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pathology
study of disease
cause, mechanism, effects
etiology
study of finding causation or origin of disease
infection
invasion and multiplication of a pathogen
disease
disruption in normal body function caused by infection, genetic defect, environmental stressors
transient flora
temporary microbes that live on body (skin)
microbial antagonism
normal microbiota inhibit harmful microbes (through competition)
symbiosis
close relationship between two organsisms
commensalism symbiosis
one organism benefits and the other is neither helped nor harmed
Mutualism symbiosis
both organism benefit
parasitism symbiosis
one benefits - one is harmed
Primary infection
initial infection caused by pathogen - weakens it
Secondary infection
during or after primary infection due to already having a weakened immune system
inapparent/subclinical infection
produces no noticeable symptoms
pathogen is still present and potentially transmissible
immunocompromised
weakened/impaired immune system reducing bodies ability to fight off infection
What are some causes of immunocompromised immune system?
congenital (from birth)
acquired (HIV, diabetes, cancer)
induced (chemotherapy, transplant, immunosuppressor drugs)
What is Koch’s postulates?
questions to ask to determine the cause of a disease
What are Koch’s postulates steps?
same pathogen must be present in every host
pathogen must be isolated from host and then grown
cultured pathogen must cause same disease when introduced into healthy host
pathogen must be re-isolated from new host and be identical to original host
Exotoxins
proteins secreted by bacteria during growth/multiplication
Endotoxins
components of outer membrane of G- bacteria that produce fever, weakness, aches
adherence
ability of a microbe to attach to host safely
adhesions/ligands
surface molecules that bind objects and help them attach
virulence (recap)
strength of microbe to cause a disease
injectisome
type of aid invasion
needle like protein structure
G-
injects toxins/effector proteins directly into host
C5a peptidase
type of aid invasion
an enzyme produced by certain pathogenic bacteria which helps bacteria invade host immune system by targeting and inactivating C5a
dismantling complement system/cascade
What is C5a?
inflammatory molecule produced by complement-system (hole punching) to recruit phagocytes to cite of infection
“calling over”
What is an example of C5a?
streptococcus pyogenes
M protein
type of aid invasion
surface virulence factor that helps bacterium invade the host immune system : C3b
allows binding host proteins → contributes to autoimmune complications
highly variable = complicates vaccines
Capsules
type of aid invasion
thick gelatinous layer that surround the cell wall
prevents phagocytoses and help adhere to host
fibronectin
host protein not being used by S. pyogenes
cell wall proteins and waxes
aid attachment and protects from phagocytosis
resist drying out and disinfectants
Leukocidins
type of enzyme
toxins that destroy WBCs
hemolysis
type of enzyme
toxins that destroy RBCs by lysing their membranes
coagulase
enzyme
cause blood plasma to clot
→ clot creates protective barrier around bacteria and they can invade immune system
kinases
enzyme
break down clots →allows bacteria to escape and spread through tissue
DNase, streptodornase
breaks down DNA in pus so that bacteria can spread more easily
hyaluronidase/collagenaase
breaks down hyaluronic acid and collagen (CT) and bacteria can spread deeper
necrotizing factors
destroy host tissue (necrosis) which makes it easier invasion with less tissue barrier (cell death)
hypothermic factors
decrease host body temperature
septic shock or severe infection
proteases
breaks down proteins
structural protein (collagen)
destroys antibodies
Hygiene hypothesis
early exposure to microbes is essential for developing a balanced immune system
overly clean environment: immune system may not learn
increase risk of allergies, asthma, autoimmune disease
**does not apply to adults
cytotoxins
toxins that damage/kill host cell by disrupting vital cellular functions
diptheria toxin
corynebacterium
inhibits protein synthesis resulting to death
neurotoxins
specifically targets nervous systems ability to send signals
botulinum toxins
clostridium botulinum
food borne - most potent
muscle weakness progresses to paralysis in extremes
tetanus toxin
soil, dust, animal feces
neurotoxin that causes spastic (rigid) paralysis
muscle stiffness and spasms → lockjaw, arching back, difficulty swallowing/breathing = death
enterotoxins
specific in GI tract
disrupt normal fluid balance
diarrhea, vomiting, ABD cramps
food poisoning
choleragen
vibrio cholerae
intestinal lining
watery diarrhea → dehydration
erythrogenic
strains of streptococcus scarlet fever
massive immune response = damage blood vessels → red rash
staphylococcal
staph strains
target protein outer layer of skin causing the skin to peel
enterotoxins, DNases, hyaluronidses
cytokine storm
dangerous immune overreaction when body releases too many pro-inflammatory cytokines in short period
(messengers send signals)
cytokine → recruit immune cells → release more cytokines
What is the cause of a cytokine storm?
infection, autoimmune disease, cancer therapies, transplants
What are the consequences of a cytokine storm?
fever, fatigue, rash, organ failure, shock, high mortality
Cross reactive antibodies
bind to more than one antigen due to structural similarity between those antigens
past infections recognize new variants
Rheumatic fever
triggered by poorly treated strept throat
immune system produces antibodies against streptococcal M protein
antibodies cross react with host tissue
heart, joints, skin, brain
communicable disease
illness caused by a pathogen that can transmit from one person to another
contagious disease
type of communicable
spreads easily and rapidly
noncommunicable disease
does not spread from person to person
genetics, lifestyle, environment
Ex. cancer or even asthma
Incubation period
time between initial infection and appearance of first S/S
lag phase
prodromal period
early stage of illness following incubation
mild symptoms (fatigue)
beginning of log phase
period of illness
stage when symptoms are most severe
peak - stationary phase
period of decline
phase when symptoms begin to subside - starts to recover - vulnerable to secondary infection
convalescence period
final stage of recovery - return to normal functioning and strength