PMB: Pathogenesis Flashcards

1
Q

What is required for a pathogen to be able to infect?

A
  • Their must be interaction between host and pathogen
  • The Pathogen must be able to carry out the attack - be virulent
  • The host must be capable of being infected (associated with a degree of being compromised)
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2
Q

Describe symptoms between people when infected with a pathogen/ infectious disease

A
  • Vary in terms of severity between people
  • Often vary based on tissue affected and organism
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3
Q
  1. What are the symptoms of botulism?
  2. What organism causes it?
A
  1. Chlostridium Botulinum
  2. Inital tiredness, weakened eyes, trouble speaking
  3. Followed by spread to weakening of limbs and chest muscles
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4
Q

What does virulence mean?

A

The capacity of a pathogen to cause disease (LD50)

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5
Q

What is infectivity?

A

The number of organisms required to cause infection

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6
Q

What does severity mean?

A

The impact on the host. Can range from acute to causing death

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7
Q

What are factors which affect virulence?

A
  • Age of individual
  • Immune status
  • Presence of other conditions
  • Enviromental conditions
    • Temp, time of year
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8
Q

What does a pathogen need to do to infect?

A

Must gain entery to the body and reach the approproate tissue

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9
Q
  1. What are weakness where pathogens are likely to gain entery?
  2. What are altenrative sites of entery?
A
  1. Eyes, Ears, other parts of skin (e.g. piercings)
  2. Cut and insect bites
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10
Q

After entery to the body what are the next steps for the pathogen to cause succesful infection

A

Following exposure to a pathogen, the pathogen must:

  • Adhere to the organism
  • Invade the tissue
  • Evade the defence mechanism
  • Cause disease
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11
Q

Describe the adhering process

A
  • Different approaches
  • Selective or non-selective
  • Capsules and slime layers
  • Fimbriae and pili provide cell surface attachment via selective proteins
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12
Q
  1. Inital point of conact is not enough, what else is required
  2. What is needed for this?
A
  1. The pathogen must multiply to have enough organisms to cause infection
  2. For the pathogen to survive sufficent nutriets are required. The provision of iron is cruicial. MAny bacterial pathogens often secrete siderophages which have a high affinity for iron
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13
Q

Where does the bacteria go once infection site reached?

A
  • Some stay locally
  • Others spread to other parts of the body
    • Bacteriaemia - spread of bacteria in the blood stream
    • Can result in blood-borne systemic infections (septicaemia)
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14
Q

What do some pathogens produce to enhance infection?

A
  • Virulence Factors (VFs)
  • These enchance virulence either directly or indirecly
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15
Q

What type of molecule are most Vfs?

A

Enzymes

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16
Q

What are examples of virulence factors used by different pathogens?

A
  1. Many Staphylococcus species produce the enzyme hyaluronidase. This degrades polysaccharide hyaluronic acid (intercellular ‘glue’)
  2. Staphylococcus species also produce the enzyme coagulase. This promotes fibrin clot formation which protects against attack by the host’s immune system.
17
Q

What other to VFs do pathogens use to aid virulence?

A

Many pathogens secrete endotoxins.

3 Main types:

  1. Cytotoxins
  2. AB toxins
  3. Superantigens
18
Q

What do cytotoxins do?

A

Cytolytic in nature

Break open cells by degrading the host membrane and causing cell lysis

19
Q

Give examples of specific cytotoxins and their mechanisms

A
  1. Heamolysins - destroy the phospholipid bilayer in cells e.g. erythrocytes
  2. a-toxin from chlostridium perfringens is a lecithinase. It cleaves the membrane lipids in myocytes (muscle cells) and causes myonecrosis (gangrene)
20
Q

What is the general mechanism of AB toxins

A
  • B subunit promotes up take of A subunit. A subunit causes damage to host cell
21
Q

Give specific examples of AB toxin and their mechanisms

A
  • Corynebacterium diphtheriae produces the diphtheria toxin. Inhibits protein synthesis
  • B subunit is bound to the cell surface. Causes endocytosis. A sub-unit is released after cleavage event. A subunit inactivates the elongation factor EF-2. Involved in translocation during elongation phase
  • Clostridium tetani produces an AB toxin which acts as a neurotoxin. Blocks release of neurotransmitters at neuromuscular junctions. Causing spastic paralysis
  • Specifically binds to ganglioside lipids of inhibitory neurons. Blocks glycine release. Causes uncontrolled release of acetylcholine (Ach). Failure of intercostal muscle relaxation causes asphyxiation
  • Clostridium botulinum AB toxin (botox) causes flaccid paralysis via prevention of acetylcholine release
22
Q

Describe Superantigen toxin mechanism

A
  • Superantigen toxins stimulate immune response
  • Causes extensive inflammation
  • Stimulate immune T helper cells in absence of normal antigens
  • Problems such as toxic shock syndrome