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Microbiology: Host-Microbe Interactions, Immunity, and Epidemiology

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  • Mutualism

    Both organisms benefit. Example: E. coli in the intestine produce vitamin K.

  • Commensalism

    One organism benefits while the other is unaffected. Example: Normal skin bacteria feeding on dead skin cells.

  • Parasitism

    One organism benefits while the host is harmed. Example: Disease-causing bacteria living in humans.

  • Colonization vs Infection

    Colonization: Microorganisms grow on/in body without causing disease.
    Infection: Invasion and multiplication of pathogens causing disease.

  • Stages of Disease

    Incubation (no symptoms), Prodromal (mild symptoms), Illness (severe symptoms), Decline (symptoms decrease), Convalescence (recovery).

  • Localized vs Systemic Infection

    Localized: Confined to one area (e.g., boil).
    Systemic: Spreads throughout body (e.g., sepsis).

  • Koch's Postulates Purpose

    To determine if a specific microorganism causes a specific disease.

  • Four Steps of Koch's Postulates

    1. Organism found in every diseased host.
    2. Isolated and grown in pure culture.
    3. Causes disease in healthy host.
    4. Recovered from newly infected host.
  • Exotoxins vs Endotoxins

    Exotoxins: Proteins secreted by mostly Gram-positive bacteria, highly potent and specific.
    Endotoxins: Lipopolysaccharides from Gram-negative bacteria outer membrane, less specific.

  • Examples of Exotoxins

    Neurotoxins (botulinum, tetanus), Enterotoxins (cholera), Cytotoxins (hemolysins), Superantigens (toxic shock syndrome).

  • First Line of Innate Defense

    Physical barriers: Skin, mucous membranes.
    Chemical barriers: Sebum, lysozyme, gastric juice.
    Normal microbiota compete with pathogens.

  • Phagocytosis Steps

    1. Chemotaxis
    2. Adherence
    3. Ingestion
    4. Digestion
  • Signs of Inflammation (PRISH)

    Pain, Redness, Immobility (loss of function), Swelling, Heat.

  • Functions of Interferons

    Released by virus-infected cells to warn neighbors, slow viral replication, and activate NK cells.

  • Complement System Major Results

    Opsonization, Inflammation, Cell lysis via Membrane Attack Complex (MAC).

  • Adaptive Immunity Characteristics

    Specific to antigen, slower first response, has immunological memory for faster future responses.

  • Humoral vs Cell-Mediated Immunity

    Humoral: B cells produce antibodies against extracellular pathogens.
    Cell-Mediated: T cells kill infected cells and activate immunity against intracellular pathogens.

  • Antibody (Immunoglobulin) Structure

    Y-shaped protein with 2 heavy chains, 2 light chains, variable region binds antigen, constant region determines antibody class.

  • IgG vs IgM

    IgG: Most abundant, crosses placenta, long-term immunity.
    IgM: First antibody produced, pentamer, activates complement.

  • Clonal Selection and Expansion

    Antigen binds specific B or T cell → selected cell divides → produces effector and memory cells.

  • MHC Class I vs Class II

    MHC I: On all nucleated cells, presents to CD8 (cytotoxic) T cells.
    MHC II: On antigen-presenting cells, presents to CD4 (helper) T cells.

  • Types of Vaccines

    Live attenuated, Inactivated, Subunit, Toxoid, Recombinant, DNA, mRNA vaccines.

  • Herd Immunity

    When enough people are immune, disease transmission is greatly reduced, protecting vulnerable individuals.

  • Direct vs Indirect ELISA

    Direct ELISA: Detects antigen.
    Indirect ELISA: Detects antibodies in patient serum.

  • Nosocomial Infection

    Hospital-acquired infection caused by factors like catheters, surgery, weakened immunity, poor hygiene.

  • Role of Cytokines in Immunity

    Cytokines are chemical messengers that coordinate immune cell growth, activation, and inflammation.

  • Natural Killer (NK) Cells

    Innate immune cells that kill virus-infected and tumor cells without prior exposure or antigen presentation.

  • Difference Between Communicable and Noncommunicable Diseases

    Communicable: Spread person to person.
    Noncommunicable: Cannot spread between people.