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Phase A Microbiology
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299
Medical
Professional
09/01/2010

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Term
What is the morphology of cocci, rods, curved, snake-like and spiral organisms?
Definition
coccus, bacillus, vibrio, spirillum and spirochete
Term
What does a Gram Stain do?
Definition
Distinguish between two major classes of bacteria depending on staining of peptidoglycan layer.
Term
How does one do a Gram Stain?
Definition
Heat fix bacteria or dry onto a slide, stain with crystal violet, which precipitates with iodine, wash away unbound excess stain with acetone-based decolorizer, then counter-stain with safranin.
Term
What color are Gram pos and neg bacteria after Gram Stain?
Definition
Pos is purple because of thick peptidoglycan layer and neg is red because it didn't retain crystal violet in thin peptidoglycan layer
Term
What is serotyping?
Definition
Distinguishing strains of bacteria by using antibodies to detect characteristic antigens on the bacteria.
Term
What is an advantage of techniques such as DNA hybridization and PCR amplification?
Definition
Do not require living or growing bacteria and can be used for rapid detection and identification of slow growing organisms.
Term
Describe the bacterial chromosome.
Definition
Single, ds circle in a region called nucleoid; no histones; plasmids may exist
Term
What do plasmids do.
Definition
May confer resistance to one or more antibiotics
Term
Describe the bacterial ribosome.
Definition
Consists of 30S+50S subunits forming 70s
Term
What is different about transcription and translation in bacteria from euk?
Definition
They are coupled
Term
What occurs on the cytoplasmic membrane of bacteria?
Definition
electron transport, energy production, uptake of metabolites, maintenance of membrane potential
Term
Does the cytoplasmic membrane of bacteria have sterols?
Definition
No, but euk cytoplasmic membrane does.
Term
How do prokaryotes reproduce?
Definition
asexually via binary fission
Term
What organelles are absent from the bacteria?
Definition
mitochondria, golgi bodies, ER, no real nucleus
Term
Where is the peptidoglycan layer located and what is another name for it?
Definition
Surrounds the cytoplasmic membrane and acts as part of the cell wall aka murein.
Term
What constitutes the cell wall of Gram-pos?
Definition
thick peptidoglycan, teichoic acid, and lipoteichoic acid
Term
What constitutes the cell wall of Gram-neg?
Definition
thin peptidoglycan, perplasmic space, outer membrane, proteins, LPS
Term
Where is LPS found and what is another name for it?
Definition
Found on the outer leaflet of the outer membrane of Gram neg; aka endotoxin.
Term
What is the area called between the external surface of the cytoplasmic membrane and the internal surface of the outer membrane?
Definition
periplasmic space
Term
What is the glycocalyx and what is its importance?
Definition
The capsules and slime layers of bacteria; capsules are loose polysaccharide or protein layers while slime layers is less uniform; important for survival
Term
What is the difference between flagella and fimbriae (pili)?
Definition
Flagella are propellers that are anchored to the membrane through hook and basal body structures providing motility; fimbriae are hairlike structure that are smaller and promotes adherence
Term
Which bacteria class are spore formers and when does it occur?
Definition
Gram-positive only; under harsh conditions it converts from a vegetative state to a dormant state
Term
What is the structure of a spore?
Definition
Dehydrated, multishelled structure with a copy of a chromosome and a high concentration of Ca bound to dipicolinic acid; inner membrane, two peptidoglycan layers and outer keratin-like protein coat
Term
What triggers a spore to become vegetative?
Definition
Disruption to the outer coat by mechanical stress, pH, heat or another stresser; requires water and alanine
Term
What is the minimum requirement for growth in bacteria?
Definition
Carbon, nitrogen, energy course, water and various ions.
Term
Define intermediary metabolism.
Definition
The interrelated and tightly integrated processes of anabolism and catabolism.
Term
What are the two types of energy produced in bacterial glycolysis?
Definition
chemical and electrochemical
Term
What is bacterial glycolysis pathway called?
Definition
Embden-Meyerhof-Parnas pathway
Term
In the absence of oxygen, what represents the primary means of energy production?
Definition
Substrate-level phosphorylation; then the pyruvate may enter fermentation
Term
What are the 3 functions of the TCA cycle for bacteria?
Definition
1) Most efficient mechanism for making ATP
2) Serves as final common pathway for complete oxidation of AA, FA and carbs
3) Supplies key intermediates for the ultimate synthesis of AA, lipids, purines, and pyrmidines
Term
What is the final pathway of glucose metabolism and its function?
Definition
Pentose P pathway; used to provide nucleic acid precursors and reducing power in the form of NADPH for use in biosynthesis.
Term
What makes the TCA cycle amphibolic?
Definition
It may function in the anabolic and catabolic functions of the cell.
Term
What are the 2 basic purposes of microscopy?
Definition
Initial detection of microbes and preliminary or definitive identification of microbes
Term
What is the difference in the machinery of light and dark microscopy?
Definition
A special condenser is used for dark to prevent transmitted light from directly illuminating the specimen.
Term
What is a limitation of lightfield microscopy?
Definition
The resolution of the image ie the ability to distinguish that two objects are separate and not one; darkfield is better at this.
Term
What is a disadvantage of darkfield microscopy?
Definition
Since light moves around and not through the organism, the internal structure cannot be studied.
Term
What are the 5 microscopic methods?
Definition
1. brightfield ie light
2. darkfield
3. phase-contrast
4. fluorescent
5. electron
Term
Culture media can be subdivided into four general categories.
Definition
1) enriched nonselective media
2) selective media
3) differential media
4) specialized media
Term
What is enriched nonselective media used to grow?
Definition
Organisms without fastidious growth requirements.
Term
What is selective or differential media used to grow?
Definition
Organisms that may be present in a mixture of other organisms; media is supplemented with inhibitors that suppress the growth of unwanted organisms.
Term
What is specialized media used to grow?
Definition
Specific organisms that may be fastidious or typically present in large mixtures of organisms.
Term
What is cell culture used to grow?
Definition
Organisms that are strict intracellular microbes; that is, they can only grow in living cells.
Term
How does site of collection influence which media to use?
Definition
Specimens from normally sterile sites are inoculated onto nonselective agars/broths while those with potential contamination are put on selective/differential media.
Term
Define pathogenicity island.
Definition
Large chromosomal regions that contain sets of genes encoding numerous virulence factors.
Term
What is the natural defense mechanism in openings of human body?
Definition
Mucus and ciliated epithelium, lysozyme, tears, acid and bile
Term
How are biofilms produced?
Definition
Once bacteria sense that sufficient bacteria are present to make a biofilm, they create a bacterial community bound within a sticky web of polysaccharide that binds the cells together and to the surface; called quorum sensing.
Term
Describe the structure of exotoxin.
Definition
Dimeric; B portion binds to specific cell surface receptor and A subunit is transferred into the interior of the cell where cell injury is induced.
Term
What are the biochemical targets of A-B toxins?
Definition
Ribosomes, transport mechanisms, intracellular signaling.
Term
Define superantigens.
Definition
Special group of toxins that activate T cells by binding simultaneously to a T-cell receptor and a MHCII molecule on an antigen-presenting cell.
Term
Define exotoxin.
Definition
Proteins that can be produced by Gram-pos or neg bacteria, include cytolytic enzymes and receptor-binding proteins that alter function or kill the cell.
Term
What is the MOA of endotoxins?
Definition
Once released by Gram-neg (only), it binds to specific receptors on macrophages, B cells and stimulates release of acute-phase cytokines.
Term
What is the most important factor that determine success of a blood culture?
Definition
Volume of blood processed.
Term
What is the difference between continuous vs. intermittent septicemia?
Definition
Continuous occurs primarily in patients with intravascular infections; intermittent is with localized infections.
Term
How many bottles of media should be inoculated for blood cultures?
Definition
Two
Term
What is the incubation period for blood culture?
Definition
5-7 days
Term
How is CSF obtained?
Definition
Disinfect pt skin before lumbar puncture, collected into sterile screw-capped tubes, centrifugated, sediment is inoculated; should be processed immediately
Term
How should urine samples be collected?
Definition
First portion of urine should be discarded; ideally cultured immediately
Term
What are the 5 general procedures used to detect bacteria in clinical specimens?
Definition
1) microscopy
2) detection of bacterial antigens
3) detection of specific bacterial nucleic-acids
4) culture
5) detection of an Ab response to the bacteria
Term
What are two general forms of antimicrobial susceptibility tests performed in clinical lab?
Definition
1) broth dilution tests
2) agar diffusion tests to obtain MIC
Term
What is the most common mechanism of antibiotic activity?
Definition
Interference with bacterial cell wall synthesis.
Term
What are the three vibrios that are important?
Definition
Vibrio cholerae, parahaemolyticus, and vulnificus
Term
What nutrient needs do vibrios have?
Definition
Must have salt, can tolerate wide pH range but are susceptible to stomach acids.
Term
Which serogroups of V. cholerae produce toxin?
Definition
O1-O139
Term
What is the structure of V. cholerae?
Definition
Polar flagella, toxin co-regulated pilus, lipolysaccharides with lipid A (endotoxin), core polysaccharide and O polysaccharide chain.
Term
What structure of the bacteria determine serogroup?
Definition
O polysaccharide
Term
What general classification of bacteria are Vibrio?
Definition
gram-negative, facultatively anaerobic, fermentative rods.
Term
How is the serogroup O1 for V. cholera further divided?
Definition
Three serotypes: Inaba, Ogawa and Hikojima and two biotypes: Classical and El Tor.
Term
Why doesn't V. cholera O1 spread beyond the confines of the intestine?
Definition
Because it does not produce a capsule.
Term
What is the genetic basis for V. cholera's ability to produce cholera toxin?
Definition
Bacteriophage CTXphi encodes the genes for the cholera toxin; the phage binds to the toxin co-regulated pilus and moves into the bacterial cell where it becomes integrated into the genome
Term
How is V. cholera spread and where does it reside in the environment?
Definition
Spread by consumption of contaminated food or water; found in estuarine and marine environments--assoc w/ chitinous shellfish
Term
What gives the "rice-water" stool look?
Definition
Proteinless, mucous filled watery stool.
Term
How is V. cholera diagnosed?
Definition
Microscopic examination of stool (not preferred); culture early in course of disease
Term
What is treatment for V. cholera?
Definition
Fluid and electrolyte replacement; azithromycine antibiotic
Term
Define tropism.
Definition
Predilection for viruses to infect certain cells and not others.
Term
Tropism is defined by four factors. What are they?
Definition
1) expression of host cell receptors for the virus
2) presence of cellular transcription factors that recognize viral enhancer and promoter sequences
3) anatomic barriers
4) local temp, pH and host defenses
Term
What is some major determinants of tissue tropism?
Definition
Presence of viral receptors on host cells, ability of the virus to replicate inside some cells but not in others, physical barriers.
Term
What are three ways viruses can damage or kill cells once inside?
Definition
1) direct cytopathic effects
2) antiviral immune responses
3) transformation of infected cells
Term
Define latency.
Definition
Inability to recover infectious particles from cells that harbor the virus.
Term
What is general structure of Herpesvirus?
Definition
Large encapsulated viruses that have a ds DNA genome that encodes ~70 proteins.
Term
What is the pattern of infection like from Herpesvirus?
Definition
Causes acute infection followed by latent infection in which the viruses persist in a noninfectious form with periodic reactivation and shedding of infectious virus.
Term
Where do HSV-1 and 2 spread to?
Definition
Sensory neurons that innervate primary sites of replication, which is the site of entrance of virus.
Term
Where does HSV establish latent infection?
Definition
innervating ganglia of neuronal cell bodies
Term
What happens during HSV latency?
Definition
Viral DNA remains within the nucleus of the neuron and only latency-associated viral RNA transcripts (LATs) are synthesized. No viral proteins are produced.
Term
What are long-term morbidities associated with HSV?
Definition
corneal blindness, fatal sporadic encephalitis
Term
What are general morphologies of HSV?
Definition
Large, pink to purple intranuclear inclusions (Cowdry Type A) with chromatin pushed to edges of nucleus; inclusion bearing multinucleated syncytia.
Term
How does HSV present on the skin?
Definition
Fever blisters around mucosal orifices where it is bilateral and independent of skin dermatomes.
Term
Define gingivostomatitis.
Definition
Caused by HSV-1; occurs in children; swollen, erythematous HSV lesions of fingers; vesicular eruption from tongue to retropharynx causing cervical lymphadenopathy.
Term
What are the two types of corneal lesions caused by HSV?
Definition
Epithelial keratitis, which is virus-induced cytolysis of superficial epithelium and stromal keratitis, infiltrates of mononuclear cells around keratinocytes and endothelial cells.
Term
What is kaposi vericelliform eruption?
Definition
Generalized vesiculating involvement of skin.
Term
What is eczema herpeticum?
Definition
Confluent, pustular, or hemorrhagic blisters.
Term
What are the 3 serotypes and 2 biotypes of V. cholerae O1?
Definition
Inaba, Ogawa Hikojima; Classical, El Tor
Term
What are the three basic types of cell cultures for viruses?
Definition
Primary cultures: dispersing cells from freshly removed host tissues
Secondary cultures: diploid cell lines and continuous cell lines
Term
What is the difference between diploid and continuous cell lines?
Definition
Diploid has undergone a change that allows their limited culture while continuous are capable of prolonged growth derived from diploid.
Term
Where are inclusion bodies located in HSV infected cells?
Definition
Nucleus.
Term
What is almost always the final step in viral purification?
Definition
Density gradient centrifugation.
Term
What pH range are viruses stable at?
Definition
5-9
Term
What does radiation do to viruses?
Definition
Inactivates its infectivity.
Term
What does ether susceptibility distinguish on viruses?
Definition
Whether they possess an envelope or not.
Term
What do nonionic detergents do to viruses?
Definition
Solubilize lipid constituents of viral membranes.
Term
What does formaldehyde do to viruses?
Definition
Destroys viral infectivity by reacting with nucleic acid.
Term
How are viruses inactivated with a photodynamic process?
Definition
Penetrate with a dye and exposure to light will inactivate.
Term
What are some methods of sterilization?
Definition
Pressure, dry heat, ethylene oxide, and gamma-irradiation.
Term
What are the three potential outcomes of cell infected with a virus?
Definition
1. failed infection (abortive)
2. cell death (lytic)
3. replication without cell death (persistent)
Term
What are the 4 types of persistent infections?
Definition
1) chronic
2) latent
3) recurrent
4) transforming
Term
What is the difference between a nonpermissive and a permissive cell?
Definition
Nonpermissive may lack a receptor that will not allow replication of a particular type or strain of virus. Permissive provides the biosynthetic machinery to support the replicative cycle of the virus.
Term
Define semipermissive cell.
Definition
Inefficient replication of a virus; some steps are supported but not all
Term
What are lytic infections?
Definition
When virus replication kills the target cell.
Term
Define syncytia and what triggers it.
Definition
Fusion of neighboring cells into multinucleated giant cells; triggered by cell surface expression of viral glycoproteins.
Term
What does syncytia formation allow the virus to do?
Definition
Spread from cell to cell and escape antibody detection.
Term
Define inclusion bodies.
Definition
Sustainable structure that appear within nucleus or cytoplasm; results from virus-induced changes in the membrane and may represent sites of viral replication or accumulation of viral capsids.
Term
What are a couple of nonlytic infections?
Definition
Persistent and latent.
Term
What is the nature of HSV's latent infection?
Definition
Occurs in neurons that lack the nuclear factors required to transcribe the immediate early viral genes.
Term
What are 3 ways that oncogenic viruses immortalize cells?
Definition
1) activate or provide growth-stimulating genes
2) remove the inherent braking mechanisms that limit DNA synthesis and cell growth
3) prevent apoptosis
Term
What lab methods accomplish (5)?
Definition
1. description of virus-induced CPEs on cells
2. electron microscopic detection of viral particles
3. isolation and growth of virus
4. detection of viral components
5. evaluation of patient's immune response to the virus
Term
When should specimens be collected for viral infections?
Definition
Early in the acute phase of infection, before the virus ceases to be shed.
Term
What do CPEs include?
Definition
Changes in cell morphology, cell lysis, vacuolation, syncytia, and inclusion bodies.
Term
What kind of viruses is electron microscopy useful for?
Definition
Detection of enteric viruses.
Term
How does one obtain a primary cell culture?
Definition
Dissociate specific animal organs with trypsin or collagenase; cells grown in monolayers or in suspension in artificial media.
Term
What is tissue culture dose (TCD50)?
Definition
Titer of virus that causes CPEs in half the tissue culture cells.
Term
What is lethal dose (LD50)?
Definition
Titer of virus that kills 50% of a set of test animals.
Term
What is infectious dose (ID50)?
Definition
Titer of virus that initiates a detectable symptom, antibody, or other response in 50% of a set of test animals.
Term
What can be used to detect viral antigens on the cell surface or within cells?
Definition
Immunoflorescence or EIA
Term
What can be used to detect virus or antigen released from infected cells?
Definition
ELISA, RIA and LA
Term
What is the genetic fingerprint of viruses?
Definition
Electrophoretic patterns of RNA or restriction endonuclease fragment lengths from DNA viral genomes.
Term
What can be measured by real-time PCR?
Definition
Quantification of amount if virus within a patient (viral load); concentration of viral genome in a blood sample is proportion to the rate of PCR amplification of genomic DNA
Term
How does Southern blot analysis work?
Definition
Viral genome of electrophoretically separated restriction endonuclease cleavage fragments of the genome are blotted onto nitrocellulose filters and then detected by hybridization to DNA probes.
Term
How does Northern blot work?
Definition
Electrophoretically separated viral RNA is blotted onto a nitrocellulose filter in the same way as Southern but probing is different.
Term
What is transcription-based amplification?
Definition
Uses reverse transcriptase and viral sequence specific primers to make a cDNA and attaches a sequence recognized by the DNA-dependent RNA polymerase.
Term
How are DNA probes used?
Definition
Like antibodies to detect virus via sequence complementary to specific regions of a viral genome.
Term
What is structure of HSV?
Definition
linear ds DNA enveloped in DNA core, which is an icosadeltahedral capsid, surrounding is the tegument with viral proteins and enzymes, entirely covered by glycoprotein-containing envelope
Term
What are HSV early proteins (alpha)?
Definition
Proteins important for the regulation of gene transcription and takeover of the cell.
Term
What are HSV early proteins (beta)?
Definition
Transcription factors and enzymes, including DNA polymerase.
Term
What are HSV late proteins (gamma)?
Definition
Structural proteins, which are generated after viral genome replication has begun.
Term
What are the roles of HSV RNA polymerase and DNA polymerase?
Definition
RNA pol transcribes the viral genome and DNA pol replicates it.
Term
How many proteins and glycoproteins are encoded by the HSV genome?
Definition
80 proteins and 10 glycoproteins.
Term
HSV causes lytic infections in what cells?
Definition
Fibroblasts and epithelial cells.
Term
HSV causes latent infections in what cells?
Definition
Neurons.
Term
What are the CPEs of HSV?
Definition
syncytia, "ballooning" cytoplasm, Cowdry Type A intranuclear inclusions
Term
Where can HSV be obtained from?
Definition
Vesicles but not crusted lesions.
Term
What is a Tzanck smear?
Definition
Means to identify CPEs by scraping the base of a lesion.
Term
How does ACV work as an anti-HSV drug?
Definition
ACV is phosphorylated by the viral thymidine kinase and cellular enzymes activates the drug as a substrate for the viral pol; the drug is incorporated into viral DNA to prevent its elongation.
Term
What kind of parasites are viruses?
Definition
Obligate intracellular
Term
Define virion.
Definition
aka virus particle consists of a nucleic acid genome packaged into a protein coat (capsid) or a membrane (envelope).
Term
What does the outer layer of the virion do?
Definition
Package, protection, and delivery vehicle during transmission of the virus from one host to another and for spread within the host to the target cell.
Term
What is VAP?
Definition
Viral attachment protein that mediate the interaction of the virus with the target cell.
Term
What kinds of subunits do viral capsid proteins associate?
Definition
Protomers, capsomeres and a recognizable procapsid.
Term
Where is the envelope of a virus obtained from?
Definition
Target cellular membranes even though cellular proteins are rarely found on it.
Term
What are VAPs that bind to RBCs?
Definition
hemaglutinins (HAs)
Term
Which viruses are always enveloped?
Definition
All the negative-strand RNA viruses.
Term
What does the mechanism of viral internalization depend on?
Definition
Virion structure and cell type
Term
How do nonenveloped viruses enter the cell?
Definition
Endocytosis or viropexis.
Term
What cellular machinery do DNA viruses use to make mRNA?
Definition
DNA-dependent RNA polymerase II
Term
What cellular machinery do RNA viruses use to make mRNA?
Definition
They must encode it themselves in the cytoplasm because cell can't replicate RNA.
Term
How is viral DNA replicated?
Definition
Similarly as cellular DNA; initiated at ori sequence where it is recognized by DNA-dependent DNA polymerase; semi-conservative, DNA pol requires a primer
Term
What is the difference bw positive and negative-strand RNA viral genomes?
Definition
Naked pos-strand is sufficient to initiate infection by itself; neg-strand is not infectious by itself and a pol must be carried into the cell with the genome.
Term
Where are viral glycoproteins synthesized?
Definition
On membrane-bound ribosomes; have AA sequences to allow insertion into the RER and N-linked glycoslyation.
Term
Define virus.
Definition
Obligate, intracellular molecular parasite that lacks a cell wall and organelles, incapable of respiratory metabolism, composed of RNA and/or DNA within a protein coat that itself may be enveloped with lipoprotein membrane
Term
Define prion.
Definition
Infectious, nucleic-acid-free aggregates of a cellular protein expressed normally and primarily in neurons.
Term
Define viroid.
Definition
Naturally occurring, highly stable, protein-free RNAs that infect and replicate in plant cells.
Term
What is shape of capsid?
Definition
cubic icosahedral symmetry
Term
Which membranes can the viral envelope come from?
Definition
PM, Golgi or ER
Term
How is it determined where the virus obtains its envelope?
Definition
Determined by virus-directed reorganization of the cellular membrane to include virus-specified glycoproteins and to exclude the bulk of resident cellular proteins.
Term
When exactly is the envelope acquired?
Definition
When the capsid or nucleocapsid "buds" or evaginates through the altered cell membrane
Term
Does the virion envelope contain cellular proteins?
Definition
No, but it contains a lipid bilayer taken from the cell membrane.
Term
Why would viral envelopes be slightly different from its original site of acquisition?
Definition
Because there is a redistribution of cellular lipids as the viral proteins are implanted in the cell membrane.
Term
What are the two general ways by which an envelope coats or adheres to the internal capsid or nucleocapsid?
Definition
1) Envelope may adhere directly to the capsid during the course of budding.
2) Capsid or nucleocapsid may be covered with a scaffold of matrix proteins to which the envelope adheres.
Term
What is the role of the myristate moiety in envelope interaction with substructure?
Definition
Causes substructure protein to adhere to cytoplasmic face of membrane involved.
Term
What is the structure of peplomers?
Definition
Oligomeric glyproteins of viral envelopes; complex of 2 or 3 different proteins, one of which is a integral membrane protein bound noncovalently to portion of integral protein protruding on surface of virion
Term
What are roles of peplomers?
Definition
Site by which enveloped virus can attach to a host and elicits immune response in the host
Term
What glycosylates viral integral membrane proteins?
Definition
Cellular enzymes in the ER and Golgi; but NOT via viral enzymes
Term
What do peplomers display?
Definition
Ligand for a cellular receptor and antigen that elicits neutralizing antibodies.
Term
How do peplomers appear under the microscope?
Definition
"spikes" or "knobs" or fine "bristles" arranged icosahedrally
Term
What are matrix proteins?
Definition
Scaffolding proteins that undergird the envelope of viruses; interacts with cytoskeleton to receive nucleocapsids deliver through it for envelopment
Term
What is the result of myristilating matrix proteins?
Definition
Causes their migration to and association with inner leaflet of cell PM, ER or Golgi membrane
Term
Where do viral capsid come from?
Definition
Encoded from viral genome
Term
How is the viral capsid assembled?
Definition
By capsomers spontaneously without use of energy by noncovalent interactions of the component proteins.
Term
What are the 3 known arrangements of nucleic acids with capsids?
Definition
1) DNA is in "liquid crystal" state interacting directly with inner surface of capsid
2) pack into a core
3) genome is a nucleosome that is packaged into capsids
Term
Define nucleocapsid and which viruses usually have this?
Definition
Combo of nucleic acid and capsid; usually for viruses with helical symmetry
Term
What is a capsomer and the different shapes it assumes?
Definition
Final pre-fabricated protein units that make up a capsid; if it has 5 protomers, it is a pentamer; if it has 6 protomers, it is a hexamer
Term
What is a protomer?
Definition
Smallest recognizable structural sub-assembly of a capsid or nucleocapsid.
Term
What is the composition of a protomer?
Definition
Made of 3-4 polypeptides that share a tertiary motif known as "B-barrel jelly roll"
Term
How are protomers similar to capsids?
Definition
Assembled spontaneously with reversible state.
Term
What is the core?
Definition
complex of viral NA, replicative proteins, and packaging proteins that is housed within an icosahedral capsid.
Term
What are the two symmetries of viruses?
Definition
Icosahedral (cubic) and helical
Term
What is one consistent feature of DNA viruses?
Definition
Only ONE molecule of DNA constitutes the genome.
Term
All viruses are haploid except one, which is diploid. Which?
Definition
Retroviruses
Term
What does it mean to be of positive polarity?
Definition
Refers to the fact that genomes of some RNA viruses are infectious because the genomic RNA can serve directly as mRNA to initiate viral protein synthesis and multiplication.
Term
What does it mean to be of negative polarity?
Definition
RNA viruses with non-infectious genomes where it cannot serve as mRNA; its polarity is opposite to that of its mRNA; requires transcriptase
Term
Where do virion lipids originate from?
Definition
Host lipid in cellular membranes.
Term
What enzymes can be found in the virion?
Definition
DNA-dependent RNA pol; RNA-dependent RNA pol; RNA-dependent DNA pol
Term
What enzymes can the virus encode that is not contained in the virion?
Definition
DNA-dependent DNA pol; RNA-dependent RNA pol
Term
Which HOST enzymes do viruses depend on?
Definition
host DNA-dependent pol and host DNA-dependent RNA pol
Term
Compare viral multiplication vs. replication.
Definition
Multiplication is production of progeny virus from the original infecting virus; replication is the synthesis of new genomes from the original template (one step of multiplication)
Term
How does length of time for viral multiplication compare for RNA vs. DNA viruses? What is drawback for RNA?
Definition
RNA viruses takes less time than DNA; higher mutation rates.
Term
What is multiplication time NOT dependent on?
Definition
genome size
Term
What are the two portals through viruses gain access into body?
Definition
Blood and epithelia
Term
What are the 9 steps of viral multiplication cycle?
Definition
1) recognition
2) attachment
3) penetration
4) uncoating
5) transcription
6) translation
7) genome replication
8) assembly
9) release
Term
How do human viruses adsorb to cells (2)?
Definition
single cellular receptor or both a receptor and co-receptor
Term
Describe one-step adsorption.
Definition
Recognition of a susceptible cell and attachment are accomplished simultaneously by the adsorption site on the surface of the virion.
Term
Describe two-step adsorption.
Definition
Recognition is the binding of the virus to its receptor, which may help induce the attachment, which is binding to the co-receptor.
Term
Explain tissue tropism and host specificity.
Definition
Infection depends on the virus being in the right tissue in the right host; mere act of adsorption does not guarantee infection.
Term
What does it mean that virions are metastable?
Definition
various components are in conformations that are energetically favorable but not not at their minimum energy levels.
Term
What environmental condition is important in penetration?
Definition
Process is temperature-dependent
Term
What are the 4 mechanisms of penetration?
Definition
1) pore formation
2) fusion
3) receptor-mediated endocytosis
4) caveolation
Term
Where does the energy come from for viral penetration?
Definition
The cell
Term
What are four mechanisms of uncoating?
Definition
1) pore formation at PM
2) fusion at PM
3) endosomal acidification
4) caveolation
Term
Define viral assembly.
Definition
Structural assemblage of viral genomes and proteins into nucleocapsids.
Term
Define viral maturation.
Definition
Finishing of protein cleavages in situ within the maturing particle and/or the acquisition of an envelope.
Term
What do cellular and viral proteins targeted to enter the nucleus share?
Definition
Nuclear localization signals (NLSs) that also specify direction
Term
How does transport from RER to PM occur?
Definition
Normal cellular vesicular trafficking.
Term
What does acylation with myristate or farnesol do to viral proteins in the cytoplasm?
Definition
Target the proteins to the inner lamella of the PM, where they interact with capsid proteins in the cytoplasm and with transmembrane portions of envelope proteins in the plasma
Term
What do ER molecular chaperones do for viral proteins?
Definition
Prevent premature folding and oligomerization.
Term
What are packaging signals?
Definition
Molecular tags recognized by capsid or other proteins involved in packaging the correct NA.
Term
Where are packaging signals absent from?
Definition
sub-genomic mRNAs and in negative strands which serve only as templates for mRNA synthesis
Term
How is the exit of DNA viruses controlled?
Definition
By the quantitative accumulation and action of proteins that mediate packaging
Term
How is it ensured that viral NAs and proteins are not wastefully overproduced?
Definition
Components are produced in quantities sufficient to produce large numbers of infectious progeny despite the concurrent, accidental production of even larger numbers of defective particles; localized concentrations of viral components are high enough to obey the law of mass action and drive assembly of virions.
Term
Assembly is a spontaneous process, t/f?
Definition
TRUE!
Term
What are the two pathways of viral genome packaging?
Definition
sequential assembly or concerted assembly
Term
What does the release of progeny virus from the infected cell depend on?
Definition
assembly of nucleocapsids and accumulation of a critical mass of proteins and virions
Term
What are the three general mechanisms by which progency virions leave the infected cell?
Definition
lysis, budding from PM and exocytosis
Term
How does lysis occur?
Definition
At a critical level of toxicity (due to high concentration of viral protein), cell lyses and virions are released.
Term
What is cytopathology.
Definition
Consequences to infection at the cellular level
Term
Define susceptible.
Definition
Cells to which viruses can absorb and into which they can penetrate.
Term
Define permissive.
Definition
Cells that support viral multiplication.
Term
Define semi-permissive.
Definition
Cells that are susceptible to infection but the virus can multiply and be released at minimally detectable levels.
Term
What are the four types of infection at the cellular level?
Definition
1) productively
2) latently
3) abortively
4) oncogentically
Term
What does the type of infection dependent on?
Definition
Susceptibility of the cell and species of the virus.
Term
Why shouldn't oncogenic transformation be considered as a latent infection?
Definition
Because oncogenic viruses do not multiply at all in cells which they can transform.
Term
How are human beings infected with HSV?
Definition
Latently and thus, inapparent.
Term
What viral properties are CPEs dependent on?
Definition
Site of replication, involvement with cell membranes, cell fusion activity with envelope proteins
Term
Name 8 typical CPEs.
Definition
1) margination of chromatin
2) inclusion bodies
3) vacuolization
4) cell fusion
5) giant cells
6) necrosis
7) apoptosis
8) transformation
Term
CPEs are observable by light or electron microscopy?
Definition
Both
Term
The virus can cause cell damage in what 7 ways?
Definition
1) inhibition of host cell macromolecular synthesis
2) alterations in host-cell gene regulation
3) breakdown of cell lysosomes and/or ER and Golgi
4) toxicity of accumulated viral protein
5) alterations in normal cellular metabolism
6) appearance of new antigenic determinants on the cell surface
7) binding of viral ligand to its cell receptor
Term
What is the sequence of events of the infecting virus on the target cell?
Definition
1) adsorption
2) penetration
3) uncoating
4) transcription
5) translation
6) replication of genome
7) assembly
8) maturation
9) release
Term
What is the virulence of clostridial species related to?
Definition
ability to survive exposure to oxygen by forming spores and producing many diverse toxins ande nzymes
Term
What organisms causes nontraumatic myonecrosis?
Definition
C. septicum
Term
Patients with which chronic conditions are most susceptible to C. septicum?
Definition
occult colon cancer, acute leukemia and diabetes
Term
What is the human disease caused by C. septicum?
Definition
gas gangrene and septicemia
Term
Define the structure of C. perfringens.
Definition
large, rectangular, gram-positive rod, nonmotile, spores are rarely observed
Term
What is the most important toxin to C. perfringens and its effects?
Definition
Alpha toxin--lyses RBCs, platelets, WBCs and endothelial cells; mediates hemolysis, increased vascular permeability and bleeding, tissue destruction
Term
When is the C. perfringens enterotoxin produced?
Definition
during the phase transition from vegetative cells to spores and released with formed spores when cells undergo terminal stages of sporulation.
Term
What conditions in the small intestine stimulate sporulation?
Definition
alkaline
Term
Where can C. perfringens survive within and outside the body?
Definition
Infections occur in the intestinal tract of humans; outside it is in soil and water contaminated with feces
Term
What are the 3 types of soft-tissue infections caused by C. perfringens?
Definition
1) cellulitis
2) fasciitis
3) myonecrosis or gas gangrene
Term
In what ways can C. perfringens manifest?
Definition
soft tissue infections, food poisoning, necrotizing enteritis, septicemia
Term
Define cellulitis.
Definition
localized edema and erythema with gas formation in soft tissue, generally nonpainful
Term
Define suppurative myositis.
Definition
accumulation of pus (suppuration) in the muscle planes w/o muscle necrosis or systemic symptoms
Term
Define myonecrosis.
Definition
painful, rapid destruction of muscle tissue; systemic spread with high mortality
Term
What is the laboratory diagnosis of C. perfringens?
Definition
microscopic detection of gram-pos rods in clinical specimens or recovery of organisms in feces collected within 1 day of onset
Term
What is treatment for C. perfringens?
Definition
Aggressive treatment with surgical debridement and high-dose penicillin therapy.
Term
What is the main purpose of fungi?
Definition
to degrade organic matter
Term
Fungi exist as heterotrophs in what 4 classes?
Definition
1) saprobes
2) symbionts
3) commensals
4) parasites
Term
How are the cell wall and cell membrane unique for fungi?
Definition
Cell wall contains chitin and glucan while cell membrane contains ergosterol in lieu of cholesterol
Term
How are yeast and molds different by morphology?
Definition
Yeast produces by budding/fission to yield pseudohyphae, unicellular, round, pasty, mucoid colonies on agar;
Mold are multicellular with threadline tubular structures called hyphae, colonies are filamentous, hairy or woolly
Term
Why are some fungi called dimorphic?
Definition
Bc they may exist in both a yeast and mold form
Term
Give the basic characteristics of fungi:
respiration
metabolism
reproduction
Definition
mostly aerobic respiration
heterotrophic metabolism
sexual (formation of spores) or asexual (mitosis)
Term
Compare teleomorph to anamorph.
Definition
teleomorphs produce sexual spores and anamorphs produce asexual spores
Term
What are the two types of asexual spores
Definition
sporangiospores and conidia
Term
What are the 5 classes of fungi.
Definition
1) zygomycetes
2) basidiomycetes
3) archiascomycetes
4) hemiascomycetes
5) euascomycetes
Term
Describe suprficial mycoses.
Definition
infections limited to superficial surfaces of skin and hair; nondestructive
Term
Describe cutaneous mycoses
Definition
infections of keratinized layer of skin, hair and nails; elicit host response and become symptomatic
Term
Describe subcutaneous mycoses
Definition
infections at deeper layers of skin via traumatic inoculation
Term
Describe endemic mycoses
Definition
infections caused by classic dimorphic fungal pathogens; primary infection in lung
Term
Define opportunistic mycoses
Definition
Infections attributable to fungi normally found as human commensals or in environment
Term
What are the two MOA of amphotericin B (polyene) as an antifungal?
Definition
1) binds to ergosterol producing ion channels and leakage of intracellular constituents
2) direct membrane damage by generating oxidative reaction
Term
What is the MOA of azoles as an antifungal?
Definition
by inhibiting fungal cytochrome P450-dependent enzyme lanosterol 14-alpha-demethylase, which disrumpts membrane synthesis
Term
What are the two groups of azoles?
Definition
imidazoles and triazoles
Term
What is the MOA of echinocandins as an antifungal?
Definition
inhibits synthesis of 1,3-beta-glucans which are important constituents of fungal cell wall
Term
What are the two groups of azoles?
Definition
imidazoles and triazoles
Term
What is the MOA of echinocandins as an antifungal?
Definition
inhibits synthesis of 1,3-beta-glucans which are important constituents of fungal cell wall
Term
What is the MOA of flucytosine (antimetabolite) as an antifungal?
Definition
interferes with synthesis of DNA, RNA
Term
What is the MOA of allylamines as an antifungal?
Definition
inhibit the enzyme squalene epoxidase, which decreases ergosterol
Term
What is the MOA of griseofulvin as an antifungal?
Definition
interacts with MTs resulting in inhibition of mitosis
Term
Name four infections that are superficial mycoses.
Definition
1) tinea versicolor
2) tinea negra
3) white piedra
4) black piedra
Term
What is the morphology of tinea versicolor?
Definition
clusters of spherical, thick-walled yeastlike cells; cream-colored colonies on culture
Term
What is the epidemiology of tinea versicolor?
Definition
most prevalent in tropical and subtropical regions; young adults
Term
What is clinical syndrome of tinea versicolor?
Definition
irregular, lesional patches of pityriasis versicolor on upper trunk
Term
What is lab diagnosis of tinea versicolor?
Definition
epidermal scales upon microscopic examination or yeastlike colonies with occasional hyphae in culture
Term
What is treatment for tinea versicolor?
Definition
topical azoles or selenium sulfide shampoo
Term
What is morphology of tinea negra?
Definition
dematiaceous, branched, hyphae with budding cells and black mold
Term
What is epidemiology of tinea negra
Definition
tropical or subtropical; children and young adults with higher incidence in females
Term
What are clinical syndromes of tinea negra
Definition
solitary, irregular, pigmented macule on palms or soles
Term
What is lab diagnosis of tinea negra?
Definition
two-celled cylindrical yeastlike cells on microscopic exam; toruloid hyphae on culture
Term
What is treatment of tinea negra?
Definition
topical therapy with azole creams and terbinafine
Term
Contrast white vs. black piedra
Definition
Both affect hair but white piedra presents as white to brown swelling along hair strand of groin and axillae; black piedra shows small, dark nodules surrounding hair shafts
Term
Why is infection with HSV inapparent at times?
Definition
establishes latent infection of the innervating ganglia
Term
What are the 3 consequences of primary infection?
Definition
1) most will be asymptomatic
2) initial infection may be fully productive and symptomatic
3) virus establishes a latent infection
Term
What are two severe forms that HSV 1 presents in children?
Definition
gingivostomatitis or encephalitis
Term
What does it mean for the virus to establish a latent infection?
Definition
viral genome is largely quiescent and infectious virus is not produced
Term
Where do HSV 1 and 2 establish latency?
Definition
1 in cervical ganglia and 2 in sacral ganglia
Term
Describe structure of HSV virion
Definition
enveloped and contains icosahedral capsid in which linear, ds DNA genome is born; envelope has typical lipid bilayer embedded by 10 viral glycoproteins organized into spikes; tegument is under envelope; further beneath is capsid, which is composed of 4 proteins organized into hexamers and pentamers
Term
What is the tegument?
Definition
largely amorphous, gelatinous matrix of at least 20 viral proteins
Term
Describe the HSV genome
Definition
4 isomers exist; comprised of long unique sequence (UL) and short unique sequence (US), each flanked by its own inverted repeat
Term
Which cells does HSV infect?
Definition
polarized epithelial cells of orpharynx or genitalia and polarized neurons of trigeminal or sacral root ganglia
Term
What are the 3 membranes that HSV must adsorb through?
Definition
1) apical membrane
2) axonal membrane
3) basolateral membrane
Term
What two parts does adsorption of HSV require?
Definition
recognition and attachment
Term
Which target cells allows HSV to adsorb in 1 step?
Definition
apical surface of polarized epithelial cells
Term
Which target cells allows HSV to adsorb in 2 steps?
Definition
all others
Term
What receptors are involved with the HSV 2 step adsorption process?
Definition
heparan sulfate or chondroitin sulfate; HVEM, nectins and 3-O-sulfated heparan sulfate
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