

What is the morpohological description of Aa?

A

Gram (-)
Rod
Facultative anaerobe

18
Q

What types of Perio disease do we see increased levels of Aa?

A

Aggressive

Sometimes chronic too

19
Q

What are the primary virulence factors for Aa?

A

Tissue invasion
Collagenase
Endotoxin LPS
Leukotoxin (Neutrophil lyse)