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How Get Infectious Diseases?
Organism factors overcome host factors
Host Factors
-immune system
—innate and adaptive immunity
Organism Factors
-dose (# of organisms)
-virulence (ability to cause disease)
→leads to host colonization and invasion
-evading host defenses
-damage to host
Sequences of Events in Microbial Invasion
Portal of entry
Colonization and Adhesion
Invasion and Multiplication
Evasion of Host Defense Mechanisms
Damage to host
Disease
Portal of Exit
Microbial Invasion
process which pathogens avoid or inactive host immune system to ensure survival in a host
Strategies Used to Evade Immune System
Inhibition of phagocytes
Release of proteins to interfere with immune factors (IgA proteases)
Antigenic Variations
Complement Inhibition
Intracellular Survival
Diseases Caused by S.aureus
Staph aureus-stains purple on slide
can cause different forms of disease/infections
versatile
Strategies to Inhibit Phagocytosis
Toxin Release
-destruction of phagocytes by cytolytic toxins
Opsonization Prevention
-inhibition of opsonization
-Staphylococcus aureus forms Protein A that binds to Fc part of Ig and prevents opsonization between Ab and phagocyte
Contact with Phagocyte Prevented
-organism can have capsule to prevent contact
-ex is streptococcus pneumoniae
Release of Proteins to Interfere with Immune Factors
IgA Protease
-destroy mucosal IgA
-effects local immunity from IgA (nullified)
-some can inhibit complements
-neisseria gonorrheae (GU tract)
-haemophilus influenzae (resp tract)
-streptococcus pneumoniae (resp tract)
Antigenic Variations
Borrelia recurrentis changes antigens frequently during course of infection
Trypanosoma cruzi undergoes antigenic variations of Variant Specific Glycoproteins (VSG)
Change their antigen during infections so the produced Ab to original variant doesn’t work and body has to keep producing new ones
Complement Inhibition
Outer capsule prevents complement activation (staphylococcus aureus)
Config of outer surface so complement receptors can’t access C3b
-some recruit Factor H to surface to escape
Membrane bound enzymes can degrade complement/cause to be shed
-Pseudomonas aeruginosa forms proteases that degrade complements
-Streptococcus pneumoniae produces C5-ase
Intracellular Survival
Phagolysosomes-kill microbes with ROS after engulfing
How evade
-block phagosome-lysosome fusion (mycobacterium tuberculosis)
-escape phagosome and enter cytoplasm (listeria monocytogenes, salmonella serotype typhi)
-resist lysosome products (mycobacteria, certain salmonella spp)
-block activation by gamma-IFN (mycobacteria)
Sit inside cell cytoplasm and hide
Summary of Microbes and Viruses
Mycobacteria
-survive within phagosome
Herpes (HSV), CMV, EBV viruses
-inhibition of antigen presentation
EBV
-inhibition of macrophage activation
Pox Virus
-block cytokine activation of effector cells
Viral Pathogens Interfere with Signaling to IFN Genes/Receptors
Ex-members of Flavivirus family (Hep C virus, west nile virus)
interfere with RNA sensors ability to work and interferons to work
-interferes with signaling molecules by binding to IFN receptors
Viral Pathogens can Interfere with NK Cell Function
Interference w/ NK activation
Decoying NK receptors via viral HLA class 1 homologous
-fake HLA class 1 molecule, trick NC cells
Done by cytomegalovirus and rubella virus (German measles)
Viral Interference with MHC Class 1 Antigen Presentation
Interference with MHC class 1
-prevents producing peptides and transport
-can’t get on HLA class 1 molecule, keeps MHC 1 in cell
-speeds up degradation and prevents signaling to T cell
Interferes with adaptive response of T cells
Viral Evasion of T and B Cell Immunity: Mutation
Viral RNAse lacks the repair component of eukaryotic cells
-as a result can accumulate a lot of mutations
-mutations are enough to prevent binding peptide to epitope
ex: escape from HLA-A24 mediated cellular immunity
COVID variants escape neutralization by vaccine humoral immunity
Why we need flue virus vaccine each year
Two Types of Mutations Allow Influ A Virus to Repeat Infect Hosts
Antigenic drift
-due to point mutations
-why yearly flu vaccine needed
-selective process
-neutralizing Ab no longer binds
Antigenic shift
-due to nucleic acid exchange
-results in pandemics every 20-30 years
-viral RNA segments swap with each other
-makes a brand NEW virus, not just mutation
Antigenic Drift
-due to point mutations
-why yearly flu vaccine needed
-selective process
-neutralizing Ab no longer binds
Antigenic Shift
-due to nucleic acid exchange
-results in pandemics every 20-30 years
-viral RNA segments swap with each other
-makes a brand NEW virus, not just mutation
Immunity Against Rhinoviruses
Strain specific
About ~ 160 strains of rhinoviruses cause common cold
Subsequent infection w/ diff strain of rhinovirus is unaffected by immune response to first strain
Why hard to make a vaccine to the common cold
Viral Latency
Viruses of herpes family hide from immune system in neurons
Herpes simplex 1 virus (cold sores)-trigeminal root ganglion
Varicella zoster virus (chickenpox)-dorsal root ganglion→cause shingles
When hide in neurons they are invisible
-when stress affects immune system, virus is activated and can infect epithelial cells
HIV Virus Causes AIDS
-by killing CD4+ T helper cells (most important cells of adaptive immune system)
leads to opportunistic infections by other pathogens