Salmonella Flashcards

1
Q

What is salmonella a member of and what group does it fit

A

Member of enterobacteriacae
Facultative anearobic Gram negative rod

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2
Q

What are the two genus of salmonella and how many subspecies does it have

A

Salmonella bongori (reptiles)
Salmonella enterica (all species)
2500 subspecies or serovars

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3
Q

What are the three reasons why salmonella is so important

A

1 - major food borne zoonoses
2 - major cause of enteritis in humans and other animals
3 - major pathogen causing systemic disease in animals and humans (typhoid fever)

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4
Q

Why is salmonella of veterinary importance

A

Carried in intestines of food producing animals leading to contamination of meat
Disease (systemic or gastroenteritis) of production animals
Vertical transmission to eggs and milk
Diarrhoeal disease of companion animals

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5
Q

What does broad host range salmonella cause

A

Causes inflammatory and invasive gastroenteritis in humans, dogs, calves and pigs
Leads to influx of neutrophils
Damage to gut wall and invasion may occur
Diarrhoea is thought to caused by fluid efflux due to ionic imbalance
Some species inflammation limited and bacteria can persist in intestines - chickens, cows and pigs

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6
Q

Where does pathology of salmonella occur and how does it get there

A

The ileum
Deal with stomach acid - has pumps to remove H+, changes membrane structure
Cope with intestinal flow - has Adhesins pili and fimbriae allow adhesion to gut wall
Deal with low levels of oxygen - facultative anaerobe

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7
Q

What is the mechanism of pathogenesis when salmonella causes gastroenteritis

A

The bacterium - secrete proteins alter host cell function and structure via machinery called a Type III secretion system allow invasion from gut and inflammation
The host - innate immune system recognises repeated features (flagella and lipopolysaccharide) of the bacterium by recognition receptors and initiate inflammatory response

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8
Q

What is salmonella type III secretion T3SS

A

T3SS are major virulence factors in Gram negative
Salmonella has two T3SS systems encoded on pathogenicity islands - SPI1 and SPI2
T3SS are bacterial machinery that deliver effector proteins or toxins to host cells via a need and syringe like structure
SPI1 and SPI2 play key roles in disease process in gut SPI2 in systemic infection

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9
Q

What does SPI1 induce

A

SPI1, TTTS induces cytoskeletal changes in host epithelial cells - polymerisation of actin leading to membrane ruffling and allowing cell invasion and causing inflammation

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10
Q

How has the host innate immunity developed to recognise pathogens as a danger

A

Innate immune system = 1st line of defence
Adaptive immunity more effective but slow 7+ days to develop
Host cells have pattern recognition receptors that recognise repeated structures on bacteria, viruses ect. We call PAMPs or pathogen associated molecular patterns

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11
Q

What are Toll-like receptors

A

Most important category of pattern recognition receptors
Found in most vertebrate species
Look at table in PowerPoint

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12
Q

How does PAMP recognition leads to immune activation

A

Recognition of danger signal leads to production of signaling molecules, cytokines and chemokines that activate the immune response
Flagella and lipolysaccharide (LPS) are main PAMPS of salmonella and induce an inflammatory immune response in host by recognition by TLR4 and TLR5 respectively

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13
Q

Why are typhoid all infections different to most salmonella’s

A

They have limited inflammation in gut - invade by stealth avoiding immune activation
Achieved by hiding from recognition - the Vi capsule of S. Typhi prevents LPS of flagella being recognised
Or by not having flagella (S. Gallinarum/S. Pullorum) or switching off flagellar genes S. Typhi to avoid TLR5 recognition

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14
Q

What are salmonella adapted for intracellular survival

A

Survive in macrophages
Important development of systemic or typhoidal infection
Survival inside cells involves SPI2 T3SS which prevent phagocytic vacuole fusing with antimicrobial vesicles
Salmonella may interfere with adaptive immune response and avoids antibody in cells

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15
Q

What are salmonella’s mechanism of systemic infection

A

Entry via gut targeting lymphoid tissue in gut
Salmonella invade underlying immune cells (macrophages and dendritic cells)
Infected cells travel via lymphatic system to spleen and liver
Intracellular replication in cells - may lead to septicaemia and death
Immune clearance can occur and animal recovers
Low persistent infection carrier state may develop

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16
Q

What types of salmonella can cause typhoid like infection

A

S. Typhi in man
S. Gallinarum, S. Pullorum in galliform birds
S. Dublin in cattle
S. Choleraesuis in pigs

17
Q

What are the consequences of systemic salmonella infection

A

High morbidity and mortality
Human typhoid about 10% mortality if untreated
Fowl typhoid and Pullorum disease may have mortality rates of over 50% in adult birds and chicks respectively

18
Q

What is the carrier state infection

A

Persistent systemic infection without disease
Can transmit
S. Typhi in humans persistence in gall bladder and shedding in faeces
S. Dublin shed in milk
S. Pullorum vertical transmission to chicks via egg