Virulence Factors Flashcards

1
Q

What is a pathogen

A

A microorganism which is able to cause disease is a host organism

Eg.
- opportunistic pathogen: a member of the normal microbiota (is already in your body) only causes disease in an immunocompromised host (if immune system is down)
- Primary pathogen: environmental microbe that is able to cause disease in an healthy individual

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2
Q

What is pathogenicity

A

The ability of a pathogen to cause disease

E.g
bacterial diseases; ear infections, food poisoning
Viral diseases; AIDS, Covid 19, influenza (flu)
Fungi diseases; Wringworm
Protists diseases; Malaria

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3
Q

What is virulence

A

The degree or intensity of pathogenicity

(Some are worse than others)

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4
Q

What are the chains of infection

A
  1. Agent (the identity eg. Virus)
  2. Virulence (the intensity of it)
  3. Dose (how much of that pathogen causes the disease)
  4. Exposure (how did it get there)
  5. Susceptibility (does host have any underlying factors e.g are they diabetic)
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5
Q

What are the steps to the Molecular Koch’s postulates

A
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6
Q

What are the virulence factor mechanisms

A

. Adhesion > attach themselves to the receptors on the host cell
. Evasion of phagocytosis
. Immunosuppression
. Toxigenicity: exotoxins and endotoxins

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7
Q

What does an adhesion do

A

It attaches themselves to the receptors on the host cell and forms of it are:

  • pilli > can retract and extend allow movement
  • fimbriae >
  • capsules > helps adhesion and helps in immune evasion prevent phagocytosis. Prevents adhesion of antibodies (weakens the immune system)
  • bacterial cell walls (adhesins) > bind to targeted host cell surface, resits physical removal which allows colonisation
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8
Q

What is an exoenzyme

A

Extracellular enzymes: enzymes secreted by cells which function outside of those cells, invade deeper tissues and enables invasion/support against immune system

E.g. proteases which degrades collagen in connective tissues to promote spread of colonisation

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9
Q

What are toxins

A

They are poisons produced by pathogens, to cause damage to host cells. The two types are:

  • Endotoxins > come from gram-negative bacteria, don’t live on oxygen. When released they stimulate general systemic inflammatory response. Remain stable in high temp.
  • Exotoxins > strong protein molecules. Gram negative + positive bacteria. Target specific receptor cells. Low concentrations of exotoxins can be lethal.
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10
Q

What is presence of bacteria in the blood called

A

Bacteraemia

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11
Q

What is presence of multiplying bacteria in the blood called

A

Septicaemia

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12
Q

In order to survive, pathogens require a source of nutrients, protection from harmful elements and:

A

Colonization of a niche in the host

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13
Q

Some enveloped viruses use antigenic variation which makes it difficult for the immune system to recognise different strains of the virus. Which type of antigenic variation results in a major change in spike proteins due to gene reassortment?

Is it Antigenic drift or Antigenic shift

A

Antigenic shift

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14
Q

Which pathogen type is always a member of the normal microbiota and only causes disease in an immunocompromised host?

A

Opportunistic pathogen

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15
Q

Which type of pathogen is an environmental microbe that is able to cause disease in an otherwise healthy individual?

a.
Primary pathogen
b.
Opportunistic pathogen
c.
Individual pathogen
d.
Discreet pathogen

A

Primary pathogen

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16
Q

What kind of virulence factors are proteases, nucleases, phospholipases and glycohydrolases?

A

Exoenzymes

17
Q

Which of these virulence factors act as adhesins?

a.
Proteins F and A
b.
Pili
c.
Fimbraie
d.
All of the above

A

d.
All of the above

18
Q

Which of these virulence factors assist in promoting colonization of the host?

a.
Toxins
b.
Adhesins
c.
Proteases
d.
Exoenzymes

A

Adhesins

19
Q

Which of these virulence factors enable damage to be caused to the host?

a.
Adhesins
b.
Toxins and exoenzymes
c.
Pili and Fimbriae
d.
Antiphagocytic factors

A

Toxins and exoenzymes

20
Q

Which virulence factor does Porphyromonas Gingivalis use which leads to disregulated immunity in the gingival tissues and breakdown of the structures around the teeth?

A

Fimbraie and exoenzyme Gingipains