Host Susceptibility and Resistance Genes
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Questions and Answers

What role do human leukocyte antigens (HLA) play in the immune response?

HLA proteins are essential for presenting antigens to T cells, which triggers an adaptive immune response.

How does a superantigen affect T cell activation?

A superantigen non-specifically cross-links HLA class II and T cell receptors, leading to excessive T cell activation.

What is the significance of HLA class II polymorphism?

The high polymorphism of HLA class II allows for a diverse range of antigen presentation, enhancing immune response variability.

What can result from an excessive immune response due to superantigens?

<p>It can lead to excessive cytokine production, systemic inflammation, organ damage, and potentially death.</p> Signup and view all the answers

What pathogen is associated with superantigen-mediated diseases?

<p>Group A streptococci produce superantigens that can lead to severe immune reactions.</p> Signup and view all the answers

How does host susceptibility relate to HLA haplotypes?

<p>Certain HLA haplotypes confer increased resistance to superantigen-mediated effects, making individuals less vulnerable.</p> Signup and view all the answers

What type of cells primarily express HLA class II?

<p>HLA class II is primarily expressed on antigen-presenting cells, such as macrophages.</p> Signup and view all the answers

What is the crucial interaction in the adaptive immune response involving HLA?

<p>The crucial interaction involves the binding of HLA class II to T cell receptors (TCR).</p> Signup and view all the answers

What are the common symptoms associated with Helicobacter pylori infection?

<p>Common symptoms include burning stomach pain, nausea, vomiting, inflammation, and bleeding.</p> Signup and view all the answers

Describe the primary mode of transmission for Helicobacter pylori.

<p>Helicobacter pylori is primarily transmitted through oral-oral or fecal-oral routes.</p> Signup and view all the answers

How does Helicobacter pylori invade the host's stomach lining?

<p>H. pylori uses flagella to move through the stomach's mucus and attaches to epithelial cells.</p> Signup and view all the answers

What is the association between Helicobacter pylori and gastric cancer?

<p>Helicobacter pylori infection is associated with an increased risk of developing gastric cancer.</p> Signup and view all the answers

Why do many individuals infected with H. pylori not develop symptoms or disease?

<p>Approximately two-thirds of the human population carries H. pylori without experiencing symptoms.</p> Signup and view all the answers

What treatments were originally used for H. pylori infections before antibiotics became common?

<p>Initial treatments included antacids and dietary adjustments.</p> Signup and view all the answers

How did the discovery of H. pylori change the understanding of stomach ulcers?

<p>The discovery revealed that stomach ulcers were not solely caused by stress and diet but rather by bacterial infection.</p> Signup and view all the answers

What role does the microbiome play in susceptibility to H. pylori infection?

<p>The microbiome may influence the host's immune response, affecting susceptibility to H. pylori.</p> Signup and view all the answers

What advancements in medical research recognized the significance of H. pylori?

<p>The researchers Barry Marshall and Robin Warren discovered H. pylori in 1983 and won the Nobel Prize in 2005.</p> Signup and view all the answers

What are some common symptoms of H. Pylori infection?

<p>Common symptoms include abdominal pain, bloating, and nausea.</p> Signup and view all the answers

How is H. Pylori primarily transmitted among individuals?

<p>H. Pylori is primarily transmitted through oral-oral or fecal-oral routes.</p> Signup and view all the answers

What is the mechanism of infection for H. Pylori in the human stomach?

<p>H. Pylori uses its flagella to burrow into the stomach lining, allowing it to evade stomach acid.</p> Signup and view all the answers

What is the association between H. Pylori and gastric cancer?

<p>H. Pylori infection is linked to an increased risk of gastric cancer due to chronic inflammation.</p> Signup and view all the answers

How does host susceptibility influence the severity of H. Pylori infections?

<p>Host susceptibility can vary due to genetic factors, such as polymorphisms in HLA class II genes.</p> Signup and view all the answers

What are common symptoms associated with H. pylori infection?

<p>Common symptoms include abdominal pain, bloating, nausea, and loss of appetite.</p> Signup and view all the answers

What are the primary transmission methods for H. pylori?

<p>H. pylori is primarily transmitted through oral-oral or fecal-oral routes.</p> Signup and view all the answers

Describe the mechanism of H. pylori infection in the human stomach.

<p>H. pylori adheres to the gastric epithelium, evading acid damage and eliciting an inflammatory response.</p> Signup and view all the answers

How is H. pylori associated with the development of gastric cancer?

<p>Chronic inflammation from H. pylori infection can result in changes to gastric cells, increasing cancer risk.</p> Signup and view all the answers

What is the significance of the CCR5 receptor in relation to H. pylori?

<p>While CCR5 is primarily studied in relation to HIV, its role in innate immunity may influence infections like H. pylori.</p> Signup and view all the answers

What genetic factors contribute to host susceptibility to H. pylori?

<p>Certain genetic markers, like polymorphisms in the vitamin D receptor, can influence susceptibility.</p> Signup and view all the answers

What role do virulence determinants play in H. pylori infection severity?

<p>Virulence determinants, such as toxins and adhesion factors, enhance H. pylori's ability to colonize and damage host tissues.</p> Signup and view all the answers

How can host resistance genes affect the outcome of H. pylori infection?

<p>Host resistance genes can modulate immune responses, influencing the severity and chronicity of the infection.</p> Signup and view all the answers

What are the common treatments for H. pylori infections?

<p>Common treatments include a combination of antibiotics and proton pump inhibitors.</p> Signup and view all the answers

What role does the production of urease by H. pylori play in its survival?

<p>Urease helps H. pylori neutralize stomach acid, creating a more hospitable environment for colonization.</p> Signup and view all the answers

What symptoms are commonly associated with SARS?

<p>Common symptoms of SARS include dry cough, labored breathing, and in severe cases, pneumonia.</p> Signup and view all the answers

What transmission method does SARS primarily use?

<p>SARS primarily spreads through close person-to-person contact.</p> Signup and view all the answers

What is the mechanism of infection for the SARS coronavirus?

<p>The SARS coronavirus infects host cells by binding to receptors on the cell surface and entering the cell.</p> Signup and view all the answers

Is there an association between SARS and gastric cancer?

<p>There is no direct association between SARS and gastric cancer documented in the provided information.</p> Signup and view all the answers

How does host susceptibility influence the severity of SARS?

<p>Host susceptibility influences severity based on factors like age, existing health conditions, and immune response.</p> Signup and view all the answers

What role do asymptomatic patients play in the spread of SARS?

<p>Asymptomatic patients can spread SARS unknowingly, making it challenging to contain outbreaks.</p> Signup and view all the answers

What global impact did SARS have after its emergence?

<p>SARS quickly became a global epidemic, spreading to over 24 countries within a short period.</p> Signup and view all the answers

What are the common complications of severe SARS infections?

<p>Severe infections of SARS can lead to pneumonia and may require mechanical ventilation.</p> Signup and view all the answers

When did SARS first emerge, and where did it originate?

<p>SARS first emerged in November 2002 in China.</p> Signup and view all the answers

How did the SARS outbreak initially spread internationally?

<p>The outbreak spread internationally when a doctor from Guangdong infected several individuals in a Hong Kong hotel.</p> Signup and view all the answers

Study Notes

Host Susceptibility and Resistance Genes

  • Human leukocyte antigen (HLA) is the human version of the Major Histocompatibility Complex (MHC), crucial for immune function.
  • MHC has two classes; HLA class II is mainly found on antigen-presenting cells, like macrophages, and is highly polymorphic.
  • HLA class II binds specifically and reversibly to T cell receptors (TCR), essential for the adaptive immune response.
  • Group A streptococci can produce superantigens, which non-specifically link HLA class II and TCR, leading to excessive T cell activation and inflammatory cytokine production.
  • An excessive inflammatory response may result in organ damage and can be fatal.
  • Certain HLA haplotypes demonstrate increased resistance to superantigen-induced cross-linking.

Bacterial Infectious Disease

  • Various bacteria cause diseases including:
    • Sore throat and flesh-eating disease (Streptococcus pyogenes)
    • Anthrax (Bacillus anthracis)
    • Tetanus (Clostridium tetani)
    • Tuberculosis (Mycobacterium tuberculosis)
    • Gonorrhea (Neisseria gonorrhoeae)
    • Plague (Yersinia pestis)
    • Stomach ulcers (Helicobacter pylori)

Helicobacter pylori

  • Discovered by Barry Marshall and Robin Warren in 1983; won the Nobel Prize in 2005 for this work.
  • Helicobacter pylori is linked to gastritis and stomach ulcers; initially thought to be caused by stress and diet.
  • Antibiotic treatment has replaced antacids; approximately two-thirds of the global population is infected, yet most remain asymptomatic.
  • Symptoms include burning stomach pain, nausea, vomiting, and inflammation.

Fungal, Protozoan, and Parasitic Infectious Disease

  • Eukaryotic microorganisms that cause diseases include:
    • Thrush (Candida albicans)
    • AIDS-related infections (Pneumocystis carinii)
    • Malaria (Plasmodium spp.)
    • African sleeping sickness (Trypanosoma brucei)
    • Intestinal worm infections (Ascaris spp.)
    • Hydatid disease (Echinococcus granulosus)

Severity of Infectious Disease

  • Severity is influenced by:
    • Virulence determinants of pathogens such as attachment systems, toxins, and immune evasion mechanisms.
    • Host factors including human genetic susceptibility and resistance genes.

Virulence Determinants

  • Key determinants of virulence include:
    • ECM adhesins and fimbriae/flagella for colonization.
    • Siderophores for iron acquisition.
    • Proteases and toxins that disrupt immune responses and cause tissue damage.
    • Capsules that help avoid phagocytosis.

Resistance and Susceptibility Genes

  • Genes affecting susceptibility/resistance:
    • Hbs (sickle cell gene) provides resistance against Plasmodium falciparum.
    • Duffy blood group glycoprotein is associated with susceptibility to Plasmodium vivax.
    • CCR5 receptor polymorphisms confer resistance to HIV.
    • Vitamin D receptor polymorphisms present mixed resistance/susceptibility to Mycobacterium tuberculosis.
    • HLA gene polymorphisms can influence susceptibility or resistance to infections.

Viral Infectious Disease

  • Viruses responsible for various diseases:
    • Colds (Rhinovirus, Coronavirus)
    • Influenza (Type A, B, C)
    • Diarrhea (Rotavirus)
    • Polio and hepatitis (Types A, B, C)
    • Smallpox and SARS (Coronavirus)

SARS - Severe Acute Respiratory Syndrome

  • Emerged in November 2002 in China; rapidly became a global epidemic after spread from a Hong Kong hotel.
  • Spread mainly through close person-to-person contact; asymptomatic cases are common.
  • Severe infections can lead to pneumonia and may require mechanical ventilation.

Group A Streptococcal Diseases

  • Invasive diseases such as necrotizing fasciitis and toxic shock syndrome are linked to HLA class II polymorphism.
  • Severe cases may necessitate limb amputation for patient survival.

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Description

Explore the essential roles of Human leukocyte antigen (HLA) and its impact on immune function. This quiz covers the concepts of the Major Histocompatibility Complex (MHC) and its significance in vertebrates. Test your knowledge on cellular immunity and genetic resistance.

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