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where does normal microbiota present on the human body
skin, gi tract, respiratory tract, oral cavity, urogenital tract
virulence
how harmful a pathogen is
what do you need to consider for a microbial habitat
physicochemical enviroment: ph, amount of oxygen, water activity, stability, and other microbial co inhabitants
do bacteria need us to survive
no
why do bacteria colonize humans
all bacteria need nutrients and most need heat to allow them to multiply and we are “free lunch” for them
we give them a stable environment without hurting them
how do humans benefit from bacterial colonization
most are neutral or beneficial to humans
some neutral bacteria are occupying a spot that would otherwise be occupied by pathogenic bacteria
without our defense systems bacteria may become problematic to humans (immunocompromised pts)
bacteria also produces essential coenzymes
symbiosis
human is the normal habitat
mutualism
beneficial effects for both bacteria and human
parasitism
bacteria is the only one who is being positively impacted
human is being negatively impacted
commensalism
no clear effect
transient
not a specific or long term interaction
commensals
normal microbiota
colonization at birth from mother or from environment soon after birth (obtained through birth canal)
may change during development
what is one of the first microogranisms a baby gets- particularly from breast and milk
lacto bacili
opportunistic pathogens
can cause disease under certain conditions- host being immunocompromised,
pathogens
organisms that cause disease (damage or injury to the host that impairs host function)
pathogenicity
ability to cause disease
virulencey (higher=more ability) (lower=less ability)
infection
microbe is established and growing in a host
whether or not the host is harmed
when does infection turn into disease
after it starts causing harm
can micro flora change
yes as the human body grows, lifestyle, diet
people who live in the same household would have similar microflora
mutualism
best known examples are in intestine (vitamine synthesis, organic acid production, steriod metabolism)
skin
pH 4-6
some oxygen status
low water activity
not stable
which microogranisms live on the skin
resident and transient
why is skin a good barrier
because if a microorganism was living on the skin w ph of 4 and then there is a cut, the inside of the bodys ph is 7 so it is unlikely the organism can live on both ph’s
epidermis habitat
limited water activity
lots of transient organisms
non growing or slowly growing commensals
lots of gram positives
where are aprocrine (sweat) glands found
underarms, genitals, nipples, and umbilicus
when do aprocrine glands become active
at puberty
where is there a low concentration for TEA for anaerobes
apocrine glands
what are odors products of
fermentation
how many species of bacteria is there in the skin
180
what are the four dominant genera
streptococcus
staphylococcus
corynebacterium
Propionibacterium
streptococcus
aerotolerant anaerobe (lactic acid bacteria)
homofermentative
important in food production (yogurt, buttermilk)
streptococcus pathogen
endocarditis- infection of the heart valve tissue
swim through our bloodstream and accumulate on heart valve (filium) and cause pieces of heart valve to break off and become leaky- have to have these wounds for a long time, common to start from gum disease
propionibacterium (actinobacteria)
obligately anaerobic- live in sweat glands
ferment lactic acid and carbs
implicated in acne
used to make swiss cheese- Co2 makes the holes
staphylococcus
facultative anaerobe
skin diseases- MRSA
corynebacterium
obligately aerobic or facultatively anaerobic
cell ends often swollen
diphtheria
gastrointestinal tract
get microorganisms by food, upper respiratory system drainage (post nasal drip)
habitats are relatively stable- hard to shift it permanently
hosts 10 × 14 prokaryotic cells
which tract has the highest variety and number
gi tract
with 1000 species (but not all just in one person)
are there more or less bacterial cells in the gi tract
10x fewer cells than bacterial cells
stomach
acids act as a barrier to colonize by ingested bacteria to colonization
helicobacter pylori is most common, it can cause ulcers, may be associated w stomach and pancreatic cancer; inflammation
small intestine
ph increases 4-5 and bacterial counts increase
mainly enterococci and lactobacilli (organisms we get to breakdown milk related products- yogurt)
large intestine
large surface area with high concentrations of bacteria and archaea
most are strict anaerobes
microbes produce vitamin k, b12 (produced by bacteria and absorbed in intestine)
Central nervous system
vagus nerve
circulatory system
immune system
circulatory system
neurotransmitters
hormones
metabolites
immune signaling
immune system
MAMPS
metabolites
what can altered gi tract microbiota, via interaction with host cells may result in
long term low grade inflammation
can also play a role in a variety of conditions like obesity
what filters in the respiratory tract
cilia
what grabs bacteria on the way down to the lungs
mucous
are the lungs sterile
yes
they are not normally colonized
is the bladder sterile
yes but the urethra epithelial cells may be colonized
how many microbiota species are there in the oral cavity
200
characteristics of mouth microbiota
smooth enamel is difficult to colonize
edge of gingiva is a good habitat bc food gets trapped and tartar attaches to enamel which is a good attachment substrate for bacteria
mixed acid fermentation by lactic acid bacteria produces what
lactic acid which slowly makes the enamel more softer which leads to cavities
importance of sucrose
most caries are caused by Streptococcus mutans. Degradation sucrose produces dextran polymer, a strongly adhesivepolysaccharide that aids in attachment (biofilm formation and strengthening)
plaque is
biofilm- slime layer
how does brushing help the teeth
removes microbial biomass
decreases volume of anaerobic microenvironment for acid formation
hydroxyapatite
major mineral component of tooth enamel
fluoroapatite
converted hydroxyapatite by exposure to fluoride ions in toothpaste and treated water
harder and more stable in acidic conditions
gongivitis
inflammation of gum tissue
can lead to destruction of tissue and bone
anaerobic prophyromonas gingivalis
its LPS (as endotoxin) is a key component of development of gingivitis
what is needed in order for gingivitis to happen
a list of other microorganisms that need to colonize in the mouth (prefanomas gingivialis)
enamal
tooth surface
coccostulates
believe to have a disease so we get a culture of it and put it in a healthy individual to see if they grow the disease
2 levels of human body defenses
non specific- 1st line- always present
specific defenses- produced in response to invasion by specific infectious agent
types of non specific defenses
physical and chemical barriers
phagocytes, unactuated macrophages, and natural killer cells
physical and chemical barriers- 1st line of defense
skin, epithelial cells, mucin, stomach acid, antimicrobial peptides
non specific
universal antimicrobial peptides
lysozyme in tears to help fight inflammation
non specific
specific defenses
antibodies, cytotoxic t cells and activated macrophages
human behavior: handwashing, taking entire prescription of antibiotics
probiotics
live cultures of bacteria that may have a beneficial effort to recolonize with normal microflora after antibiotic treatment
LD 50
a measurement of how virulent
lethal dose 50%
the number of bacteria at which 50% of those infected die
removes outliers
the lower the LD50 amount left the more pathogenic
attenuated
when laboratory growth of virulent strains often result in selection for mutants that lose virulence factors
often used for production of vaccines
toxicity
ability of an organism to cause disease by a preformed toxin
inhibits host cell function or kills host cells
invasiveness
ability of an organism to grow in host tissue in such large numbers that it inhibits host functions
what does some e coli have that allows for adherance
capsule
what does neisseria gonorrhoeae have to help facilitate binding to epithelium
pili
exotoxins
extracellular toxin (usually protein) produced by growth of a pathogen, results in immediate host cell damage
enterotoxins
exotoxins that specifically affect the small intestine
endotoxins
usually lipopolysaccharide (LPS) portion of gram - cell envelope, released on cell lysis (not growth) as a soluble toxin
how toxic is exotoxins
highly toxic sometimes fatal
can be destroyed by heat
how toxic are endotoxins
weakly toxic
cytotoxin
inhibits host cell protein synthesis
calcium influx into host
adherence
chromosomes SPI
salmonella pathogenicity islands
true or false: salmonella are able to invade and survive instead of macrophages
true
instead of being destroyed
examples of exotoxins
vibrio cholerae enterotoxin
staphylococcal alpha toxin
diphtheria toxin from corynebacterium diphtheriae
what is the most toxic toxin
botulinum
found in soil and gets to food sometimes, very potent
LD50 0.03
vibiro cholerae
exotoxin
causes disease by attaching to intestinal epithelial and releasing an enterotoxin
have a lot of salt and water moves there, water from blood stream moves to small intestine—- leading to diarrhea
staphylococcal alpha toxin
cytolytic exotoxin
they oligomerize (make a pore and the inside leaks out for bacteria to enjoy)
lysing
breakdown of cell membrane
diphtheria
protein AB exotoxin
A part attaches to EF2 (elongation factor) effecting translation, stopping it from working: if the cell cannot make proteins than the cell will die
the modified form is nonfunctional: protein synthesis is inhibited
symptom
a change in body function that is felt by a pt as a result of a disease
sign
a change in body that can be measured or observed as a result of a diseases
syndrome
a specific group of signs and symptoms that can accompany a disease
communicable disease
a disease that is spread from one host to another
contagious disease
a disease that is easily spread from one host to another
non communicable disease
a disease that is not transmitted from one host to another
incidence
a fraction of a population that contracts a disease during a specific time
prevalence
fraction of a population having a specific disease at a given time
sporadic disease
disease that occurs occasionally in a population
endemic disease
disease sonstantly present in a population
epidemic disease
disease acquired by many hosts in a given area in a short time
pandemic disease
worldwide epidemic