Podcast
Questions and Answers
Which scenario exemplifies a disease transmitted via indirect contact involving fomites?
Which scenario exemplifies a disease transmitted via indirect contact involving fomites?
- A farmer develops anthrax after being bitten by an infected sheep.
- A person contracts HIV through unprotected sexual intercourse.
- An individual contracts influenza after inhaling droplets expelled during a nearby person’s cough.
- A child gets Salmonellosis after using contaminated kitchen utensils at a picnic. (correct)
An outbreak of a novel respiratory illness is traced back to a shared ventilation system in an office building. Which transmission mechanism is MOST likely responsible for the spread of the disease?
An outbreak of a novel respiratory illness is traced back to a shared ventilation system in an office building. Which transmission mechanism is MOST likely responsible for the spread of the disease?
- Zoonotic transmission from office pets
- Indirect contact via contaminated surfaces
- Direct contact
- Droplet transmission via air currents (correct)
In the context of environmental reservoirs, what distinguishes Vibrio cholerae from Legionella pneumophila in their mode of transmission?
In the context of environmental reservoirs, what distinguishes Vibrio cholerae from Legionella pneumophila in their mode of transmission?
- _Vibrio cholerae_ contaminates water leading to outbreaks, while _Legionella pneumophila_ is associated with water systems like cooling towers. (correct)
- _Vibrio cholerae_ is exclusively transmitted through animal vectors, while _Legionella pneumophila_ is waterborne.
- _Vibrio cholerae_ is transmitted through fomites, while _Legionella pneumophila_ requires direct contact.
- _Vibrio cholerae_ is aerosolized, while _Legionella pneumophila_ is transmitted through contaminated food.
Considering the various routes of transmission, which scenario poses the HIGHEST risk of zoonotic disease transmission from mammals to humans?
Considering the various routes of transmission, which scenario poses the HIGHEST risk of zoonotic disease transmission from mammals to humans?
What is the MOST effective strategy for preventing the transmission of diseases spread through droplet mechanisms in a crowded indoor environment?
What is the MOST effective strategy for preventing the transmission of diseases spread through droplet mechanisms in a crowded indoor environment?
A researcher is investigating an outbreak of a mysterious illness in a community. Initial findings suggest a link to both contaminated water sources and direct contact among individuals. Which disease is MOST likely to be responsible, given these transmission pathways?
A researcher is investigating an outbreak of a mysterious illness in a community. Initial findings suggest a link to both contaminated water sources and direct contact among individuals. Which disease is MOST likely to be responsible, given these transmission pathways?
During a disease outbreak investigation, public health officials identify a specific object used by all infected individuals but not by the healthy population. This object is MOST likely acting as a:
During a disease outbreak investigation, public health officials identify a specific object used by all infected individuals but not by the healthy population. This object is MOST likely acting as a:
A community health program aims to reduce the incidence of zoonotic diseases. Which intervention strategy would be MOST effective in achieving this goal?
A community health program aims to reduce the incidence of zoonotic diseases. Which intervention strategy would be MOST effective in achieving this goal?
How does the 'Toxin Complex' function in bacterial pathogenesis?
How does the 'Toxin Complex' function in bacterial pathogenesis?
What is the primary function of siderophores produced by multi-enzyme 'factories' in bacteria?
What is the primary function of siderophores produced by multi-enzyme 'factories' in bacteria?
How do some bacterial pathogens utilize specialized toxin delivery systems to enhance virulence?
How do some bacterial pathogens utilize specialized toxin delivery systems to enhance virulence?
In the context of bacterial pathogenesis, what distinguishes toxins produced by polyketide synthases and non-ribosomal peptide synthases from ribosome-synthesized toxins?
In the context of bacterial pathogenesis, what distinguishes toxins produced by polyketide synthases and non-ribosomal peptide synthases from ribosome-synthesized toxins?
What is the role of the bacterial 'Toxin Complex' in overcoming host defense mechanisms?
What is the role of the bacterial 'Toxin Complex' in overcoming host defense mechanisms?
How do toxins that are freely released by bacteria gain entry into host cells?
How do toxins that are freely released by bacteria gain entry into host cells?
How do multi-enzyme complexes like polyketide synthases and non-ribosomal peptide synthases contribute to bacterial virulence?
How do multi-enzyme complexes like polyketide synthases and non-ribosomal peptide synthases contribute to bacterial virulence?
What is the advantage for Gram-negative bacteria possessing specialized secretion systems compared to Gram-positive bacteria?
What is the advantage for Gram-negative bacteria possessing specialized secretion systems compared to Gram-positive bacteria?
Exopolysaccharides (EPS) contribute to bacterial virulence through multiple mechanisms. Which of the following is the MOST significant way EPS enhances bacterial survival in a host environment?
Exopolysaccharides (EPS) contribute to bacterial virulence through multiple mechanisms. Which of the following is the MOST significant way EPS enhances bacterial survival in a host environment?
Bacterial biofilms are complex structures with architectural features that enhance their resilience. How does the fluid flow within a biofilm's architecture primarily contribute to bacterial survival?
Bacterial biofilms are complex structures with architectural features that enhance their resilience. How does the fluid flow within a biofilm's architecture primarily contribute to bacterial survival?
While both Exopolysaccharides (EPS) and biofilms contribute to bacterial persistence, they represent distinct levels of bacterial organization and function. Which statement accurately differentiates EPS from biofilms in the context of bacterial infection?
While both Exopolysaccharides (EPS) and biofilms contribute to bacterial persistence, they represent distinct levels of bacterial organization and function. Which statement accurately differentiates EPS from biofilms in the context of bacterial infection?
Pathogenic bacteria employ 'active combat' strategies to overcome host defenses. In the context of bacterial pathogenesis, what is the primary objective of these 'active combat' mechanisms?
Pathogenic bacteria employ 'active combat' strategies to overcome host defenses. In the context of bacterial pathogenesis, what is the primary objective of these 'active combat' mechanisms?
Lipopolysaccharide (LPS), also known as endotoxin, triggers a potent inflammatory response in mammals by interacting with Toll-Like Receptor 4 (TLR4). Which of the following outcomes is a DIRECT consequence of the LPS-TLR4 interaction at the cellular level?
Lipopolysaccharide (LPS), also known as endotoxin, triggers a potent inflammatory response in mammals by interacting with Toll-Like Receptor 4 (TLR4). Which of the following outcomes is a DIRECT consequence of the LPS-TLR4 interaction at the cellular level?
Bacterial exotoxins and superantigens represent distinct classes of toxins with different mechanisms of action. What is the KEY mechanistic difference in how superantigens, compared to typical exotoxins, disrupt the host immune system?
Bacterial exotoxins and superantigens represent distinct classes of toxins with different mechanisms of action. What is the KEY mechanistic difference in how superantigens, compared to typical exotoxins, disrupt the host immune system?
Serine scavenging by pathogens is presented as an 'active combat' strategy. What is the MOST likely rationale for pathogens to scavenge serine specifically, especially targeting immune cells?
Serine scavenging by pathogens is presented as an 'active combat' strategy. What is the MOST likely rationale for pathogens to scavenge serine specifically, especially targeting immune cells?
Considering the 'active combat' mechanisms described (LPS, exotoxins, superantigens), which of the following BEST categorizes the overarching strategy employed by these virulence factors to promote pathogenesis?
Considering the 'active combat' mechanisms described (LPS, exotoxins, superantigens), which of the following BEST categorizes the overarching strategy employed by these virulence factors to promote pathogenesis?
Considering the environmental challenges faced by pathogens during transmission, which adaptation would be most crucial for a pathogen transmitted via contaminated water?
Considering the environmental challenges faced by pathogens during transmission, which adaptation would be most crucial for a pathogen transmitted via contaminated water?
A newly discovered bacterium utilizes Type IV pili for genetic exchange and horizontal transmission of antibiotic resistance. Which characteristic would most likely enhance its ability to colonize a host?
A newly discovered bacterium utilizes Type IV pili for genetic exchange and horizontal transmission of antibiotic resistance. Which characteristic would most likely enhance its ability to colonize a host?
If a pathogen primarily relies on exopolysaccharides (EPS) for adhesion, what is the most likely mechanism by which it establishes a persistent infection?
If a pathogen primarily relies on exopolysaccharides (EPS) for adhesion, what is the most likely mechanism by which it establishes a persistent infection?
A researcher is studying a bacterium that causes a chronic infection in the lungs. The bacterium does not produce typical fimbriae or pili but forms a dense matrix around itself. Which factor is most likely facilitating its adhesion to the lung tissue?
A researcher is studying a bacterium that causes a chronic infection in the lungs. The bacterium does not produce typical fimbriae or pili but forms a dense matrix around itself. Which factor is most likely facilitating its adhesion to the lung tissue?
Considering a pathogen transmitted by a mosquito bite, which adaptation would be most vital for surviving the transition from the insect vector to a mammalian host?
Considering a pathogen transmitted by a mosquito bite, which adaptation would be most vital for surviving the transition from the insect vector to a mammalian host?
A bacterial pathogen has mutations that significantly reduce its ability to produce fimbriae. What is the most likely consequence of this mutation on the pathogen's virulence?
A bacterial pathogen has mutations that significantly reduce its ability to produce fimbriae. What is the most likely consequence of this mutation on the pathogen's virulence?
A bacterium utilizes twitching motility via Type IV pili to colonize urinary tract epithelial cells. Which factor would most likely inhibit this bacterium's ability to establish a urinary tract infection?
A bacterium utilizes twitching motility via Type IV pili to colonize urinary tract epithelial cells. Which factor would most likely inhibit this bacterium's ability to establish a urinary tract infection?
A bloodstream pathogen is found to express high levels of surface structures that interfere with complement activation. Which outcome is most likely facilitated by this adaptation?
A bloodstream pathogen is found to express high levels of surface structures that interfere with complement activation. Which outcome is most likely facilitated by this adaptation?
A researcher is studying a bacterium that can colonize the human respiratory tract but doesn't cause any noticeable symptoms. It can, however, transmit to other individuals. Which of the following characteristics does this bacterium possess?
A researcher is studying a bacterium that can colonize the human respiratory tract but doesn't cause any noticeable symptoms. It can, however, transmit to other individuals. Which of the following characteristics does this bacterium possess?
A bacterium is able to persist within a host by modulating its metabolic processes to utilize alternative nutrient sources. This adaptation assists the bacteria in evading the host's nutritional immunity. Which type of virulence factor is most likely responsible for this?
A bacterium is able to persist within a host by modulating its metabolic processes to utilize alternative nutrient sources. This adaptation assists the bacteria in evading the host's nutritional immunity. Which type of virulence factor is most likely responsible for this?
A novel drug targets a specific bacterial protein that is essential for adhesion to host tissues. While the bacteria remain viable, they are unable to establish a strong foothold, leading to their clearance by the host's immune system. This protein can best be described as which of the following?
A novel drug targets a specific bacterial protein that is essential for adhesion to host tissues. While the bacteria remain viable, they are unable to establish a strong foothold, leading to their clearance by the host's immune system. This protein can best be described as which of the following?
Consider a scenario where a new zoonotic pathogen emerges. Humans become infected through contact with an animal reservoir. The pathogen exhibits high replication rates within host cells but causes minimal tissue damage or overt disease symptoms. However, infected individuals efficiently transmit the pathogen to others. Which of the following strategies would be most effective in controlling the spread of this pathogen?
Consider a scenario where a new zoonotic pathogen emerges. Humans become infected through contact with an animal reservoir. The pathogen exhibits high replication rates within host cells but causes minimal tissue damage or overt disease symptoms. However, infected individuals efficiently transmit the pathogen to others. Which of the following strategies would be most effective in controlling the spread of this pathogen?
A public health crisis arises from a bacterial strain exhibiting increased resistance to multiple antibiotics. This strain also demonstrates enhanced ability to form biofilms on medical devices, leading to persistent infections. Which factor is LEAST likely to contribute to the heightened virulence of this bacterial strain?
A public health crisis arises from a bacterial strain exhibiting increased resistance to multiple antibiotics. This strain also demonstrates enhanced ability to form biofilms on medical devices, leading to persistent infections. Which factor is LEAST likely to contribute to the heightened virulence of this bacterial strain?
A research team is investigating a newly discovered bacterial pathogen. They observe that the bacteria secrete a protein that disrupts the host cell membrane, leading to cell lysis and tissue damage. Which of the following types of virulence factors is most likely responsible for these effects?
A research team is investigating a newly discovered bacterial pathogen. They observe that the bacteria secrete a protein that disrupts the host cell membrane, leading to cell lysis and tissue damage. Which of the following types of virulence factors is most likely responsible for these effects?
Which of the following scenarios best illustrates the concept of an 'animal reservoir' in the context of bacterial transmission?
Which of the following scenarios best illustrates the concept of an 'animal reservoir' in the context of bacterial transmission?
A population experiences an outbreak of a novel bacterial infection. Health officials trace the source to a contaminated water supply. The bacteria readily form biofilms within the water pipes, making eradication difficult. Which of the following strategies would be most effective in preventing future outbreaks from this source?
A population experiences an outbreak of a novel bacterial infection. Health officials trace the source to a contaminated water supply. The bacteria readily form biofilms within the water pipes, making eradication difficult. Which of the following strategies would be most effective in preventing future outbreaks from this source?
Flashcards
Pathogen
Pathogen
An organism that causes disease to its host.
Pathogenicity
Pathogenicity
The capacity to initiate an infectious disease.
Virulence
Virulence
Capacity to cause disease & the severity of the disease.
Transmissibility
Transmissibility
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Survival (of pathogen)
Survival (of pathogen)
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Infectivity
Infectivity
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Virulence Factors
Virulence Factors
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Reservoir (of a pathogen)
Reservoir (of a pathogen)
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Zoonosis
Zoonosis
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Environmental Reservoirs
Environmental Reservoirs
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Direct Contact Transmission
Direct Contact Transmission
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Indirect Contact Transmission
Indirect Contact Transmission
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Fomites
Fomites
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Droplet Transmission
Droplet Transmission
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Zoonosis from Mammals
Zoonosis from Mammals
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Anthrax
Anthrax
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Invertebrate Vector-borne
Invertebrate Vector-borne
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Biological Products
Biological Products
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Pathogen Adaptation
Pathogen Adaptation
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Adhesion
Adhesion
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Attachment Proteins
Attachment Proteins
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Fimbriae/Pili
Fimbriae/Pili
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Flagella
Flagella
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Exopolysaccharides (EPS)
Exopolysaccharides (EPS)
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TSST-1
TSST-1
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Toxin Complex
Toxin Complex
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Multi-enzyme factories
Multi-enzyme factories
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Polyketi-de synthases
Polyketi-de synthases
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Non-Ribosomal peptide synthases
Non-Ribosomal peptide synthases
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Specialized toxin delivery systems
Specialized toxin delivery systems
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Mechanisms of toxin delivery
Mechanisms of toxin delivery
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Bacteria with toxin delivery systems
Bacteria with toxin delivery systems
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EPS (Exopolysaccharides)
EPS (Exopolysaccharides)
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Capsule (CPS)
Capsule (CPS)
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Biofilms
Biofilms
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Serine Scavenging
Serine Scavenging
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LPS (Endotoxin)
LPS (Endotoxin)
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Exotoxins
Exotoxins
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Single Chain Protein Toxins
Single Chain Protein Toxins
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Superantigens
Superantigens
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Study Notes
- The lecture is on the mechanisms of bacterial virulence, presented by Prof. Nick Waterfield in November 2024
- It aims to define bacterial pathogens, explain pathogenicity, virulence, and different virulence factors, and describe steps in bacterial infection
What is a Pathogen?
- A pathogen is any organism that causes disease in its host
- Pathogenicity is the capacity to initiate an infectious disease
- Virulence is the degree to which a pathogen can cause disease
- Transmissibility is the ability to spread from one host to another or from a reservoir to a host
- Survival refers to the pathogen's ability to evade host immunity and reproduce
- Infectivity refers to the pathogen's ability to breach host defenses
- Virulence factors are proteins or other molecules produced by an organism that enhance pathogenicity
Virulence Factors
- Classified by location and function:
- Cytosolic: Adaptive shifts in metabolic, physiological, and morphological processes inside the cell
- Membrane-associated: Aids with adhesion to host cells or evade the host immunity
- Secretory: Used to invade tissues or evade the host immune response
Steps to Infection
- Transmission: Exposure to pathogens
- Adherence: Binding to skin or mucosa
- Invasion: Breaking through protective barriers
- Survival: Growth at original and distal sites via virulence factors, persistence in the host
- Tissue Damage: Toxicity and causing disease
Transmission: Reservoirs
- Transmission begins with exposure to pathogens in their natural reservoirs
- Reservoir types:
- Human: Person-to-person without intermediaries, even from asymptomatic carriers (e.g., COVID, HIV, measles)
- Animal: From animal to human with humans as incidental hosts (Zoonosis e.g., Brucellosis, Anthrax, Plague)
- Environmental: Plants, soil, and water (e.g., Vibrio Cholera causing cholera outbreaks, Legionnaires disease)
- Mechanisms:
- Direct Contact: Physical transfer of microorganisms by touch between hosts, kissing, sex, or mother to neonate (e.g., HIV, Staph aureus)
- Indirect Contact: Microorganisms remaining on contaminated objects (fomites) and picked up by a person (e.g., Cholera, Salmonellosis)
- Droplets: Expelled by coughing or sneezing, entering a new host through conjunctivae or nasal mucosa (e.g., Influenza, Pneumonia)
- Zoonosis from Mammals: Animal bites (e.g., Rabies) or contaminated food (E. coli)
- Invertebrate vector borne: Via ticks, mosquitoes, and fleas (e.g., Lyme disease, Malaria)
- Biological products: Vaccines and blood products may also transmit infection (e.g., Hepatitis, HIV)
Portals of Entry and Exit
- Portals of entry include mucous membranes, skin damage, vertical transmission routes, blood, and specialised entry (i.e vector transmission)
- Portals of exit include the respiratory tract, gastrointestinal tract, genitourinary tract, skin, and blood
- The same pathogen may use different routes such as Bacillus anthracis:
- Skin: 10-50 endospores
- Inhalation: 10,000-20,000 endospores
- Ingestion: 250,000-1,000,000 endospores
Successfully Adapting to Transmission
- For successful transmission, pathogens must adapt to varying conditions:
- pH and Temperature
- Oxygen and Salt Levels
- Host cell immune responses
- Nutrient availability
How Pathogens Achieve Infection
- Via cell surface components, active combat, and general strategies
- Cell Surface Components:
- Adhesion and entry
- Structural defence against immunity
- Active Combat:
- Enzymes that aide invasion
- Nutrient acquisition
- Toxins
- General Strategies:
- Dealing with phagocytosis
- Communication
- Subverting apoptosis
Adhesion
- Attachment to tissues or cells for colonization
- Achieved through:
- Attachment proteins (fimbriae, pili, & flagella)
- Specialized surface structures like EPS and CPS
Adhesion Structures
- Initial attachment often mediated by protein appendages such as:
- Fimbriae/pili: Enable bacteria to stick to surfaces
- Attachment via more generic surface structures such as exopolysaccharides (EPS)
- EPS consists of polymers made of monosaccharides
- Capsule: Prevents ingress of harmful chemicals
- CPS: Prevents phagocytosis
- After initial attachment bacteria can form biofilms to enhance survival
- This can be on both biotic and abitoic surfaces
- Biofilms contain exocellular polysaccharides but also DNA and proteins
- These provide a mechanical and immunological defensive barrier
Biofilms
- Biofilms grow in a complex that allows fluid flow between the regions, allowing nutrients in and removing waste products
- Biofilms in the natural environment are mixed, sometimes containing hundreds of species of bacteria and yeasts
- In addition to dental plague for example
Active Combat Components
- Invasive Enzymes:
- Coagulase: Coagulates fibrinogen
- Kinases: Digest fibrin clots
- Hyaluronidase: Hydrolyzes intercellular hyaluronic acid
- Collagenase: Hydrolyzes collagen connective tissue
- IgA proteases: Destroy IgA antibodies
Toxins
- Toxins:
- Toxin is a substance that contributes to pathogenicity
- Toxigenicity is the ability to produce a toxin
- Toxemia: Presence of toxin in a hosts blood
- Toxoid is an inactivated toxin used in a vaccine.
- Antitoxin is an antibody against a specific toxin
- Endotoxins are components of bacteria that act as toxins
- Structural components of some bacteria can act as toxins
- Gram-negative bacteria are just the outer membrane Lipopolysaccharide (LPS) so called "endotoxin"
- This triggers the Toll Like Receptor TLR4 and initiates an inflammatory response
- Exotoxins are toxin molecules evolved to damage or manipulate the host
- There are 4 types of Exotoxins:
- Single polypeptide toxins
- Multiple polypeptide toxins
- Small “drug like” molecules
- Toxins directly “injected” by specialist secretion systems
Single Chain toxins
- S. aureus α-toxin is a transmembrane protein that damages cells by the formation of a gated and ungated pore
- Superantigens target the immune system, causing a huge T-cell response, for example Toxic shock syndrome toxin-1 (TSST-1)
Multiple Subunit Protein Toxins
- The "Toxin Complex" is a multi-protein injection complex and is deployed to deliver to host cells
Non-Protein Small Drug Like Toxins
- A specific class of toxins where secondary metabolite genes like Non-Ribosomal Peptide Synthase (NRPS) act factories to make “natural products"
- Toxins
- Immune inhibitors
- Antibiotics
- Siderophores
Specialized Toxin Delivery Systems
- Many systems for secreting virulence factors that inject toxins are key for the pathogen to deliver its toxin to tissues
- Some secrete a large amount of proteins that enter the hosts cells and attach themselves
- Some secrete molecules and virulence factors out of the bacterial cell, directly inject them into a host cell upon contact
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