2015 Micro Review I

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Microbes & Pathogenesis - Review I

Britt Andersen

2015-01-22
[email protected]

Announcements
Microbe cards or Microbe card app (iTunes). You will need these for the
quizzes!
Three quizzes (15%) + one final exam (75%)

Bacteria
2/11 (W)
Viruses 2/27 (F)
Fungi/Parasites 3/18 (W)
Final exam 3/23 (M)

Framework exercise (10%)

2/13 (F)

Do the self-assessment!!! Very high yield for the final exam


These will not be collected or graded

Reviews
Format of sessions
Review questions
Important concepts and terms
Student questions
Schedule
Review
Review
Review
Review
Review
Review
Review

1
2
3
4
5
6
7

(1/22): Intro lectures, structural bacteriology, host-pathogen interactions 1


(1/30): Host-pathogen interactions 2, E. coli, TB, NTDs
(2/20): Antibiotics, Resistance,
(2/23): Virus taxonomy, HIV, Intro to medical virology
(2/26): Viral infections, parasitology
(3/6): Bioterrorism, fungal diversity, pathogen discovery
(3/13): Malaria, infection control, Streptococci

Final exam review- Saturday March 21st (1-3pm). Is this a good time?

Quiz I: What you should know


See list of Important Microbes on p11 of course pack
Microbes marked by asterisks will NOT be tested!
Gram positive or negative?
Disease(s) caused, defining characteristics
All the info will be on the cards
10 minutes, 30 questions, 1 bonus

Question #1
A.
B.
C.
D.

Gram negative rods


Fungi
Gram positive cocci
Gram positive baccili

Bonus: what pathogen could


this be??

Question #1
A.
B.
C.
D.

Gram negative rods


Fungi
Gram positive cocci
Gram positive baccili

Gram positive will be purple


and cocci will be round
This could for example be
staph or strep

Question #2
A.
B.
C.
D.

Gram negative rods


Fungi
Gram positive cocci
Gram positive baccili

Bonus: What pathogen?

Question #2
A.
B.
C.
D.

Gram negative rods


Fungi
Gram positive cocci
Gram positive baccili

Gram negative will be pink,


and rods/bacilli will be
elongated
This could for example be E.
coli or salmonella

Question #3
What is the difference between bacteremia and
septicemia?

Question #3
What is the difference between bacteremia and
septicemia?
Bacteremia: bacteria present in the blood
Septicemia: bacteria multiplying in the blood

Question #4
If a bacterium senses a nutrient and moves towards it- is
the flagella rotating clockwise or counterclockwise?
What is this mechanism called?

Question #4
If a bacterium senses a stimulus and moves towards it- is
the flagella rotating clockwise or counterclockwise?
What is this mechanism called? Chemotaxis

Question #5
Which of the following pathogens contains the endotoxin
LPS
A. Streptococcus pyogenes
B. Round worm
C. Staphylococcus aureus
D. Haemophilus influenzae
Why?

Question #5
Which of the following pathogens contains the endotoxin
LPS
A. Streptococcus pyogenes
B. Round worm
C. Staphylococcus aureus
D. Haemophilus influenzae
Why? It is the only gram negative bacteria

LecturesImportant Terms & Concepts

CaparonIntroduction to Medical Microbiology

Pathogens

Helminths
Protozoa
Fungi
Bacteria
Virus
Prion

Bacteria
Shape
Metabolism; aerobe, anerobe, faculative anerobe
Gram pos or neg

CaparonIntroduction to Microbial Pathogenesis

An organism with which a microorganism is associated


Microorganismsassociatedwithahealthhost
Amicroorganismcapableofcausinganinfectiousdisease
Cancausediseaseinadamagedhost,rarelyinahealthyhost
AnagentofinfectiousdiseaseacquiredviaaMedicalenvironment
Microorganismsgrowingonthehost.Sameasinfection.
Microorganismsgrowingonthehost.Sameascolonization.
.
Quantitativetermdescribingtheabilityofamicroorganismtocausedisease
Theprocessbywhichamicroorganismcausesadisease
Actionsofthemicroorganismandthereactionofthehost
INTERACTtodamagethehost

Kochs Postulates
Evidence required to establish a causal relationship between pathogen and disease
1. Microorganism must be found in all diseased animalsbut not in healthy ones
2. Microorganism must be isolated from diseased animal and grown in pure culture
3. Microorganism grown in pure culture must reproduce the disease when re-inoculated
into susceptible animals
4. Microorganism must be recovered from the experimentally infected animals
. Limitations of Kochs postulates:
1. Healthy individuals may harbor the microorganism
2. Not all microorganisms can be grown in pure culture (e.g. viruses)
3. Animal model of disease may not be available

Important Terminology
Pathogen v. normal flora
Opportunist
Nosocomial
Facultative v. obligate
Infection/colonization
Virulence

Measuring Virulence
Virulence: ability of a pathogen to cause disease
Can be quantified by ID50 and LD50
Amount of pathogen required to:
ID50 (infective dose) Cause infection in 50% of a sample population
LD50 (lethal dose)
Cause death in 50% of a sample population

Virulence Factors
Molecules produced by pathogens that enable them to cause disease
Colonize niche environments (tropism)
Evade/suppress host immune system
Uptake nutrients or expel harmful substances
Capsule: inhibits phagocytosis
Biofilm: immune evasion, antibiotic resistance
Pili/fimbriae: cellular attachment, bacterial conjugation
Toxins: endotoxin (LPS), exotoxins
Secretion systems
MDR1

Falkows Molecular addition to Kochs Postulates


Evidence required to show that a gene found in a pathogen encodes a
virulence factor, i.e. contributes to the pathogens ability to cause a disease
1. The gene should be found in all pathogenic strains of the microorganism
2. Inactivation of the gene should lead to reduced virulence
3. Restoring expression of the gene should reestablish virulence

Conceptual Framework of Pathogenesis


1. Encounter reservoir/vector, transmission, tropism
2. Entry from where does the pathogen gain access to its host?
3. Spread local/systemic
4. Multiplication immune evasion
5. Damage toxins, disease/sequelae
6. Outcome elimination, commensalism, latency, persistence

HultgrenStructural Bacteriology

Bacterial Classification- Gram positive and


negative
Gram negative bacteria have an outer membrane
Also based on cell wall composition
Gram+

Thick peptidoglycan cell wall

Gram- Thin peptidoglycan cell wall


Acid-fast Cell wall composed of mycolic acid
Mycobacterium
Nocardia
Chlamydia

Cell wall lacks peptidoglycan

Mycoplasma No cell wall

Gram Staining

Gram + stain PURPLE

Gram - stain RED

Gram Staining
The gram staining method is
named after the Danish
bacteriologist Hans Christian Gram

Gram+

Gram-

Cabeen & Jacobs-Wagner (2005)

Bacterial Structures
1. Pili/fimbriae
(conjugation)

Tropism, biofilm, motility (type 4), plasmid exchange

2. Flagella

Locomotion/chemotaxis

3. Capsule

Composed of polysaccharides, inhibits phagocytosis

4. Cell wall

Composed of crosslinked peptidoglycan (murein)

5. Periplasm
Gram-

Space between cytoplasmic membrane and cell wall, only in

6. Porins

Nutrient uptake

7. Cell membrane

Pili on E. coli

Bacterial Structures

Bacterial Structures- flagella

Lipopolysaccharide (LPS)
Consists of polysaccharide + lipid
Found on outer membrane of Gram- bacteria
Lipid A (endotoxin): recognized by toll-like receptors
(TLR-4) on immune cells pro-inflammatory cytokine
release septic shock
Lipoteichoic acid (LTA) found in cell wall of Gram+
bacteria

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