Chapter 1: Antibiotic Resistance

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Questions and Answers

What initial assumption led to a decreased focus on bacterial infections in the mid-20th century?

  • Bacterial infections primarily affected underdeveloped nations.
  • Antibiotics provided a decisive victory over bacterial diseases. (correct)
  • Vaccines eliminated the threat of most bacterial diseases.
  • Viral infections posed a greater threat to public health.

What factor contributed to the resurgence of bacterial infections despite advancements in medicine?

  • The aging population and immunocompromised individuals. (correct)
  • Decreased global travel.
  • A decline in hospital hygiene standards.
  • Increased reliance on traditional medicine.

Why did pharmaceutical companies reduce their investment in antibiotic research and development?

  • Antibiotics were seen as less profitable compared to drugs for chronic conditions. (correct)
  • Government regulations made antibiotic production too expensive.
  • Antibiotics were proven to have significant side effects.
  • New discoveries indicated that viral infections were of more concern.

What is a key characteristic of "opportunistic pathogens" that distinguishes them from traditional pathogens?

<p>They typically do not cause disease in healthy individuals. (C)</p> Signup and view all the answers

How does horizontal gene transfer (HGT) contribute to the adaptability of bacteria?

<p>It allows them to exchange genes, gaining new traits like virulence or antibiotic resistance. (A)</p> Signup and view all the answers

During what period did bacteria and archaea dominate Earth, and what significant environmental change did they facilitate?

<p>For at least a billion years, oxygenating the atmosphere and creating the ozone layer. (C)</p> Signup and view all the answers

What is the primary significance of mitochondria and chloroplasts in the context of eukaryotic evolution?

<p>They originated as bacterial endosymbionts, providing eukaryotes with energy production and photosynthesis. (A)</p> Signup and view all the answers

How have bacteria adapted to the animal and human body environment?

<p>By forming symbiotic relationships, aiding in nutrient processing and defense. (C)</p> Signup and view all the answers

What insight does the study of protozoa provide in understanding bacterial pathogenicity?

<p>Mechanisms bacteria use to evade or survive protozoa may have evolved into strategies to infect human cells. (B)</p> Signup and view all the answers

How does understanding the coevolution of hosts and their microbiomes impact our approach to studying human health?

<p>It reveals that microbiomes play an essential role in both promoting health and modulating disease. (C)</p> Signup and view all the answers

What is the significance of the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) reports in 2013 regarding antibiotic-resistant bacteria?

<p>They revealed the serious threat of antibiotic-resistant bacteria to human health both in the United States and the world. (B)</p> Signup and view all the answers

What does the reference to Earth as a "microbial planet" emphasize?

<p>The vast abundance, diversity, and crucial roles of bacteria and archaea in shaping Earth's environment and life forms. (A)</p> Signup and view all the answers

In what way did bacteria contribute to creating conditions that permitted the evolution of oxygen-utilizing creatures, including humans?

<p>By adding molecular oxygen to the atmosphere, creating the ozone layer. (D)</p> Signup and view all the answers

What does the plasticity of bacterial genomes refer to, and why is it significant?

<p>The ability to acquire new DNA, mutate, or rearrange existing genes, allowing them to adapt to new conditions and colonize diverse niches. (A)</p> Signup and view all the answers

How did acquisition of bacteria or archaea as endosymbionts enable eukaryotes to expand their metabolic diversity?

<p>By allowing them to gain energy through respiration and to regulate cellular metabolism. (D)</p> Signup and view all the answers

Why is the human or animal body referred to as the “host” in the context of bacteria-host relationships?

<p>Because the animal or human provides a niche for bacteria to grow and thrive. (C)</p> Signup and view all the answers

What implication can be drawn from the fact that bacterial pathogens harmful to humans normally live inside amoebas in nature?

<p>It suggests there are likely more unidentified disease-causing bacteria in nature than we currently know. (C)</p> Signup and view all the answers

Why are the bodies of humans and animals often referred to as close to "bacterial heaven"?

<p>Because the warm, moist environment with food and water provides ideal conditions for bacterial growth. (A)</p> Signup and view all the answers

What factors have contributed to the emergence of new infectious diseases?

<p>Increased global travel, widespread use of air-conditioning, and the appearance of crowded intensive care wards in big hospitals. (A)</p> Signup and view all the answers

Why are soil bacteria often intrinsically resistant to a variety of antibiotics?

<p>Because of the antibiotics present in their natural environment. (B)</p> Signup and view all the answers

How does bacterial infection incidence relate to the aging population and modern medicine?

<p>The aging population and modern medicine have created a large and growing population of patients whose immune systems are compromised, increasing susceptibility to bacterial infections. (D)</p> Signup and view all the answers

What is the primary motivation for bacteria to develop resistance to antibiotics?

<p>To adapt and survive in environments where antibiotics are present. (C)</p> Signup and view all the answers

In the context of host-microbe relationships, where does heavy bacterial colonization commonly occur in humans?

<p>Skin, mouth, intestinal tract, and vaginal tract. (A)</p> Signup and view all the answers

Why were the first cracks in the protective shield against bacterial diseases unnoticed by most researchers?

<p>New antibiotics were readily available and effective against resistant bacteria. (A)</p> Signup and view all the answers

What role do bacteria play in global geochemical cycles?

<p>They are master recyclers maintaining key cycles, making Earth habitable for larger life forms. (B)</p> Signup and view all the answers

Which of the following explains how bacteria can colonize diverse niches on Earth?

<p>They have the ability to evolve diverse metabolic specialties and maximize the plasticity of their genomes. (E)</p> Signup and view all the answers

How do 'hypermutable' bacterial populations adapt to new environments?

<p>By trying many genetic combinations to find what is most appropriate for the current environment. (B)</p> Signup and view all the answers

What is the main impact of the constant presence of bacteria on/in the human body?

<p>It places bacteria in a position to take advantage of any breach in the defenses protecting the body from bacterial invasion. (C)</p> Signup and view all the answers

What led to the recognition of a new category of disease-causing bacteria known as opportunistic pathogens?

<p>The realization that certain bacteria could cause disease in individuals with compromised defenses. (D)</p> Signup and view all the answers

What is the significance of bacterial virulence traits in disease development?

<p>They enhance the ability of bacteria to cause harm/disease in the host. (A)</p> Signup and view all the answers

In what way can protozoa provide insights into the functioning of human phagocytic cells?

<p>Protozoa can be studied in order to understand phagocytic mechanisms because they have properties remarkably similar to human phagocytic cells. (C)</p> Signup and view all the answers

What is the importance of researching the coevolution of hosts with their resident microbial communities, or microbiomes?

<p>It highlights the vital role microbiomes play in promoting health and modulating disease susceptibility and severity. (D)</p> Signup and view all the answers

What is the significance of the ancestral relationship between Helicobacter pylori and its human host?

<p>This shared relationship could prevent stomach ulcers and cancer. (B)</p> Signup and view all the answers

How did the medical community's perception of bacterial infectious diseases change during the antibiotic era?

<p>They were initially seen as largely under control due to the effectiveness of antibiotics, before antibiotic resistance became a major problem. (B)</p> Signup and view all the answers

Why should we not underestimate bacteria as a potential adversary?

<p>Because they have had a 3-billion-year evolutionary head start. (D)</p> Signup and view all the answers

What contributed to the diminished focus on bacterial infections following the introduction of antibiotics?

<p>Simultaneous advancements in hygiene, nutrition, and vaccination efforts. (C)</p> Signup and view all the answers

What was a primary factor in pharmaceutical companies deprioritizing antibiotic research?

<p>Antibiotics becoming less profitable compared to medications for chronic conditions. (C)</p> Signup and view all the answers

What characterizes opportunistic pathogens?

<p>They can only cause disease in individuals with compromised immune systems. (A)</p> Signup and view all the answers

What global change did bacteria facilitate when they dominated Earth?

<p>The creation of the ozone layer and the introduction of molecular oxygen into the atmosphere. (B)</p> Signup and view all the answers

What advantage did eukaryotes gain through the acquisition of mitochondria and chloroplasts?

<p>Expanded metabolic diversity and the ability to generate energy efficiently. (D)</p> Signup and view all the answers

How have bacteria adapted to the unique environment of the animal and human body?

<p>By developing symbiotic relationships to aid in digestion and nutrient absorption. (B)</p> Signup and view all the answers

What does the study of protozoa reveal about bacterial pathogenicity strategies?

<p>Protozoa provide insights into how bacteria evade or survive within phagocytic cells. (C)</p> Signup and view all the answers

How does the coevolution of hosts and their microbiomes inform our understanding of health?

<p>It emphasizes the role of the microbiome in promoting health and modulating disease susceptibility. (C)</p> Signup and view all the answers

What is emphasized by referring to Earth as a "microbial planet"?

<p>The pervasive presence, ancient origins, and critical roles of microorganisms. (C)</p> Signup and view all the answers

How did bacteria set the stage for the evolution of oxygen-dependent organisms, including humans?

<p>By adding molecular oxygen to the atmosphere, creating the ozone layer. (D)</p> Signup and view all the answers

What does the statement about bacteria maximizing the plasticity of their genomes imply?

<p>Bacteria can efficiently evolve and adapt by acquiring new DNA and modifying existing genes. (D)</p> Signup and view all the answers

How did the incorporation of bacteria and archaea as endosymbionts benefit eukaryotes evolutionarily?

<p>It expanded eukaryotes' metabolic capabilities, leading to multicellularity. (C)</p> Signup and view all the answers

Why are human and animal bodies referred to as 'hosts' in the context of bacteria-host relationships?

<p>Because the human or animal body provides a habitat and resources for the bacteria. (D)</p> Signup and view all the answers

What does the finding that some bacterial pathogens live inside amoebas suggest about bacterial disease?

<p>There are likely more unidentified disease-causing bacteria in nature than currently known. (A)</p> Signup and view all the answers

Why are the bodies of humans and animals considered optimal environments for bacteria?

<p>They provide a consistently stable temperature, water supply, and nutrient source. (C)</p> Signup and view all the answers

What development in the late 1980s signaled the re-emergence of bacterial infections as a major health threat?

<p>An alarming increase in bacterial infections that were difficult to treat with existing antibiotics. (C)</p> Signup and view all the answers

What is the primary result of the constant exposure of the human body to bacteria?

<p>A complex interplay with the immune system and potential for opportunistic infections. (A)</p> Signup and view all the answers

What led to the identification of a new classification of disease-causing bacteria known as opportunistic pathogens?

<p>The increasing number of infections in individuals with compromised immune systems. (C)</p> Signup and view all the answers

How can protozoa provide insights into the function of human phagocytic cells?

<p>Protozoa exhibit behaviors and cellular mechanisms similar to human phagocytic cells. (C)</p> Signup and view all the answers

What is the significance of studying the coevolution of hosts with their microbiomes?

<p>It reveals the complex interactions between microbial communities and host health. (A)</p> Signup and view all the answers

What implication arises from the intimate association between Helicobacter pylori and its human host?

<p>Long-term co-existence can have both protective and pathogenic effects on the host. (B)</p> Signup and view all the answers

What prompted scientists and policy makers to shift their attention away from bacterial infections initially?

<p>The belief that antibiotics provided a definitive solution to bacterial diseases. (D)</p> Signup and view all the answers

How does increased global travel contribute to the emergence of new infectious diseases?

<p>It facilitates contact between susceptible individuals and previously geographically isolated microorganisms. (D)</p> Signup and view all the answers

What characteristic of soil bacteria makes them a concern in the context of antibiotic resistance?

<p>They are often intrinsically resistant to multiple antibiotics. (C)</p> Signup and view all the answers

Why has the aging population contributed to the increased incidence of bacterial infections?

<p>Older individuals are generally more susceptible to infections due to weakened immune systems. (A)</p> Signup and view all the answers

What is the primary selective pressure driving bacteria to develop resistance to antibiotics?

<p>Exposure to antibiotics in their environment, which selects for resistant strains. (B)</p> Signup and view all the answers

Where does heavy bacterial colonization occur in the human body?

<p>Predominantly on the skin, in the mouth, intestinal tract, and vaginal tract. (C)</p> Signup and view all the answers

What does the recognition of Earth as a 'microbial planet' underscore?

<p>The crucial role of microorganisms, including bacteria and archaea, in shaping Earth's history and environment. (A)</p> Signup and view all the answers

How did the evolution of bacteria contribute to the development of Earth's atmosphere?

<p>By producing the first molecular oxygen, leading to the formation of the ozone layer. (B)</p> Signup and view all the answers

What is the significance of bacterial virulence traits in the context of disease development?

<p>They enable bacteria to colonize, invade, and damage host tissues, leading to disease. (B)</p> Signup and view all the answers

What advantage do bacteria gain by acquiring new DNA and modifying existing genes?

<p>They enhance their ability to colonize diverse niches on Earth. (B)</p> Signup and view all the answers

How can protozoa serve as models for studying human phagocytic cells?

<p>They exhibit similar mechanisms for engulfing and breaking down bacteria. (B)</p> Signup and view all the answers

What was the prevailing view among scientists and policymakers regarding bacterial infections following the introduction of antibiotics?

<p>Bacterial infections were no longer a major concern and attention shifted to other diseases. (A)</p> Signup and view all the answers

Why did pharmaceutical companies begin to reduce their investment in antibiotic research and development?

<p>Antibiotics were becoming less profitable compared to drugs for chronic conditions. (D)</p> Signup and view all the answers

What factors contributed to the increase in bacterial pneumonia and sepsis cases despite advancements in medicine?

<p>An aging population and a growing number of immunocompromised patients. (C)</p> Signup and view all the answers

Why were scientists surprised by the emergence of new infectious diseases?

<p>They believed all disease-causing microorganisms had already been identified due to human history. (C)</p> Signup and view all the answers

What is the role of horizontal gene transfer (HGT) in bacterial adaptation?

<p>It enables bacteria to acquire new genes, including virulence and resistance traits, from other bacteria. (B)</p> Signup and view all the answers

How have changes in human practices contributed to the emergence of new infectious diseases?

<p>By bringing susceptible individuals into contact with previously isolated microorganisms. (A)</p> Signup and view all the answers

Why are opportunistic pathogens a concern in healthcare settings?

<p>They can cause disease in individuals with compromised immune defenses. (C)</p> Signup and view all the answers

What did the reports from the CDC and WHO in 2013 document regarding antibiotic-resistant bacteria?

<p>The serious threat of antibiotic-resistant bacteria to human health globally. (C)</p> Signup and view all the answers

How did bacteria contribute to creating conditions that permitted the later evolution of oxygen-utilizing creatures, including humans?

<p>By producing molecular oxygen, creating the ozone layer and enabling aerobic respiration. (D)</p> Signup and view all the answers

How did the acquisition of bacteria or archaea as endosymbionts benefit eukaryotes evolutionarily?

<p>It enabled eukaryotes to expand their metabolic capabilities and evolve multicellularity. (D)</p> Signup and view all the answers

How can protozoa provide insights into strategies used by bacterial pathogens?

<p>By acting as model systems for human phagocytic cells and host-pathogen interactions (B)</p> Signup and view all the answers

What does the close proximity of bacteria in the human body enable?

<p>A constant presence allows for quicker responses to breaches in defense. (D)</p> Signup and view all the answers

What role did bacteria play in making Earth habitable for more complex life forms?

<p>They enriched the atmosphere with molecular oxygen, leading to the ozone layer. (D)</p> Signup and view all the answers

What is generally meant by the term 'host' concerning bacteria-host relationships?

<p>The human or animal body provides the necessary conditions for bacteria to thrive. (C)</p> Signup and view all the answers

Why should the bacterium Helicobacter pylori be thought of when considering relationships between hosts and microbes?

<p>The bacteria share an ancestral link with their host which can determine stomach health. (A)</p> Signup and view all the answers

Flashcards

Antibiotic Era

The widespread use of antibiotics began in the 1950s, leading to an initial belief that bacterial infections were no longer a major threat.

Bacterial Genetic Adaptability

Bacteria have the ability to rapidly change their genetic makeup and acquire new genes from other bacteria, allowing them to adapt to new opportunities.

Opportunistic Pathogens

A new category of disease-causing bacteria that normally do not cause disease in healthy people, but can infect individuals with compromised defenses.

Horizontal Gene Transfer (HGT)

The transfer of genetic material between bacteria, even those that are unrelated, allowing for the spread of virulence traits and antibiotic resistance.

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Ancient Bacteria

Bacteria were among the first life forms on Earth, shaping the planet's geochemical cycles and atmosphere over billions of years.

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Endosymbiosis

Eukaryotic cells acquired bacteria as endosymbionts which evolved into mitochondria, enabling respiration and multicellularity.

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Microbiome

The collective community of microorganisms living in or on the human body that play a vital role in health and disease.

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Host-Microbe Coevolution

The long-term presence of bacteria in a host can exert selective pressure, influencing the evolution of host defenses like skin and the immune system.

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Origin of Bacteria

Bacteria were probably the first form of life to appear on Earth, about 3.5 to 4 billion years ago.

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Metabolic Versatility

Bacteria evolved diverse metabolic specialties allowing them to survive under a variety of conditions.

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Study Notes

  • Widespread antibiotic use started in the 1950s, hailed as "miracle drugs" that gave the medical community control over infectious diseases.
  • Initial success with antibiotics led to a shift in focus towards other health issues like cancer and heart disease.
  • Bacteria became model systems for studying genetics and ecology.
  • Pharmaceutical companies reduced antibiotic discovery programs as new antibiotics became harder to develop and less profitable.
  • By 1995, infectious diseases became a top five cause of death in the U.S., with bacterial diseases like pneumonia and sepsis being major contributors.
  • Increase in bacterial pneumonia and sepsis was due to an aging population, and immune-compromised patients.
  • Emerging infectious diseases appeared from bacteria rapidly changing their genetic makeup to exploit new opportunities through horizontal gene transfer (HGT).
  • New diseases emerged due to increased global travel and crowded hospital environments.
  • Opportunistic pathogens, which normally don't harm healthy individuals, started causing infections in people with compromised immune systems.
  • These opportunistic bacteria are often intrinsically resistant to antibiotics due to exposure in their natural environments.
  • The CDC and WHO documented the threat of antibiotic-resistant bacteria to human health in 2013.

Bacteria's Ancient Origins

  • Bacteria were one of the first life forms on Earth, appearing 3.5 to 4 billion years ago.
  • They created the geochemical cycles that made Earth habitable for larger life forms, produced the first molecular oxygen, and formed the ozone layer.
  • Bacteria have diverse metabolic capabilities and can survive in various conditions, including arctic ice, deep subsurface landmasses, and hot springs.
  • Protozoa, the first Eukaryotes, emerged a billion years after bacteria, and Disease-causing bacteria developed strategies for evading phagocytosis by protozoa.
  • Toxic proteins used by disease-causing bacteria to kill human cells might have evolved to evade protozoal feeding.
  • Some bacterial pathogens that harm humans normally live inside amoebas.
  • Eukaryotes acquired bacterial endosymbionts (mitochondria) for respiration and cellular metabolism.
  • Plants acquired photosynthetic bacteria as endosymbionts (chloroplasts) for photosynthesis.
  • Some plants recruited prokaryotic endosymbionts for nitrogen fixation.
  • Bacteria colonize the human body, particularly the skin, mouth, intestinal tract, and vaginal tract and stand ready to invade.
  • The protozoa have properties remarkably similar to human phagocytic cells.

Host-Microbe Relationships

  • Animals and humans provide bacteria with warm, nutrient-rich environments.
  • The relationship between a bacterium and its host is referred to as a host-microbe relationship.
  • A rapidly expanding area of research studies the coevolution of hosts with their resident microbial communities (microbiomes).
  • Microbial pressure influences the design of human skin, eyes, lungs, intestinal tract, vaginal tract, and immune system.
  • Microbiomes play a vital role in promoting health and modulating disease susceptibility and severity.

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