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Where are the major microbial habitats in/on humans?
Ear, Nose, Hair, Skin, Gut and Mouth
How is the human microbiome originally inoculated?
Vaginal birth vs c section
Breast feed vs formula
What is the primary factor that drives community composition in the human microbiome?
Nutrients consumed, habitat and community.
Two locations of high microbial diversity in humans
Skin and nostrils are exposed to external environment
Two locations of low microbial diversity in humans
Mouth and gut because they are only exposed to what it given to them
Why might microbe diversity be different between different body parts?
Different areas of skin interact with different surfaces
Why is transplanting microbes between body parts mostly unsuccessful?
Habitats are the main driver of diversity so being moved to unfamiliar places doesn’t usually work
What bacteria is involved with tooth decay?
Gram-negative bacteria and spirochetes
What bacterium commonly is the source of ulcers?
Helicobacter pylori
How does H. pylori live in the stomach?
It burrows into the stomach lining and the ulcer is created by immune response
Why is microbial activity in small intestines minimal?
Rapid flow of contents washes bacteria away and human body takes many nutrients
Why is microbial activity in the colon greater than small intestine?
Flow is very slow and humans don’t absorb as many nutrients
What critical metabolic benefit to bacteria provide for the colon?
Polysaccharides are hard to be broken down so bacteria assist with this process
What is the relationship between C. diff and antibiotics?
Antibiotics disrupt normal microbiota, allowing hard to kill C. difficile to overgrow.
What benefits are provided by natural vaginal microbiota?
Some protect from fungal infection while some lower pH to protect from STIs
Probiotics
Contain living microbes such as Bifidobacterium and Lactobacillus
Prebiotics
Contain nutrients to feed beneficial bacteria
What is a fecal transplant and when is it used?
Transfer of healthy microbiota to restore gut balance, often for C. difficile infections.
What is an advantage of fecal transplants over antibiotics?
They restore microbial diversity instead of killing microbes broadly.
How can gut microbes affect other parts of the body?
They influence metabolism, immune function, and even brain activity.
What is the gut-brain axis?
The connection between gut microbiota and the brain/CNS.
How can microbiome knowledge shape future medicine?
Personalized medicine to boost beneficial microbial communities and prevent pathogen invasion
Main difference between beneficial and pathogenic bacteria
Pathogens have virulence factors that allow them to cause disease; most bacteria don’t have this
Why is adherence required but not sufficient for disease?
Bacteria must attach to a host but also need to colonize, invade, and produce damage for nutrients.
What are adhesins? Give 2 examples
Surface molecules that help bacteria attach to host cells;
Capsules and fimbriae
What is the difference between colonization and invasion?
Colonization is growth on surfaces where invasion is penetration and spread into tissue
Is septicemia due to colonization, invasion, or both?
Invasion since bacteria enters the bloodstream
What is a virulence factor?
A trait that enables a pathogen to cause disease
Why does virulence vary among pathogens?
Difference in virulence factors and genetic makeup
What is LD₅₀ and how does it relate to virulence?
The number of cells needed to kill 50% of hosts; lower value means higher virulence
How can virulence be attenuated/reduced?
By losing or mutating virulence genes
What is a pathogenicity island?
A cluster of virulence genes on a chromosome
What is the role of horizontal gene transfer in virulence?
It spreads virulence genes between bacteria
What is an example of an enzyme virulence factor?
Hyaluronidase breaks down host tissues to aid spread
What is the difference between exotoxins and endotoxins?
Exotoxins are secreted proteins where endotoxins are LPS components of gram-negative cell walls
What are three types of exotoxins and examples?
AB toxins: diphtheria toxin
Cytolytic toxins: hemolysins
Superantigens: toxic shock toxin
What is an example of an endotoxin and which bacteria use it?
Lipopolysaccharide (LPS) in gram-negative bacteria
In what context are antibiotics naturally produced?
Microbes produce antibiotics to compete with and inhibit other microorganisms
What is selective toxicity and why is it important?
It allows antibiotics to target bacteria without harming human cells, making them safe for treatment
Who discovered antibiotics and how?
Alexander Fleming discovered penicillin from mold inhibiting bacteria
What is the difference between bactericidal and bacteriostatic antibiotics?
Bactericidal kill bacteria where bacteriostatic stop growth so immune system can clear infection
Why use broad-spectrum antibiotics and what is a consequence?
Used when pathogen is unknown but can disrupt normal microbiota and cause infections
Why can’t antiseptics and disinfectants be ingested?
They lack selective toxicity and damage human tissues
How to β-lactam antibiotics work?
They inhibit peptidoglycan cross-linking in cell walls, causing cell lysis
Which bacteria are β-lactams most effective against and why?
Gram-positive bacteria because of their thick and exposed peptidoglycan layer
How do polypeptide antibiotics like vancomycin differ from β-lactams?
They bind directly to cell walls precursors instead of targeting enzymes
How do quinolones work and why are they selectively toxic?
They inhibit DNA gyrase in prokaryotes which differed from eukaryotic enzymes
How do tetracyclines work and why are they selectively toxic?
They bind to the 30S ribosomal subunit which difference from eukaryotic ribosomes
How do sulfa drugs work and why are they selectively toxic?
They inhibit folic acid synthesis which bacteria must produce but humans obtain from diet
How do bacteria resist penicillins?
By producing β-lactamase enzymes that degrade the antibiotic.
How do bacteria resist vancomycin?
By modifying the D-Ala-D-Ala target (3 enzymes) so the drug cannot bind
How do bacteria resist ciproflaxin?
By modifying DNA gyrase, reducing drug entry, or using EFFLUX PUMPS.
How do bacteria resist tetracycline?
By using efflux pumps to remove antibiotics
How do bacteria resist sulfonamides?
By modifying enzymes involved in folic acid synthesis
Why are efflux pumps a major concern?
They can remove multiple antibiotics which causes multidrug resistance
Where are antibiotic resistance genes found?
On chromosomes and plasmids
What is clavulanic acid?
A β-lactamase inhibitor that protects antibiotics like penicillin.
Why does resistance evolve at different rates for different antibiotics?
Some resistance mechanisms are more complex and harder to evolve
What is the concern with Neisseria gonorrhoeae?
It rapidly develops resistance to antibiotics
What factors spread antibiotic resistance?
Overuse of antibiotics, agriculture use, and horizontal gene transfer
Is there hope for antibiotics in the future?
Yes, through new drugs, better practices, and alternative therapies like phage therapy.
How are viruses different from bacteria in structure and metabolism?
Viruses lack cells, ribosomes, and metabolism structures and must replicate inside a host
What are viral capsids and envelopes?
Capsids are protein shells around the genome; envelopes are host-derived membranes some viruses acquire
What does the Baltimore classification system use?
Genome type and how viruses generate mRNA
Why can’t viruses be classified using rRNA?
They lack ribosomes and rRNA genes
What must all viruses ultimately produce?
mRNA (+ strand) for protein synthesis
What are the 5 stages of the viral replication cycle?
Attachment, penetration, synthesis, assembly, and release.
What happens during (virus) attachment?
Viral proteins bind specific receptor cells on host
What happens during (virus) penetration?
Viral genome enters the host (or entire virion in eukaryotes)
What happens during (virus) synthesis?
Viral genomes and proteins are made using host machinery
What happens during (virus) assembly?
New viral particles are constructed from genomes and capsid proteins
What happens during (virus) release?
Viruses exit via lysis (prokaryotes) or budding (eukaryotes)
How do bacteriophage T4 attach to E. coli?
Tail fibers bind to specific receptors on the bacterial surface
What role do endosomes and lysosomes play in viral infection?
They help engulf and uncoat viruses in eukaryotic cells
Where does viral genome replication and protein synthesis occur?
Replication occurs in cytoplasm in nucleus; translation occurs in cytoplasm
Why is ATP needed for phage genome packaging?
It powers the packaging motor that inserts DNA into capsids
What is the difference between lysis and budding?
Lysis destroys the host cell; budding releases the virus without killing the cell
What is the difference between lyric and lysogenic cells?
Lyric kills host immediately; lysogenic integrates into host genome and remains dormant
What viruses undergo lysogeny?
Temperature bacteriophages
How is a virus involved in diphtheria?
A phage carries the toxin gene that makes the bacterium pathogenic
How are retroviruses similar to temperate phages?
Both integrate their genome into the host DNA
What is a latent viral infection?
A virus remains dormant in the host and can reactive later (ex: herpes)
What is the main difference between influenza types A, B, C, and D?
They differ in severity and host range, with Influenza A causing pandemics and infecting multiple species.
What is the antigenic drift vs antigenic shift?
Drift is small mutations; shift is a major changes from recombination, leading to new strains
What is viral recombination and why is it important?
Exchange of genetic material between viruses during co-infection, creating new strains that can infect new host
Why was the 1918 influenza pandemic so deadly?
The virus had novel antigens the immune system couldn’t recognize, causing severe immune responses.
How did SARS-CoV-2 likely evolve to infect humans?
Through recombination of animal viruses (bats and pangolins), allowing binding to human receptors
Which part of SARS-CoV-2 mutates to increase infectivity and why?
Spike protein; it controls attachment to host cells
What stage of viral replication is affected by spike protein mutations?
Attachment
What are common targets for antiviral defenses?
Steps in viral replication like attachment, genome entry, replication, and assembly
How do microbes prevent viral adsorption?
By altering or masking receptors or producing decoys
How do viruses overcome adsorption prevention?
By mutating to recognize new receptors or degrading barriers
How does restriction-modification provide innate immunity?
Bacteria cut unmethylated viral DNA while protecting their own methylated DNA
How do viruses evade restriction-modification?
By methylating their DNA or altering recognition sites
How does CRISPR-Cas provide adaptive immunity?
stores viral DNA sequences and uses them to recognize and cut future infection
How is CRISPR used in gene editing?
It targets specific DNA sequences for precise cutting and modification
What is abortive infection?
Infected cells self-destruct to stop virus spread and protect the population
Why do microbes need multiple defense strategies?
Viruses evolve quickly, so multiple defenses increase survival chances
Why are defense genes often on mobile genetic elements?
They can spread quickly between microbes via horizontal gene transfer