microbiology – Test 3; Immunity I-IV – Flashcards

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Susceptibility
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lack of resistance to a disease
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Immunity
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Ability to ward off disease
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Innate Immunity
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born with; defenses against any pathogen; general

first and second line of defense

 

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Adaptive Immunity
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Resistance to a specific pathogen
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Innate Immunity: Physical First line Defense

skin

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cells tightly packed together; dry skin flakes off
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Innate Immunity: Physical First line Defense

Mucus Membranes

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Membrane: also epitheal layer

Mucus: Viscous glycoprotein material keeps membrane from drying

Lacrimal apparatus: tear ducts; tears

Cilia: sweep microbes up from lower respiratory tract

Others: hair, urine flow, vaginal secretions, defication, vomiting, peristalsis

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Innate Immunity: Chemical First line Defense

 

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Sebum: fatty acids inhibits microbial growth; secreted by sebacious glands

Lysozymes: break down petidoglycan; tears, urine, sweat

Gastric Juice: very low pH is inhibitory; Helicobacter pylori-stomach ulcers

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Innate Immunity: Chemical First line Defense

 

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Urine: low pH; lysozymes

Vaginal Secretions: low pH is inhibitory

Normal Flora: use nutrients; produce inhibitory compounds;

#bacterial cells > #human cells

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Innate Immunity: Second line Defense

 

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Circulatory system; blood and lymph
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Innate Immunity: Second line Defense

Leukocytes

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Neutrophils: phagocytosis

Basophiles: Histamine; allergic reactions

Eosinophils: selective for parasites

Monocytes (Macrophages): best phagocytes

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Innate Immunity: Second line Defense

Leukocytes

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Dendritic cells: phagocytosis

Natural Killer cells: Destroy target cells


*T-cells: cell-mediated immunity
*B-cells: produce antibodies

*=3rd line defense

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Innate Immunity: Second line Defense

Lymphatic System

 

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Lymph: Fluid

Lymphoid Tissue: ex. tonsils

Red Bone Marrow: blood cell origin

Lymphatic Vessels: carry lymph and blood

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Innate Immunity: Second line Defense

Phagocytosis

 

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Ability to ingest microorganisms

 

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Bacterial defenses against phages
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capsule

toxins

biofilm formation: extracellular matrix

hide inside phagocyte

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Second Line Defense

Inflammation

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Cytokines released; recruit phagocytes

Redness/Heat: increased permeability and vasodilation; cells can leave vessel and enter tissue

Pain/Swelling: increased blood and pressure; nerve damage

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Second Line Defense

Fever

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Cytokines travel to brain:

hormone-like molecules; reset (increase) body temp

Rate of metabolism increased; shivering

Decrease availible Iron

Decrease Doubling time of bacteria w/ increased body temp


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Second Line Defense

Antimicrobial Substances

Complement System

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30+ proteins complement innate and adaptive immunity

Proteins kept inactive; due to high potency

 

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Activated Complement System
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C3a C3b = activated proteins (lower case)

Cytolysis: makes holes in bacterial membrane; cell lysis

Enhance Inflammation: proteins stimulate histimines that bind to bacterial cell

 

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Activated Complement System

Opsonization

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Opsinization = Enhanced phagocytosis

Protein coats bacteria

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Second Line Defense

Antimicrobial Subtances

Interferons

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Antiviral properties; interfere with viral replication

Infected cell releases interferons that bind to healthy cells "paul revere"

Healthy cells produce antiviral proteins

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Second Line Defense

Antimicrobial Subtances

Iron Binding Proteins (IBP)

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IBP keep Fe from siderophores

Transferrin: blood in tissue

Lactoferrin: milk, saliva, mucus

Ferritin: liver, spleen, bone marrow

Hemoglobin: RBCs

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Second Line Defense

Antimicrobial Substances

Antimicrobial Peptides

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Peptides (NOT proteins) produced by host cells

Synthesis is triggered by proteins or sugars on a pathogen’s surface

broad spectrum

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Second Line Defense

Antimicrobial Substances

Antimicrobial Peptides:

Modes of Action

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Inhibit cell synthesis

form pores in pathogen's membrane

destroys pathogen's DNA/RNA

No bacteria resistant

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Adaptive Immunity
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stem cell splits

Humoral: differentiates in bone marrow; B-cell

Cell mediated: differentiates in Thymus; T-cell

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Active Humoral Immunity
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produced by host in response to antigen
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Passive Humoral Immunity
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received from donor;

breast milk, placental transfer

Immune serum; anitivenom

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Antigen (ag)
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substance that generate immune response:
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Types of Antigens
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capsule

peptidoglycan

flagella

bacterial toxins

pollen

transplanted tissue/blood

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Epitope
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portion of ag that reacts with antibody;

aka antigenic determinant

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Hapten
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small molecule with an epitope; immune response only when attached to a large carrier (protein
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Adjuvant
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substance to increase immunogenicity (ability to invoke immune response)
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Antibodies
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a compact globular protein produced in response to an antigen; aka Immunoglobulin
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Antigen binding sites
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recognize and bind to antigenic determinants
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Antibiotic Classes

IgM

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{image:|}
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Antibiotic Classes

IgG

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follows IgM; most common in serums

Functions:
–Enhance phagocytosis by opsonization
–Neutralize toxins and viruses
–Binds complement

Protects fetus/newborn; passive immunity

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Antibiotic Classes

IgA

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Found in secretions

Function:
–Newborn protection against GI pathogens by colostrum (first breast milk)
–Neutralizes/inhibits entry of pathogens through mucous membranes

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Antibiotic Classes

IgD

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Found on surface of some lymphocytes

Function:

helps activation of lymphocytes

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Antibiotic Classes

IgE

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Found on mast and basophil cells

Function:

Allergic Reactions

Parasitic worm infections

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Ag/Ab Binding
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Ab tag pathogens by complement/phagocytes
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Ag/Ab binding

Agglutination

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Enhances Phagocytosis (reducing #infectious units);

Ag bind 2-3 bacterial cells together

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Ag/Ab binding

Opsonization

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enhances phagocytosis;

Coats bacteria with antibodies

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Ag/Ab binding

complement activation/fixation

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Antibodies act like flags;

inflammation and cell lysis

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Ag/Ab binding

Antibody-dependent cell-mediated immunity

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attaches to larger target cells (parasites);

destruction by:

eosinophils: release perforic/lytic enzymes

 macrophages

NK cells

 

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Antibody Production

B-cells

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origin: bone marrow

contains specific ab on surface thats binds to specific epitope

 

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Clonal Expansion
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activated B-cell secretes antibodies that target pathogen
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B-cell Activation

T-cell independent

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less common

polysaccharide (T-independent ag) has multiple binding sites

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B-cell activation

T-cell dependent

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more common

B-cell "chews" up antigen

MHC class II molecule displays antigen fragments on b-cell surface

T-cell confirms antigen and releases cytokines

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Memory Cells
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Clonal selection: b-cells from expansion formed into plasma or memory cells; preventative measure - quicker response

 

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Activation Location
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B-cells, T-cell, phagocytes interact in lymph tissue
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Antibody effectiveness
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most effective against extracellular pathogens
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Antibody production
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Upon activation: B-cells become plasma and IgM ab first
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isotype switching
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B-cell→IgM→Ig...
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Primary Immune Response
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[image]
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Secondary immune Response
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[image]
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T-cells

Cell-mediated immunity

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fight intracellular pathogens

enhanced phahocytosis

respond to tumor cells

transplant rejection

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T-cells
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oringinate in bone marrow; mature in thymus

T-cell receptors recognize specific antigen

Activated by "Antigen presenting cells" (b-cell displaying antigen)

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T-cell Classes

T-helper (TH) cells

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release cytokines that activate b-cells against extracellular pathogens;

antigen interaction: MHC Class II

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T-cell Classes

Cytotoxic (TC) cells

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 Antigen interaction: MHC Class I; marks cell as "self"

ags tag infected cells; non-self

Controlled destruction of infected cells; shrivel

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T-cell Classes

T-Suppressor (TS) cells

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recognize "self" antigens

Immune Tolerance:

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T-cell Classes

T memory (TM) cells

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Recognize previous T-dependent antigens (extracellular)

Results in fast secondary immune response

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Non- T/B immune cells

Natural Killer cells

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Non-phagocytic lymphocytes; induce apoptosis (controlled cell death)

Additional help: virus infected cells/tumor cells

 

 

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Measurement of Immune Response
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Blood cell count: # WBC, RBC, platlets

Antibody Count: Titer test (#abs)

Cytokine Levels

Agglutination Reaction: blood typing, prego

Hypersensitivity: allergen skin test

 

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Other uses for abs
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Vaccines

ID of microbes

Immunoblotting

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Immune System problems

Autoimmunity

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immune reaction against self; sees host cells as pathogenic

ex. MS, Rheumatoid arthritis, Type I diabetes

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Immune System problems

Ineffectiveness

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occurs when some pathogens are not killed; hide inside host

ex. mycobacteria "TB", legionella, listeria

Biofilms also resistant

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Immune System problems

loss-all/part

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AIDS

Genetic disorders = reduced life expectancy (often before 5)

Severe combined immunodeficiency (low B and T cell levels)

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AIDS
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Diagnosis: appearance of second infection; antibody titer against HIV

Retrovirus HIV infects (TH) cells; specific immunity

adapted immunity wiped out

susceptibility of secondary infection is main COD

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Immune System problems

Hypersensitivity

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excessive immunological response to antigen

Allergy: immune response to allergen

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Type I

Immediate/anaphylactic Hypersensitivity

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fast; 5-30 min

ex. hay fever/bee sting allergies

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Type II

Antibody Dependent cytotoxic Hypersensitivity

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antibody combines with cell

ex. blood group incompatibilty

Rh factor

 

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Type III

Immune-complex hypersensitivity

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Immune complex: Small particulate ab-ag combination; stimulates rest of immune system causing tissue/cell destruction
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Type IV

Delayed or Cell-mediated hypersensitivity

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1-3 days after exposure

ex. TB skin test, poison ivy

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Koch' Postulates
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1. Same pathogen must be present in every case of the disease
2. Pathogen must be isolated from the diseased host and grown in pure culture

3. The pathogen from the pure culture must cause the disease when it is inoculated into a healthy, susceptible lab animal
4. The pathogen must be isolated from the inoculated animal and must be shown to be the original organism.

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Pathogenicity
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ability of an organism to cause disease

possess weapons aka virulence factors

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Infectious Dose
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# of bugs required to cause infection
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Acute Infection
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short/severe

ex. strep throat

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Chronic Infection
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Prolonged

ex. TB

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Fulminating infection
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sudden/intense

ex. meningitis

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Primary Infection
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initial infection

Flu/HIV

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Secondary Infection
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occurs after primary by oppurtunisitic pathogens

ex. pneumoniae following flu

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Bacterimia
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presence of bacteria in blood

Septicemia: bacteria growing in blood

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Steps to cause disease

Entry

Portal of Entry

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Membranes/skin

Parenteral: direct deposition beneath skin or mucous membranes

*most pathogens have preferred POE

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Steps to cause disease

Entry

Adherence

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Adhesins (Ligands): bind pathogen;to specific receptors in host

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Steps to cause disease

Entry

Penetration

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Active: pathogen has own mechanism for penetration

Passive penetration: organism penetrates tissue due to wound, burn, insect bite, animal bite, etc.

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Host:

Immune recognition of epitopes on pathogen surface

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Pathogen:

capsule hides cell surface; resist phagocytosis;

eleminates unnecessary components;

Antigenic phase variation: bacteria changes ags

Molecular Mimicry: pathogens decorate surface that mimic host cell surfaces

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Host: Leukocytes
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Pathogen: secretes Leukocidin to kill leukocytes/ some live inside leukocyte
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Bacterial Pathogens

Penetration into Cytoskeleton

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bacteria use Actin for movement in cytoskeleton

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Host: Immunoglobulins
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Pathogens secrete protease to digest antibodies

ex. Ig protease

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Host:

Low Nutrient Level

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Pathogens:

produce siderophores; "Fe boomerang"

Select best habitat for colonization; richer nutrient area

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Host:

Protection from tissue surface or mucus layer

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pathogen:

secrete enzymes to break down surface

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Normal Flora
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pathogen:

competes for nutrients

adapts to less favorable nutrients

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Damage to Host Cells by Bacterial Pathogens

Direct Damage

Exoto

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Exotoxins: produced by bacteria; secreted proteins- small amount needed

ex. tetanus, botulism

Endotoxins: within;LPS released upon death; GRAM NEGATIVE

ex. Typhoid fever and N. meningitidis

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Exotoxins
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;Source: Gram +

Relation to microbe: by-products of cell

Chemistry: Protein

Fever?;No

Neutralized by Antitoxin? Yes

Lethal Dose: small

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Endotoxins
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Source: Gram ;

Relation to microbe: outer membrane

Chemistry: Lipid A

Fever?;Yes

Neutralized by Antitoxin? No

Lethal Dose: ~large

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