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MicroBiology FINAL
Pathogenisis
140
Biology
Undergraduate 3
05/02/2012

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Term
Name 3 zoonatic pathogens:
Definition
Influenza, Salomellosis,and Trypanosomiasis
Term
What two animals does Influenza tend to grow in?
Definition
chickens and pigs
Term
What three animals does Salomellosis grow in?
Definition
various mammals, birds and rodents
Term
What type of pathogen can normally be found growing in humans w/out causing disease?
Definition
opprotunistic
Term
What 7 things compromise the host immune system allowing opportunistic pathogens to bother us?
Definition
1. old age or infancy
2. genetic defects in immunity or acquired defects in immunity (AIDS)
3.surgery or organ transplant
4. organic disease: cancer, liver malfunction, or diabetes
5. chemotherapy/immunosuppresive drugs
6. physical or mental stress
7. other infections
Term
What are these two examples of?: P.areuginosa can infect cystic fibrosis paitents who cannot clear mucus from their respiratory tract. OR K. pneumoniae is part of the normal flora but in compromised people can cause respiratory infection.
Definition
opportunistic pathogens
Term
What vector carries a pathogen physically w/put being associated with infection of vector? (ex: icky fly carrying pathogens on legs)
Definition
mechanical vector.
Term
What vector provides a source of nutrients for the pathogen and the pathogen can go through stages in the vector and is typically transferred to human host through biting them? (ex: Tse Tse fly carrying Trypanosoma brucei)
Definition
biological vector
Term
______ species are protozoan parasites that develop in sand flies and are transferred to humans where they infect macrophages.( an example of a biological vector)
Definition
Leishmania
Term
What are the 6 stages of pathogenesis ?
Definition
1.portal of entry
2.adhesion
3. invasion
4. multiplication
5. expanded infection
6. Transmission through portal of exit
Term
The stages of pathogenesis coordinate with what?
Definition
symptoms of disease.
Term
_____ are traits (gene products) that allow a pathogen to cause disease (ex: expression of exozymes that damage host tissue and allow pathogen invasion)
Definition
virulence factors
Term
Can virulence factors include basic functions like ribosomes or fermentation?
Definition
NOPE
Term
_______ causes ulcers, has the ability to tolerate low ph, is anaerobic and adheres to the gut to avoid clearnace mechanisms.
Definition
Heliobacter pylori
Term
Pathogens use the same entry ports as normal flora these include which 4 portals?
Definition
respiratory, gastrointestinal, genitourinary tracts, and skin
Term
If Salomonella typhimurium is associated with intestinal disease; if it got into a skin wound would it get infected?
Definition
NO, because 2 different environments. Pathogen must enter right portal to infect though there are a few exception of some flexible pathogens.
Term
This pathogen is flexible it can infect the skin and the respiratory tract.
Definition
Streptococcus
Term
Some pathogens you only need 1 to infect host but others like_____ pathogens need a high infectious dose.
Definition
ingested pathogens (Chloera and Typhoid)
Term
Two pathogens that only need a low infectious dose to infect are _____ and ____
Definition
Measles and Q fever (respiratory infections)
Term
What is a non-specific adhesion mechanism of bacteria?
Definition
glycocalyx (capsule or biofilm)
Term
What are two specific adhesion mechanisms of pathogens?
Definition
bacterial fimbraie, and Viral coat protein.
Term
Adhesion mechanisms can also involve common structures like: ___,____, and ____
Definition
flagella,LPS,and LTA
Term
_____ are secreted by infectious bacteria and act outside host cells to disrupt tissue function,or break down extra cellular matrix and act locally. Are also associated with invasive growth.
Definition
exozymes
Term
________ are produced by infectious bacteria, they can alter normal host cell function or kill a cell. Can act locally or systematically.
Definition
toxins
Term
_____ can inject toxins or exozymes directly into environment or host cell. Which can then affect cytoskeleton of cell leading to adherence and internalization of the bacteria.
Definition
Type III
Term
______ is an exozyme that breaks down hyaluronic acid of the extracellular matrix which allows pathogens to get into underlying tissues.
Definition
hyaluronidase
Term
______ is a fibrinolytic enzyme that helps break up blood clots induced by inflammatory processes and allows spread of infection.
Definition
streptokinase
Term
______ is a toxin secreted from the pathogen either single molecule or AB toxins.
Definition
exotoxin
Term
________ is a toxin released primarily upon lysis of bacteria, includes Lipopolysacchride components released from Gram (-) pathogens. It acts on immune cells causing secretion of inflammatory cytokines and inducing fever.
Definition
endotoxin
Term
Name three types of exotoxins.
Definition
Cytotoxins, enterotoxins, and superantigens.
Term
Diptheria toxin A from Corynebacterium diphtheriae targets _______.
Definition
protein synthesis.
Term
___subunit of the AB toxin gets the pathogen bound and across the membrane by binding to host cell surface and helps transport other subunit across.
Definition
B
Term
____ subunit of the AB toxin is the active component that does damage in the cell acting on specific intracellular targets.
Definition
A
Term
This type of exotoxins can kill host cells by disrupting membranes.
Definition
cytotoxin
Term
_____ is a cytotoxin that forms pores in the cell membrane and can lyse red blood cells can also form pores in vesicle membranes allowing pathogen escape.
Definition
Hemolysins
Term
______ is a exotoxin that alters the function of intestinal epithelial cells.
Definition
enterotoxins
Term
_______ is a enterotoxin that activates ion pumps, reverses flow, throwing H2O out of the blood and into the lumen of the intestines.
Definition
Cholera toxin
Term
______ is a exotoxin that target T-cells, they bind to T-cell receptor along side of antigen receptors and stimulate them causing major cytokine release leading to death of those T-cells
Definition
superantigen
Term
Name three general evasion mechanisms of pathogens.
Definition
1. physical barriers like capsules and biofilms that block phagocytosis and complement binding.
2. specific inhibitors of complement or antibodies.
3. run away and hide in cells.
Term
K.pneumoniae has a ___ that blocks phagocytosis and complement binding.
Definition
capsule
Term
N.gonnorhoea borrows the _____ from the host and uses it to prevent C3 from binding to it therefore preventing pore formation.
Definition
H factor
Term
S.aureus uses _____ which holds on to antibodies to protect it by binding to its Fc region preventing macrophages from recognizing the antibody.
Definition
protein A
Term
Influenza uses _______ envelope protein for adherence.
Definition
hemagglutin
Term
Cells infected with a virus, secrete ____ and get other cells to produce nuclease that target dsRNA and increases expression of MHCI.
Definition
interferon cytokines
Term
Increasing the expression of MHCI enhances _____
Definition
CTL function
Term
Viruses can inhibit MHCI by retention of MHCI in the ER like ______,_______, and _____.
Definition
Adenovirus, HCMV, Murine cytomegalovirus
Term
________ can prevent fusion of lysosomes with phagosomes and therefore can live intracellularly.
Definition
Legionella pneumophila
Term
______ and _____ can escape phagosomes by lysing the vesicle therefore can live intracellularly.
Definition
Shigella and Listeria
Term
______ can live inside phagolysosome by detoxifying the vesicle, producing proteins that inactivate ROS molecules.
Definition
Salmonella
Term
_________ prevents fusion of lysosomes with phagosomes. It is complex and can live in water bourne amoeba and lung tissue.
Definition
Legionella pneumophila
Term
_______ produces antiphagocytic proteins induced by oxyR that soak up ROS.
Definition
Salmonella
Term
________ uses hemolysins to escape vesicles. It grows in cytosol and uses cytoskeleton(actin) to propel self into neighbor cells.
Definition
Lysteria
Term
In general capsules inhibit ____1__ and biofilms inhibit both __2_ and ___2__ from reaching it.
Definition
1. phagocytosis
2. phagosomes and complement
Term
It takes _____ days for antibody production for pathogen unless it has already encountered the immune system before or you have been vaccinated.
Definition
10-12 days
Term
What three immune mechanisms are used to target pathogens growing inside cells?
Definition
NKs, CTLs, and Th1( promotes resistance to intracellular pathogens)
Term
Name three specific inhibition mechanisms of pathogens.
Definition
1.MHCI can be inhibited
2. antibody can be blocked at Fc region
3. Ig directed proteases
Term
Name three genetic mechanisms of pathogens to combat our adaptive immune system.
Definition
1.change antigen structure
2. antigenic diversity in population
3. antigenic variation during infection (mutation of gene rearrangement).
Term
E.Coli O157:H7 is a pathogenic variant of E.coli. It expresses particular versions of flagellar and cell wall antigens. O157:H7 refers to ____________
Definition
particular structure recognition.
H=flagella, O=cell wall(somatic), K=capsule.
Term
Flu virus replicates rapidly so changes occur fast enough that antibodies initially can't work.This change happens during infection, this is called ___________
Definition
antigenic drift
Term
__________ is when a recombination of Influenza virus (or other pathogen) genome segments during co-infection with distinct strains may occur in an animal host. This can generate a significantly different version of the virus.
Definition
antigenic shift
Term
Salomonella can switch flagella by changing gene expression by inversion of the ____ promoter region.
Definition
fijB
Term
Trypanosoma brucei uses a gene conversion mechanism to change in the type of VSG (variant specific glycoprotein) expressed at the site by using a pool of different VSG genes. The leads to _____ of infection
Definition
relapse
Term
Neisseria gonorrhea produces pili and adhesions that help it bind to the urogenital epithelium. This is an example of a ______ quality of the pathogen. Also antibodies can target these.
Definition
invasive
Term
The influenza virus uses hemagglutin and undergoes changes in the genome during replication. The hemagglutin binds to receptors and is a _____ quality of the pathogen. Also antibodies can target these.
Definition
invasive
Term
Vibrio Cholera produces a protein that causes epithelial cells to secret water and nutrients. This is a _____ quality of the pathogen. Antibodies can neutralize it but its takes time to make antibodies and cholera works much too fast.
Definition
toxic
Term
Listeria monocytogenes can synthesize hemolysin that helps it escape vesicle this is a _____ quality of the pathogen. Antibodies CANNOT target this because it is inside our cells.
Definition
invasive
Term
Is killing the host always advantageous for pathogen?
Definition
Not always, some want to be a chronic infection and have the host long term and others want to kill host and transmit to a new host.
Term
________ can attack multiple places on host like the respiratory tract or skin. It is Gram (+). It has capsule, fimbraie, and M protein. It is an aerotolerant aerobe and there is a large number of strains.
Definition
Streptococci
Term
Streptococcus has many versions of polysacchride capsules which different strains infect different places. This is called _______
Definition
antigenic variance
Term
______ is a species of streptococcus can infect the skin and throat and can cause scarlet fever.
Definition
Streptococcus pyogenes
Term
______ is a species of streptococcus can infect the respiratory tract and cause bacterial pneumoniae.
Definition
Streptococcus pneumoniae
Term
Adhesions of streptococcus happen through ____ and _______ and determine where the strain can infect.
Definition
LTA and M protein
Term
Streptococcus uses these three things to invade and spread:
Definition
1. protective capsule
2. hyaluronidase
3. streptokinase
Term
Streptococcus uses these two toxins:
Definition
pyrogenic exotoxin (causes fever) and streptolysin
Term
When streptococcus infects skin it is called ______
Definition
impetigo
Term
When streptococcus infects lungs it is called ________
Definition
pneumoniae
Term
When streptococcus infects throat is is called __________
Definition
pharyngitus
Term
The diseases caused by streptococcus in characterized by ____ and _____
Definition
inflammation and tissue damage
Term
Streptococcus is sensitive to _____ and _____ of our immune system.
Definition
phagocytosis and neutralizing antibodies
Term
Streptococcus is susceptible to _____ drugs
Definition
penicillin
Term
Streptococcus has 3 evasion mechanisms, what are they?
Definition
1. encapsulation (inhibits phagocytosis)
2. antigenically diverse with many version of polysacchride, and Mprotein.
3. capsule and surface proteins that mimic host structures.
Term
What is necessary to cause rheumatic fever?
Definition
1. streptococcus infection
2. MHC gene products that can express protein antigens
3. lymphocytes that recognize the structure both present in pathogen and heart tissue
Term
______ is resilent, can live in high salt environments and has a broad growth range also ph and heat isnt a problem for it. These are faculative anaerobes.It is Gram (+), encapsulated, expresses hyalronidase, hemolysins, protein A and coagulase. It infects the skin, systemic disease and occasionally its toxins can make us sick gastrointestinally.
Definition
Staphylococcal
Term
Some staphylococcal strains can produce _____ that spread systematically and cause serious illness.
Definition
super antigens
Term
You can ingest ______ from staphylococcus bacteria without being infected by the bacteria and still get sick with vomiting.
Definition
enterotoxins
Term
Staphylococcus can be MRSA or (methicillin resistant) so non pecillin ____ can be used.
Definition
vancomycin
Term
If Staphylococcus is not MRSA then you can treat it with ___ or ____
Definition
vancomycin or penicillin.
Term
Staphylococcus can evade immune system by detoxify phagosomes by releasing __1__ or can use _2___ to inhibit opsonization.
Definition
1. catalase
2. protein A
Term
______ is when the host gets sick from a toxin or product of a pathogen.
Definition
intoxication
Term
_______ is when a host gets sick from the actual pathogen infecting it.
Definition
contamination
Term
__________ is a Gram (-) faculative anaerobe. It has many variations of surface antigens. It can cause Typhoid fever or gastroenteritus. It is a true pathogen. It can grow in vesicles. It has distinct pathogenicity islands in chromosome that encode virulence factors.
Definition
Salmonella
Term
Salmonella can be converted from non-pathogenic form to pathogenic form by _______
Definition
horizontal gene transfer
Term
Salmonella enters host through contaminated food, it invades gut epithelial and targets ______. It can invade, kill and grow intracellularly.
Definition
M cell
Term
Salmonella can travel through blood stream and fuck up your ____ or _____.
Definition
spleen or liver
Term
Salmonella has 4 virulence factors:
Definition
fibrial, flagellar, enterotoxins and cytotoxins
Term
How can host immune system target Salmonella?
Definition
It can use the critcal TH1 cells to help phagocytes gobble up Salmonella or it can use antibodies to coat its flagella and fimbriae.
Term
How do you treat gastroenteritis caused by Salmonella?
Definition
rehydration
Term
How would you treat Typhoid fever caused by Salmonella? * which btw has > 10% mortality if untreated.
Definition
Ciproflaxcin
Term
Salmonella can use flagellar phase variation by inverting ______
Definition
fijB promoter region
Term
_______ is a water bourne gram (-) pathogen. It is associated with diarrhea and loss of H2O. It is acid sensitive so requires a high infectious dose. It adheres to intestinal epithelial with fimbriae.
Definition
Vibrio Cholera
Term
The Cholera toxin is a ____ type of toxin.
Definition
AB exotoxin
Term
The Cholera toxins A subunit acts on ____ levels, acting on the transporters causing ions pushed out with water into the lumen of the intestine.
Definition
cAMP
Term
What are the treatments for Cholera?
Definition
rehydration and if chronic infection use antibiotics.
Term
What host defenses can act against cholera?
Definition
Barriers or antibodies neutralizing on secondary infections.
Term
_______ is a Gram (-) bacilli, enteric pathogen. It is not a true pathogen because it is a part of our normal intestinal flora.It has pathogenic forms but most are non pathogenic. It has lots of variation of antigens.
Definition
Escherichia coli
Term
The strains of E.coli that are involved in toxigenic diseases are:
Definition
Enterotoxic (ETEC), and Enteropathogenic (EPEC).
Term
The strains of E.coli that are involved in invasive disease are:
Definition
Enteroinvasive (EIEC)(grows intracellularly), and Enterohemorrhagic (EHEC)( shiga toxin).
Term
_______ toxin blocks protein synthesis. Also targets vascular cell walls leading to hemorrhage and clots in small capillaries particularly damaging kidney glomeruli which causes HEMOLYTIC UREMIC SYNDROME.
Definition
Shiga toxin.
Term
An opportunistic E.coli strain that can cause a UTI and expresses P-type pili that adheres to carbs with diagalactose residue, is the _____ strain
Definition
UPEC
Term
What are E.colis 4 evasion mechanisms?
Definition
1. specific adherence mechanisms
2. variable surface antigen (O,H&K)
3. antiphagocytic capsule
4. INtracellular growth (EIEC)
Term
What is botox?
Definition
a toxin from C. botulism that affects neuromuscular association.
Term
_______ is a gram (+) bacilli that can form spores, is an obligate anaerobe, fermentative soil bacteria and saprophyte.
Definition
Clostridium
Term
______ causes gas gangrene and mild food poisoning. Its treatment is debridement, antibiotics, and oxygen therapy but none for food poisoning. It grows in deep wound. Causes tissue damage with exozymes: hyaluronidase, collagnenase, and alpha toxin.
Definition
Clostridium pefringes
Term
_____ is associated with taking antibiotics and destroying normal flora.It causes eneterotoxins and damage of epithelium. Treatment is withdraw of antibiotics, and administration of probiotics.
Definition
Clostridium difficile
Term
______ causes tetanus. It goes straight to spinal cord and block inhibitory neurotransmitters causing spasmodic contraction. Its treatment/prevention is vaccination or passive immunization.
Definition
Clostridium tetani
Term
C.tetani and C. botulism produce _______
Definition
extremely potent neurotoxin and blocks release of neurotransmitters.
Term
Why don't you develop antibodies against tetanus but the vaccine still works?
Definition
It takes so little toxin to mess you up so it does not give you any immune memory response. Vaccines however use lots of inactivated toxins enough to make memory cells.
Term
What type of immune response is most effective against Mycobacterium?
Definition
TH1 cells presented by MHCII to stimulate macrophages.
Term
_______ is causative agent of tuberculosis. It is a intracellular bacillus pathogen that prefers aerobic environment. Its cell wall contains mycolic acid and is resilent and hydrophobic.
Definition
Mycobacterium tuberculosis
Term
M.tuberculosis can infect ______ by inhibition of lysosome fusion.
Definition
macrophages
Term
Chronic M.tuberculosis infection can be contained by formation of _____ which is infected cells surrounded by immune cells and fibroblasts.
Definition
granulomas
Term
M.tuberculosis can escape as a ____ and travel in blood stream leading to progressive deterioration and death.
Definition
metastisis
Term
What is the drug treatment of M.tuberculosis?
Definition
Isoniazid to target mycolic acid synthesis and Rimfampin. SLOW treatment because SLOW growing pathogen.
Term
The skin test for tuberculosis is _____ deposition of mycobacterium protein and we look for inflammatory response in 2-3 days.
Definition
transdermal
Term
________ is a zoonatic pathogen carried by the biological vector the Tse Tse fly. It is from Africa and can cause sleeping sickness and CNS damage.
Definition
Trypanosoma brucei
Term
_________ is a zoonatic pathogen carried by biological vector reduvid big . It is from South America and causes Chagas disease leading to heart damage.It is systemic with periodic symptoms.
Definition
Trypanosoma cruzi
Term
Trypanosomas are susceptible to _____ and _____ of host immune system.
Definition
antibodies and complement
Term
Trypanosomas has VSG of its genome. Gene conversion mechanism changes the type of VSG expressed by using a pool of different VSG genes. This leads to _____ of the infection.
Definition
relapse
Term
Malaria is transmitted by the biological vector the anopheles mosquito. Its causative agent is _______. This is an obligate parasite that infects the inside of cells. It is a NON-mobile pathogen. It infects red blood cells and is an inflammatory disease. It also lyses blood cells causing anemia. It is systemic with periodic symptoms.
Definition
Plasmodium protozoan.
Term
Plasmodium has multiple versions of surface antigen that it can switch. This causes a ____ of infection.
Definition
relapse
Term
Plasmodium can cause _______ and antibody response is eventually effective.
Definition
bouts of fever
Term
Anti-malaria drugs target _______ in pathogen.
Definition
processing of hemoglobin
Term
Why are people with sickle cell anemia resistant to Malaria?
Definition
those with sickle cell have different shaped hemoglobin so the parasite cannot grow in it.
Term
C.perfringes causes tissue damage with exozymes:
Definition
hyaluronidase, collagnenase, and alpha toxin.
Term
What is a Gram (+), encapsulated pathogen that expresses hyalronidase, hemolysins, protein A and coagulase?
Definition
Staphylococcus
Term
Name a NON-mobile blood infection
Definition
malaria
Term
What is a Gram (+) that has capsule, fimbraie, and M protein.
Definition
Streptococcus
Term
name three relapsable pathogens (due to VG variation of surface antigen switching):
Definition
Plasmodium, Trypanosoma brucei and cruzi
Term
What causes Typhoid fever or gastroenteritus?
Definition
Salmonella
Term
what pathogen releases shiga toxin?
Definition
E.Coli (EHEC)
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