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bacterial pathogenicity— can the organisms
colonize tissues/cells?: Requires adhesion, multiplication/colony growth, tissue invasion, and evading immune defense
produce toxins that damage cells and tissues?: induce cytolysis (cell disruption) or invasion, and evading immune defense
what are exotoxins
secreted (external) products, typically made by gram-positive bacteria
what are endotoxins
membrane (internal) compounds, typically from gram-negative bacteria
routes of entry
direct contact, penetration, ingestion, inhalation, ascending
regional and systemic spread
following local tissue invasion and colonization, microbes can spread systemically via lymphatic and blood vessels
what are the bacterial mechanisms to breach barriers
transcytosis, white blood cell trafficking, anoxal transport
what is transcytosis
when bacteria travels in vesicles through/across cells
what is white blood cell trafficking
when bacteria hitches a ride on immune cells
what is axonal transport
bacteria cells travel via nerve cell endings
what ways can intact lining barriers can be breached by
epithelial loss or disruption, weakened cell attachments, excessive moisture
what ways can initial colonization of bacteria occur
within mucus layer, attached to surface cilia or microvilli, within epithelial cells (via endocytosis, “taking up” organisms), after a barrier has been breached
what ways can initial colonization occur
due to bacterial motility (moveability) through mucus and/or tissue via flagellum, whip-like extension, or due to unique shapes (spiral)
due to attachments between the bacteria and cell surface receptors via fimbriae, finger-like “fringe” extensions
what are the bacterial targets in the body
epithelial cells of all organ systems
leukocytes and other immune cells
cells of the CNS and PNS
how can bacteria evade immune detection
using immune cells (macrophages) to prevent detection by other immune cells (lymphocytes) → pyogranulomatous
what is a virulence factor
molecules and genes that enable microbes to replicate and cause disease
examples of the virulence factors
colonize targets at portals of entry
invade targets at portals of entry
evade barrier systems and defense mechanisms
suppress innate and adaptive immune responses
acquire nutrition from target substances, cells, and tissues
what do virulence factors allow for
allow microorganisms to arrive, survive, and thrive by escaping detection and destruction