Basics of Infection, Immunity and Neoplasia Module
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Questions and Answers

What role do virulence factors play in pathogenic bacteria?

  • They help bacteria reproduce rapidly.
  • They enable bacteria to digest nutrients more efficiently.
  • They assist bacteria in invading host, causing disease, and avoiding host defenses. (correct)
  • They only allow bacteria to attach to surfaces.
  • Which type of bacterial factor is primarily responsible for the binding of bacteria to host cells?

  • Exotoxins
  • Adherence factors (correct)
  • Siderophores
  • Capsules
  • What is the function of siderophores in bacteria?

  • To produce toxins
  • To bind iron and compete with the host for this essential nutrient (correct)
  • To degrade host tissues
  • To facilitate bacterial reproduction
  • How do capsules assist pathogenic bacteria?

    <p>By protecting bacteria from opsonization and phagocytosis (B)</p> Signup and view all the answers

    What are endotoxins associated with, and what effects do they cause?

    <p>They are lipopolysaccharide components causing fever and inflammation. (D)</p> Signup and view all the answers

    Which group of normal flora is characterized by microorganisms that regularly inhabit an area and can quickly reestablish themselves if disturbed?

    <p>Resident flora (B)</p> Signup and view all the answers

    Which of the following accurately describes transient flora?

    <p>They are typically nonpathogenic organisms that inhabit for a short duration. (D)</p> Signup and view all the answers

    What types of toxins are classified as exotoxins?

    <p>Proteins and enzymes secreted by pathogenic bacteria (D)</p> Signup and view all the answers

    What was one of Louis Pasteur's major contributions to microbiology?

    <p>Development of vaccines against anthrax and rabies (C)</p> Signup and view all the answers

    What does Koch's Postulate primarily describe?

    <p>Specific diseases are caused by specific microorganisms (C)</p> Signup and view all the answers

    Which of the following is NOT one of the conditions of Koch's Postulate?

    <p>The microorganism must be the only one present in the infected individual (C)</p> Signup and view all the answers

    Which of the following statements about exceptions to Koch's Postulate is true?

    <p>Healthy individuals can carry pathogens without symptoms (A)</p> Signup and view all the answers

    Which organism is mentioned as being difficult to grow in a laboratory setting?

    <p>Treponema pallidum (C)</p> Signup and view all the answers

    What major achievement is Robert Koch known for in bacteriology?

    <p>Introduction of solid media for culturing bacteria (B)</p> Signup and view all the answers

    Which disease did Robert Koch discover the causative agent for?

    <p>Tuberculosis (C)</p> Signup and view all the answers

    What concept states that a specific disease is caused by a specific type of microorganism?

    <p>Germ Theory of Diseases (C)</p> Signup and view all the answers

    What idea did Hippocrates pioneer regarding the causes of illness?

    <p>Illnesses arise from natural causes. (A)</p> Signup and view all the answers

    Which of the following factors did Hippocrates believe could lead to ill health?

    <p>Changes in air and climate. (B)</p> Signup and view all the answers

    What was Antony Van Leeuwenhoek known for?

    <p>First to observe bacteria using a microscope. (B)</p> Signup and view all the answers

    What does the theory of abiogenesis propose?

    <p>Living things arise from non-living matter spontaneously. (A)</p> Signup and view all the answers

    Which famous philosopher founded the theory of spontaneous generation?

    <p>Aristotle. (B)</p> Signup and view all the answers

    In Needham's experiment, what was the main flaw that led him to believe in spontaneous generation?

    <p>He did not properly sterilize the flask. (C)</p> Signup and view all the answers

    What conclusion did Needham incorrectly draw from his experiment with broth and grain?

    <p>Microorganisms can spontaneously generate in flasks. (C)</p> Signup and view all the answers

    Which characteristic does NOT pertain to the theory of biogenesis?

    <p>Living organisms can be created from non-living substances. (D)</p> Signup and view all the answers

    What significant development in microbiology occurred in America during the early 1900s?

    <p>Microbiology became widely practiced. (A)</p> Signup and view all the answers

    Which American bacteriologist is known for establishing a primary reference in microbiology in 1923?

    <p>David Bergey (A)</p> Signup and view all the answers

    What is happening during the lag phase of bacterial growth?

    <p>Bacteria adapt to new environmental conditions. (C)</p> Signup and view all the answers

    Which factor does NOT contribute to the limited duration of the log phase?

    <p>Optimal temperature conditions (B)</p> Signup and view all the answers

    What aspect of microbiology became a focus in the period since the 1940s?

    <p>Identification of disease-causing microbes. (B)</p> Signup and view all the answers

    What is one key advantage of using microorganisms in research?

    <p>They provide insights into studying complex life processes. (C)</p> Signup and view all the answers

    What occurs during the stationary phase of bacterial growth?

    <p>Balance between reproduction and death of cells. (B)</p> Signup and view all the answers

    What is the main reason for the decline in the death phase of bacterial growth?

    <p>Accumulation of metabolic waste products. (A)</p> Signup and view all the answers

    Prokaryotes are characterized by which of the following attributes?

    <p>Smaller size compared to eukaryotes. (C)</p> Signup and view all the answers

    Which of the following organisms is classified as a eukaryote?

    <p>Algae (B)</p> Signup and view all the answers

    How can continuous-culture systems help maintain bacterial growth?

    <p>By continuously adding fresh medium. (B)</p> Signup and view all the answers

    Which of the following enhances resistance to bacterial infections?

    <p>Phagocytic cells and an intact immune system. (A)</p> Signup and view all the answers

    What characteristic differentiates prokaryotes from eukaryotes, despite prokaryotes being simpler?

    <p>Prokaryotes have a more complex cell wall. (D)</p> Signup and view all the answers

    Which of the following statements accurately describes eukaryotes in comparison to prokaryotes?

    <p>Eukaryotes are 5-20 times larger than bacteria. (D)</p> Signup and view all the answers

    What is the relationship between bacterial virulence and host resistance?

    <p>Bacterial infectivity results from a disturbance between virulence and resistance. (C)</p> Signup and view all the answers

    Which statement about host susceptibility to infection is correct?

    <p>Young and old individuals have higher susceptibility to infections. (A)</p> Signup and view all the answers

    What type of bacteria can grow in both the presence and absence of oxygen?

    <p>Facultative Aerobes (A)</p> Signup and view all the answers

    Which of the following bacteria require a neutral pH for optimal growth?

    <p>Neutrophilic (B)</p> Signup and view all the answers

    What is the generation time for E. coli under optimum conditions?

    <p>20 minutes (A)</p> Signup and view all the answers

    Which bacteria are described as being able to tolerate the presence of oxygen while not utilizing it for metabolism?

    <p>Aerotolerant Anaerobes (D)</p> Signup and view all the answers

    Hyperthermophilic bacteria can grow at temperatures exceeding which of the following?

    <p>250°C (B)</p> Signup and view all the answers

    Which of the following best describes the process by which bacteria divide to form two daughter cells?

    <p>Binary Fission (B)</p> Signup and view all the answers

    What type of bacteria can only grow in environments devoid of oxygen?

    <p>Obligate Anaerobes (B)</p> Signup and view all the answers

    In bacterial metabolism, which two categories do most biochemical reactions fall into?

    <p>Catabolism and Anabolism (C)</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Module Information

    • Department: Anesthesia
    • Module title: Basics of infection, immunity and neoplasia module
    • Module ECTS: 3 ECTS
    • Module code: BioMM - 2321

    Introduction to Microbiology

    • Microbiology is the science that studies living organisms too small to be seen with the naked eye.
    • It investigates the minute, microscopic forms of life and their relationships to humans and other organisms.
    • Branches of microbiology include medical microbiology, industrial microbiology, food microbiology, soil microbiology, agricultural microbiology, and water microbiology.

    Scopes of Microbiology

    • Microbiology studies include cell structure, metabolism, genetics and growth control.
    • These subjects create career opportunities in various fields like healthcare, biotechnology, research, environmental science, and agriculture.

    Medical Microbiology

    • This branch focuses on microorganisms related to humans.
    • It investigates etiologic agents, epidemiology, diagnosis, treatment, and prevention of pathogenic microorganisms.
    • It also explores the body's defenses against these pathogens.
    • Some microbes are pathogenic, while others are non-pathogenic or part of the normal flora.

    Subdivisions of Microbiology

    • Bacteriology: the study of bacteria
    • Mycology: the study of fungi
    • Phycology: the study of algae
    • Protozoology: the study of protozoa
    • Virology: the study of viruses

    Historical Background of Microbiology

    • Throughout history, humans have faced diseases, initially attributed to divine punishment.

    • Early Greeks proposed abiogenesis (living from non-living matter), and the notion that life could come from stones.

    • Aristotle believed that life could spontaneously arise from dissimilar organisms or from soil.

    • Hippocrates suggested that diseases had natural causes, observing links between illness and factors like air, wind, water, climate, food, and environmental conditions.

    • Antony van Leeuwenhoek, the "father of microbiology," discovered the first microscope and observed "animalcules" in water samples, including bacteria.

    • He accurately described the different shapes of bacteria.

    • Two major theories were formulated: Theory of Abiogenesis and Theory of Biogenesis.

    • Abiogenesis stated that living things arise from non-living matter.

    • Biogenesis stated that living things arise from pre-existing living things.

    • Francesco Redi disproved spontaneous generation of maggots from decaying meat.

    • Lazzaro Spallanzani repeated Needham's experiments, but with improved sterilization techniques, to disprove spontaneous generation for microorganisms.

    • Louis Pasteur further disproved spontaneous generation by demonstrating that microorganisms exist in the air and can contaminate sterile mediums.

    • Louis Pasteur's swan-neck flask experiment provided significant evidence against the ideas of spontaneous generation by proving that access to outside particles is required for the growth in a given medium.

    • The germ theory of disease, proposed by Pasteur and Robert Koch, posited that specific diseases are caused by specific microorganisms.

    • Robert Koch developed Koch's postulates: an experimental procedure to establish a cause-and-effect relationship between a microbe and a disease.

    • Koch's postulates include specific steps, such as isolating the microorganism and reproducing the disease in an experimental animal.

    • Several exceptions to Koch's postulates exist since some pathogens are difficult to cultivate in a laboratory setting.

    • Major achievements of Robert Koch included introducing solid medium culture, identifying the causative agents of diseases, and furthering development of bacteria studies.

    • Scientific progress in microbiology continued into the 20th century.

    • The establishment and flourishing of microbiology occurred in America in the early 1900s.

    Types of Microorganisms

    • Microorganisms are categorized as prokaryotes (simpler cells) or eukaryotes (more complex).
    • Eukaryotes include algae (excluding blue-green algae), protozoa, fungi, and slime molds.
    • Prokaryotes include bacteria, blue-green algae (cyanobacteria), and archaebacteria.
    • Prokaryotes are generally simpler than eukaryotes, except for their complex cell wall.

    Bacterial Classification and Nomenclature

    • Bacteriology is the study of bacteria.
    • There's no official bacterial classification system. Methods used for classifications of bacterial taxonomy include phenotyping (microscopic, macroscopic morphology, biochemical activities), analytical, and genotypic (nucleic acid hybridization, plasmid analysis, and ribotyping).
    • Bacteria are categorized in Bergey's Manual of Determinative Bacteriology (1974), using criteria including morphology (shape), staining (Gram stain), motility, growth characteristics, nutritional requirements, biochemical activities, and pathogenicity.

    Morphology

    • Bacteria show varied sizes and shapes (cocci, bacilli, spirals).
    • Different bacteria also present with arrangements/forms (streptococci, staphylococci, diplobacilli).

    Bacterial Nomenclature (Binomial System)

    • The binomial system, developed in the 18th century, gives each organism two names: genus and species.
    • Genus name is capitalized; species name is lower case.
    • Example, Escherichia coli or E. coli.

    Basic Features of Bacterial Cells

    • Bacteria are typical prokaryotic cells, contain DNA and RNA, often grown in artificial media, replicate via binary fission, and possess a rigid cell wall.

    Structure of Bacteria

    • Bacteria have characteristic size, shape, consistency, texture, and color. -Their structure is generally divided into the cell envelope, intracellular components, and external cell structures.

    Cell Envelope

    •   A key structural component composed of a capsule, cell wall, and a plasma (cytoplasmic) membrane.
    • Cell Wall: provides shape and structural strength and made up of peptidoglycan.
    •  Cell wall structure is either Gram-positive (thick peptidoglycan layer) or Gram-negative (thin peptidoglycan layer with an outer membrane).

    Chemical Composition of Cell Wall

    • The main component of the bacterial cell wall is peptidoglycan (PG), a polymer of disaccharides cross-linked by peptides.
    • Peptidoglycan is made up of N-acetyl muramic acid and N-acetyl glucosamine.

    Types of Cell Walls

    • Gram-positive bacteria have a thick peptidoglycan layer.
    • Gram-negative bacteria have a thin peptidoglycan layer with an outer membrane.

    Capsule

    • A gelatinous layer often present external to the cell wall.
    • The composition varies amongst prokaryotes.
    • It protects the cell from phagocytosis and aids in tissue attachment.

    Cytoplasmic (Plasma) Membrane

    • A barrier between the interior and exterior of the cell.
    • It exhibits selective permeability for the transport of materials.
    • It plays important roles in enzyme synthesis, excretion, and bacterial transport systems (e.g., oxidative phosphorylation).

    Other Intracellular Components

    • Mesosomes: invaginations of the cytoplasmic membrane. They are involved in DNA segregation during cell division, protein secretion, and active transport.
    • Ribosomes: sites of protein synthesis. Prokaryotic ribosomes are smaller (70S) than eukaryotic ribosomes (80S).
    • Cytoplasmic Inclusions: reserve materials including glycogen, polyhydroxybutyrate, or sulfur granules.
    • Nuclear Material (Nucleoid): concentrated DNA, often a single circular chromosome, without an enclosing membrane. Plasmids are extra-chromosomal genetic material.

    External Cellular Elements (Appendages)

    • Flagellum: a locomotory appendage composed of flagellin. It exhibits different arrangements: monotrichous, lophotrichous, amphitrichous, and peritrichous.
    • Pili: short, hair-like appendages that attach bacteria to surfaces or in the process of genetic material transfer (sex pili).

    Bacterial Spores

    • Specialized resistant structures formed by some bacteria (e.g., Bacillus, Clostridium).
    • They are highly dehydrated and resistant to various harsh conditions (heat, drying, freezing, and chemicals).

    Bacterial Metabolism and Growth

    • Metabolism: comprises all the cellular processes required for survival and replication.
    • Two major categories of metabolic reactions are catabolism (energy production) and anabolism (building of cellular components).
    • Bacteria require water, energy, carbon, nitrogen, and various inorganic salts for optimal growth.
    • Environmental factors like oxygen, pH, temperature, and light affect bacterial growth rates.
    • Diverse nutritional categories for bacteria exist (autotrophs & heterotrophs).
    • Autotrophs gain their required carbon from inorganic sources like carbon dioxide, while heterotrophs obtain carbon from organic sources.
    • Temperature requirements for bacterial growth vary; they are often categorized into psychrophiles, mesophiles, thermophiles, and hyperthermophiles.

    Bacterial Growth Curve

    • Bacterial growth has four major phases: lag phase, log phase, stationary phase, and death phase.
    • The lag phase, characterized by no increase in cell number, is a time of bacterial adaptation.
    • The log phase shows exponential increase in cell number.
    • The stationary phase represents a balance between cell division and death rate.
    •   The death phase occurs due to nutrient exhaustion and toxic product build-up.
    • These four phases compose the bacterial growth curve.

    Continuous Culture

    • Techniques for maintaining bacterial populations in a continuous exponential growth state, which involves constant addition of fresh medium while the total volume remains constant through an overflow tube.

    Host-Parasite Relationship

    • Bacterial infectivity emerges from an imbalance between bacterial virulence factors (factors that help bacteria invade the host, cause disease, evade host defenses) and the host's resistance mechanisms.
      • Host factors that protect from infection: numerous chemical and physical defenses (antibacterial secretions on mucosal surfaces, rapid replacement of skin/mucosal epithelial cells and a virtually devoid iron environment)
    • Host susceptibility to infection: resistance to bacterial infections can be enhanced by phagocytic cells and an intact immune system.

    Bacterial Infectivity

    • Bacterial infectivity arises from a disturbance in the balance between bacterial virulence factors and host resistance responses.

    Normal Flora

    •   Normal microbial flora comprises the microorganisms inhabiting the skin and mucous membranes of healthy individuals. These are divided into resident flora and transient flora.
    • Resident flora are relatively constant and significant to host health.
    • Transient flora are non-pathogenic or potentially pathogenic organisms that don't establish residency and are often temporary.
    • Some of the roles of the normal flora are preventing or competing with pathogenic microbes, or contributing to the health by synthesizing vitamin K & B vitamins.

    Bacterial Staining

    • Staining is used to add color to microorganisms for visual identification and differentiation using a microscope.
    • Key staining methods include Gram stain, Ziehl-Neelsen (acid-fast) stain, and others.
    • Gram staining differentiates bacteria based on their cell wall structure (Gram-positive & Gram-negative), while acid-fast staining differentiates specific groups of bacteria that are resistant to the decolorization step.

    Culture Media

    •   These contain the required nutrients for growth of a given microbial organism.
    • Different culture media types include basic, enriched, selective, and differential, each designed for a specific purpose or use based on requirements.

    Biochemical Tests

    • Biochemical tests aid in precise categorization and identification of different bacteria based on the products or byproducts of chemical reactions of different bacteria.

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