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Physiology
life processes that allow organisms to survive, grow, and reproduce
Microbial physiology helps explain
where microbes grow and why some die under certain conditions
Genetics help explain
changes in virulence and antimicrobial resistance and can support laboratory identification
Microbial nutritional requirements
Microbes need chemical building blocks for growth and reproduction; nutritional requirements vary by species; some microbes specific growth factors they cannot synthesize
Energy source
Phototroph - light
chemotroph - chemicals
Photograph
source - light
examples - algae, cyanobacteria
Chemotroph
Source - chemicals
examples - most human pathogens
Carbon sources
autotroph and heterotroph
Autotroph
carbon dioxide
examples - environmental producers
Heterotroph
organic compounds
examples - animals, fungi, protozoa
Metabolism
all chemical reactions in a cell
Enzymes
speed up and regulate specific metabolic reactions; each enzyme acts on a specific substrate
Catabolism
large molecules are broken down - releases energy
Anabolism
small molecules are built into larger molecules - requires energy
ATP The Cell’s Short-Term Energy Currency
catabolic reactions release energy and some of that energy is captured in ATP; cells use ATP for growth, transport, movement, and biosynthesis
Aerobic respiration
oxygen used as final electron acceptor and yields higher ATP
Fermentation
does not require oxygen and yields lower ATP
Fermentation without oxygen
it does not require oxygen; begins with glycolysis and produces less ATP than aerobic respiration
produces characteristic end products that can aid laboratory identification or have industrial uses
Why bacterial genetics matter
genotype, phenotype, mutation, plasmid
Genotype
genetic makeup of an organism
phenotype
observable trait
mutation
change in DNA that may be inherited by daughter cells
plasmid
small extrachromosomal DNA molecule
Possible outcomes of mutations
beneficial - improves survival under certain conditions
harmful/lethal - reduces survival or kills the organisms
silent - no noticeable effect on phenotype
Mutation
the bacterium’s own DNA changes
Lysogenic conversion
a temperate phage introduces phage genes that change bacterial traits
phage genes may change the bacterium’s phenotype
some bacterial toxins are associated with phage-acquired genes
Transduction: phage-mediated gene transfer
a bacteriophage accidentally carries bacterial DNA from one bacterium
phage transfers that DNA to another bacterium, which may acquire a new trait
Transformation: uptake of DNA
free “naked” DNA is released into the environment
bacterium takes up the DNA
acquired DNA may become part of the bacterium’s genetic material and change its traits
Conjugation: cell-to-cell transfer
a donor bacterium makes direct contact with a recipient bacterium
DNA, often a plasmid, transfers from one cell to the other
plasmids may carry antimicrobial-resistance genes
Factors that affect microbial growth
nutrients, moisture, temperature, pH, osmotic pressure/salinity, atmosphere
Temperature & Microbial growth
incubation conditions affect recovery
psychrophiles, psychrotrophs, mesophiles, thermophiles
Psychrophiles
cold temp
environmental organisms
psychrotrophs
refrigerator temp
food spoilage risk
mesophiles
moderate; includes body temp
many human pathogens
thermophiles
high temp
hot springs and heat-tolerant environments
pH & microbial growth
pH affects enzyme function and therefore microbial growth
many medically important bacteria grow best near neutral pH
acidophiles prefer acidic conditions; alkaliphiles prefer alkaline conditions
Moisture and desiccation
water is required for metabolism and growth
drying generally inhibits microbial growth and reproduction but may not kill all microbes
bacterial endospores and protozoan cysts can survive drying better than active cells
osmotic pressure & salinity
water moves across membranes toward higher solute concentration
hypertonic environments can pull water out of cells
plasmolysis
Plasmolysis
cytoplasm shrinks away from the cell wall in a hypertonic environment
Encouraging growth in vitro - culture media
culture media provides nutrients and conditions that support growth
artificial media can be liquid, semisolid, or solid
different media help labs grow, isolate, or identify organisms
Different types of culture media
enriched, selective, differential, selective & differential
Enriched
supports fastidious organisms; provides extra nutrients or growth factors
Selective
favors some organisms; inhibits others
controls which organisms grow
Differential
distinguishes organisms that grow
shows visible differences
Selective & differential
does both favor/inhibit and distinguishes organisms
Population growth curve
lag phase, log phase, stationary phase, death phase
Lag phase
cells adjust to the environment
Log phase
rapid exponential growth
Stationary phase
growth balances cell death
Death phase
cells die faster than they divide
Ways to inhibit growth in vitro
sterilization, disinfection, antisepsis, sanitization, aseptic technique
Sterilization
destroy/remove all microbial life; including bacterial endospores
Disinfection
reduce or eliminate pathogens on inanimate objects
Antisepsis
reduce microbes on living tissue
Aseptic technique
prevent contamination and maintain asepsis
Sanitization
reduce microbial counts on public-health standards
Heat physical methods
heat effectiveness depends on temperature and exposure time
autoclaving & pasteurization
Autoclaving
steam under pressure → sterilization
Pasteurization
reduces microbial load → does not sterilize
Cold
slows microbial metabolism and growth
desiccation
inhibits growth while dry; some microbes survive
radiation
damages DNA or other cellular components
filtration
physically removes microbes from fluids or air
Effectiveness of antimicrobial procedures depends on
time, temperature, concentration, type/#/presence of spores of microbes, presence of proteins in feces, blood, vomitus, pus
Growth-control terms
-cidal & -static
-cidal
kills the target microbe; bactericidal, sporicidal, fungicidal, viricidal
-static
inhibits growth or reproduction; bacteriostatic, microbistatic
Chemotherapy
use of chemical/drug to treat disease
Antimicrobial agent
medication used to treat an infection
Antibiotic
antibacterial drug used to treat bacterial infections
antibacterial/antifungal/antiviral/antiprotozoal
named for the microbial target
Goal of Antimicrobial Therapy
target the pathogen while minimizing harm to human cells
reach the site of infection
remain at an effective concentration long enough to work
target structures or processes that differ from human cells
Selective toxicity
greater when antimicrobial targets structures or processes that differ from human cells
Cell wall synthesis
weakens or prevents bacterial cell-wall formation
cell membranes
damages membrane integrity
Nucleic acid synthesis
blocks DNA/RNA production
Protein synthesis
blocks ribosome function
Enzyme activity
blocks essential metabolic steps
Narrow-spectrum antibiotic
targets a smaller group of bacteria
broad-spectrum antibiotic
targets a wider range of bacteria
Intrinsic resistance
an inherent characteristic of a microbial species
Acquired resistance
develops through mutation or gene acquisition
Antimicrobial exposure creates…
selective pressure that favors resistant organisms
Selection for Resistant Organisms
susceptible organisms are killed or inhibited
resistant organisms survive and may multiply
repeated or unnecessary exposure increases selective pressure
Altered drug-binding site
drug no longer fits the target
reduced permeability
drug cannot enter effectively
drug-inactivating enzyme
drug is destroyed or modified
Efflux pump
drug is pumped out of the cell
New gene acquired
resistance trait spreads through gene transfer
B-Lactamases
Example of a drug-inactivating enzyme - penicillin, cephalosporins, carbapenems
Empiric Therapy
treatment may begin before the exact pathogen is known when delay could be harmful
initial therapy is based on the likely pathogen and clinical situation
Susceptibility testing
lab testing that determines which antimicrobial agents inhibit the patient’s isolate
Undesirable effects of antimicrobials
allergic reactions and drug toxicities can occur
broad-spectrum agents can disrupt indigenous microbiota
killing susceptible organisms may allow resistant organisms to predominate
superinfection can occur when normal microbiota are disrupted
Antimicrobial Stewardship
support appropriate specimen collection before antibiotics when clinically feasible
administer antimicrobials on time and monitor for therapeutic response
assess allergies, adverse effects, and signs of superinfection
educate patients that antibiotics do not treat viral infections
promote infection prevention to reduce the need for antimicrobials