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203 Terms
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three domains of life
archaea, bacteria, eukarya
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how do you determine domain of life
compare the ribosomal RNA sequences
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archaea
prokaryotic closer to eukaryotes than bacteria extremophiles do NOT cause disease in humans
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bacteria
prokaryotic typically 0.2 - 20 um may grow as single cells, filaments, communities
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protozoa
eukaryotic motile, single-celled organisms may be free-living or parasitic (ex: malaria)
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algae
eukaryotic contain chloroplasts and conduct photosynthesis base of the food web *no pathogenic role in humans
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fungi
eukaryotic nonmotile grow as single cells or as filaments can cause disease
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viruses
noncellular (chemical entities) genetic material can cause disease also used as biotechnology tools not alive
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eukarya
eukaryote
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relative size of bacterial pathogens
range in size from 0.2 - 2 microns in diameter
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cocci
spherical bacteria
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bacilli
Rod shaped bacteria
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spirochete
spiral shaped bacteria (usually motile)
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coccobacillus
short rod shaped bacteria
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vibrio
comma shaped bacteria
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streptococcal species
occur in chains
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Strep pneumoniae
occur in pairs; diplococci
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Staphylococci
Form grape-like clusters
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binary fission steps
1. cell replicates its DNA 2. cytoplasmic membrane elongates separating DNA molecules 3. cross-wall forms; membrane invaginates 4. cross-wall forms completely 5. daughter cells separate
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endospores
- produced by gram + bacillus and clostridium species - each vegetative cell transforms into ONE endospore - each endospore germinates to form ONE vegetative cell - constitute a defensive strategy against hostile or unfavorable conditions
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endospore formation
1. DNA is replicated 2. DNA aligns along the cell's long axis 3. cytoplasmic membrane invaginates to form forespore 4. cytoplasmic membrane grows and engulfs foreshore within a second membrane. vegetative cell's DNA disintegrates 5. a cortex of Ca++ and dipicolinic acid is deposited between the membranes 6. spore coat forms around endospore 7. maturation of endospore; completion of spore coat and increase in resistance to heat and chemicals by unknown process 8. endospore released from original cell
\***THIS IS NOT MULTIPLICATION
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endospore
-extremely resistant to drying, heat, radiation and disinfectants -can remain viable for 10 - 1000 years -serious concern to food industry & hospitals (c. Diff) -potential biological weapons of mass destruction
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types of stains
gram stain and acid-fast stain
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gram stain
crystal violet, gram's iodine, decolorized (alcohol or acetone), safranin red
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what is gram stain NOT used for?
mycoplasmas and achaea
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why is gram staining not used for mycoplasmas?
lack cell walls/peptidoglycan have sterols in cytoplasmic membrane
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why is gram staining not used for archaea?
wall-less or walls of pseudomurein
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what type of staining is used for mycobacteria?
acid-fast stain
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acid-fast bacteria
resist decolorization with acid-alcohol and stain red (carbon fuchsin) other bacteria will decolorize and stain blue (methylene blue)
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acid fast bacteria examples
mycobacterium tuberculosis mycobacterium leprae
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terminal endospores
botulism and tetanus
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botulism
Clostridium botulinum; caused by neurotoxin; causes flaccid paralysis (muscles are limp)
rotate to produce movement, long tails, made up of flagellin protein
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flagella proteins
H antigens (can be recognized by antibodies)
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fimbriae and pili
nonmotile extensions, short hair-like projections, used to adhere/attach, can join two bacterial cells together and mediate the transfer of DNA via conjugation (conjugation pili or sex pili); also virulence determinants
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slime (biofilm) vs capsule
slime -loosely attached to cell surface
capsule -firmly attached to cell surface
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capsule
polysaccharide, antiphagocytic, adherence factor, virulence factor, antigen, can be used as vaccine component
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prokaryotic cell envelope
provides structure and shape and protects cell from osmotic forces absent in animal cells some components are targets of important antibiotics
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bacterial cell envelopes
-most have peptidoglycan layer(s) --polysaccharide polymer of NAG and NAM -NOT found in mycoplasma species -Gram +/-
Structure: - mesh-like coat around the cell (except mycoplasmas) - polysaccharide polymer of alternating NAG and NAM - cross-linking peptides
function: - shape/protection - antibiotic target
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outer membrane
-unique for gram - bacteria -protects from phagocytes and some antibiotics -has LPS -porins form channels through membrane (nutrients and antibiotics) -outer membrane proteins
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Lipopolysaccharide (LPS)
-made up of lipid A (responsible for toxicity), core oligosaccharide, O polysaccharide antigen
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Lipid A portion of LPS
released from dead cells when cell wall disintegrates; causes inflammation, fever, vasodilation, shock and blood clotting; released when antimicrobial drugs kill bacteria
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periplasmic space
Between outer membrane and cell membrane Contains peptidoglycan and periplasm Contains water, nutrients, digestive enzymes and transport proteins
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prokaryotic cytoplasmic membrane
-phospholipid bilayer (charged, hydrophobic inside); function similar to eukaryotic membranes; electron transport chain (in some bacteria); energy (ATP) production (in some bacteria); transport proteins (entry of nutrients, export of waste metabolites)
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cytoplasm of prokayotes
-substance enclosed by cytoplasmic membrane -ribosomes - sites of protein synthesis -cytoskeleton - plays role in cell shape -antibiotic targets: nucleoid, mRNA (made by RNA polymerase), 30S & 50S ribosomal subunits -plasmids: circular, extrachromosomal DNA; confer antibiotic resistance
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mechanisms of antimicrobial action
-Key is selective toxicity -Antibacterial drugs constitute largest number and diversity of antimicrobial agents -Fewer drugs to treat eukaryotic infections -Even fewer antiviral drugs
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ideal antimicrobial agent
Readily available Inexpensive Chemically stable Easily administered Nontoxic and nonallergenic Selectively toxic against wide range of pathogens
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selective inhibition/toxicity
Due to the differences in structure and metabolic pathways Harm microorganisms, but not the host
-effective against many pathogens ex: tetracycline, erythromycin, sulfonamides
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narrow spectrum antibiotics
-effective against very few pathogens ex: penicillin
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bactericidal
-kill bacteria -used when the host defense mechanisms are impaired -required in serious infections: endocarditis, meningitis, kidney infection, etc.
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bacteriostatic
-inhibit bacteria (inhibit growth) -used when the host defense mechanism are intact -used in many infectious diseases
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inhibition of cell wall synthesis
-inhibit peptidoglycan synthesis by preventing cross linkage of NAM subunits -effective only when bacteria cells are growing -no effect on plant or animal cells (no peptidoglycan) -beta lactam antibiotics (penicillin family, cephalosporins)
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beta lactam antibiotics
-penicillins and cephalosporins functional group: beta lactam rings *inhibit peptidoglycan synthesis by preventing cross-linkage of NAM by binding to transcriptase enzymes
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penicillins
effective primarily against gram + organisms
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ampicillin and amoxicillin
effective against both gram +/- organisms -used in UTI, salmonellosis, listeria monocytogenes, and group A streptococcal infections
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adverse effects of penicillins
allergic reactions and anaphylactic shock
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vancomycin
binds to ala-ala bridges that are used to crosslink NAM subunits in peptidoglycan of gram + bacteria -binds to substrates of cross linking enzymes *inhibition of cell wall synthesis
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disruption of cytoplasmic membranes
some drugs become incorporated into cytoplasmic membrane and damage its integrity
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amphotericin B (polyene)
antifungal; attaches to ergosterol found in fungal membranes -humans somewhat susceptible because cholesterol is similar to ergosterol (nephrotoxicity) -most bacteria lack sterols (not susceptible)
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inhibition of bacterial nucleic acid synthesis
fluoroquinolone inhibit bacterial DNA gyrase (enzyme that makes DNA supercoiled) with little effect on eukaryotes or viruses ex: ciprofloxacin, norfloxacin, levofloxacin
other drugs bind to and inhibit action of bacterial RNA polymerase during transcription (ex: rifampin, rifamycin, rifampicin); no mRNA, tRNA, rRNA --\> no ribosomes or protein synthesis \= no growth
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fluoroquinolones
inhibit bacterial DNA gyrase (essential for function); kill bacteria because cannot package DNA into cell ex: ciprofloxacin, norfloxacin, levofloxacin
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rifampin, rifamycin, rifampicin
inhibit action of bacterial RNA polymerase during transcription (no mRNA, tRNA, or rRNA \= no ribosomes or protein synthesis \= no growth) -works because our RNA polymerases have very different structure to those of bacteria
impair ribosomes by binding to either 50S or 30S ribosomal subunits -no translation \= no protein synthesis \= no growth
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chloramphenicol
-binds to large subunit -broad spectrum -crosses the blood-brain barrier -staphylococcus aureus
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adverse effects of chloramphenicol
bone marrow suppression, aplastic anemia, grey baby syndrome, leukemia
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lincomycin
aka clindamycin -binds to large subunits -used in anaerobic and severe aerobic infections (e.g. streptococcal toxic shock syndrome)
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adverse effects of lincomycin
pseudomembranous colitis; caused by Clostridium difficile
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erythromycin (macrolide antibiotic)
(azithromycin, clarithromycin) -effective against gram +/- mycoplasma pneumoniae, legionella pneumophila
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adverse effects of erythromycin
GI disturbances: nausea, vomiting, abdominal pain and diarrhea
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tetracycline (doxycycline, minocycline)
used to treat: acne vulgarisms, non-gonococcal urethritis (NGU), Rocky Mountain spotted fever, Lyme disease good intracellular penetration
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adverse effects of tetracycline
-stains developing teeth -inactivated by Ca++, do NOT take with milk or yogurt -photosensitivity -drug induced lupus and hepatitis
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aminoglycosides
used to treat severe gram - infections and tuberculosis (amikacin, gentamicin, kanamycin, tobramycin, neomycin, streptomycin)
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adverse effects of aminoglycosides
nephrotoxicity (kidney failure) and ototoxicity (hearing loss)
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inhibition of metabolic pathways
-When differences exist between metabolic processes of host and pathogen -Sulfonamides and trimethoprim inhibit enzymes involved in synthesis of bacterial folic acid (cannot make building blocks for DNA/RNA) -Humans obtain folic acid from diet thus the metabolism is unaffected
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trimethoprim
blocks dihydrofolate reductase
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trimethoprim/sulfamethoxazole
(bacterium, Cotrim, septra) -used to treat otitis media, UTIs -broad spectrum agains fungal agents -prophylaxis and treatment of pneumocystis jiroveci pneumonia in AIDS patients
bacteria mutated so antibody cannot bind to target or acquired new genes that are antibody resistant from conjugation -chromosome-mediated --due to spontaneous mutation in target molecule & in the drug uptake (mutation in porin) -plasmid mediated --common in gram - rods --transferred via conjugation --multidrug resistance
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non genetic mechanisms
intrinsic features of organisms/how they effect host -inaccessibility to drugs (e.g. abscess, TB lesion) -biofilms (bacteria are less accessible to antibiotic) -stationary phase (insusceptible to inhibitors of cell wall synthesis) *no growth/movement \= antibiotics are ineffective/do not work
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end result of genetically conferred resistance
-production of drug inactivating enzymes -modification of target structures -alteration of membrane permeability
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resistance to beta lactams
gram + -B lactamase (penicillinase) **bacteria can destroy; B lactam so no longer active -alternation of the transpeptidase enzyme
gram - -B lactamase (penicillinase) -alteration of the transpeptidase enzyme -alteration of porins (stop B lactase from getting to their target)
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B-lactamase
Breaks down penicillin, allows bacteria to survive treatment with B-lactam antimicrobial drugs
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B-lactamases and clavulanic acid
clavulanic acid blocks the action of b-lactamase, but is not itself an antibiotic; allows the amoxicillin to remain active
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inhibition of peptidoglycan cross linking by beta lactase and vancomycin - mechanisms of resistance
1. transpeptidase enzyme binds to Ala-Ala for crosslinking 2. B-lactam antibiotic binds to transpeptidase inhibiting crosslinking 3. vancomycin binds to Ala-Ala preventing binding of enzyme 4. B-lactamase cleaves B-lactam antibiotic 5. changing terminal Ala to lactate (gene change) prevents vancomycin binding
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antibiotic susceptibility testing
Dilution Method and Disc Diffusion Method
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dilution method
prepare two fold of antibiotic dilutions add 1/2 a million bacterial cells per tube incubate over night check for turbidity establish the minimum inhibitory concentration (MIC)
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minimum inhibitory concentration (MIC)
the lowest concentration of the drug that prevents the bacterial growth (no turbidity)
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disk diffusion method
seed agar plates with bacteria in question place antibiotic-discs over the seeded plate incubate overnight measure the inhibition zones relate the results to the zones given in the interpretive chart there is an inverse relationship between the MICs and zone diameters
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therapeutic index
how good antibiotic is ratio of max safely achievable level/MIC (penicillin has high therapeutic index; aminoglycosides have lower therapeutic index)
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microbe
microscopic organism
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major trait that distinguishes different types of microbes
the possession or absence of a membrane-enclosed nucleus