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What is the primary mechanism by which aspirin and acetaminophen reduce fever?
What is the primary mechanism by which aspirin and acetaminophen reduce fever?
What is the primary cause of septic shock?
What is the primary cause of septic shock?
What effect does tumor necrosis factor (TNF) have in cases of endotoxic shock?
What effect does tumor necrosis factor (TNF) have in cases of endotoxic shock?
What is the role of amebocytes in the Limulus amebocyte lysate (LAL) test?
What is the role of amebocytes in the Limulus amebocyte lysate (LAL) test?
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Which type of bacteria is specifically known to cause endotoxic shock?
Which type of bacteria is specifically known to cause endotoxic shock?
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What are superantigens primarily known to stimulate in the immune system?
What are superantigens primarily known to stimulate in the immune system?
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Which component is identified as the endotoxin in Gram (-) bacteria?
Which component is identified as the endotoxin in Gram (-) bacteria?
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What is a common symptom associated with the release of superantigens?
What is a common symptom associated with the release of superantigens?
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Which of the following statements about endotoxins is accurate?
Which of the following statements about endotoxins is accurate?
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What can the excessive release of cytokines from macrophages due to endotoxins lead to?
What can the excessive release of cytokines from macrophages due to endotoxins lead to?
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What complication can arise from blood clotting induced by endotoxins?
What complication can arise from blood clotting induced by endotoxins?
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Which of the following pathogens is known to secrete toxins that can lyse phagolysosome and plasma membranes?
Which of the following pathogens is known to secrete toxins that can lyse phagolysosome and plasma membranes?
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Which symptom is NOT typically associated with endotoxin release?
Which symptom is NOT typically associated with endotoxin release?
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What are adhesins primarily responsible for in microbial interactions?
What are adhesins primarily responsible for in microbial interactions?
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Which of the following microbes is associated with having a glycocalyx?
Which of the following microbes is associated with having a glycocalyx?
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How do capsules enhance the virulence of bacterial pathogens?
How do capsules enhance the virulence of bacterial pathogens?
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What mechanism do Shigella species use to penetrate host defenses?
What mechanism do Shigella species use to penetrate host defenses?
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What is the role of actin polymerization in Shigella dysenteriae infection?
What is the role of actin polymerization in Shigella dysenteriae infection?
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Which of these microbes is known to form capsules that resist phagocytosis?
Which of these microbes is known to form capsules that resist phagocytosis?
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What is a consequence of dysentery caused by bacterial infection?
What is a consequence of dysentery caused by bacterial infection?
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What cellular structures can serve as adhesins for bacteria?
What cellular structures can serve as adhesins for bacteria?
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What term describes the ability of a microorganism to cause disease by overcoming host defenses?
What term describes the ability of a microorganism to cause disease by overcoming host defenses?
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Why might a pathogen not cause disease if it gains access to the host by an inappropriate route?
Why might a pathogen not cause disease if it gains access to the host by an inappropriate route?
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What does ID50 represent in microbiology?
What does ID50 represent in microbiology?
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What is the LD50 for botulinum toxin in mice?
What is the LD50 for botulinum toxin in mice?
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What is a common characteristic of adhesins that facilitate the attachment between pathogens and hosts?
What is a common characteristic of adhesins that facilitate the attachment between pathogens and hosts?
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Which of the following microorganisms can cause disease through more than one portal of entry?
Which of the following microorganisms can cause disease through more than one portal of entry?
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What does an increased number of invading microbes imply?
What does an increased number of invading microbes imply?
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What is the infectious dose for Bacillus anthracis via the skin?
What is the infectious dose for Bacillus anthracis via the skin?
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What is typically true about the virulence of a microbe?
What is typically true about the virulence of a microbe?
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What is the role of siderophores in pathogen survival?
What is the role of siderophores in pathogen survival?
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Which of the following is true about exotoxins?
Which of the following is true about exotoxins?
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What is meant by toxemia?
What is meant by toxemia?
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How do pathogens release toxins when iron levels are low?
How do pathogens release toxins when iron levels are low?
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How does the body respond to the presence of exotoxins?
How does the body respond to the presence of exotoxins?
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What defines intoxications?
What defines intoxications?
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Which statement about the genetics of exotoxins is correct?
Which statement about the genetics of exotoxins is correct?
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What can happen to exotoxins when they are inactivated?
What can happen to exotoxins when they are inactivated?
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What is a common consequence of host cell rupture due to pathogens?
What is a common consequence of host cell rupture due to pathogens?
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What is the primary function of bacterial siderophores?
What is the primary function of bacterial siderophores?
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Which bacterial pathogen utilizes fimbriae and outer membrane proteins for cell attachment?
Which bacterial pathogen utilizes fimbriae and outer membrane proteins for cell attachment?
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What is the primary function of coagulases produced by bacterial pathogens?
What is the primary function of coagulases produced by bacterial pathogens?
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Which enzyme is produced by pathogens like Clostridium perfringens that breaks down connective tissue?
Which enzyme is produced by pathogens like Clostridium perfringens that breaks down connective tissue?
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Which of the following pathogens is known for its antigenic variation to evade host immunity?
Which of the following pathogens is known for its antigenic variation to evade host immunity?
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What role does the M protein of Streptococcus pyogenes play in its pathogenicity?
What role does the M protein of Streptococcus pyogenes play in its pathogenicity?
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Which extracellular enzyme produced by Neisseria specifically targets immunoglobulin A?
Which extracellular enzyme produced by Neisseria specifically targets immunoglobulin A?
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How do mycolic acids contribute to the virulence of Mycobacterium tuberculosis?
How do mycolic acids contribute to the virulence of Mycobacterium tuberculosis?
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Which pathogen is associated with the production of streptokinase, an enzyme that breaks down blood clots?
Which pathogen is associated with the production of streptokinase, an enzyme that breaks down blood clots?
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What mechanism allows pathogens to manipulate the host's cell cytoskeleton?
What mechanism allows pathogens to manipulate the host's cell cytoskeleton?
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Which component produced by Streptococcus pyogenes helps protect it from phagocytosis?
Which component produced by Streptococcus pyogenes helps protect it from phagocytosis?
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Study Notes
Microbial Mechanisms of Pathogenicity
- Pathogenicity is the microorganism's ability to cause disease by overcoming host defenses.
- Virulence is the degree of pathogenicity.
- To cause disease, pathogens must:
- Gain access to the host.
- Adhere to target tissues.
- Penetrate or evade host defenses.
- Damage host tissues (direct or indirect).
Portals of Entry
- Mucous membranes in the respiratory, GI, and genitourinary tracts and conjunctiva.
- Skin
- Parenteral route (deposition directly into tissues beneath the skin or mucous membranes when barriers are compromised).
Pathogen Numbers and Virulence
- The more microbes that gain access to the host, the increased likelihood of disease.
- Virulence can be measured by the infectious dose (ID50), which is the dose infecting 50% of a population.
- Examples:
- Bacillus anthracis (Skin: ID50 = 10-50 endospores, Respiratory: ID50 = 10,000-20,000 endospores, GI: 250,000 to 1,000,000 endospores).
Adherence
- Adherence is the attachment between pathogen and host.
- Adhesins (ligands) on the pathogen bind to complementary receptors on host cells.
- Adhesins can be found on glycocalyx, pili, fimbriae, and flagella.
How Bacterial Pathogens Penetrate Host Defenses
- Capsules: Capsules resist phagocytosis by preventing attachment.
- Cell wall components: Some components like M protein in Streptococcus pyogenes make the microbe resistant to phagocytosis. Other elements like Opa in Neisseria gonorrhoeae help attachment to host cells. M. tuberculosis has mycolic acids preventing phagocytosis.
- Extracellular enzymes: Coagulases clot fibrinogen, kinases break down fibrin, hyaluronidase hydrolyzes hyaluronic acid, collagenase breaks down collagen, and IgA proteases degrade IgA.
- Antigenic variation: Some pathogens (like Neisseria gonorrhoeae and Trypanosoma brucei) can change their surface antigens, making them harder to identify and fight by the immune system.
How Bacterial Pathogens Damage Host Cells
- Host's nutrient use
- Direct damage in the vicinity of invasion
- Toxin production
Using the Host's Nutrients
- Siderophores (proteins secreted by some pathogens) bind iron.
- Iron is essential for the growth of pathogens.
Toxin Vocabulary and Types
-
Toxins: poisonous substances produced by microbes.
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Toxigenicity: the ability of microbes to produce toxins.
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Toxemia: toxins in the blood.
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Intoxication: caused by toxins, not microbial growth.
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Exotoxins: proteins produced inside pathogenic bacteria (secreted or released following lysis). Exotoxins damage host cells or inhibit their metabolic functions or are involved in other cellular actions such as cell death.
- A-B exotoxins: consist of two parts (A and B). B is the binding component and A is the active/enzymatic component responsible for the toxic action.
- Membrane-disrupting toxins: disrupt the phospholipid bilayer, cause lysis of host cells, and have cytotoxic effects. (Examples: Leukocidins and Hemolysins).
- Superantigens: bacterial antigens that cause a very strong immune response.
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Endotoxins: lipid portions of lipopolysaccharides (LPS) part of the outer membrane of the gram-negative cell wall released during bacterial multiplication/cell death.
Portals of Exit
- Usually the same portals as entry (respiratory, GI, genitourinary tracts, skin, wounds, biting insects).
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Description
This quiz explores the mechanisms underlying microbial pathogenicity and virulence. It covers the various portals of entry pathogens use to invade hosts, the significance of pathogen numbers, and the concept of infectious dose. Test your knowledge on how microbes adhere and evade host defenses.