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Differentiate between Prokaryotes and Eukaryotes
Prokaryotes: No nucleus, have a cell wall, lack organelles.
Eukaryotes: Have a nucleus, no cell wall, contain organelles (e.g., mitochondria, chloroplasts, ER).
Identify clinically important bacteria based on microscopic appearance (gram - vs gram +)
Microscopy: Used to examine cell shape, color (stain), and size.
Gram Stain: Key differential method in microbiology.
Gram-Positive: Multiple layers of peptidoglycan, teichoic/lipoteichoic acids.
Gram-Negative: Outer membrane (LPS), thinner peptidoglycan, molecular sieve function
Gram-positive bacteria
–Thick cell wall-more resistant to desiccation and tolerate dry conditions. They have no flagella, so they lack motility. Gram-(+) bacteria retain the purple color because their thick peptidoglycan layer does not allow the dye to escape.
Gram-negative bacteria
– Thin cell wall-thrive in damp situations and are generally more resistant to antibiotics. The alcohol extracts the high lipid content from their outer membrane, making it permeable. As a result, the crystal violet-iodine complex diffuses out, and these bacteria become colorless.
Bacterial Shapes:
Cocci (spherical)
Bacilli (rod-shaped)
Curved/Spiral (e.g., spirochetes)
Special Bacteria:
Mycobacteria: Stained by Ziehl-Neelsen due to waxy cell envelope.
Mycoplasma: No cell wall, smallest bacteria.
Define the role of certain cellular structures in the pathogenesis of infection
Flagella: Motility (chemotaxis) via rotation.
Pili: Adherence to host tissues.
Capsules & Slime Layers: Polysaccharide/protein layers protect against phagocytosis and antibiotics, aid in adherence.
Spores: Formed by Gram-positive bacteria (e.g., Clostridium) for survival in adverse conditions.
Biofilms: Protect bacteria, difficult to treat (e.g., Pseudomonas in CF, S. epidermidis in catheters).
Describe the processes involved in bacterial growth
Binary Fission: Main method of bacterial division.
Selective Pressure: Mutants that survive hostile conditions thrive and multiply.
Growth Requirements:
Energy: Catabolism of carbs, lipids, proteins.
Nutrients: Water, carbon, nitrogen, salts, iron.
Environmental Factors: Temperature, pH, O2 (anaerobic vs. aerobic bacteria).
Describe the structure of bacterial DNA and the process of DNA replication
Bacterial Genome: Circular, double-stranded DNA (dsDNA), 4000 genes, 5M base pairs.
DNA Structure: Nucleotides with bases (A, T, G, C), deoxyribose sugar, phosphate backbone.
Supercoiling: DNA gyrase (Type II topoisomerase) relieves tension for replication/transcription.
DNA Replication (Semi-conservative process)
Initiation: Origin of replication (oriC), Helicase unwinds dsDNA to ssDNA.
Elongation: DNA polymerase adds nucleotides in the 5’ to 3’ direction.
Proofreading: DNA polymerase corrects errors.
Termination: Two identical daughter helices are formed.
Enzymes Involved: Helicase, DNA polymerase, ligase, gyrase.
Explain bacterial gene expression (transcription and translation)
Gene Structure: Bacterial genes exist individually or in operons (uncommon in eukaryotes).
Transcription:
Initiation: RNA polymerase binds to promoter, unwinds dsDNA.
Elongation: RNA polymerase transcribes dsDNA to mRNA.
Translation:
mRNA: Template for decoding by ribosome.
tRNA: Transfers amino acids to ribosome to form protein.
Ribosome: Decodes mRNA into amino acid sequence (peptide chain)
Describe the clinical significance of plasmids and DNA mutation
Plasmids:
Small, extrachromosomal, circular DNA.
Replicate independently, transferred between cells.
Carry antibiotic resistance genes (e.g., hospital-acquired bacteria).
Mutations:
Types: Substitution, insertion, deletion.
Effects:
Substitution: May alter protein but could be silent.
Deletion/Insertion: Frameshift mutations, possible premature stop codons, truncated proteins.
Mutation Causes: Spontaneous or induced (mutagens).
Impact: AMR (antimicrobial resistance), evolution of virulence.