Gram-Negative Bacteria – Comprehensive Study Notes
Gram-Negative Cell Wall & Gram Stain
Thin peptidoglycan layer ≈ of cell wall mass.
Second (outer) membrane:
Contains lipopolysaccharide (LPS) → endotoxin.
Provides additional permeability barrier & contributes to pink color after Gram stain (crystal-violet does not remain).
Medical relevance of LPS:
Lipid A moiety triggers strong innate immune responses (fever, hypotension, septic shock).
O-antigen used for serotyping (e.g., E. coli O157:H7).
Phylogenetic Overview: Proteobacteria vs. Non-Proteobacteria
Staining pattern reflects wall architecture, not ancestry.
16S rRNA gene sequencing divides Gram-negatives into two supergroups:
Proteobacteria – monophyletic megaclade (5 classes: ).
Non-proteobacteria – multiple independent clades (Thermus-Deinococcus, Cyanobacteria, Bacteroidetes, etc.).
Evolutionary note:
Endosymbiotic origin of mitochondria traced to an -proteobacterial ancestor.
Chloroplasts originated from a cyanobacterial (non-proteo) lineage.
Phylum Proteobacteria – General Traits
Largest coherent bacterial group by 16S similarity.
Share classic Gram-negative envelope, yet occupy diverse niches:
Soil, water, plant roots, animal intestines, hospital plumbing.
Lifestyles: free-living, mutualists, predators, primary pathogens, opportunists.
Ecological & clinical importance:
Nitrogen cycles, wastewater treatment, bioremediation.
Major human, animal, and plant pathogens.
-Proteobacteria
Rickettsia spp.
Tiny obligate intracellular parasites; reside in cytosol of phagocytes.
Auxotrophs: lack glycolysis, but oxidize host glucose ⇒ ATP.
R. rickettsii → Rocky Mountain Spotted Fever (tick-borne). Endothelial infection → capillary leakage & rash.
R. prowazekii → Epidemic typhus (body louse, fleas).
Family Rhizobiaceae
Rhizobium sp.: root nodule symbionts of legumes; nitrogen fixation (N NH) → critical to agriculture.
Agrobacterium tumefaciens: Ti plasmid induces crown-gall tumors; Ti plasmid exploited in plant genetic engineering; does not fix N.
-Proteobacteria
Neisseria (diplococci)
N. gonorrhoeae → gonorrhea; often self-limiting in men, but severe sequelae in women (PID, infertility).
N. meningitidis → meningococcal meningitis; ≥ healthy carriage.
Burkholderia cepacia complex – opportunistic; lethal to cystic-fibrosis patients.
Bordetella
B. pertussis: whooping cough; adult carriers ; infant mortality 10-20/yr (US).
B. bronchiseptica: kennel cough in dogs.
-Proteobacteria (largest class)
Enterobacteriaceae – “Enterics”
Gram-negative facultative rods; natural habitat = vertebrate intestine.
Categories:
Opportunists (e.g., Klebsiella, Enterobacter, Citrobacter).
Primary pathogens: Yersinia, Salmonella, Shigella, certain E. coli serotypes.
Hygiene indicators: E. coli, coliforms → easy detection signals fecal contamination of food/water.
Spotlight Pathogens & Outbreaks
Yersinia pestis – bubonic & pneumonic plague; still causes ~7 U.S. cases/yr (Arizona case, first death since 2007).
E. coli O157:H7
Carries Shiga toxin 2 via lysogenic bacteriophage.
Mechanism: binds Gb3, inactivates ribosome → cell death, hemorrhagic colitis, possible hemolytic-uremic syndrome (HUS) in .
U.S. burden: infections, >2,000 hospitalizations, ~ 60 deaths/yr.
Notable outbreaks: 1993 Jack-in-the-Box, 2006 spinach, 2009 Nestlé cookie dough (flour vector), 2016 General Mills flour, 2024 McDonald’s burgers.
Salmonella enterica
Food vehicles beyond poultry: cucumbers (551 illnesses 2024, 69 in 2025), eggs (1.7 million recalled 2025).
Shigella (dysentery)
Fecal-oral, highly contagious (ID cells).
Emerging antibiotic resistance in WA/OR; Trader Joe’s dip recall.
Vibrionaceae
Marine & brackish habitats (water, sediments, shellfish).
Vibrio cholerae
Epidemic serogroups O1, O139; infection requires lysogenic phage with ctx toxin gene.
Haiti 2010 earthquake → largest outbreak in a century (≈10,000 deaths) traced to UN aid workers (Nepal strain) contaminating river.
Symptom hallmark: “rice-water stool”, severe dehydration.
Vibrio vulnificus
Wound exposure → necrotizing fasciitis; ingestion (raw oysters) → fulminant septicemia; common in warm Florida waters.
Pseudomonadaceae
Pseudomonas aeruginosa
Environmental ubiquity; produces blue-green pigments (pyocyanin/pyoverdin) & pyorubin.
#4 nosocomial pathogen; notorious for multidrug resistance; thrives in burn units; selected by triclosan.
Legionellales
Legionella pneumophila
Aerosols from hot tubs, cooling towers, plumbing; causes Legionnaires’ disease (severe atypical pneumonia; GI symptoms possible).
-Proteobacteria
Mostly aerobic; some predators.
Myxobacteria
Social gliding swarms (“wolf packs”); secrete lytic enzymes; form myxospores.
Source of novel antibiotics & anti-cancer agents.
Bdellovibrio bacteriovorus
Obligate predator of Gram-negatives; enters periplasm, consumes host; dubbed a “living antibiotic”; regulates bacterial populations.
-Proteobacteria
Gastrointestinal symbionts & pathogens.
Campylobacter jejuni
Common on retail poultry; invades duodenum → bloody enteritis.
Helicobacter pylori
~ global carriage; linked to peptic ulcers, chronic gastritis, gastric cancer.
Virulence: urease, flagella, CagA oncoprotein (injected via type IV secretion).
Non-Proteobacteria Highlights
Thermus–Deinococcus Group
Gram-positive stain yet double membrane (no LPS).
Thermus aquaticus: hyperthermophile; source of Taq polymerase (PCR revolution).
Deinococcus radiodurans: tolerates massive desiccation & -radiation; reassembles shattered genome within 12-24 h.
Aquificae & Thermotogae
Ancient hyperthermophiles; extensive archaeal gene exchange.
Aquifex: oxidizes (“water maker”); naturally competent for diverse DNA uptake.
Thermotoga: sheath-like “toga” outer envelope.
Photosynthetic Non-proteos
Chlorobi (Green sulfur bacteria) – anoxygenic; bacteriochlorophyll absorbs 800-1000 nm; cyclic photophosphorylation.
Cyanobacteria – oxygenic “blue-green algae”
Chlorophyll a in thylakoids; RuBisCO for fixation.
Major marine carbon & nitrogen fixers; some produce neurotoxic cyanotoxins.
Chronic exposure (e.g., Florida 2018 dual bloom with Karenia brevis) linked to neurodegenerative diseases.
Chlamydiae
Obligate intracellular; no peptidoglycan but have LPS.
Biphasic life cycle:
Elementary body (EB) – small, infectious, environmentally hardy.
Reticulate body (RB) – large, non-infectious, replicative inside host epithelium.
Chlamydia trachomatis: most reported bacterial STD; 75% women & 50% men asymptomatic; also causes trachoma blindness.
Associations: myocarditis, atherosclerosis, lymphoma, infertility.
Spirochaetes
Helical cells with internal endoflagella (axial filaments).
Borrelia burgdorferi – Lyme disease (deer tick): erythema migrans (bull’s-eye rash), facial palsy, arthritis, neuropathy.
Treponema pallidum – syphilis: primary painless chancre → secondary palm/sole rash → latent → tertiary complications; U.S. resurg mence (20% rise 2023; congenital cases up 10× since 2012).
Bacteroidetes (Genus Bacteroides)
Strict anaerobes; dominate intestines & tonsillar crypts; colonize infant gut early.
Opportunistic if escaping gut (e.g., ruptured appendix → peritonitis); harbor numerous antibiotic-resistance genes.
Practical & Epidemiological Notes
Produce washing: avoid soap; rinse under running water with friction; scrub without breaking skin; blot dry. Baking-soda soak (1 tsp/2 cups, 12 min) removes pesticides more effectively than commercial veggie washes. John Snow (1854): used spatial evidence to link Broad St. pump to cholera → birth of modern epidemiology; also pioneered surgical ether/chloroform.
Nosocomial threats: Pseudomonas aeruginosa among top 5; thrives in disinfectant-rich settings.
Exam Review / Quick-Fire Questions
Major hygiene indicator organism? → Escherichia coli (fecal coliform standard).
Common nosocomial Gram-negative? → Pseudomonas aeruginosa.
“Living antibiotic” predator? → Bdellovibrio bacteriovorus (-proteobacterium).
Bacterial “wolf-packs”? → Myxobacteria.
Stomach-ulcer agent? → Helicobacter pylori.
Infectious form of Chlamydia? → Elementary Body (EB).
Lyme disease pathogen + key symptom set? → Borrelia burgdorferi; bull’s-eye rash, joint inflammation, neuro signs.
Syphilis agent & primary lesion? → Treponema pallidum; painless chancre.
Vibrio species requiring phage-encoded toxin for epidemics? → Vibrio cholerae (ctx).
Enteric with phage-encoded Shiga toxin? → E. coli O157:H7.