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Genetic engineering
Alteration of an organism's genetics to achieve desired traits
Recombinant DNA
DNA produced from cutting and inserting DNA from one organism into the DNA of another organism
Transgenic organism
Organism with recombinant DNA (has genes from multiple organisms)
Restriction enzymes (endonucleases)
Enzyme that cuts DNA at a specific sequence of nucleotides to make recombinant DNA
Recognition sites
A sequence of DNA where a restriction enzyme cuts
Ligases
Join fragments when inserting DNA fragment (gene) into a vector (ex. plasmid)
- Do the opposite of restriction enzymes
Transformation & transfection
- Transformation: bacteria (bacteria takes up naked DNA)
- Transfection: eukaryotes (introduction of recombinant DNA molecules into eukaryotic hosts)
Electrophoresis
- Separating based on charge and size with semi-solid media that creates a grid to slow down bigger things
- Smallest DNA travel down the furthest, biggest DNA travel least
- Pulled down by electrical charge
- Use DNA ladder as a control to compare size and number of base pairs
Reverse-transcription & reverse transcriptase
- Reverse transcription: the process of making DNA from RNA template (RNA to DNA + RNA)
- Done by reverse transcriptase
Polymerase chain reaction (PCR)
- Technique for amplifying (creating millions of copies of) DNA in vitro (tubes) by using thermal cycler with special primers, DNA polymerase molecules, and nucleotides
1. Denaturation at 95° C - double-stranded DNA split into single strands
2. Annealing at 55° C - primers bind/anneal to complementary sequence
3. Extension at 72° C - DNA polymerase synthesizes new strands by adding on to 3' end
- Ends in two copies of original DNA
RT-PCR
- Reverse transcriptase PCR
- Allows PCR of RNA
- RNA is converted to DNA with reverse transcriptase and then PCR can be done
DNA sequencing
- Determining the order of base pairs in DNA
- Takes a piece of DNA and creates a graphical output that can be read as a sequence of letters
Gene therapy
- The insertion of working copies of a gene into the cells of a person with a genetic disorder in an attempt to correct the disorder
- Has not been very successful and we are hesitant to use because can cause systemic problems in humans
- Ex. Human missing gene so gene is packed into virus then picked up by human cells and protein is expressed
Protocols for control of microbial growth
Inanimate objects (fomites)
- Sterilization: kills all cells, endospores, and viruses; gold standard
- Disinfection: reduces or destroys microbial load with heat or antimicrobial chemicals
- Sanitization: cleaning, reduces microbial load to safe levels for public health with heat or antimicrobial chemicals
Living tissue
- Antisepsis: reduces microbial load with antimicrobial chemicals; like disinfection
- Degerming: physical movement and use of chemicals to reduce microbial load (ex. scrubbing)
Fomites
Inanimate item that may have microbes and aid in disease transmission
Autoclave
Machine used for sterilization via high heat/high pressure and steam
- Like a pressure cooker
BSL
Biosafety levels
- BSL 1: don't cause disease in healthy hosts, minimal risk
- BSL 2: typically indigenous, associated with diseases of varying severity, moderate risk
- BSL 3: indigenous or exotic, can cause serious or potentially lethal diseases, respiratory transmission
- BSL 4: dangerous and exotic, high risk of aerosol-transmitted infection, frequently fatal without treatment or vaccines, few labs at this level
Aseptic
Protocol designed to prevent microbial spread or contamination to sterile objects
- Does not require sterile environment
Sterile
Completely free of microbes
- Sterile or not, no such thing as semi-sterile
-cidal & -static
- cidal: kills microbes
- static: stops microbial growth but does not kill (steady, stable)
Pasteurization
Heating food to reduce microbial numbers
D-value (DRV)
Time to kill 90% of a bacterial population (time to go down one magnitude, like 10^6 to 10^5)
Chemotherapy
Using chemicals for treatment
Drugs
Chemotherapeutic agents
Anti-microbial
Kills or inhibits microorganisms (bacteria, viruses, fungi, parasites
Antibiotic
Uses chemicals from another organism to kill bacteria
Penicillin
- Example of antibiotic/anti-microbial drug
- Has beta-lactam ring
- Targets cell wall
Beta-lactam
Ring (house with attached garage) makes drug (ex. penicillin) antibacterial by interfering with peptidoglycan synthesis, targeting the cell wall
Narrow & broad spectrum drugs
- Narrow: targets more specific aspect (ex. gram-negative bacteria only); targets basic life processes; less side effects
- Broad: kill a wide range of bacteria; can cause superinfection
Superinfection
Secondary infection that is caused by long-term use of broad spectrum antimicrobial drugs
- Susceptible bacteria are killed but resistant are left
Dosage
Amount of drug that is administered
Route of administration
How drug is given
- Oral: delay in getting into blood stream, then rise, and gradual decline
- Intramuscular (IM): works quicker than oral but similar curve
- Intravenous (IV): high concentration in blood quickly and drops rapidly
Selective toxicity
Kill microbes without harming patient
Mode of action
The way that a drug kills or inhibits microbes (what it targets)
- Cell membrane & ribosomes: harder/less used because humans have cell membrane and same 70S ribosomes in mitochondria)
- Metabolic pathways: common one is folic acid because humans get through diet but bacteria synthesize own
- DNA synthesis/RNA transcription
- Cell wall: easiest because humans don't have peptidoglycan cell walls
Antifungal, anti-helminthic, anti-protozan, & anti-viral
Drugs that target _________
- Fungi, protozoa, and helminths harder to kills than bacteria because they are eukaryotic
- Antifungals target ergosterol in cell membrane (metabolic pathway)
- Protozoa: single celled eukaryotic organisms
- Viruses hard to target becuase they are inside human cells
- Antiviral drugs interrupt virus lifecycle (inhibit fusion of enveloped virus to cell, reverse transcription, exit of virus, etc.)
Drug resistance
Happens because
- Cells block entry/penetration of drug
- Cells selectively pump drugs out
- Enzyme inactivation of drug (cuts up)
- Target modification/mutation so drug can't stick or work
- Target overproduction - if ribosomes are targeted and half inhibited, just make more ribosomes
Mechanisms susceptibility testing
uses phenotypic methods to measure growth inhibition (like MIC and disk diffusion) or genotypic methods to detect specific resistance genes (like PCR) to determine if an infection is Susceptible, Intermediate, or Resistant to a drug.
Antimicrobial drug discovery
identifies new antimicrobial agents by screening chemical libraries for growth inhibition or targeting specific essential proteins to overcome existing resistance mechanisms
Disease
Deviation from the normal structure and function of the body
Infection
Microorganism enters host
Sign & sympyom
- Sign: Objective, observed, and measured
- Ex. fever
- Sympyom: subjective and reported
- Ex. headache
Syndrome
Collection of associated signs and symptoms; what a disease is called starting out
Asymptomatic
Showing no symptoms or signs of infection
Infectious
Caused by a pathogen
Communicable, noncommunicable, & contagious
- Communicable: can be transmitted from one person to another; ex. STDs
- Noncommunicable: can't be transmitted from one person to another; ex. tetanus
- Contagious: highly communicable; ex. measles
Entry & exit
How pathogens get in & out of body; any hole in the body, either pre-existing or created
- Ex. respiratory system, oral-fecal route
Nosocomial/HAI
Healthcare acquired infection
Zoonotic disease
Disease transmitted from animals to humans
Stages of acute illness
- Incubation: no signs and symptoms, pathogen is new and low in numbers
- Prodromal: vague and nonspecific effects (feeling tired, sore, etc.), pathogen numbers rising
- Illness: most severe and specific effects, most pathogens; peak where both of these things highest during this stage
- Convalescence: pathogens gone but host may still be healing/repairing
Acute, chronic, & latent
- Acute: infection that goes away and doesn't last long; ex. influenza
- Chronic: lasts months, years, or even longer; ex. HIV
- Latent: disease goes into dormant state and can come back and reactivate later; ex. chickenpox/shingles virus
Germ theory
Particular germs cause particular diseases
Primary & secondary infections
- Primary: initial infection produced by a pathogen
- Secondary: second infection that develops after primary infection due to compromised immune defenses or antibiotics
Etiology & etiologic agent
- Etiology: the cause of a disease
- Etiologic agent: pathogen or substance that causes a disease
Pathogenicity
Ability of a microorganism to cause disease
Virulence
Degree of pathogenicity
Infectious dose & lethal dose
- ID 50: median infectious dose; concentration that will cause infection in 50%
- LD 50: median lethal dose; concentration that will cause death in 50%
Exoenzymes
Enzymes secreted out of a cell by microbes that break things down and aid microbes in invading and infecting host cells
Endotoxins, exotoxins, & enterotoxins
- Endotoxins: parts of cell that come from cell damage; lipid A component of lipopolysachharides; heat stable; less specific effects, high ID/LD 50
- Exotoxins: proteins exported out of healthy cell; more specific effect; very potent - low ID/LD 50
- Enterotoxins: make gut upset and cause vomiting/diarrhea
Bacteremia, toxemia, and viremia
_________ in the blood
Septicemia
Growth/multiplication of bacteria in the blood
Antigenic drift & antigenic shift
- Antigenic drift: slight variations due to mutations that make cells look different
- Antigenic shift: major variation; ex. two viruses infect the same host cell and combine to make a new virus
Koch's postulates
1. Suspected pathogen is found in every case in disease and not in healthy individuals
2. Suspected pathogen is isolated and grown in a pure culture
3. Healthy subject is inoculated with culture and becomes diseased
4. Same suspected pathogen can be isolated again from inoculated subject
Virulence factors
Tools used to make a microbe more virulent; more = more pathogenic
- Adhesins: allow bacteria to stick to cells in host
- Ability to form a biofilm
- Get into blood & multiply
- Toxins: biological poisons that help with damage and infection
- Exoenzymes
- Factors that help evade immune system - capsule, producing extra outer layers, etc.
Epidemiology
Study of epidemics; the science underlying public health; uses data to inform public health
Morbidity & mortality
- Morbidity: in a state of illness
- Mortality: death
Prevalence & incidence
- Prevalence: total number affected in a population; higher than incidence
- Incidence: number of new cases (ex. new cases today)
Sporadic & endemic diseases
- Sporadic: rare, randomly occurring without geographic focus
- Endemic: occur at constant, low (background) level within population
Epidemic & pandemic
- Epidemic: outbreak of disease at a level significantly higher than expected on one continent
- Pandemic: epidemic spreads to multiple continents
CDC
Center for Disease Control - epidemiologists for the US
Notifiable diseases
Reported to the CDC when someone is diagnosed with a notifiable disease
- Ex. HIV, chlamydia, gonorrhea
MMWR
- Morbidity and Mortality Weekly Report from CDC
- Tracks and reports the incidence of notifiable diseases
Reservoir
Somewhere where microbes live and are naturally found
Carrier
Person or animal that carries a pathogen and can pass it on
Host
Organism that provides sustenance and suitable environment for a pathogen
Direct & indirect contact
- Direct: physical contact between infected and susceptible person; ex. kissing, shaking hands
- Indirect: transfer via fomite; ex. doorknob, syringe
Droplet
Form of direct transmission where sneezed or coughed droplets of mucus land on the new host
Vehicle transmission
Pathogen is transferred from one host to next by soil, air, water, or food
Vector transmission
Carrier takes infectious agent to new host
Biological & mechanical vector
- Biological: carrier is infected; ex. dog with rabies bites a person and the person becomes infected
- Mechanical: organism carriers and transfers pathogen without being infected; ex. dog rolls in something dead and transfers disease to owner's hands
Transmission
Transfer, such as of a disease, from one person to another
Arthropod
Insect, spider, mite, etc; most common biological vector
Quarantine
The isolation of an individual for the purpose of preventing the spread of disease
WHO
World Health Organization
- UN agency to coordinate international health activities and to help governments improve health services
(Re-)emerging diseases
- Emerging: new diseases, within last 20 years; ex. COVID 19
- Re-emerging: previously controlled diseases that come back; ex. measles