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Microbial Mechanisms of Pathogenicity

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  • What is pathogenicity?

    Pathogenicity is the ability of a microorganism to cause disease.

  • Define virulence.

    Virulence is the degree of pathogenicity of a microorganism.

  • Name the main portals of entry for microorganisms into a host.

    Mucous membranes, skin, and parenteral route (direct deposition into tissues via injections, bites, wounds).

  • What is the most common portal of entry for pathogens?

    The respiratory tract is the most commonly used portal of entry, typically via inhalation.

  • How do pathogens adhere to host cells?

    Pathogens use adhesins (ligands) to bind to receptors on host cells, such as glycocalyx, fimbriae, or viral spikes.

  • What role do capsules play in pathogenicity?

    Capsules (glycocalyx around cell wall) impair phagocytosis, helping bacteria evade immune response.

  • Name three bacterial cell wall components that aid in pathogenicity.

    M protein (resists phagocytosis), Opa protein (attachment), and mycolic acid (resists digestion by phagocytes).

  • What enzymes help bacteria invade host tissues?

    Coagulases, kinases, hyaluronidase, collagenase, and IgA proteases aid invasion by modifying host tissues or immune factors.

  • Explain antigenic variation.

    Pathogens alter surface antigens to evade host antibodies, making immune responses ineffective.

  • What are invasins and their function?

    Invasins are bacterial surface proteins that rearrange host actin to promote bacterial engulfment and spread.

  • How do biofilms contribute to pathogenicity?

    Biofilms protect bacteria from antibiotics, disinfectants, and phagocytosis, contributing to persistent infections.

  • What are siderophores and their role?

    Siderophores are proteins secreted by pathogens to bind iron more tightly than host proteins, aiding bacterial growth.

  • Define exotoxins.

    Exotoxins are proteins secreted by bacteria that destroy host cells or inhibit metabolism, often highly specific and potent.

  • What are A-B exotoxins?

    A-B exotoxins have an enzyme (A) component and a binding (B) component that targets host cells.

  • Describe membrane-disrupting exotoxins.

    These toxins lyse host cells by disrupting plasma membranes, including leukocidins and hemolysins.

  • What are endotoxins and their effects?

    Endotoxins are lipid A portions of LPS from gram-negative bacteria that cause fever, shock, and inflammation when released.

  • How is the Limulus amebocyte lysate (LAL) assay used?

    The LAL assay detects endotoxins by clotting amebocytes from horseshoe crab blood in their presence.

  • What is lysogenic conversion?

    Lysogenic conversion is when a prophage integrates into a bacterium, changing its characteristics, such as toxin production.

  • List viral mechanisms to evade host defenses.

    Intracellular location, antigenic variation, methylation of viral RNA, and direct attack on immune components.

  • What are cytopathic effects (CPE) of viruses?

    CPE are visible changes in host cells caused by viral infection, including cell death, inclusion bodies, and syncytium formation.

  • How do interferons protect against viral infections?

    Alpha and beta interferons inhibit viral protein synthesis and induce apoptosis in infected cells, protecting neighboring cells.

  • Name fungal pathogenic mechanisms.

    Production of toxic metabolites, allergic responses, proteases, capsules preventing phagocytosis, and mycotoxins.

  • How do protozoa evade host defenses?

    By digesting host cells, growing inside phagocytes, and antigenic variation.

  • What pathogenic effects do helminths cause?

    Use host tissue for growth, produce large parasitic masses causing damage, and release waste products causing symptoms.

  • What is paralytic shellfish poisoning and its cause?

    It is caused by saxitoxin from dinoflagellate algae, concentrated in mollusks consumed by humans.

  • List common portals of exit for pathogens.

    Respiratory tract, gastrointestinal tract, genitourinary tract, skin, blood, and via arthropod bites or needles.