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infection
microbes that grow on or within a multicellular host
disease
tissue is damaged with impaired function
pathogen
microbe that is the causative agent of an infectious disease
symptom
phenotypic effect of the infection on the host
first stage of infection
involves adherence of the bacteria to a surface within the host
second stage of infection
after adhering the cells can invade the host cells and multiply and cause disease, or they can colonize the surface of the host cell forming a biofilm which can cause disease, in multiplication toxins can be secreted
infection process
exposure, adherence, invasion, multiplication
disease process
toxicity/invasiveness, tissue or systemic damage
adherence
ability of a bacteria to bind to a cell or inorganic surface, cell interacts with host through cell-surface receptors
adhesins
receptors of the pathogen surface which are composed of glycoprotein or lipoprotein bound to the outer layer of the cell
capsules, fimbriae, pili, flagella also aid in adhesion to target cell
colonization
growth of a bacteria after it gains access to a host tissue, typically begins a site in the mucous membranes of host
oral pathogens
use adhesions and quorum-sensing methods to initiate biofilm formation on mucous membranes
oral pathogens in the mouth
form a biofilm called plaque which is a hospitable environment for many bacterial species resulting in mixed biofilm
invasion
ability of a pathogen to enter host cells or tissues, spread, and cause disease
some remain localized in the site of infection but some spread around and enter the bloodstream
bacteremia
an asymptomatic disease in which the bacteria enter the bloodstream and are killed by the host
septicemia
where a bacteria enters the bloodstream, multiplies, and spreads systemically around the body
pathogenicity of bacteria
overall ability to cause disease in a host
virulence
measure of pathogenicity, both can vary between species and strains
attenuation
when a strain of bacteria has significantly reduced virulence
virulence factors
genetically encoded factors (usually proteins) that contribute to pathogenicity
salmonella virulence
causative agent of GI-related infections, contains various pathogenicity islands which encode virulence factors, deletion of factors results in the bacteria being unable to establish an infection
enzymes
proteins which catalyze chemical reactions resulting in tissue damage, only affect local regions and can’t spread throughout a multicellular organisms
streptococcus pyogenes
“fish-eating bacteria”, the enzyme hyaluronidase promotes tissue invasion by digesting epithelial cells
toxins
specialized proteins/components that cause damage locally and systemically throughout the host, almost all pathogens use enzyme only some use toxins
toxicity
ability of an organism to cause disease using a toxin
exotoxins
proteins secreted by pathogens
AB toxins
cytolytic toxins
superantigen toxins
endotoxins
certain cellular components of the pathogen
toxic upon cell lysis
AB type exotoxins
found in diphtheria and tetanus infections, bipartite (2 parts)
B component binds to the host cell surface facilitating the transfer of the A component
A component enters the cell performing a reaction which damages the cell
cytotoxin
soluble proteins secreted by a pathogen, cause damage the cell membrane of target cells, secreted and degrade the phospholipid membrane resulting in host-cell lysis
blood plates
use these to see the ability to degrade cells, contain erythrocytes that have zones of clearance when lysis occurs
clostridium perfringens
uses the a-toxin to kill blood cells to release proteins which can be fermented
lipopolysaccharides (LPS)
found on the cell wall of gram - bacteria
core polysaccharide - make the toxic product soluble
lipid A - toxic part of the LPS
endotoxin can stimulate a strong immune response leading to fever and inflammation which can result in kidney failure
pathogen
microbe that is the causative agent of an infectious disease
disease
tissue is damaged with impaired functioni
immunology
understand how organisms resist pathogens and handle infectious disease
vertebrate immunity
innate - inborn defenses (broad)
adaptive - acquired defenses (specific)
physical barriers of body
skin and mucus layers, which prevent attachment of pathogens
chemical barriers of body
low pH of the stomach which kills infectious organisms, enzymes like lysozome degraded the cell walls of pathogens
microbiological barriers of body
normal healthy microbiota competes with pathogenic bacteria for inhabitable spaces and nutrients preventing infection
immune system
sole function is to detect and destroy pathogenic bacteria within the body
innate immunity
generalized response to a pathogenic organism, requires phagocytes as primary effector cells which can respond to a broad range of pathogens, responses are rapid and enable an immediate fight against the pathogen by the host
neutrophils
dendritic cells
macrophage
blood and lympathic systems
circulatory systems
two major blood cells
erythrocytes - red
leukocytes - white
circulatory system
provide tissues with oxygen, carries erythrocytes
lymphatic system
provide nutrients and proteins to cells and tissues while helping the body fight infection, carries leukocytes
erythrocytes
most common form of blood cell found in the body, uniform in shape and structure and lack a nucleus
leukocytes
1000-fold less abundant, diverse structures and function, contain nucleus
grainy - can be referred to as granulocytes
hematopoietic stem cells
can differentiate various leukocytes used in the innate immune response
differentiation into two subclasses occurs
monocytes - dendritic cells and macrophages
granulocytes - neutrophils, eosinophils, basophils, mast cells
monocytes
ingest pathogens and present pieces of the pathogen on their cell surface, this piece of pathogen is referred to as an antigen
granulocytes
contain toxins and enzymes that are used to destroy target cells
phagocytes
leukocytes which recognize, engulf, and kill pathogens usually by digestion, they drive the rapid response of innate immunity
phagocyte recruitment example
needle breaks skin introducing pathogenic bacteria, circulating macrophages encounter the pathogen and become activated, activated macrophages produce cytokines
cytokines
signaling compounds related to immunity
chemokines
type of cytokine which recruits circulating phagocytes, such as neutrophils to the target area, here they will begin targeting pathogenic cells
pathogen-associated molecular patterns (PAMPs)
broadly conserved microbial components which are not present in human cells
lipipolysaccharides (proteobacteria)
peptidoglycan (cell wall)
flagellin (flagella)
pattern recognition receptors (PPRs)
cell surface receptors on leukocytes which recognize PAMPs
result in engulfment of the pathogen
activate other phagocytes, ensuring clearance of infection
reacting to pathogens
phagocytes bind pathogens via PPRs, often toll-like receptor proteins, each TLR on a human phagocyte recognize a specific PAMP, TLR2 recognizes peptidoglycan on the bacterial cell wall
recognition of the PAMP
results in a signaling cascade, regulates gene expression within the phagocyte, changes results in pathogen killing, inflammation, and tissue healing
phagocytosis
process of pathogen engulfment by phagocyte, via endocytosis
phagosome
membrane bound vesicle containing the pathogen
lysosome
membrane bound vesicles containing reactive oxygen species (ROSs)
exposure of pathogen to these ROSs results in respiratory burst killing the pathogen
phagolysosome
phagosome and lysosome fuse to form this
inflammation
localized redness, swelling pain, and heat, caused by the release of proinflammatory cytokines which increase vascular permeability
increased permeability
diverts fluid from blood to lymphatic system, strengthening the immune response and preventing bacteremia, changes result in the symptoms of inflammation
fever
systemic temperature increase from 37C to 38-40C, this lowers the growth rate of some pathogens and increases clearance
adaptive immunity
specific response to a pathogenic organism, relies on specificity, memory, and tolerance
specificity
recognizes pathogenic molecular structures (antigens)
memory
activation of lymphocytes which replicate and persist in case re-infection occurs
tolerance
avoiding recognition of hosts own molecules (self-antigens)
primary response in adaptive immunity
takes longer to clear an infection than innate immunity, it can remember the infection and combat it effectively when reinfection occurs, secondary response is much stronger
t cells
immunity cells which mature in the thymus of a human, contain t cell receptors on their surface which recognize and defend against pathogens, result in cellular killing of pathogens (form of cell-mediated immunity)
b cells
immunity cells which mature in the bone marrow of a human, produce antibodies which recognize specific antigens on a pathogen, targets the pathogen for destruction by the immune system (antibody-mediated immunity)
antigen
portion of the invading pathogen, can be a protein, toxin, virus, etc
antigen-presenting cells
immune cells that present antigens derived from engulfed pathogens
b lymphocytes
macrophages and dendritic cells (innate)
antigen-presenting cells
engulf pathogens by phagocytosis after which they digest the pathogen, wearing portions of the pathogen on their membrane, shows immune system what to look for
major histocompatibility complex
proteins which present antigens to other immune cells, recognized t cells and trigger their activation (cell-mediated immunity)
MHC class 1
created by cells which are infected with a pathogen
MHC class 2
present antigens after phagocytosis of a target cell
cells presenting antigens
bound by the t cells that secrete protein cytokines which activate the adaptive immune response, can be done in multiple ways
th1 cells (t-helper cells)
release cytokines which activate other cells in the area to perform phagocytosis and trigger inflammation in the target area
tc cells (t-cytotoxic cells)
produce enzymes which degrade nearby target cells, such as pathogenic bacteria
th17 cells
interact with a pathogenic stimulated dendritic cell (innate immune response), interaction triggers the recruitment of nuetrophils to the infected area which results in inflammation and pathogen control, protecting the host from microbial infection
false positive response to a non-pathogenic source
body creates treg cells that interact with inactivated dendritic cells, they produce proteins and cytokines which suppress inflammation and recruitment of immune cells, results in suppression of immune responses and prevents an autoimmune response to self-antigens
B cell – T cell interaction and immunity
b-cells encounter, engulf, and degrade a pathogen and present the antigen on their surface in conjugation with a cell-surface protein
B cell – T cell interaction and immunity cont
antigen-cell-surface complex recognized by a t-cell surface protein it will bind and t-cell will release cytokines which trigger the b-cell to produce plasma and memory b cells
two b cells
plasma - produce antibodies which clear infection
memory - circulate in environment, waiting to respond to reinfection
antibodies
proteins which bind to a specific molecular feature (epitope), epitopes found on the antigen, single protein can contain various epitopes, antibodies bind a specific protein or entire pathogen
antibodies don’t directly kill pathogen, they perform two roles
opsonization - making antigen for destruction by receptor-mediated phagocytosis
neutralization - binding the infectious protein/pathogen preventing binding to their target
antibody production during infection
primary response - involve the production of IgM which help fight initial infection
once memory is established reinfection will trigger secondary response
secondary response produces high titers of IgG preventing reinfection
natural/artificial methods
natural - involve processes which occur without human intervention
artificial - involve processes that utilize human intervention
active/passive immunity
active - body can make the antibodies required for immunity itself
passive - transient antibodies are introduced into the body