Tuberculosis Pathogenesis Overview
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Questions and Answers

What is one benefit of using guinea pigs as a TB model?

  • Easy to form cavitation
  • High cost & space requirements
  • Limited availability of immunologic reagents
  • Exceptional susceptibility to infection (correct)

Non-human primates are the most cost-effective models for studying TB.

False (B)

What is a key application of using rabbits as a TB model?

TB transmission research

The method of development used for non-human primates in TB modeling is via __________.

<p>bronchoscope</p> Signup and view all the answers

Match the following animals with their unique traits in TB research:

<p>Guinea Pig = Good for studying immunology of mycobacterial infections Rabbit = Best model for spinal TB research Non-Human Primate = Mimics various clinical manifestations Mouse = High yield means to study immune mechanisms</p> Signup and view all the answers

How is tuberculosis primarily transmitted?

<p>Through the inhalation of airborne droplets (A)</p> Signup and view all the answers

Latent tuberculosis infection is contagious.

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

What is the characteristic pathological change associated with tuberculosis?

<p>Caseous necrosis</p> Signup and view all the answers

Inactive tuberculosis bacteria can remain dormant in a state known as ______.

<p>latent TB</p> Signup and view all the answers

Which cells are primarily involved in the immune response to tuberculosis?

<p>Alveolar macrophages (D)</p> Signup and view all the answers

Match the following types of tuberculosis with their characteristics:

<p>Latent TB = Asymptomatic and non-contagious Active TB = Causes cavity formation in the lungs Extrapulmonary TB = Spreads to other organs Granuloma = A structure formed by the immune system</p> Signup and view all the answers

Murine models of tuberculosis can mimic the innate and acquired immune responses seen in humans.

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

What happens to the granulomas in some individuals with active tuberculosis?

<p>They may break down, releasing bacilli into the airways.</p> Signup and view all the answers

Flashcards

Guinea Pig TB Model

Guinea pigs are highly susceptible to TB infection, making them ideal for studying various forms of TB, including childhood TB and TB in immunosuppressed hosts. They are also good for evaluating the safety and efficacy of vaccines or immunity strategies.

Rabbit TB Model

Rabbits are valuable for TB research due to their ability to develop cavitations, which are characteristic lesions in TB. They are used to study TB transmission and are considered the best model for researching cavitary, spinal, and joint TB.

Non-Human Primate TB Model

Non-human primates can mimic a variety of clinical manifestations and pathological characteristics associated with TB, making them valuable for studying the complex aspects of the disease. They are particularly useful for evaluating individualized anti-TB drugs and vaccines.

Guinea Pig Tail Vein Infection

This method involves injecting a small dose of TB bacteria directly into the tail vein of a guinea pig. The benefits include ease of maintenance, affordability, and high yield for vaccine research, anti-TB drug testing, studying immune mechanisms, and host genetics.

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Guinea Pig Aerosol Infection

Aerosol infection involves exposing the guinea pig to a fine mist containing TB bacteria. This method mimics the natural route of infection and allows for studying TB in its natural setting.

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How is TB transmitted?

TB is spread through inhaling tiny droplets containing Mycobacterium tuberculosis (Mtb) that reach the small air sacs in the lungs (alveoli).

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What happens to Mtb after inhalation?

Once Mtb is in the lungs, it gets engulfed by immune cells called macrophages. These cells try to fight the infection.

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What is a granuloma in TB?

The immune system forms a protective wall around the infected area, creating a structure called a granuloma. This wall contains a core of infected macrophages surrounded by other immune cells, like epithelioid cells, giant cells, and lymphocytes.

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What is latent TB?

If the immune system successfully controls the infection, Mtb becomes inactive or 'dormant'. This is called latent TB.

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How does latent TB become active?

In some cases, the protective wall (granuloma) can break down, releasing Mtb back into the airways and bloodstream. This leads to active TB, causing widespread tissue damage, lung cavities, and symptoms like fever, night sweats, and weight loss.

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Can TB spread to other organs?

Mtb can spread from the lungs to other organs through the lymphatic system or the bloodstream, causing extrapulmonary TB.

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What makes a good TB model?

TB models are vital for research. They should closely mimic natural TB infection, including the route of exposure, disease progression, and characteristic symptoms. These models also need to accurately reflect the immune response and tissue damage seen in humans.

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How are mouse models used for TB research?

Mouse models are widely used for TB research because they accurately reflect how humans get infected, how their immune system responds, and how the disease progresses. They also develop tissue damage similar to humans.

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Study Notes

Tuberculosis Pathogenesis

  • Tuberculosis (TB) transmission occurs via inhalation of airborne droplets containing M. tuberculosis reaching the lungs' alveoli.
  • Alveolar macrophages ingest the bacteria.
  • The immune system activates macrophages, T-cells, and dendritic cells to fight the infection.
  • Granulomas form to contain the infection, comprised of infected macrophages, epithelioid cells, multinucleated giant cells, and lymphocytes.
  • Granulomas prevent bacterial spread but can provide a niche for dormant bacteria.
  • Latent TB involves the immune system effectively containing the infection, with no symptoms and non-contagious potential reactivation under immunosuppression.
  • Active TB disease may result in granuloma breakdown, releasing bacilli into airways and bloodstream.
  • Widespread tissue damage, lung cavities, and systemic symptoms like fever, night sweats, and weight loss are common.
  • TB can spread to extrapulmonary sites via lymphatic or bloodstream.
  • Caseous necrosis is a hallmark of TB.

TB Model Characteristics

  • Experimental TB models mimic natural TB infection, with low-dose challenge, exposure routes, and representative lesions in relevant target organs.

Murine, Rabbit, and Guinea Pig Models

  • These animal models are frequently used due to their susceptibility to infection, response to innate and acquired immunity, initial control of bacillary growth in the lungs, with eventual succumbing to TB.

Mouse Models

  • These models are favored due to ease of maintenance, affordability, high-yield for studying vaccines, anti-TB drugs, immune mechanisms, and host genetics.
  • Limitations include resistance development to typical TB drugs, and non-responsiveness to therapy.
  • Applications include research on the immunology of mycobacterial infections.

Guinea Pig Models

  • Guinea pigs display exceptional susceptibility to infection with a few inhaled mycobacteria making them suitable models for various TB infection forms like childhood TB and TB in immunosuppressed hosts.

Rabbit Models

  • Rabbits are used for investigating pulmonary transmission.
  • They form cavitation (cavities) readily, making them a suitable model in various TB research, including diagnosis and treatment of cavitary TB, spinal, and joint TB.

Non-Human Primate Models

  • Non-human primates mimic various clinical manifestations and pathological characteristics, offering significant advantages.
  • Limitations include difficulty obtaining and high costs, limited availability of immune reagents, and high variations, but they provide crucial insights.
  • Applications span individualized anti-TB drug and vaccine evaluations and treatment strategies.

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Animal TB Study Notes PDF

Description

This quiz covers the pathogenesis of tuberculosis, detailing the transmission, immune response, and the formation of granulomas. It also addresses the differences between latent and active TB, along with the potential for extrapulmonary spread. Test your knowledge on the complexities of this infectious disease.

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