Microbiology: Unicellular Eukaryotic Parasites & Parasitic Helminths PDF

5.1 Unicellular Eukaryotic Parasites 187 FIGURE 5.17 (a) This illustration of a Euglena shows the characteristic structures, such as the stigma and flagellum. (b) The pellicle, under the cell membrane, gives the cell its distinctive shape and is visible in this image as delicate parallel str...

5.1 Unicellular Eukaryotic Parasites 187 FIGURE 5.17 (a) This illustration of a Euglena shows the characteristic structures, such as the stigma and flagellum. (b) The pellicle, under the cell membrane, gives the cell its distinctive shape and is visible in this image as delicate parallel striations over the surface of the entire cell (especially visible over the grey contractile vacuole). (credit a: modification of work by Claudio Miklos; credit b: modification of work by David Shykind) FIGURE 5.18 Trypanosoma brucei, the causative agent of African trypanosomiasis, spends part of its life cycle in the tsetse fly and part in humans. (credit “illustration”: modification of work by Centers for Disease Control and Prevention; credit “photo”: DPDx/Centers for Disease Control and Prevention) Chagas’ disease originated and is most common in Latin America. The disease is transmitted by Triatoma spp., insects often called “kissing bugs,” and affects either the heart tissue or tissues of the digestive system. Untreated cases can eventually lead to heart failure or significant digestive or neurological disorders. The genus Leishmania includes trypanosomes that cause disfiguring skin disease and sometimes systemic illness as 188 5 The Eukaryotes of Microbiology well. EYE ON ETHICS Neglected Parasites The Centers for Disease Control and Prevention (CDC) is responsible for identifying public health priorities in the United States and developing strategies to address areas of concern. As part of this mandate, the CDC has officially identified five parasitic diseases it considers to have been neglected (i.e., not adequately studied). These neglected parasitic infections (NPIs) include toxoplasmosis, Chagas disease, toxocariasis (a nematode infection transmitted primarily by infected dogs), cysticercosis (a disease caused by a tissue infection of the tapeworm Taenia solium), and trichomoniasis (a sexually transmitted disease caused by the parabasalid Trichomonas vaginalis). The decision to name these specific diseases as NPIs means that the CDC will devote resources toward improving awareness and developing better diagnostic testing and treatment through studies of available data. The CDC may also advise on treatment of these diseases and assist in the distribution of medications that might 5 otherwise be difficult to obtain. Of course, the CDC does not have unlimited resources, so by prioritizing these five diseases, it is effectively deprioritizing others. Given that many Americans have never heard of many of these NPIs, it is fair to ask what criteria the CDC used in prioritizing diseases. According to the CDC, the factors considered were the number of people infected, the severity of the illness, and whether the illness can be treated or prevented. Although several of these NPIs may seem to be more common outside the United States, the CDC argues that many cases 6 in the United States likely go undiagnosed and untreated because so little is known about these diseases. What criteria should be considered when prioritizing diseases for purposes of funding or research? Are those identified by the CDC reasonable? What other factors could be considered? Should government agencies like the CDC have the same criteria as private pharmaceutical research labs? What are the ethical implications of deprioritizing other potentially neglected parasitic diseases such as leishmaniasis? 5.2 Parasitic Helminths LEARNING OBJECTIVES By the end of this section, you will be able to: Explain why we include the study of parasitic worms within the discipline of microbiology Compare the basic morphology of the major groups of parasitic helminthes Describe the characteristics of parasitic nematodes, and give an example of infective eggs and infective larvae Describe the characteristics of parasitic trematodes and cestodes, and give examples of each Identify examples of the primary causes of infections due to nematodes, trematodes, and cestodes Classify parasitic worms according to major groups Parasitic helminths are animals that are often included within the study of microbiology because many species of these worms are identified by their microscopic eggs and larvae. There are two major groups of parasitic helminths: the roundworms (Nematoda) and flatworms (Platyhelminthes). Of the many species that exist in these groups, about half are parasitic and some are important human pathogens. As animals, they are multicellular and have organ systems. However, the parasitic species often have limited digestive tracts, nervous systems, and locomotor abilities. Parasitic forms may have complex reproductive cycles with several different life stages and more than one type of host. Some are monoecious, having both male and female reproductive organs in a single individual, while others are dioecious, each having either male or female reproductive organs. 5 Centers for Disease Control and Prevention. “Neglected Parasitic Infections (NPIs) in the United States.” http://www.cdc.gov/parasites/ npi/. Last updated July 10, 2014. 6 Centers for Disease Control and Prevention. “Fact Sheet: Neglected Parasitic Infections in the United States.” http://www.cdc.gov/ parasites/resources/pdf/npi_factsheet.pdf Access for free at openstax.org  5.2 Parasitic Helminths 189 Nematoda (Roundworms) Phylum Nematoda (the roundworms) is a diverse group containing more than 15,000 species, of which several are important human parasites (Figure 5.19). These unsegmented worms have a full digestive system even when parasitic. Some are common intestinal parasites, and their eggs can sometimes be identified in feces or around the anus of infected individuals. Ascaris lumbricoides is the largest nematode intestinal parasite found in humans; females may reach lengths greater than 1 meter. A. lumbricoides is also very widespread, even in developed nations, although it is now a relatively uncommon problem in the United States. It may cause symptoms ranging from relatively mild (such as a cough and mild abdominal pain) to severe (such as intestinal blockage and impaired growth). FIGURE 5.19 A micrograph of the nematode Enterobius vermicularis, also known as the pinworm. (credit: modification of work by Centers for Disease Control and Prevention) Of all nematode infections in the United States, pinworm (caused by Enterobius vermicularis) is the most common. Pinworm causes sleeplessness and itching around the anus, where the female worms lay their eggs during the night. Toxocara canis and T. cati are nematodes found in dogs and cats, respectively, that can be transmitted to humans, causing toxocariasis. Antibodies to these parasites have been found in approximately 13.9% of the U.S. population, 7 suggesting that exposure is common. Infection can cause larval migrans, which can result in vision loss and eye inflammation, or fever, fatigue, coughing, and abdominal pain, depending on whether the organism infects the eye or the viscera. Another common nematode infection is hookworm, which is caused by Necator americanus (the New World or North American hookworm) and Ancylostoma duodenale (the Old World hookworm). Symptoms of hookworm infection can include abdominal pain, diarrhea, loss of appetite, weight loss, fatigue, and anemia. Trichinellosis, also called trichinosis, caused by Trichinella spiralis, is contracted by consuming undercooked meat, which releases the larvae and allows them to encyst in muscles. Infection can cause fever, muscle pains, and digestive system problems; severe infections can lead to lack of coordination, breathing and heart problems, and even death. Finally, heartworm in dogs and other animals is caused by the nematode Dirofilaria immitis, which is transmitted by mosquitoes. Symptoms include fatigue and cough; when left untreated, death may result. CLINICAL FOCUS Part 2 The physician explains to Sarah’s mother that ringworm can be transferred between people through touch. “It’s common in school children, because they often come in close contact with each other, but anyone can become infected,” he adds. “Because you can transfer it through objects, locker rooms and public pools are also a potential source of infection. It’s very common among wrestlers and athletes in other contact sports.” Looking very uncomfortable, Sarah says to her mother “I want this worm out of me.” 7 Won K, Kruszon-Moran D, Schantz P, Jones J. “National seroprevalence and risk factors for zoonotic Toxocara spp. infection.” In: Abstracts of the 56th American Society of Tropical Medicine and Hygiene; Philadelphia, Pennsylvania; 2007 Nov 4-8. 190 5 The Eukaryotes of Microbiology The doctor laughs and says, “Sarah, you’re in luck because ringworm is just a name; it is not an actual worm. You have nothing wriggling around under your skin.” “Then what is it?” asks Sarah. What type of pathogen causes ringworm? Jump to the next Clinical Focus box. Go back to the previous Clinical Focus box. CHECK YOUR UNDERSTANDING What is the most common nematode infection in the United States? Platyhelminths (Flatworms) Phylum Platyhelminthes (the platyhelminths) are flatworms. This group includes the flukes, tapeworms, and the turbellarians, which include planarians. The flukes and tapeworms are medically important parasites (Figure 5.20). The flukes (trematodes) are nonsegmented flatworms that have an oral sucker (Figure 5.21) (and sometimes a second ventral sucker) and attach to the inner walls of intestines, lungs, large blood vessels, or the liver. Trematodes have complex life cycles, often with multiple hosts. Several important examples are the liver flukes (Clonorchis and Opisthorchis), the intestinal fluke (Fasciolopsis buski), and the oriental lung fluke (Paragonimus westermani). Schistosomiasis is a serious parasitic disease, considered second in the scale of its impact on human populations only to malaria. The parasites Schistosoma mansoni, S. haematobium, and S. japonicum, which are found in freshwater snails, are responsible for schistosomiasis (Figure 5.22). Immature forms burrow through the skin into the blood. They migrate to the lungs, then to the liver and, later, other organs. Symptoms include anemia, malnutrition, fever, abdominal pain, fluid buildup, and sometimes death. Access for free at openstax.org  5.2 Parasitic Helminths 191 FIGURE 5.20 Phylum Platyhelminthes is divided into four classes. (a) Class Turbellaria includes the Bedford’s flatworm (Pseudobiceros bedfordi), which is about 8–10 cm long. (b) The parasitic class Monogenea includes Dactylogyrus spp. Worms in this genus are commonly called gill flukes. The specimen pictured here is about 0.2 mm long and has two anchors, indicated by arrows, that it uses to latch onto the gills of host fish. (c) The Trematoda class includes the common liver fluke Fasciola hepatica and the giant liver fluke Fascioloides magna (right). The F. magna specimen shown here is about 7 cm long. (d) Class Cestoda includes tapeworms such as Taenia saginata, which infects both cattle and humans and can reach lengths of 4–10 meters; the specimen shown here is about 4 meters long. (credit c: modification of work by “Flukeman”/Wikimedia Commons) 192 5 The Eukaryotes of Microbiology FIGURE 5.21 (a) The oral sucker is visible on the anterior end of this liver fluke, Opisthorchis viverrini. (b) This micrograph shows the scolex of the cestode Taenia solium, also known as the pork tapeworm. The visible suckers and hooks allow the worm to attach itself to the inner wall of the intestine. (credit a: modification of work by Sripa B, Kaewkes S, Sithithaworn P, Mairiang E, Laha T, and Smout M; credit b: modification of work by Centers for Disease Control and Prevention) The other medically important group of platyhelminths are commonly known as tapeworms (cestodes) and are segmented flatworms that may have suckers or hooks at the scolex (head region) (Figure 5.21). Tapeworms use these suckers or hooks to attach to the wall of the small intestine. The body of the worm is made up of segments called proglottids that contain reproductive structures; these detach when the gametes are fertilized, releasing gravid proglottids with eggs. Tapeworms often have an intermediate host that consumes the eggs, which then hatch into a larval form called an oncosphere. The oncosphere migrates to a particular tissue or organ in the intermediate host, where it forms cysticerci. After being eaten by the definitive host, the cysticerci develop into adult tapeworms in the host's digestive system (Figure 5.23). Taenia saginata (the beef tapeworm) and T. solium (the pork tapeworm) enter humans through ingestion of undercooked, contaminated meat. The adult worms develop and reside in the intestine, but the larval stage may migrate and be found in other body locations such as skeletal and smooth muscle. The beef tapeworm is relatively benign, although it can cause digestive problems and, occasionally, allergic reactions. The pork tapeworm can cause more serious problems when the larvae leave the intestine and colonize other tissues, including those of the central nervous system. Diphylobothrium latum is the largest human tapeworm and can be ingested in undercooked fish. It can grow to a length of 15 meters. Echinococcus granulosus, the dog tapeworm, can parasitize humans and uses dogs as an important host. Access for free at openstax.org  5.2 Parasitic Helminths 193 FIGURE 5.22 The life cycle of Schistosoma spp. includes several species of water snails, which serve as secondary hosts. The parasite is transmitted to humans through contact with contaminated water and takes up residence in the veins of the digestive system. Eggs escape the host in the urine or feces and infect a snail to complete the life cycle. (credit “illustration”: modification of work by Centers for Disease Control and Prevention; credit “step 3 photo”: modification of work by Fred A. Lewis, Yung-san Liang, Nithya Raghavan & Matty Knight) 194 5 The Eukaryotes of Microbiology FIGURE 5.23 Life cycle of a tapeworm. (credit “illustration”: modification of work by Centers for Disease Control and Prevention; credit “step 3 micrographs”: modification of work by American Society for Microbiology) CHECK YOUR UNDERSTANDING What group of medically important flatworms is segmented and what group is unsegmented? Access for free at openstax.org  5.2 Parasitic Helminths 195 MICRO CONNECTIONS Food for Worms? For residents of temperate, developed countries, it may be difficult to imagine just how common helminth infections are in the human population. In fact, they are quite common and even occur frequently in the United States. Worldwide, approximately 807–1,221 million people are infected with Ascaris lumbricoides (perhaps one-sixth of 8 the human population) and far more are infected if all nematode species are considered. Rates of infection are relatively high even in industrialized nations. Approximately 604–795 million people are infected with whipworm (Trichuris) worldwide (Trichuris can also infect dogs), and 576–740 million people are infected with hookworm 9 (Necator americanus and Ancylostoma duodenale). Toxocara, a nematode parasite of dogs and cats, is also able to infect humans. It is widespread in the United States, with about 10,000 symptomatic cases annually. However, one study found 14% of the population (more than 40 million Americans) was seropositive, meaning they had been exposed to the parasite at one time. More than 200 million people have schistosomiasis worldwide. Most of the World Health Organization (WHO) neglected tropical diseases are helminths. In some cases, helminths may cause subclinical illnesses, meaning the symptoms are so mild that that they go unnoticed. In other cases, the effects may be more severe or chronic, leading to fluid accumulation and organ damage. With so many people affected, these parasites constitute a major global public health concern. MICRO CONNECTIONS Eradicating the Guinea Worm Dracunculiasis, or Guinea worm disease, is caused by a nematode called Dracunculus medinensis. When people consume contaminated water, water fleas (small crustaceans) containing the nematode larvae may be ingested. These larvae migrate out of the intestine, mate, and move through the body until females eventually emerge (generally through the feet). While Guinea worm disease is rarely fatal, it is extremely painful and can be accompanied by secondary infections and edema (Figure 5.24). FIGURE 5.24 The Guinea worm can be removed from a leg vein of an infected person by gradually winding it around a stick, like this matchstick. (credit: Centers for Disease Control and Prevention) An eradication campaign led by WHO, the CDC, the United Nations Children’s Fund (UNICEF), and the Carter Center (founded by former U.S. president Jimmy Carter) has been extremely successful in reducing cases of dracunculiasis. This has been possible because diagnosis is straightforward, there is an inexpensive method of control, there is no animal reservoir, the water fleas are not airborne (they are restricted to still water), the disease is geographically limited, and there has been a commitment from the governments involved. Additionally, no vaccines or medication are required for treatment and prevention. In 1986, 3.5 million people were estimated to be affected. After the eradication campaign, which included helping people in affected areas learn to filter water with cloth, only four countries continue to report the disease (Chad, Mali, South Sudan, and Ethiopia) with a total of 126 cases reported 10 to WHO in 2014. 8 Fenwick, A. “The global burden of neglected tropical diseases.” Public health 126 no.3 (Mar 2012): 233–6. 9 de Silva, N., et. al. (2003). “Soil-transmitted helminth infections: updating the global picture”. Trends in Parasitology 19 (December 2003): 547–51. 196 5 The Eukaryotes of Microbiology 5.3 Fungi LEARNING OBJECTIVES By the end of this section, you will be able to: Explain why the study of fungi such as yeast and molds is within the discipline of microbiology Describe the unique characteristics of fungi Describe examples of asexual and sexual reproduction of fungi Compare the major groups of fungi in this chapter, and give examples of each Identify examples of the primary causes of infections due to yeasts and molds Identify examples of toxin-producing fungi Classify fungal organisms according to major groups The fungi comprise a diverse group of organisms that are heterotrophic and typically saprozoic. In addition to the well-known macroscopic fungi (such as mushrooms and molds), many unicellular yeasts and spores of macroscopic fungi are microscopic. For this reason, fungi are included within the field of microbiology. Fungi are important to humans in a variety of ways. Both microscopic and macroscopic fungi have medical relevance, with some pathogenic species that can cause mycoses (illnesses caused by fungi). Some pathogenic fungi are opportunistic, meaning that they mainly cause infections when the host’s immune defenses are compromised and do not normally cause illness in healthy individuals. Fungi are important in other ways. They act as decomposers in the environment, and they are critical for the production of certain foods such as cheeses. Fungi are also major sources of antibiotics, such as penicillin from the fungus Penicillium. Characteristics of Fungi Fungi have well-defined characteristics that set them apart from other organisms. Most multicellular fungal bodies, commonly called molds, are made up of filaments called hyphae. Hyphae can form a tangled network called a mycelium and form the thallus (body) of fleshy fungi. Hyphae that have walls between the cells are called septate hyphae; hyphae that lack walls and cell membranes between the cells are called nonseptate or coenocytic hyphae). (Figure 5.25). FIGURE 5.25 Multicellular fungi (molds) form hyphae, which may be septate or nonseptate. Unicellular fungi (yeasts) cells form pseudohyphae from individual yeast cells. In contrast to molds, yeasts are unicellular fungi. The budding yeasts reproduce asexually by budding off a smaller daughter cell; the resulting cells may sometimes stick together as a short chain or pseudohypha (Figure 5.25). Some fungi are dimorphic, having more than one appearance during their life cycle. These dimorphic fungi may be able to appear as yeasts or molds, which can be important for infectivity. They are capable of changing their appearance in response to environmental changes such as nutrient availability or fluctuations in temperature, growing as a mold, for example, at 25 °C (77 °F), and as yeast cells at 37 °C (98.6 °F). This ability helps dimorphic fungi to survive in diverse environments. Two examples of dimorphic yeasts are the human pathogens Histoplasma capsulatum and Candida albicans. H. capsulatum causes the lung disease histoplasmosis, and C. albicans is associated with vaginal yeast infections, oral thrush, and candidiasis of the skin (Figure 5.26). 10 World Health Organization. “South Sudan Reports Zero Cases of Guinea-Worm Disease for Seventh Consecutive Month.” 2016. http://www.who.int/dracunculiasis/no_new_case_for_seventh_consecutive_months/en/. Accessed May 2, 2016. Access for free at openstax.org  5.3 Fungi 197 FIGURE 5.26 Histoplasma capsulatum is a dimorphic fungus that grows in soil exposed to bird feces or bat feces (guano) (top left). It can change forms to survive at different temperatures. In the outdoors, it typically grows as a mycelium (as shown in the micrograph, bottom left), but when the spores are inhaled (right), it responds to the high internal temperature of the body (37 °C [98.6 °F]) by turning into a yeast that can multiply in the lungs, causing the chronic lung disease histoplasmosis. (credit: modification of work by Centers for Disease Control and Prevention) There are notable unique features in fungal cell walls and membranes. Fungal cell walls contain chitin, as opposed to the cellulose found in the cell walls of plants and many protists. Additionally, whereas animals have cholesterol in their cell membranes, fungal cell membranes have different sterols called ergosterols. Ergosterols are often exploited as targets for antifungal drugs. Fungal life cycles are unique and complex. Fungi reproduce sexually either through cross- or self-fertilization. Haploid fungi form hyphae that have gametes at the tips. Two different mating types (represented as “+ type” and “– type”) are involved. The cytoplasms of the + and – type gametes fuse (in an event called plasmogamy), producing a cell with two distinct nuclei (a dikaryotic cell). Later, the nuclei fuse (in an event called karyogamy) to create a diploid zygote. The zygote undergoes meiosis to form spores that germinate to start the haploid stage, which eventually creates more haploid mycelia (Figure 5.27). Depending on the taxonomic group, these sexually produced spores are known as zygospores (in Zygomycota), ascospores (in Ascomycota), or basidiospores (in Basidiomycota) (Figure 5.28). Fungi may also exhibit asexual reproduction by mitosis, mitosis with budding, fragmentation of hyphae, and formation of asexual spores by mitosis. These spores are specialized cells that, depending on the organism, may have unique characteristics for survival, reproduction, and dispersal. Fungi exhibit several types of asexual spores and these can be important in classification. 198 5 The Eukaryotes of Microbiology FIGURE 5.27 Zygomycetes have sexual and asexual life cycles. In the sexual life cycle, + and – mating types conjugate to form a zygosporangium. FIGURE 5.28 These images show asexually produced spores. (a) This brightfield micrograph shows the release of spores from a sporangium at the end of a hypha called a sporangiophore. The organism is a Mucor sp. fungus, a mold often found indoors. (b) Sporangia grow at the ends of stalks, which appear as the white fuzz seen on this bread mold, Rhizopus stolonifer. The tips of bread mold are the dark, spore-containing sporangia. (credit a: modification of work by Centers for Disease Control and Prevention; credit b right: modification of work by “Andrew”/Flickr) Access for free at openstax.org  5.3 Fungi 199 CHECK YOUR UNDERSTANDING Is a dimorphic fungus a yeast or a mold? Explain. Fungal Diversity The fungi are very diverse, comprising seven major groups. Not all of the seven groups contain pathogens. Some of these groups are generally associated with plants and include plant pathogens. For example, Urediniomycetes and Ustilagomycetes include the plant rusts and smuts, respectively. These form reddish or dark masses, respectively, on plants as rusts (red) or smuts (dark). Some species have substantial economic impact because of their ability to reduce crop yields. Glomeromycota includes the mycorrhizal fungi, important symbionts with plant roots that can promote plant growth by acting like an extended root system. The Glomeromycota are obligate symbionts, meaning that they can only survive when associated with plant roots; the fungi receive carbohydrates from the plant and the plant benefits from the increased ability to take up nutrients and minerals from the soil. The Chytridiomycetes (chytrids) are small fungi, but are extremely ecologically important. Chytrids are generally aquatic and have flagellated, motile gametes; specific types are implicated in amphibian declines around the world. Because of their medical importance, we will focus on Zygomycota, Ascomycota, Basidiomycota, and Microsporidia. Figure 5.33 summarizes the characteristics of these medically important groups of fungi. The Zygomycota (zygomycetes) are mainly saprophytes with coenocytic hyphae and haploid nuclei. They use sporangiospores for asexual reproduction. The group name comes from the zygospores that they use for sexual reproduction (Figure 5.27), which have hard walls formed from the fusion of reproductive cells from two individuals. Zygomycetes are important for food science and as crop pathogens. One example is Rhizopus stolonifer (Figure 5.28), an important bread mold that also causes rice seedling blight. Mucor is a genus of fungi that can potentially cause necrotizing infections in humans, although most species are intolerant of temperatures found in mammalian bodies (Figure 5.28). The Ascomycota include fungi that are used as food (edible mushrooms, morels, and truffles), others that are common causes of food spoilage (bread molds and plant pathogens), and still others that are human pathogens. Ascomycota may have septate hyphae and cup-shaped fruiting bodies called ascocarps. Some genera of Ascomycota use sexually produced ascospores as well as asexual spores called conidia, but sexual phases have not been discovered or described for others. Some produce an ascus containing ascospores within an ascocarp (Figure 5.29). Examples of the Ascomycota include several bread molds and minor pathogens, as well as species capable of causing more serious mycoses. Species in the genus Aspergillus are important causes of allergy and infection, and are useful in research and in the production of certain fermented alcoholic beverages such as Japanese sake. The fungus Aspergillus flavus, a contaminant of nuts and stored grains, produces an aflatoxin that is both a toxin and the most potent known natural carcinogen. Neurospora crassa is of particular use in genetics research because the spores produced by meiosis are kept inside the ascus in a row that reflects the cell divisions that produced them, giving a direct view of segregation and assortment of genes (Figure 5.30). Penicillium produces the antibiotic penicillin (Figure 5.29). Many species of ascomycetes are medically important. A large number of species in the genera Trichophyton, Microsporum, and Epidermophyton are dermatophytes, pathogenic fungi capable of causing skin infections such as athlete’s foot, jock itch, and ringworm. Blastomyces dermatitidis is a dimorphic fungus that can cause blastomycosis, a respiratory infection that, if left untreated, can become disseminated to other body sites, sometimes leading to death. Another important respiratory pathogen is the dimorphic fungus Histoplasma capsulatum (Figure 5.26), which is associated with birds and bats in the Ohio and Mississippi river valleys. Coccidioides immitis causes the serious lung disease Valley fever. Candida albicans, the most common cause of vaginal and other yeast infections, is also an ascomycete fungus; it is a part of the normal microbiota of the skin, intestine, genital tract, and ear (Figure 5.29). Ascomycetes also cause plant diseases, including ergot infections, Dutch elm disease, and powdery mildews. Saccharomyces yeasts, including the baker’s yeast S. cerevisiae, are unicellular ascomycetes with haploid and 200 5 The Eukaryotes of Microbiology diploid stages (Figure 5.31). This and other Saccharomyces species are used for brewing beer. FIGURE 5.29 (a) This brightfield micrograph shows ascospores being released from asci in the fungus Talaromyces flavus var. flavus. (b) This electron micrograph shows the conidia (spores) borne on the conidiophore of Aspergillus, a type of toxic fungus found mostly in soil and plants. (c) This brightfield micrograph shows the yeast Candida albicans, the causative agent of candidiasis and thrush. (credit a, b, c: modification of work by Centers for Disease Control and Prevention) FIGURE 5.30 These ascospores, lined up within an ascus, are produced sexually. (credit: Peter G. Werner) Access for free at openstax.org  5.3 Fungi 201 FIGURE 5.31 The life cycle of an ascomycete is characterized by the production of asci during the sexual phase. The haploid phase is the predominant phase of the life cycle. Whether spores are produced through sexual or asexual processes, they can germinate into haploid hyphae. The Basidiomycota (basidiomycetes) are fungi that have basidia (club-shaped structures) that produce basidiospores (spores produced through budding) within fruiting bodies called basidiocarps (Figure 5.32). They are important as decomposers and as food. This group includes rusts, stinkhorns, puffballs, and mushrooms. Several species are of particular importance. Cryptococcus neoformans, a fungus commonly found as a yeast in the environment, can cause serious lung infections when inhaled by individuals with weakened immune systems. The edible meadow mushroom, Agricus campestris, is a basidiomycete, as is the poisonous mushroom Amanita phalloides, known as the death cap. The deadly toxins produced by A. phalloides have been used to study transcription. 202 5 The Eukaryotes of Microbiology FIGURE 5.32 The life cycle of a basidiomycete alternates a haploid generation with a prolonged stage in which two nuclei (dikaryon) are present in the hyphae. Finally, the Microsporidia are unicellular fungi that are obligate intracellular parasites. They lack mitochondria, peroxisomes, and centrioles, but their spores release a unique polar tubule that pierces the host cell membrane to allow the fungus to gain entry into the cell. A number of microsporidia are human pathogens, and infections with microsporidia are called microsporidiosis. One pathogenic species is Enterocystozoan bieneusi, which can cause symptoms such as diarrhea, cholecystitis (inflammation of the gall bladder), and in rare cases, respiratory illness. Access for free at openstax.org  5.3 Fungi 203 FIGURE 5.33 (credit “Ascomycota”: modification of work by Dr. Lucille Georg, Centers for Disease Control and Prevention; credit “Microsporidia”: modification of work by Centers for Disease Control and Prevention) CHECK YOUR UNDERSTANDING Which group of fungi appears to be associated with the greatest number of human diseases? 204 5 The Eukaryotes of Microbiology MICRO CONNECTIONS Eukaryotic Pathogens in Eukaryotic Hosts When we think about antimicrobial medications, antibiotics such as penicillin often come to mind. Penicillin and related antibiotics interfere with the synthesis of peptidoglycan cell walls, which effectively targets bacterial cells. These antibiotics are useful because humans (like all eukaryotes) do not have peptidoglycan cell walls. Developing medications that are effective against eukaryotic cells but not harmful to human cells is more difficult. Despite huge morphological differences, the cells of humans, fungi, and protists are similar in terms of their ribosomes, cytoskeletons, and cell membranes. As a result, it is more challenging to develop medications that target protozoans and fungi in the same way that antibiotics target prokaryotes. Fungicides have relatively limited modes of action. Because fungi have ergosterols (instead of cholesterol) in their cell membranes, the different enzymes involved in sterol production can be a target of some medications. The azole and morpholine fungicides interfere with the synthesis of membrane sterols. These are used widely in agriculture (fenpropimorph) and clinically (e.g., miconazole). Some antifungal medications target the chitin cell walls of fungi. Despite the success of these compounds in targeting fungi, antifungal medications for systemic infections still tend to have more toxic side effects than antibiotics for bacteria. CLINICAL FOCUS Part 3 Sarah is relieved the ringworm is not an actual worm, but wants to know what it really is. The physician explains that ringworm is a fungus. He tells her that she will not see mushrooms popping out of her skin, because this fungus is more like the invisible part of a mushroom that hides in the soil. He reassures her that they are going to get the fungus out of her too. The doctor cleans and then carefully scrapes the lesion to place a specimen on a slide. By looking at it under a microscope, the physician is able to confirm that a fungal infection is responsible for Sarah’s lesion. In Figure 5.34, it is possible to see macro- and microconidia in Trichophyton rubrum. Cell walls are also visible. Even if the pathogen resembled a helminth under the microscope, the presence of cell walls would rule out the possibility because animal cells lack cell walls. The doctor prescribes an antifungal cream for Sarah’s mother to apply to the ringworm. Sarah’s mother asks, “What should we do if it doesn’t go away?” Can all forms of ringworm be treated with the same antifungal medication? FIGURE 5.34 This micrograph shows hyphae (macroconidium) and microconidia of Trichophyton rubrum, a dermatophyte responsible for fungal infections of the skin. (credit: modification of work by Centers for Disease Control and Prevention) Access for free at openstax.org  5.4 Algae 205 Jump to the next Clinical Focus box. Go back to the previous Clinical Focus box. 5.4 Algae LEARNING OBJECTIVES By the end of this section, you will be able to: Explain why algae are included within the discipline of microbiology Describe the unique characteristics of algae Identify examples of toxin-producing algae Compare the major groups of algae in this chapter, and give examples of each Classify algal organisms according to major groups The algae are autotrophic protists that can be unicellular or multicellular. These organisms are found in the supergroups Chromalveolata (dinoflagellates, diatoms, golden algae, and brown algae) and Archaeplastida (red algae and green algae). They are important ecologically and environmentally because they are responsible for the production of approximately 70% of the oxygen and organic matter in aquatic environments. Some types of algae, even those that are microscopic, are regularly eaten by humans and other animals. Additionally, algae are the source for agar, agarose, and carrageenan, solidifying agents used in laboratories and in food production. Although algae are typically not pathogenic, some produce toxins. Harmful algal blooms, which occur when algae grow quickly and produce dense populations, can produce high concentrations of toxins that impair liver and nervous-system function in aquatic animals and humans. Like protozoans, algae often have complex cell structures. For instance, algal cells can have one or more chloroplasts that contain structures called pyrenoids to synthesize and store starch. The chloroplasts themselves differ in their number of membranes, indicative of secondary or rare tertiary endosymbiotic events. Primary chloroplasts have two membranes—one from the original cyanobacteria that the ancestral eukaryotic cell engulfed, and one from the plasma membrane of the engulfing cell. Chloroplasts in some lineages appear to have resulted from secondary endosymbiosis, in which another cell engulfed a green or red algal cell that already had a primary chloroplast within it. The engulfing cell destroyed everything except the chloroplast and possibly the cell membrane of its original cell, leaving three or four membranes around the chloroplast. Different algal groups have different pigments, which are reflected in common names such as red algae, brown algae, and green algae. Some algae, the seaweeds, are macroscopic and may be confused with plants. Seaweeds can be red, brown, or green, depending on their photosynthetic pigments. Green algae, in particular, share some important similarities with land plants; however, there are also important distinctions. For example, seaweeds do not have true tissues or organs like plants do. Additionally, seaweeds do not have a waxy cuticle to prevent desiccation. Algae can also be confused with cyanobacteria, photosynthetic bacteria that bear a resemblance to algae; however, cyanobacteria are prokaryotes (see Nonproteobacteria Gram-negative Bacteria and Phototrophic Bacteria). Algae have a variety of life cycles. Reproduction may be asexual by mitosis or sexual using gametes. Algal Diversity Although the algae and protozoa were formerly separated taxonomically, they are now mixed into supergroups. The algae are classified within the Chromalveolata and the Archaeplastida. Although the Euglenozoa (within the supergroup Excavata) include photosynthetic organisms, these are not considered algae because they feed and are motile. The dinoflagellates and stramenopiles fall within the Chromalveolata. The dinoflagellates are mostly marine organisms and are an important component of plankton. They have a variety of nutritional types and may be phototrophic, heterotrophic, or mixotrophic. Those that are photosynthetic use chlorophyll a, chlorophyll c2, and other photosynthetic pigments (Figure 5.35). They generally have two flagella, causing them to whirl (in fact, the name dinoflagellate comes from the Greek word for “whirl”: dini). Some have cellulose plates forming a hard outer covering, or theca, as armor. Additionally, some dinoflagellates produce neurotoxins that can cause paralysis in humans or fish. Exposure can occur through contact with water containing the dinoflagellate toxins or by feeding on organisms that have eaten dinoflagellates. 206 5 The Eukaryotes of Microbiology When a population of dinoflagellates becomes particularly dense, a red tide (a type of harmful algal bloom) can occur. Red tides cause harm to marine life and to humans who consume contaminated marine life. Major toxin producers include Gonyaulax and Alexandrium, both of which cause paralytic shellfish poisoning. Another species, Pfiesteria piscicida, is known as a fish killer because, at certain parts of its life cycle, it can produce toxins harmful to fish and it appears to be responsible for a suite of symptoms, including memory loss and confusion, in humans exposed to water containing the species. FIGURE 5.35 The dinoflagellates exhibit great diversity in shape. Many are encased in cellulose armor and have two flagella that fit in grooves between the plates. Movement of these two perpendicular flagella causes a spinning motion. (credit: modification of work by CSIRO) The stramenopiles include the golden algae (Chrysophyta), the brown algae (Phaeophyta), and the diatoms (Bacillariophyta). Stramenopiles have chlorophyll a, chlorophyll c1/c2, and fucoxanthin as photosynthetic pigments. Their storage carbohydrate is chrysolaminarin. While some lack cell walls, others have scales. Diatoms have frustules, which are outer cell walls of crystallized silica; their fossilized remains are used to produce diatomaceous earth, which has a range of uses such as filtration and insulation. Additionally, diatoms can reproduce sexually and asexually, and the male gametes of centric diatoms have flagella providing directed movement to seek female gametes for sexual reproduction. Brown algae (Phaeophyta) are multicellular marine seaweeds. Some can be extremely large, such as the giant kelp (Laminaria). They have leaf-like blades, stalks, and structures called holdfasts that are used to attach to substrate. However, these are not true leaves, stems, or roots (Figure 5.36). Their photosynthetic pigments are chlorophyll a, chlorophyll c, β-carotene, and fucoxanthine. They use laminarin as a storage carbohydrate. The Archaeplastids include the green algae (Chlorophyta), the red algae (Rhodophyta), another group of green algae (Charophyta), and the land plants. The Charaphyta are the most similar to land plants because they share a mechanism of cell division and an important biochemical pathway, among other traits that the other groups do not have. Like land plants, the Charophyta and Chlorophyta have chlorophyll a and chlorophyll b as photosynthetic pigments, cellulose cell walls, and starch as a carbohydrate storage molecule. Chlamydomonas is a green alga that has a single large chloroplast, two flagella, and a stigma (eyespot); it is important in molecular biology research (Figure 5.37). Chlorella is a nonmotile, large, unicellular alga, and Acetabularia is an even larger unicellular green alga. The size of these organisms challenges the idea that all cells are small, and they have been used in genetics research since Joachim Hämmerling (1901–1980) began to work with them in 1943. Volvox is a colonial, unicellular alga (Figure 5.37). A larger, multicellular green alga is Ulva, also known as the sea lettuce because of its large, edible, green blades. The range of life forms within the Chlorophyta—from unicellular to various levels of coloniality to multicellular forms—has been a useful research model for understanding the evolution of multicellularity. The red algae are mainly multicellular but include some unicellular forms. They have rigid cell walls containing agar or carrageenan, which are useful as food solidifying agents and as a solidifier added to growth media for microbes. Access for free at openstax.org  5.4 Algae 207 FIGURE 5.36 (a) These large multicellular kelps are members of the brown algae. Note the “leaves” and “stems” that make them appear similar to green plants. (b) This is a species of red algae that is also multicellular. (c) The green alga Halimeda incrassata, shown here growing on the sea floor in shallow water, appears to have plant-like structures, but is not a true plant. (d) Bioluminesence, visible in the cresting wave in this picture, is a phenomenon of certain dinoflagellates. (e) Diatoms (pictured in this micrograph) produce silicaceous tests (skeletons) that form diatomaceous earths. (f) Colonial green algae, like volvox in these three micrographs, exhibit simple cooperative associations of cells. (credit a, e: modification of work by NOAA; credit b: modification of work by Ed Bierman; credit c: modification of work by James St. John; credit d: modification of work by “catalano82”/Flickr; credit f: modification of work by Dr. Ralf Wagner) 208 5 The Eukaryotes of Microbiology FIGURE 5.37 Chlamydomonas is a unicellular green alga. CHECK YOUR UNDERSTANDING Which groups of algae are associated with harmful algal blooms? 5.5 Lichens LEARNING OBJECTIVES By the end of this section, you will be able to: Explain why lichens are included in the study of microbiology Describe the unique characteristics of a lichen and the role of each partner in the symbiotic relationship of a lichen Describe ways in which lichens are beneficial to the environment No one has to worry about getting sick from a lichen infection, but lichens are interesting from a microbiological perspective and they are an important component of most terrestrial ecosystems. Lichens provide opportunities for study of close relationships between unrelated microorganisms. Lichens contribute to soil production by breaking down rock, and they are early colonizers in soilless environments such as lava flows. The cyanobacteria in some lichens can fix nitrogen and act as a nitrogen source in some environments. Lichens are also important soil stabilizers in some desert environments and they are an important winter food source for caribou. Finally, lichens produce compounds that have antibacterial effects, and further research may discover compounds that are medically useful to humans. Characteristics A lichen is a combination of two organisms, a green alga or cyanobacterium and fungus, living in a symbiotic relationship. Whereas algae normally grow only in aquatic or extremely moist environments, lichens can potentially be found on almost any surface (especially rocks) or as epiphytes (meaning that they grow on other plants). In some ways, the symbiotic relationship between fungi and algae seems like a mutualism (a relationship in which both organisms benefit). The fungus can obtain photosynthates from the algae or cyanobacterium and the algae or cyanobacterium can grow in a drier environment than it could otherwise tolerate. However, most scientists consider this symbiotic relationship to be a controlled parasitism (a relationship in which one organism benefits and the other is harmed) because the photosynthetic organism grows less well than it would without the fungus. It is important to note that such symbiotic interactions fall along a continuum between conflict and cooperation. Lichens are slow growing and can live for centuries. They have been used in foods and to extract chemicals as dyes or antimicrobial substances. Some are very sensitive to pollution and have been used as environmental indicators. Lichens have a body called a thallus, an outer, tightly packed fungal layer called a cortex, and an inner, loosely packed fungal layer called a medulla (Figure 5.38). Lichens use hyphal bundles called rhizines to attach to the Access for free at openstax.org  5.5 Lichens 209 substrate. FIGURE 5.38 This cross-section of a lichen thallus shows its various components. The upper cortex of fungal hyphae provides protection. Photosynthesis occurs in the algal zone. The medulla consists of fungal hyphae. The lower cortex also provides protection. The rhizines anchor the thallus to the substrate. Lichen Diversity Lichens are classified as fungi and the fungal partners belong to the Ascomycota and Basidiomycota. Lichens can also be grouped into types based on their morphology. There are three major types of lichens, although other types exist as well. Lichens that are tightly attached to the substrate, giving them a crusty appearance, are called crustose lichens. Those that have leaf-like lobes are foliose lichens; they may only be attached at one point in the growth form, and they also have a second cortex below the medulla. Finally, fruticose lichens have rounded structures and an overall branched appearance. Figure 5.39 shows an example of each of the forms of lichens. FIGURE 5.39 Examples of the three types of lichens are shown here. (a) This is a crustose lichen found mostly on marine rocks, Caloplaca marina. (b) This is a foliose lichen, Flavoparmelia caperata. (c) This is a fruticose lichen, Letharia vulpina, which is sufficiently poisonous that it was once used to make arrowheads. (credit b, c: modification of work by Jason Hollinger) CHECK YOUR UNDERSTANDING What types of organisms are found in lichens? 210 5 The Eukaryotes of Microbiology What are the three growth forms of lichens? CLINICAL FOCUS Resolution Sarah’s mother asks the doctor what she should do if the cream prescribed for Sarah’s ringworm does not work. The doctor explains that ringworm is a general term for a condition caused by multiple species. The first step is to take a scraping for examination under the microscope, which the doctor has already done. He explains that he has identified the infection as a fungus, and that the antifungal cream works against the most common fungi associated with ringworm. However, the cream may not work against some species of fungus. If the cream is not working after a couple of weeks, Sarah should come in for another visit, at which time the doctor will take steps to identify the species of the fungus. Positive identification of dermatophytes requires culturing. For this purpose, Sabouraud’s agar may be used. In the case of Sarah’s infection, which cleared up within 2 weeks of treatment, the culture would have a granular texture and would appear pale pink on top and red underneath. These features suggest that the fungus is Trichophyton rubrum, a common cause of ringworm. Go back to the previous Clinical Focus box. Access for free at openstax.org  5 Summary 211 Summary 5.1 Unicellular Eukaryotic Parasites Medically important species exist in the four fungal groups Zygomycota, Ascomycota, Protists are a diverse, polyphyletic group of Basidiomycota, and Microsporidia eukaryotic organisms. Members of Zygomycota, Ascomycota, and Protists may be unicellular or multicellular. They Basidiomycota produce deadly toxins vary in how they get their nutrition, morphology, Important differences in fungal cells, such as method of locomotion, and mode of ergosterols in fungal membranes, can be targets reproduction. for antifungal medications, but similarities Important structures of protists include between human and fungal cells make it difficult contractile vacuoles, cilia, flagella, pellicles, to find targets for medications and these and pseudopodia; some lack organelles such as medications often have toxic adverse effects mitochondria. Taxonomy of protists is changing rapidly as 5.4 Algae relationships are reassessed using newer Algae are a diverse group of photosynthetic techniques. eukaryotic protists The protists include important pathogens and Algae may be unicellular or multicellular parasites. Large, multicellular algae are called seaweeds 5.2 Parasitic Helminths but are not plants and lack plant-like tissues and organs Helminth parasites are included within the study Although algae have little pathogenicity, they of microbiology because they are often identified may be associated with toxic algal blooms that by looking for microscopic eggs and larvae. can and aquatic wildlife and contaminate The two major groups of helminth parasites are seafood with toxins that cause paralysis the roundworms (Nematoda) and the flatworms Algae are important for producing agar, which is (Platyhelminthes). used as a solidifying agent in microbiological Nematodes are common intestinal parasites media, and carrageenan, which is used as a often transmitted through undercooked foods, solidifying agent although they are also found in other environments. 5.5 Lichens Platyhelminths include tapeworms and flukes, Lichens are a symbiotic association between a which are often transmitted through fungus and an algae or a cyanobacterium undercooked meat. The symbiotic association found in lichens is 5.3 Fungi currently considered to be a controlled parasitism, in which the fungus benefits and the The fungi include diverse saprotrophic eukaryotic algae or cyanobacterium is harmed organisms with chitin cell walls Lichens are slow growing and can live for Fungi can be unicellular or multicellular; some centuries in a variety of habitats (like yeast) and fungal spores are microscopic, Lichens are environmentally important, helping whereas some are large and conspicuous to create soil, providing food, and acting as Reproductive types are important in indicators of air pollution distinguishing fungal groups Review Questions Multiple Choice 1. Which genus includes the causative agent for 2. Which protist is a concern because of its ability malaria? to contaminate water supplies and cause A. Euglena diarrheal illness? B. Paramecium A. Plasmodium vivax C. Plasmodium B. Toxoplasma gondii D. Trypanosoma C. Giardia lamblia D. Trichomonas vaginalis 212 5 Review Questions 3. A fluke is classified within which of the C. Rhizopus stolonifera following? D. Trichophyton rubrum A. Nematoda B. Rotifera 9. Which polysaccharide found in red algal cell C. Platyhelminthes walls is a useful solidifying agent? D. Annelida A. chitin B. cellulose 4. A nonsegmented worm is found during a routine C. phycoerythrin colonoscopy of an individual who reported D. agar having abdominal cramps, nausea, and vomiting. This worm is likely which of the following? 10. Which is the term for the hard outer covering of A. nematode some dinoflagellates? B. fluke A. theca C. trematode B. thallus D. annelid C. mycelium D. shell 5. A segmented worm has male and female reproductive organs in each segment. Some use 11. Which protists are associated with red tides? hooks to attach to the intestinal wall. Which type A. red algae of worm is this? B. brown algae A. fluke C. dinoflagellates B. nematode D. green algae C. cestode D. annelid 12. You encounter a lichen with leafy structures. Which term describes this lichen? 6. Mushrooms are a type of which of the following? A. crustose A. conidia B. foliose B. ascus C. fruticose C. polar tubule D. agarose D. basidiocarp 13. Which of the following is the term for the outer 7. Which of the following is the most common layer of a lichen? cause of human yeast infections? A. the cortex A. Candida albicans B. the medulla B. Blastomyces dermatitidis C. the thallus C. Cryptococcus neoformans D. the theca D. Aspergillus fumigatus 14. The fungus in a lichen is which of the following? 8. Which of the following is an ascomycete fungus A. a basidiomycete associated with bat droppings that can cause a B. an ascomycete respiratory infection if inhaled? C. a zygomycete A. Candida albicans D. an apicomplexan B. Histoplasma capsulatum Fill in the Blank 15. The plasma membrane of a protist is called the male and female individuals is described as __________. _________. 16. Animals belong to the same supergroup as the 19. Nonseptate hyphae are also called _________. kingdom __________. 20. Unicellular fungi are called _________. 17. Flukes are in class _________. 21. Some fungi have proven medically useful 18. A species of worm in which there are distinct because they can be used to produce Access for free at openstax.org  5 Review Questions 213 _________. 23. Algae with chloroplasts with three or four membranes are a result of ________ ________. 22. Structures in chloroplasts used to synthesize and store starch are called ________. Short Answer 24. What are kinetoplastids? infections)? 25. Aside from a risk of birth defects, what other 29. What is a dikaryotic cell? effect might a toxoplasmosis infection have? 30. What is a distinctive feature of diatoms? 26. What is the function of the ciliate macronucleus? 31. Why are algae not considered parasitic? 27. What is the best defense against tapeworm 32. Which groups contain the multicellular algae? infection? 33. What are three ways that lichens are 28. Which genera of fungi are common environmentally valuable? dermatophytes (fungi that cause skin Critical Thinking 34. The protist shown has which of the following? approaches differ from older approaches? A. pseudopodia 36. What characteristics might make you think a B. flagella protist could be pathogenic? Are certain C. a shell nutritional characteristics, methods of D. cilia locomotion, or morphological differences likely to be associated with the ability to cause disease? 37. Given the life cycle of the Schistosoma parasite, suggest a method of prevention of the disease. 38. Which of the drawings shows septate hyphae? FIGURE 5.40 (credit: modification of work by Richard Robinson) 35. Protist taxonomy has changed greatly in recent years as relationships have been re-examined 39. Explain the benefit of research into the pathways using newer approaches. How do newer involved in the synthesis of chitin in fungi. 214 5 Review Questions Access for free at openstax.org CHAPTER 6 Acellular Pathogens FIGURE 6.1 The year 2014 saw the first large-scale outbreak of Ebola virus (electron micrograph, left) in human populations in West Africa (right). Such epidemics are now widely reported and documented, but viral epidemics are sure to have plagued human populations since the origin of our species. (credit left: modification of work by Thomas W. Geisbert) CHAPTER OUTLINE 6.1 Viruses 6.2 The Viral Life Cycle 6.3 Isolation, Culture, and Identification of Viruses 6.4 Viroids, Virusoids, and Prions INTRODUCTION Public health measures in the developed world have dramatically reduced mortality from viral epidemics. But when epidemics do occur, they can spread quickly with global air travel. In 2009, an outbreak of H1N1 influenza spread across various continents. In early 2014, cases of Ebola in Guinea led to a massive epidemic in western Africa. This included the case of an infected man who traveled to the United States, sparking fears the epidemic might spread beyond Africa. Until the late 1930s and the advent of the electron microscope, no one had seen a virus. Yet treatments for preventing or curing viral infections were used and developed long before that. Historical records suggest that by the 17th century, and perhaps earlier, inoculation (also known as variolation) was being used to prevent the viral disease smallpox in various parts of the world. By the late 18th century, Englishman Edward Jenner was inoculating 1 patients with cowpox to prevent smallpox, a technique he coined vaccination. Today, the structure and genetics of viruses are well defined, yet new discoveries continue to reveal their complexities. In this chapter, we will learn about the structure, classification, and cultivation of viruses, and how they impact their hosts. In addition, we will learn about other infective particles such as viroids and prions. 1 S. Riedel “Edward Jenner and the History of Smallpox and Vaccination.” Baylor University Medical Center Proceedings 18, no. 1 (January 2005): 21–25. 216 6 Acellular Pathogens 6.1 Viruses LEARNING OBJECTIVES By the end of this section, you will be able to: Describe the general characteristics of viruses as pathogens Describe viral genomes Describe the general characteristics of viral life cycles Differentiate among bacteriophages, plant viruses, and animal viruses Describe the characteristics used to identify viruses as obligate intracellular parasites CLINICAL FOCUS Part 1 David, a 45-year-old journalist, has just returned to the U.S. from travels in Russia, China, and Africa. He is not feeling well, so he goes to his general practitioner complaining of weakness in his arms and legs, fever, headache, noticeable agitation, and minor discomfort. He thinks it may be related to a dog bite he suffered while interviewing a Chinese farmer. He is experiencing some prickling and itching sensations at the site of the bite wound, but he tells the doctor that the dog seemed healthy and that he had not been concerned until now. The doctor ordered a culture and sensitivity test to rule out bacterial infection of the wound, and the results came back negative for any possible pathogenic bacteria. Based on this information, what additional tests should be performed on the patient? What type of treatment should the doctor recommend? Jump to the next Clinical Focus box. Despite their small size, which prevented them from being seen with light microscopes, the discovery of a filterable 2 component smaller than a bacterium that causes tobacco mosaic disease (TMD) dates back to 1892. At that time, Dmitri Ivanovski, a Russian botanist, discovered the source of TMD by using a porcelain filtering device first invented by Charles Chamberland and Louis Pasteur in Paris in 1884. Porcelain Chamberland filters have a pore size of 0.1 µm, which is small enough to remove all bacteria ≥0.2 µm from any liquids passed through the device. An extract obtained from TMD-infected tobacco plants was made to determine the cause of the disease. Initially, the source of the disease was thought to be bacterial. It was surprising to everyone when Ivanovski, using a Chamberland filter, found that the cause of TMD was not removed after passing the extract through the porcelain filter. So if a bacterium was not the cause of TMD, what could be causing the disease? Ivanovski concluded the cause of TMD must be an extremely small bacterium or bacterial spore. Other scientists, including Martinus Beijerinck, continued investigating the cause of TMD. It was Beijerinck, in 1899, who eventually concluded the causative agent was not a bacterium but, instead, possibly a chemical, like a biological poison we would describe today as a toxin. As a result, the word virus, Latin for poison, was used to describe the cause of TMD a few years after Ivanovski’s initial discovery. Even though he was not able to see the virus that caused TMD, and did not realize the cause was not a bacterium, Ivanovski is credited as the original discoverer of viruses and a founder of the field of virology. Today, we can see viruses using electron microscopes (Figure 6.2) and we know much more about them. Viruses are distinct biological entities; however, their evolutionary origin is still a matter of speculation. In terms of taxonomy, they are not included in the tree of life because they are acellular (not consisting of cells). In order to survive and reproduce, viruses must infect a cellular host, making them obligate intracellular parasites. The genome of a virus enters a host cell and directs the production of the viral components, proteins and nucleic acids, needed to form new virus particles called virions. New virions are made in the host cell by assembly of viral components. The new virions transport the viral genome to another host cell to carry out another round of infection. Table 6.1 summarizes the properties of viruses. 2 H. Lecoq. “[Discovery of the First Virus, the Tobacco Mosaic Virus: 1892 or 1898?].” Comptes Rendus de l’Academie des Sciences – Serie III – Sciences de la Vie 324, no. 10 (2001): 929–933. Access for free at openstax.org  6.1 Viruses 217 Characteristics of Viruses Infectious, acellular pathogens Obligate intracellular parasites with host and cell-type specificity DNA or RNA genome (never both) Genome is surrounded by a protein capsid and, in some cases, a phospholipid membrane studded with viral glycoproteins Lack genes for many products needed for successful reproduction, requiring exploitation of host-cell genomes to reproduce TABLE 6.1 FIGURE 6.2 (a) Tobacco mosaic virus (TMV) viewed with transmission electron microscope. (b) Plants infected with tobacco mosaic disease (TMD), caused by TMV. (credit a: modification of work by USDA Agricultural Research Service—scale-bar data from Matt Russell; credit b: modification of work by USDA Forest Service, Department of Plant Pathology Archive North Carolina State University) CHECK YOUR UNDERSTANDING Why was the first virus investigated mistaken for a toxin? Hosts and Viral Transmission Viruses can infect every type of host cell, including those of plants, animals, fungi, protists, bacteria, and archaea. Most viruses will only be able to infect the cells of one or a few species of organism. This is called the host range. However, having a wide host range is not common and viruses will typically only infect specific hosts and only specific cell types within those hosts. The viruses that infect bacteria are called bacteriophages, or simply phages. The word phage comes from the Greek word for devour. Other viruses are just identified by their host group, such as animal or plant viruses. Once a cell is infected, the effects of the virus can vary depending on the type of virus. Viruses may cause abnormal growth of the cell or cell death, alter the cell’s genome, or cause little noticeable effect in the cell. Viruses can be transmitted through direct contact, indirect contact with fomites, or through a vector: an animal that transmits a pathogen from one host to another. Arthropods such as mosquitoes, ticks, and flies, are typical vectors for viral diseases, and they may act as mechanical vectors or biological vectors. Mechanical transmission occurs when the arthropod carries a viral pathogen on the outside of its body and transmits it to a new host by physical contact. Biological transmission occurs when the arthropod carries the viral pathogen inside its body and transmits it to the new host through biting. In humans, a wide variety of viruses are capable of causing various infections and diseases. Some of the deadliest 218 6 Acellular Pathogens emerging pathogens in humans are viruses, yet we have few treatments or drugs to deal with viral infections, making them difficult to eradicate. Viruses that can be transmitted from an animal host to a human host can cause zoonoses. For example, the avian influenza virus originates in birds, but can cause disease in humans. Reverse zoonoses are caused by infection of an animal by a virus that originated in a human. MICRO CONNECTIONS Fighting Bacteria with Viruses The emergence of superbugs, or multidrug resistant bacteria, has become a major challenge for pharmaceutical companies and a serious health-care problem. According to a 2013 report by the US Centers for Disease Control and Prevention (CDC), more than 2 million people are infected with drug-resistant bacteria in the US annually, resulting 3 in at least 23,000 deaths. The continued use and overuse of antibiotics will likely lead to the evolution of even more drug-resistant strains. One potential solution is the use of phage therapy, a procedure that uses bacteria-killing viruses (bacteriophages) to treat bacterial infections. Phage therapy is not a new idea. The discovery of bacteriophages dates back to the early 4 20th century, and phage therapy was first used in Europe in 1915 by the English bacteriologist Frederick Twort. However, the subsequent discovery of penicillin and other antibiotics led to the near abandonment of this form of therapy, except in the former Soviet Union and a few countries in Eastern Europe. Interest in phage therapy outside of the countries of the former Soviet Union is only recently re-emerging because of the rise in antibiotic-resistant 5 bacteria. Phage therapy has some advantages over antibiotics in that phages kill only one specific bacterium, whereas antibiotics kill not only the pathogen but also beneficial bacteria of the normal microbiota. Development of new antibiotics is also expensive for drug companies and for patients, especially for those who live in countries with high poverty rates. Phages have also been used to prevent food spoilage. In 2006, the US Food and Drug Administration approved the use of a solution containing six bacteriophages that can be sprayed on lunch meats such as bologna, ham, and turkey to kill Listeria monocytogenes, a bacterium responsible for listeriosis, a form of food poisoning. Some consumers have concerns about the use of phages on foods, however, especially given the rising popularity of organic products. Foods that have been treated with phages must declare “bacteriophage preparation” in the list of ingredients or include a label declaring that the meat has been “treated with antimicrobial solution to reduce 6 microorganisms.” CHECK YOUR UNDERSTANDING Why do humans not have to be concerned about the presence of bacteriophages in their food? What are three ways that viruses can be transmitted between hosts? Viral Structures In general, virions (viral particles) are small and cannot be observed using a regular light microscope. They are much smaller than prokaryotic and eukaryotic cells; this is an adaptation allowing viruses to infect these larger cells (see Figure 6.3). The size of a virion can range from 20 nm for small viruses up to 900 nm for typical, large viruses (see Figure 6.4). Recent discoveries, however, have identified new giant viral species, such as Pandoravirus salinus and 7 Pithovirus sibericum, with sizes approaching that of a bacterial cell. 3 US Department of Health and Human Services, Centers for Disease Control and Prevention. “Antibiotic Resistance Threats in the United States, 2013.” http://www.cdc.gov/drugresistance/pdf/ar-threats-2013-508.pdf (accessed September 22, 2015). 4 M. Clokie et al. “Phages in Nature.” Bacteriophage 1, no. 1 (2011): 31–45. 5 A. Sulakvelidze et al. “Bacteriophage Therapy.” Antimicrobial Agents and Chemotherapy 45, no. 3 (2001): 649–659. 6 US Food and Drug Administration. “FDA Approval of Listeria-specific Bacteriophage Preparation on Ready-to-Eat (RTE) Meat and Poultry Products.” http://www.fda.gov/food/ingredientspackaginglabeling/ucm083572.htm (accessed September 22, 2015). Access for free at openstax.org  6.1 Viruses 219 FIGURE 6.3 (a) In this transmission electron micrograph, a bacteriophage (a virus that infects bacteria) is dwarfed by the bacterial cell it infects. (b) An illustration of the bacteriophage in the micrograph. (credit a: modification of work by U.S. Department of Energy, Office of Science, LBL, PBD) FIGURE 6.4 The size of a virus is small relative to the size of most bacterial and eukaryotic cells and their organelles. In 1935, after the development of the electron microscope, Wendell Stanley was the first scientist to crystallize the structure of the tobacco mosaic virus and discovered that it is composed of RNA and protein. In 1943, he isolated Influenza B virus, which contributed to the development of an influenza (flu) vaccine. Stanley’s discoveries unlocked the mystery of the nature of viruses that had been puzzling scientists for over 40 years and his contributions to the field of virology led to him being awarded the Nobel Prize in 1946. As a result of continuing research into the nature of viruses, we now know they consist of a nucleic acid (either RNA or DNA, but never both) surrounded by a protein coat called a capsid (see Figure 6.5). The interior of the capsid is not filled with cytosol, as in a cell, but instead it contains the bare necessities in terms of genome and enzymes needed to direct the synthesis of new virions. Each capsid is composed of protein subunits called capsomeres made of one or more different types of capsomere proteins that interlock to form the closely packed capsid. There are two categories of viruses based on general composition. Viruses formed from only a nucleic acid and capsid are called naked viruses or nonenveloped viruses. Viruses formed with a nucleic-acid packed capsid 7 N. Philippe et al. “Pandoraviruses: Amoeba Viruses with Genomes up to 2.5 Mb Reaching that of Parasitic Eukaryotes.” Science 341, no. 6143 (2013): 281–286. 220 6 Acellular Pathogens surrounded by a lipid layer are called enveloped viruses (see Figure 6.5). The viral envelope is a small portion of phospholipid membrane obtained as the virion buds from a host cell. The viral envelope may either be intracellular or cytoplasmic in origin. Extending outward and away from the capsid on some naked viruses and enveloped viruses are protein structures called spikes. At the tips of these spikes are structures that allow the virus to attach and enter a cell, like the influenza virus hemagglutinin spikes (H) or enzymes like the neuraminidase (N) influenza virus spikes that allow the virus to detach from the cell surface during release of new virions. Influenza viruses are often identified by their H 8 and N spikes. For example, H1N1 influenza viruses were responsible for the pandemics in 1918 and 2009, H2N2 for the pandemic in 1957, and H3N2 for the pandemic in 1968. FIGURE 6.5 (a) The naked atadenovirus uses spikes made of glycoproteins from its capsid to bind to host cells. (b) The enveloped human immunodeficiency virus uses spikes made of glycoproteins embedded in its envelope to bind to host cells (credit a “micrograph”: modification of work by NIAID; credit b “micrograph”: modification of work by Centers for Disease Control and Prevention) Viruses vary in the shape of their capsids, which can be either helical, polyhedral, or complex. A helical capsid forms the shape of tobacco mosaic virus (TMV), a naked helical virus, and Ebola virus, an enveloped helical virus. The capsid is cylindrical or rod shaped, with the genome fitting just inside the length of the capsid. Polyhedral capsids form the shapes of poliovirus and rhinovirus, and consist of a nucleic acid surrounded by a polyhedral (many-sided) capsid in the form of an icosahedron. An icosahedral capsid is a three-dimensional, 20-sided structure with 12 vertices. These capsids somewhat resemble a soccer ball. Both helical and polyhedral viruses can 8 J. Cohen. “What’s Old Is New: 1918 Virus Matches 2009 H1N1 Strain. Science 327, no. 5973 (2010): 1563–1564. Access for free at openstax.org  6.1 Viruses 221 have envelopes. Viral shapes seen in certain types of bacteriophages, such as T4 phage, and poxviruses, like vaccinia virus, may have features of both polyhedral and helical viruses so they are described as a complex viral shape (see Figure 6.6). In the bacteriophage complex form, the genome is located within the polyhedral head and the sheath connects the head to the tail fibers and tail pins that help the virus attach to receptors on the host cell’s surface. Poxviruses that have complex shapes are often brick shaped, with intricate surface characteristics not seen in the other categories of capsid. FIGURE 6.6 Viral capsids can be (a) helical, (b) polyhedral, or (c) have a complex shape. (credit a “micrograph”: modification of work by USDA ARS; credit b “micrograph”: modification of work by U.S. Department of Energy) CHECK YOUR UNDERSTANDING Which types of viruses have spikes? Classification and Taxonomy of Viruses Although viruses are not classified in the three domains of life, their numbers are great enough to require classification. Since 1971, the International Union of Microbiological Societies Virology Division has given the task of developing, refining, and maintaining a universal virus taxonomy to the International Committee on Taxonomy of Viruses (ICTV). Since viruses can mutate so quickly, it can be difficult to classify them into a genus and a species epithet using the binomial nomenclature system. Thus, the ICTV’s viral nomenclature system classifies viruses into families and genera based on viral genetics, chemistry, morphology, and mechanism of multiplication. To date, the ICTV has classified known viruses in seven orders, 96 families, and 350 genera. Viral family names end in -viridae (e.g, Parvoviridae) and genus names end in −virus (e.g., Parvovirus). The names of viral orders, families, and genera are all italicized. When referring to a viral species, we often use a genus and species epithet such as Pandoravirus dulcis or Pandoravirus salinus. 222 6 Acellular Pathogens The Baltimore classification system is an alternative to ICTV nomenclature. The Baltimore system classifies viruses according to their genomes (DNA or RNA, single versus double stranded, and mode of replication). This system thus creates seven groups of viruses that have common genetics and biology. LINK TO LEARNING Explore the latest virus taxonomy (https://www.openstax.org/l/22virustaxon) at the ICTV website. Aside from formal systems of nomenclature, viruses are often informally grouped into categories based on chemistry, morphology, or other characteristics they share in common. Categories may include naked or enveloped structure, single-stranded (ss) or double-stranded (ds) DNA or ss or ds RNA genomes, segmented or nonsegmented genomes, and positive-strand (+) or negative-strand (−) RNA. For example, herpes viruses can be classified as a dsDNA enveloped virus; human immunodeficiency virus (HIV) is a +ssRNA enveloped virus, and tobacco mosaic virus is a +ssRNA virus. Other characteristics such as host specificity, tissue specificity, capsid shape, and special genes or enzymes may also be used to describe groups of similar viruses. Table 6.2 lists some of the most common viruses that are human pathogens by genome type. Common Pathogenic Viruses Genome Family Example Virus Clinical Features Poxviridae Orthopoxvirus Skin papules, pustules, lesions dsDNA, Poxviridae Parapoxvirus Skin lesions enveloped Cold sores, genital herpes, sexually Herpesviridae Simplexvirus transmitted disease Adenoviridae Atadenovirus Respiratory infection (common cold) Genital warts, cervical, vulvar, or vaginal dsDNA, Papillomaviridae Papillomavirus cancer naked Gastroenteritis severe diarrhea (stomach Reoviridae Reovirus flu) Adeno-associated Parvoviridae Respiratory tract infection dependoparvovirus A ssDNA, naked Adeno-associated Parvoviridae Respiratory tract infection dependoparvovirus B dsRNA, naked Reoviridae Rotavirus Gastroenteritis Picornaviridae Enterovirus C Poliomyelitis +ssRNA, Upper respiratory tract infection Picornaviridae Rhinovirus naked (common cold) Picornaviridae Hepatovirus Hepatitis TABLE 6.2 Access for free at openstax.org  6.1 Viruses 223 Common Pathogenic Viruses Genome Family Example Virus Clinical Features Togaviridae Alphavirus Encephalitis, hemorrhagic fever +ssRNA, Togaviridae Rubivirus Rubella enveloped Acquired immune deficiency syndrome Retroviridae Lentivirus (AIDS) Filoviridae Zaire Ebolavirus Hemorrhagic fever −ssRNA, Orthomyxoviridae Influenzavirus A, B, C Flu enveloped Rhabdoviridae Lyssavirus Rabies TABLE 6.2 CHECK YOUR UNDERSTANDING What are the types of virus genomes? Classification of Viral Diseases While the ICTV has been tasked with the biological classification of viruses, it has also played an important role in the classification of diseases caused by viruses. To facilitate the tracking of virus-related human diseases, the ICTV has created classifications that link to the International Classification of Diseases (ICD), the standard taxonomy of disease that is maintained and updated by the World Health Organization (WHO). The ICD assigns an alphanumeric code of up to six characters to every type of viral infection, as well as all other types of diseases, medical conditions, and causes of death. This ICD code is used in conjunction with two other coding systems (the Current Procedural Terminology, and the Healthcare Common Procedure Coding System) to categorize patient conditions for treatment and insurance reimbursement. For example, when a patient seeks treatment for a viral infection, ICD codes are routinely used by clinicians to order laboratory tests and prescribe treatments specific to the virus suspected of causing the illness. This ICD code is then used by medical laboratories to identify tests that must be performed to confirm the diagnosis. The ICD code is used by the health-care management system to verify that all treatments and laboratory work performed are appropriate for the given virus. Medical coders use ICD codes to assign the proper code for procedures performed, and medical billers, in turn, use this information to process claims for reimbursement by insurance companies. Vital-records keepers use ICD codes to record cause of death on death certificates, and epidemiologists used ICD codes to calculate morbidity and mortality statistics. CHECK YOUR UNDERSTANDING Identify two locations where you would likely find an ICD code. CLINICAL FOCUS Part 2 David’s doctor was concerned that his symptoms included prickling and itching at the site of the dog bite; these sensations could be early symptoms of rabies. Several tests are available to diagnose rabies in live patients, but no single antemortem test is adequate. The doctor decided to take samples of David’s blood, saliva, and skin for 224 6 Acellular Pathogens testing. The skin sample was taken from the nape of the neck (posterior side of the neck near the hairline). It was about 6-mm long and contained at least 10 hair follicles, including the superficial cutaneous nerve. An immunofluorescent staining technique was used on the skin biopsy specimen to detect rabies antibodies in the cutaneous nerves at the base of the hair follicles. A test was also performed on a serum sample from David’s blood to determine whether any antibodies for the rabies virus had been produced. Meanwhile, the saliva sample was used for reverse transcriptase-polymerase chain reaction (RT-PCR) analysis, a test that can detect the presence of viral nucleic acid (RNA). The blood tests came back positive for the presence of rabies virus antigen, prompting David’s doctor to prescribe prophylactic treatment. David is given a series of intramuscular injections of human rabies immunoglobulin along with a series of rabies vaccines. Why does the immunofluorescent technique look for rabies antibodies rather than the rabies virus itself? If David has contracted rabies, what is his prognosis? Jump to the next Clinical Focus box. Go back to the previous Clinical Focus box. 6.2 The Viral Life Cycle LEARNING OBJECTIVES By the end of this section, you will be able to: Describe the lytic and lysogenic life cycles Describe the replication process of animal viruses Describe unique characteristics of retroviruses and latent viruses Discuss human viruses and their virus-host cell interactions Explain the process of transduction Describe the replication process of plant viruses All viruses depend on cells for reproduction and metabolic processes. By themselves, viruses do not encode for all of the enzymes necessary for viral replication. But within a host cell, a virus can commandeer cellular machinery to produce more viral particles. Bacteriophages replicate only in the cytoplasm, since prokaryotic cells do not have a nucleus or organelles. In eukaryotic cells, most DNA viruses can replicate inside the nucleus, with an exception observed in the large DNA viruses, such as the poxviruses, that can replicate in the cytoplasm. With a few exceptions, RNA viruses that infect animal cells replicate in the cytoplasm. An important exception that will be highlighted later is Influenza virus. The Life Cycle of Viruses with Prokaryote Hosts The life cycle of bacteriophages has been a good model for understanding how viruses affect the cells they infect, since similar processes have been observed for eukaryotic viruses, which can cause immediate death of the cell or establish a latent or chronic infection. Virulent phages typically lead to the death of the cell through cell lysis. Temperate phages, on the other hand, can become part of a host chromosome and are replicated with the cell genome until such time as they are induced to make newly assembled viruses, or progeny viruses. The Lytic Cycle During the lytic cycle of virulent phage, the bacteriophage takes over the cell, reproduces new phages, and destroys the cell. T-even phage is a good example of a well-characterized class of virulent phages. There are five stages in the bacteriophage lytic cycle (see Figure 6.7). Attachment is the first stage in the infection process in which the phage interacts with specific bacterial surface receptors (e.g., lipopolysaccharides and OmpC protein on host surfaces). Most phages have a narrow host range and may infect one species of bacteria or one strain within a species. This unique recognition can be exploited for targeted treatment of bacterial infection by phage therapy or for phage typing to identify unique bacterial subspecies or strains. The second stage of infection is entry or penetration. This occurs through contraction of the tail sheath, which acts like a hypodermic needle to inject the viral genome through the cell wall and membrane. The phage head and remaining components remain outside the bacteria. Access for free at openstax.org  6.2 The Viral Life Cycle 225 FIGURE 6.7 A virulent phage shows only the lytic cycle pictured here. In the lytic cycle, the phage replicates and lyses the host cell. The third stage of infection is biosynthesis of new viral components. After entering the host cell, the virus synthesizes virus-encoded endonucleases to degrade the bacterial chromosome. It then hijacks the host cell to replicate, transcribe, and translate the necessary viral components (capsomeres, sheath, base plates, tail fibers, and viral enzymes) for the assembly of new viruses. Polymerase genes are usually expressed early in the cycle, while capsid and tail proteins are expressed later. During the maturation phase, new virions are created. To liberate free phages, the bacterial cell wall is disrupted by phage proteins such as holin or lysozyme. The final stage is release. Mature viruses burst out of the host cell in a process called lysis and the progeny viruses are liberated into the environment to infect new cells. The Lysogenic Cycle In a lysogenic cycle, the phage gen