Lecture 1.2 -Introduction to microbes and infection PDF

Summary

This lecture introduces microbes and infection. It covers topics like differences between prokaryotic and eukaryotic cells, commensal organisms, naming of bacteria, fungi and Protozoa, structure of bacteria, oxygen tolerance of bacteria, properties of bacteria, gram-positive and gram-negative bacteria, mechanisms of bacterial pathogenesis and endospores.

Full Transcript

Difference between prokaryotic and eukaryotic cells: Commensal organisms (Microbiota): ◦Commensals live on the surface of our bodies and in specific areas e.g. intestinal tract, oral cavity, vagina ◦Includes bacteria and fungi ◦Known as microbiome ‣ Staphylococcus aureu...

Difference between prokaryotic and eukaryotic cells: Commensal organisms (Microbiota): ◦Commensals live on the surface of our bodies and in specific areas e.g. intestinal tract, oral cavity, vagina ◦Includes bacteria and fungi ◦Known as microbiome ‣ Staphylococcus aureus and staphylococcus epidermidis - skin ‣ Streptococcus mitis - upper respiratory tract ‣ Candida albicans (yeast) - oral, gastrointestinal and vaginal mucosa ‣ Lactobacillus species - vagina ‣ Species of bacteroides - gut Naming of bacteria, fungi and Protozoa: ◦Genus + species (“surname + first name”) for example: Staphylococcus aureus (Staph aureus, S.aureus) ◦Names are sometimes supplemented by adjectives describing growth, typing or antimicrobial susceptibility characteristics, for example E. coli 0157, MRSA (methicillin resistant staph aureus) ◦Names are subject to change ‣ For example Clostridium difficile is now known as Clostridioides difficile) Structure of bacteria: Oxygen tolerance: ◦Aerobes - can survive in the presence of oxygen ◦Obligate aerobes - require oxygen for survival ◦Anaerobes - can survive in the absence of oxygen ◦Obligate anaerobes - require oxygen-free environment for survival (unless able to form spores) Properties of bacteria: ◦Most can be grown on liquid or solid medium containing relevant nutrients. Some exceptions e.g. Rickettsia and Chlamydia are intracellular bacteria. ◦Most have a cell wall with peptidogylcan ‣ Exception is Mycoplasma species which do not have a cell wall but have a plasma membrane consisting of a lipid bilayer ◦Staining (gram stain, acid fast stain, India ink) ◦Morphology ◦Fermentation, oxidation, enzymes Gram positive and gram negative bacteria: Bacterial shapes: Arrangement of cocci: Mechanisms of bacterial pathogenesis: ◦Virulence factors: ‣ Evasion of immune system (e.g. polysaccharide capsule) ‣ Adherence to host cells (e.g. pili and fimbriae) ‣ Invasiveness (e.g. enzymes such as collagenase) ‣ Toxins: Exotoxins (e.g. dipheria toxin) - toxins released to the environment Endotoxins (lipopolysaccharide) - part of the bacteria itself Enterotoxins - released in the gut by bacteria and cause things like gastroenteritis Endospores: ◦Some bacteria develop endospores to survive lack of nutrients or other adverse environmental factors ◦The genetic material is preserved ◦Highly resistant form which can withstand chemicals and extremes of temperature ◦Examples are Clostridium difficile (Clostridioides difficile), Bacillus cereus Some medically important bacteria: Group A Streptococcus (GAS): ◦Group A Streptococcus is a commensal which can be present in the throat and on the skin of normal individuals ◦Normally group A streptococcus (streptococcus pyogenes) causes mild illnesses e.g. tonsillitis, pharyngitis, impetigo, cellulitis and scarlet fever. ◦May be due to increase in circulating viruses and GAS causing secondary infection Treatment of bacterial infections: ◦Antibiotics interfere with: ‣ Cell wall synthesis ‣ Protein synthesis ‣ Nucleic acid synthesis ‣ Cell membrane function Viruses: ◦Intracellular obligate parasites ◦Genetic material is RNA or DNA ◦Enveloped or non-enveloped ◦Capsid symmetry can be helical or icosahedral which gives viruses their shape ◦Envelope: lipid bilayer membrane (e.g. plasma membrane, internal cell membranes such as the nuclear membrane, endoplasmic reticulum, Golgi apparatus) acquired as the virus buds through the host cell cytoplasmic membrane ◦Capsid: protein coat for viral genome and proteins Properties of envelopes and non-envelopes viruses: ◦The envelope viruses are more sensitive to harsh environments, for example, heat, dryness, compared to non-enveloped viruses ‣ These are generally transmitted by respiratory, parenteral and sexual routes ◦The non-enveloped viruses are more stable in adverse environments ‣ These are generally transmitted by the faecal-oral route DNA viruses: RNA viruses: Coronaviruses (CoV): ◦Enveloped ◦Positive sense ◦Single stranded RNA ◦They infect humans, other mammals and avian species Monkey pox virus: ◦Same family as variola virus (small pox) not related to chicken pox (VZV) ◦Same symptoms as small pox but milder and not fatal ◦Spread - direct contact with monkey pox rash and scabs from a person with monkey pox, as well as contact with their saliva, upper respiratory secretions and areas around the anus, rectum or vagina ◦Detected by taking swab from lesions and PCR ◦2 vaccines - prevention - not in general use Virus growth: ◦Need living cells to replicate (obligate intracellular parasites) ◦Use the living cells to synthesise all the constituents of the virus ◦Different viruses grow in different types of cells ◦In the laboratory: ‣ Vero cells ‣ HeLa cells ‣ Baby hamster kidney cells (BHK) Steps in viral replication: ◦Viruses undergo similar sequence of events: ‣ Attachment to the appropriate cells (e.g. haemagglutinin of influenza virus or glycoprotein GP 120 of HIV to appropriate cell receptor) ‣ Penetration of virus into cell (endocytosis or fusion of envelope with host cell membrane) ‣ Unloading viral capsid is removed by viral enzymes or host enzymes leading to release of their genome and other materials such as enzymes into the host cell ‣ Replication - initiation of transcription or translation of the viral genome resulting in the manufacture of virus components and genome ‣ Assembly of components into new visions which are ready for the release ‣ Release of the visions by lysis or budding from the target cells and further infection. DNA virus replication: ◦Transcription and replication occurs in the nucleus of the infected cells ◦Most DNA viruses assemble in the nucleus ‣ Early transcription (translation of proteins for DNA replication) ‣ Late transcription (translation of structural proteins) ◦Assembly and release RNA virus replication: ◦RNA viruses normally undergo transcription, translation and replication in the cytoplasm. ‣ Positive sense single stranded RNA can function as mRNA and get translated into proteins by the host ribosomes ‣ Negative sense RNA has to be changed to positive mRNA using the enzyme RNA dependent RNA polymerase to make a positive strand copy, which can be read by the ribosomes and result in the manufacture of proteins. Latency: ◦Latent viral infection - the virus can remain dormant within cells and does not cause symptoms until it is activated by some factors. ◦Immunosuppression (chemotherapy or infections such as HIV result in reactivation of latent viruses) ◦Examples of latent viruses are: ‣ Herpes simplex viruses ‣ Varicella zoster virus (chickenpox and reactivation causes shingles) ‣ Cytomegalovirus ‣ Epstein Barr virus (EBV) Bacteriophages: Overview of viral infections: Antivirals: ◦Inhibits viral DNA ‣ Acyclovir Herpes simplex - genital herpes, encephalitis Varicella zoster - chicken pox and shingles ◦Inhibits viral neuraminidase (required in release of virus from the cell) ‣ Tamiflu Influence A and B ◦Specialist agents for HIV, HBV, HCV, CMV Fungi: ◦Saprophytic or parasitic eukaryotes ◦Produce spores ◦Cell wall (chitin) and cell membrane (ergosterol) different from bacteria and other eukaryotic cells ◦Thus antifungals target different entities and processes to antibiotics ◦For example, Amphotericin B and nystatin bind to ergosterol, form pores and result in cell death. Examples of fungi: ◦Yeast (single-celled) ‣ Candida albicans (thrush) ‣ Cryptococcus neoformans (usually affects the lungs or the CNS) ‣ Pneumocystis jiroveci (pneumonia) ◦Molds - a type of fungus (multicellular) ‣ Aspergillus species (lungs) ‣ Dermatophytes (also called ringworm as causes itchy, red, circular rash). Examples are tinea pedis (athletes foot) and tinea capitis (when in the scalp) Antifungals: ◦Azoles (active against yeasts +/- molds) ‣ Inhibit cell membrane synthesis Fluconazole used to treat Candida ◦Polyenes (nystatin and amphotericin) ‣ Inhibits cell membrane function Nystatin for topical treatment of candida Amphotericin for IV treatment of systemic fungal infections (e.g. aspergillus) ◦EMERGENCE OF RESISTANCE Protozoa: ◦Protozoa- unicellular eukaryotic organism ‣ Giardia lamblia - parasitic intestinal disease ‣ Cryptosporidium parvum - intracellular parasite - epithelial cells of the villi in lower small intestine ‣ Plasmodium falciparum - malaria ‣ Trypanosoma brucei - sleeping sickness Helminths: ◦Helminths (worms, multi-cellular) divided into three groups: ‣ Cestodes: ribbon-like, segmented intestinal parasites - Tapeworms (e.g. Taenia saginata - beef tapeworm) ‣ Nematodes: long non-segmented worms - roundworms (e.g. Enterobius vermiculite’s - pinworm) ‣ Trematodes: small, flat leaf-like worms that can infect urinary bladder, liver, lungs, blood vessels in the intestine - Flukes (e.g. Schistosoma mansoni - blood fluke) Guinea worms: Prions: ◦Unconventional infectious agents ◦Prions are infective proteins with no nucleic acid ◦Causative agent of transmissible Spongiform Encephalopathies ◦Accumulation of prion protein in the grey matter and in extracellular amyloid plaques in the brain ‣ Scrapie in sheep ‣ Bovine Spongiform Encephalopathy (BSE) in cattle ‣ Creutzfeldt-Jakob disease (CJD) Human papilloma virus and cervical cancer: ◦Human papilloma virus - non enveloped DNA virus Epstein Barr virus (EBV): ◦EBV is a double stranded DNA enveloped virus ‣ Also known as human herpes virus 4 (HHV 4) ‣ Infection results in sore throat, fever, swollen glands (lymphadenopathy) ‣ Glandular fever (infectious mononucleosis) ◦EBV is linked to a number of cancers including: ‣ Burkitt lymphoma ‣ Nasopharyngeal cancer ‣ Stomach cancer

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