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host
any organism that harbors another organism
Symbiosis
relationship in which two species live closely together
Mutualism
symbiosis in which both organisms benefit
Commensalism
symbiosis that is beneficial to one organism, and the other organism is not affected.
parasitism
symbiosis that is beneficial to one organism and harmful to the other.
host-parasite relationship
any infectious disease is what kind of relationship?
parasite
the microbe, the organism that benefits in a host-parasite relationship
pathogen
a parasite that causes disease in its host
disease
outcome of fight between parasite and host
parasites
when a disease occurs in the host, who won the fight?
hosts
when an organism infects a host, but causes no disease, who won the fight?
colonization
microbe is present and possibly multiplying at an epithelial surface, but the effect on the host in negligible
infection
multiplication of the microbes in the host, but no substantial effect on the host
disease (sequence of conditions)
microbe is present and multiplying with clear adverse effects on the host
pathogenicity
ability to cause disease
an organism's pathogenicity depends on it's ability to: (3 things)
invade the host, multiply in the host, avoid being damaged by host defenses
Frank pathogens (aka. True pathogens or Primary pathogens)
frankly, they cause disease! in normal healthy hosts.
opportunistic pathogens
not considered pathogenic in normal healthy person, only when opportunity arises in certain hosts
predisposing factors that allow opportunistic pathogens to cause disease (3 things)
host is immunocompromised or immunosuppressed, microbes establish in part of the body that isn't natural to them, or normal flora is disrupted.
immunocompromised
disease causes immune system to weaken
immunosuppression
medication prevents immune system to weaken
nonpathogen
microbes that do not cause disease
virulence
intensity of disease produced by pathogen, or the degree of pathogenicity
the virulence of a microbe is determined by it's ability to: 2 things
establish itself in a host, and cause damage
highly virulent
produce intense infection with significant amount of disease
low virulence
less significant effects on host
Example of Highly Virulent Pathogen
rabies virus
rabies causes what symptoms?
severe neurologic symptoms or death
Example of Low Virulent Pathogen
cold virus
avirulent
unable to cause disease, aka nonpathogenic
other terms for normal flora
indigenous flora and microbiota
normal flora
all microbes that live on and within a healthy human body
there organisms are colonizing the host, and not typically associated with disease
normal flora
How does colonization differ from infection?
colonization occurs at epithelial surfaces of body, and infection means organisms have entered the body
resident flora
Permanent residents of the healthy human body
transient flora
temporary residents that are present only under specific conditions
transient flora are acquired from where?
external environment
transient flora are attracted to what?
warm and moist body areas
what are reasons that transient flora are only temporary? (4)
washed away, unable to compete with resident flora, unable to survive with changes in pH, flushed away by body secretions
body sites with normal flora (not specific, but generally)
areas with more exposure to the outer world
types of body sites lacking normal flora
fluids and internal tissues and organs
sources of normal flora
birth canal, contact with people, food, air and objects in the environment
benefits of normal flora
helps immune system become stronger
nutritional benefit of normal flora, and how they help
vitamin k and b12 produced by intestinal bacteria. they compact feces, preventing diarrhea
how does microbial antagonism prevent pathogens from colonizing?
by taking up nutrients, oxygen and space
immunostimulation
immune system activation
how does immunostimulation benefit the immune system?
flora provide a constant source of antigens and irritants to stimulate with immune system
hygiene hypothesis
Studies have shown that germ-free mice have a weakened immune system
pathology
the study of the structural and functional manifestations of disease
pathogenesis
the steps or mechanisms involved in the development of a disease
steps in the pathogenesis of infectious diseases (not detailed)
entry, attachment, multiplication, invasion, evasion, damage
Virulence
degree of pathogenicity
virulence factors
structural or physiological characteristics that help organisms cause disease
general types of virulence factors
adhesion, exoenzymes, toxins, and protective mechanisms against host defenses
adhesion
the process in which the microbes gain a stable foothold at the portal of entry
ahdesins
proteins found on fimbriae and capsules, involved in adhesion
viral spikes
act as adhesion factors
adhesins enable a microbe to do what?
colonize
exoenzymes created where?
inside the cell, then move to the outside
exoenzymes
enzymes secreted by microbes that invade tissues, inflict damage on them, and escape host defenses
examples of exoenzymes
end in -ase
mucinase
breaks down protective coating on mucous membranes
mucinex is the medication, mucinase is the...
enzyme
coagulase
clots plasma, forming a plasmin clot around the bacterium to protect it from phagocytes, antibodies and other host defenses.
streptokinase and staphylokinase
dissolve clots, which allow the pathogen to escape
-kinesis, -kinetic
movement
hyaluranase
breaks down hyaluronic acid to enable the pathogen to spread through connective tissues
hyaluronic acid "aka"
tissue cement
collagenase
Breaks down collagen, the principle fiber in connective tissue, so that pathogen can spread further
hemolysins
lyse red blood cells and breakdown hemoglobin to release iron
necrotyzing enzymes do what?
destroy tissues
toxins
poisons that microbes produce to kill host cells or disrupt host processes
two major types of toxins
endotoxins and exotoxins
endotoxin
an integral part of the gram-negative cell wall; it causes adverse physiological effects in the host
endotoxin is part of what?
lipopolysaccharide
lipopolysaccharide
part of the outer membrane of gram-negative cell walls that is released when bacteria are killed
shock
very low blood pressure, therefore not enough blood flow to other organs, therefore some organs shut down due to lack of blood
endotoxin does what?
activates clotting factors and complement in the host, causing endotoxic shock
Symptoms of endotoxic shock
low blood pressure, fever, ad Disseminated Intravascular Coagulation
disseminated intravascular coagulation
clotting in all the wrong places, causing hemorrhaging
exotoxins are produced and released by what?
the pathogen
neurotoxin
acts on nervous system
enterotoxin
acts on GI tract
leukociden
acts on leukocytes (white blood cell) host defenses
cytotoxin
acts on cells
exotoxins are categorized based on what?
their targets
exotoxin disease associations
infections and intoxications
infections (when compared to intoxications)
the pathogen has infected the body and releases it's enzymes.
toxins spread from the site of infection to cause what?
disease
intoxications
diseases resulting from ingestion or absorption of toxins. no infection is involved.
Antiphagocytic factors
Protect bacteria from being engulfed and ingested by phagocytes (host defense cells)
some bacteria produce ____ to destroy WBCs.
leukocidins
some bacteria secrete ___, which makes it difficult for a phagocyte to engulf them.
capsules
capsule
thick glycocalyx
some bacteria are ______(5 words) after ingestion
adapted for survival inside phagocytes
survival inside phagocytes has special significance because...
it provides a place for the microbes to hide, grow, and be spread throughout the body
Signs of disease definition
objective evidence of a disease. testable/measurable.
symptoms of disease definition
subjective evidence of a disease. feelings perceived only by the patient
syndrome
a combination of signs and symptoms that occur together and are indicative of a particular disease or abnormal condition
acute disease
rapid onset, short duration