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Exam 2 material
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DNA Recombination
A donor bacterial cell transfers its DNA to a recipient cell
Plasmids
Non-essential DNA
Conjugation
Bacteria must have a direct connection (pilus) to transfer genetic material
Resistance (R) Plasmids
Contain genes that can be used to resist antibiotics
Transformation
A cell nonspecifically accepts small fragments of soluble DNA
Transduction
Viruses pick up DNA from donor cells during viral assembly and release it during viral entry of the recipient cell
Transposons
Can help move DNA within an organism
Mutations
Random changes to the nucleotide sequence
Spontaneous Mutation
Change in the DNA arising from errors in replication
Occurs randomly
Induced Mutations
Mutations that result from exposure to known mutagens that disrupt DNA
Point Mutations
Addition, deletion, or substitution of single bases
Missense mutation
Any change that leads to the placement of a different amino acid
Nonsense Mutation
Changes a codon into a stop codon which will stop the production of the protein early
Silent Mutation
Alters a nucleotide but does not change the amino acid formed
Frameshift Mutation
An insertion or deletion of one or more base pairs which shifts the reading frame of the mRNA
Genetic Engineering
Altering genes to introduce new traits
Goal is to alleviate human disease
Restriction Endonucleases
Used to cut DNA at sites with a particular nucleotide sequences
Comes from bacteria that used it as a defense mechanism
Polymerase Chain Reaction (PCR)
Works by making copies of genes present in a sample
So sensitive that you don’t need to culture microbes to detect them
Pulsed Field Gel Electrophoresis
Restriction endonucleases cut the whole genome at certain sites
Each organism will have different lengths of DNA pieces
Organisms with similar banding patterns are from the same source
DNA Sequencing
DNA genome is broken into smaller fragments
Nucleotide sequence is determined
Recombinant DNA Technology
By adding foreign DNA we can make cells do foreign things
Gene Therapy
Goal is to replace defective genes with working copies
Gene Addition
Non-mutated genes are added to the cell with a mutated genome
Gene Editing
The mutated gene is corrected in place
CRISPR can direct a cut site in the DNA
Gene Delivery
Done with viruses, nanoparticles, or membrane bound vesicles
Viruses are used to get to hard-to-reach areas but only for specific cell types
Clinical Microbiology
Used to determine if there is a pathogen present
Correctly identify which pathogen is responsible
Characterize the pathogen
Specimen collection
One of the most important steps towards identification
Phenotypic
Observe cell morphology and bacterial physiology or biochemistry
Genotypic
Identify microbes through genetic techniques
Some microbes cannot be cultured
Immunologic
Serological analysis to identify microbes
Microscopic
Cell shape size and arrangement, gram stain reaction, acid fast reaction
Macroscopic
Colony color, size, texture, and shape
Physiological/biochemical
Enzymes produced, antimicrobial sensitivity, growth in selective or differential media
Catalase Test
This test uses hydrogen peroxide (H2O2) to test for an enzyme that produces Oxygen gas
Hybridization
Genotypic identification
Uses DNA or RNA probes
If probes bind the genome it confirms the identity
FISH
Fluorescent in situ Hybridization
Positive fluorescence indicates hybridization
Serological Testing
Testing using Patient’s antibodies and microbial antigens
Can also identify previous infections
Latex Agglutination
Positive result → Clumping of colonies
Negative result → no clumping typical colony formtion
Immunofluorescence
Tests for antigen
Patient’s sample is mixed with an antibody labeled with a fluorescent tag
Western blots
Identifies proteins using antibodies
ELISA
Enzyme linked immunosorbent assay
Indirect → Tests for antibodies
Direct → Tests for antigen
Microbial Control
The process of killing, removing, or impeding growth of microorganisms
Sterilization
The process by which all living cells, spores, viruses, and prions are destroyed or removed from an object or habitat
Disinfection
The killing, inhibition, or removal of microorganisms that may cause disease
Sanitization
The reduction of microbial population to levels that are considered safe by public health standards
Antisepsis
The destruction or inhibition of microorganisms on living tissue
Prevention of infection or sepsis
-cide
Indicates a method that kills a microorganism
-static
describes a method that inhibits the growth of a microorganism
Mechanical Barries
Does not kill microorganism but instead removes them through filtration
can be used on liquids and gases
HEPA Filters
High efficiency particulate air may remove particles smaller than .1 um
Will sterilize air
N95 masks
Remove 95% of particles larger than .3 um
Heat
Heat can be used to destroy cells and viruses by degrading nucleic acids, denaturing proteins, and disrupting cell membranes
Boiling
10 minutes of water boiling will destroy all vegetative cells and viruses but endospores can live on for hours
Pasteurization
Heat sensitive substances are briefly subjected to temperates below boiling, only reduces the number of microbes that contribute to spoilage
Autoclave
Steam under pressure
Can destroy endospores
Gold Standard of Sterilization
Dry Heat
Less effective than moist heat
Higher temperatures and longer exposures are needed
Dry oven sterilizes
Incinerator
Commonly used to get ride of biological waste
Reduces microbes to ash
Ionizing Radiation
Dislodges electrons from atoms or molecules, producing chemically reactive free radicals which destroy nearby matter
Uses gamma and beta radiation
Non-Ionizing Radiation
UV radiation
260 nm waves cause thymine-thymine dimerization of DNA, preventing replication and transcription
Chemical
Can be used for sterilization, disinfection, and antisepsis
Ideal to find a balance to kill a variety of microbes and also be non toxic to people and materials
Phenols
Denature proteins and disrupt cell membranes of microbes
Alcohols
Denature proteins and may dissolve membrane lipids
Widely used for disinfecting, sterilizing, and antisepsis
Iodine
Often used for antiseptics
works by oxidizing cell constituents and iodinating proteins
Chlorine
disinfectant for water and food
Works by oxidizing cellular materials
Heavy Metals
Historically, mercury, silver, arsenic, zinc, and copper were all used as germicides
Very toxic, but modern versions have been developed are less toxic
Detergents
Organic cleansing agents that are amphipathic
They disrupt microbial membranes and denature proteins
often used as disinfectants
Aldehydes
Inactivate nucleic acids and proteins by cross linking molecules
Sterilizing gases
Used to sterilize heat sensitive items such as petri dishes and sutures
Vaporized Hydrogen peroxide
Commonly used to decontaminate facilities
Harmless because it breaks down into water and oxygen
Microbial Death Curves
Microbes are not killed instantly
Some microbes may still remain
to test if an organism is dead it must not grow when inoculated
Population size
More microbes means it will take longer for all microbes to die
Population Composition
Microbes differ in their susceptibility to each method
Concentration or intensity
Can change how quickly microbes are killed
Contact time
Longer exposure means more microbes killed
Temperature
Increases in temperature often increase the activity of an antimicrobial
local environment
Environmental factors surrounding microbes may offer protection or aid in destruction
Phenol Coefficient Test
Test your measure alongside phenol and compare
In Use Tests
Test your measure in the environment it will be sued then determine the presence of viable microbes
Kirby-Bauer
Bacteria of Interest are spread on plate
Discs with antimicrobial drugs are placed on top
Incubate and then measure the zone of inhibition around the discs
E-Tests
Bacteria of Interest are spread on plate
Strip of plastic with a gradient of antimicrobial concentrations is placed on top
After 48 hours of incubation look for susceptibility
Minimum Inhibitory Concentration
(MIC) The smallest concentration of drug that visibly inhibits growth
E-Test
Therapeutic Index
Compares the toxic dose to the minimum effective dose
Drug Failure
Drug did not reach affected area
Resistant microbes were missed during testing
more than one pathogen responsible for the disease
Patient did not take antimicrobials as prescribed
Drug Interaction with Microbes
Attacks specific structures and pathways specific to microbial cells
Goal is to disrupt the structure or function to the point where the microbe can no longer survive
Drug Action Mechanisms
Inhibit cell wall synthesis
Inhibit nucleic acid structure and function
Inhibit protein synthesis
Interfere with cytoplasmic membrane
Inhibit folic acid synthesis
B-Lactam Antibodies
Block the last stage of cross linking peptides in peptidoglycan synthesis
More effective on Gram Positive Bacteria
Vancomycin
Important for role in treating methicillin-resistant Staphylococcus aureus (MRSA)
Quinolone Antibiotics
Inhibit DNA transcription and replication by inhibiting microbe specific enzymes
Tetracycline Clindamycin
Block successful translation at the ribosome/mRNA level
Polymyxin Daptomycin
Interact with phopholipids causing distortions and leakage
More effective on Gram-Negative Bacteria
Folic Acid
An essential vitamin required for DNA synthesis and cell replications
Bacteria synthesize folic acid
Humans acquire it in diet
Sulfonamides
Inhibit enzymes required for folic acid synthesis
Fungal Treatments
Similarities between fungal and human cells makes treatment toxic to humans
Helminth Infections
Most difficult to treat because they are most similar to humans
Blocking reproduction doesn’t eliminate adult worms
Goal is to destroy all life cycle stages
Viral Infections
Viruses use our cellular pathways to replicate so treatments often include inhibiting host cell pathways
Vaccines are the best defense against viral infections
Prevent Viral entry, production of viral proteins/genomes replication, virion maturation
Biofilm Considerations
Antimicrobials may not be able to penetrate the sticky layers of biofilms
Longer treatment periods, mechanical disruption or removal of biofilm and adding additional antimicrobials may help
Antimicrobial Resistance
Synthesis of new enzymes which inactivate the drug
Microbial cell des not let drug in
Drug is eliminated
Binding sites for drug are decreased
Microbe uses an alternate pathway
Beta-lactamases
Degrade beta-lactam Antibiotics
MecA
Antibacterial resistance gene used by MRSA
Penicillin attacks peptidoglycan by binding to its target, PBP
MecA allows the bacteria to make another version of the target protein, called PBP2a which pencillian cannot bind to
Toxicity to Organs
The drug damages human organs