Mod 11 Host-pathogen Relationships

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    HOST-PATHOGEN

    RELATIONSHIPS

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    SYMBIOSIS

    Relationship in whichany organism spendsa portion/all of its

    life physicallyassociated with anorganism of a

    different species.

    Ectosymbiotic

    Endosymbiotic

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    SYMBIOSIS

    Commensalism

    Mutualism

    Parasitism

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    COMMENSALISM

    Eg: Clown fish (commensal) &anemone (host)

    Commensal relies on host forfood & shelter

    Doesnt depend on hostsmetabolism

    Commensal able to survivewithout host

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    MUTUALISM

    Eg: Boxer crab & anemone

    Metabolically dependent oneach other

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    PARASITISM

    Eg: isopod (ectoparasite) &fish (host)

    Parasite lives @ the expenseof its host may be harmful(pathogen)

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    PARASITISM

    Parasite lives @ theexpense of its host

    harmful (pathogen)

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    MICROFLORA

    Different species associated with particulartissues

    Symbiotic relationships:MutualistsCommensals

    May become pathogenic opportunistic

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    MICROFLORA

    1013 cells & 1014 bacteria

    105-6

    105-7

    10910

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    MICROFLORA

    Germfree or gnotobiotic

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    MICROFLORA

    Germfree or gnotobiotic

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    MICROFLORA

    Colon

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    MICROFLORA

    Acquire microflora immediatelyafter birth

    Factors influencing composition:

    babies diet:

    breast milk Gram +ve

    bottles Gram ve

    type of tissues environment

    must adhere to cells

    produce bacteriocins

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    DISTRIBUTION OF

    MICROFLORA

    Resist mechanical removal

    supply of nutrients, water, pH &suitable temp

    initially aerobes & facultative

    anaerobes

    then anaerobes

    can cause dental caries &

    periodontal disease

    anaerobes abcesses

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    DISTRIBUTION OF

    MICROFLORA

    Oropharynx

    Staphylococci, -haemolytic streps, Neisseriae,

    diphtheroids

    few anaerobes

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    DISTRIBUTION OF

    MICROFLORA

    transient & resident

    different groups in different skin areas

    associate with oil & sweat glands

    epidermis not easily colonised by transients:periodic drying

    slightly acidic

    secretions

    sweatinhibitory substances of residents

    Staphylococci in most areas

    Gram-negs only in moist areas (perineum, axilla & toe webs)

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    DISTRIBUTION OF

    MICROFLORA

    Conjunctiva

    controlled by lysozyme (tears)Staphylococci, Streptococci,

    Neisseriae, Diphtheroids

    Moraxellae

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    DISTRIBUTION OF

    MICROFLORA

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    DISTRIBUTION OF

    MICROFLORA

    Nose

    Staphylococci, DiphtheroidsNasopharynx

    S pneumoniae, N meningitidis,

    H influenzae

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    DISTRIBUTION OF

    MICROFLORA

    Nails:

    similar to skin

    also fungi eg Aspergillus, Penicillium, Cladosporium

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    DISTRIBUTION OF

    MICROFLORA

    Lower Respiratory Tract:

    Sterile mucous productionphagocytic alveolar

    macrophageslysozyme in mucous

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    DISTRIBUTION OF

    MICROFLORA

    Upper Respiratory Tract:

    S. aureus,S. epidermidisS. viridansE. faecalis

    H. influenzaeMoraxella

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    DISTRIBUTION OF

    MICROFLORA

    Urogenital Tract:Upper tract - sterile

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    DISTRIBUTION OF

    MICROFLORA

    Urethra:

    few microbes

    S. epidermidis,

    diphtheroids & Enterococci

    Urine is sterile

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    DISTRIBUTION OF

    MICROFLORA

    Vagina:

    varies

    determined by age, pH &

    hormones

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    DISTRIBUTION OF

    MICROFLORA

    Vagina: < 1 month

    pH 5

    lactobacilli

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    DISTRIBUTION OF

    MICROFLORA

    Vagina: girls

    pH 7

    S. epidermidis,

    Streptococci, E. coli

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    INFECTION BY MICROFLORA

    Urogenital Tract:

    Upper tract - sterile

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    THE PROCESS OF INFECTION

    Infectious disease any change from the bodys

    healthy state in which a part of / the entire body

    is incapable of carrying out its normal functions

    presence of a pathogen / its products.

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    THE PROCESS OF INFECTION

    Pathogenicity the ability of the microbe to cause disease.

    Pathogenesis mechanism of infection

    or

    mechanism by means of which disease develops.

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    FACTORS CONTRIBUTING TO

    INFECTION

    No of pathogenic organisms present.

    Virulence of the organism

    State of ones immune system (Resistance level)

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    FACTORS CONTRIBUTING TO

    INFECTION

    Endogenous disease caused by own microflora

    Exogenous disease caused by bacteria from the

    environment / another person / animal

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    VIRULENCE

    Virulence degree / intensity of pathogenesis

    Determined by:

    invasivenessInfectivity

    pathogenic potential

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    VIRULENCE

    Virulence degree / intensity of pathogenesis

    Determined by:

    invasiveness ability of the microbes tospread to adjacent / other tissues.

    Infectivity

    pathogenic potential

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    VIRULENCE

    Virulence degree / intensity of pathogenesis

    Determined by:

    Invasiveness

    Infectivity the ability of the microbe to

    establish a focal point of infection.

    pathogenic potential

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    VIRULENCE

    Virulence degree / intensity of pathogenesis

    Determined by:

    InvasivenessInfectivity the ability of the microbe to

    establish a focal point of infection.

    Pathogenic potential degree to which the

    microbe causes morbid symptoms

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    VIRULENCE

    Pathogenic potential is determined by:

    toxigenicity ability of the microbe to

    produce toxins which will damage thehost & cause disease.

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    VIRULENCE

    Disease may also becaused by:

    hypersensitivity

    reactions to bacteria.

    Autoimmunity due to

    bacteria having similar

    antigens to host tissue.

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    VIRULENCE FACTORS

    Factors produces by microbes which enable them

    to cause disease.

    Not all strains of bacteria are virulent.

    Those that are virulent possess virulence factors.

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    VIRULENCE FACTORS

    4 groups:

    adherence & colonisation factors

    invasion factors

    capsules / other surface componentsToxins & siderophores

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    TOXINS

    Metabolic products of bacteria

    Toxemia / septicemia presence of toxins in the blood

    Types:

    EndotoxinsExotoxins

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    TOXINS

    Endotoxins heat-stable toxins found in cell wall of bacteria i.e LPS in

    gram-negative bacteria.

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    TOXINS

    Endotoxins released when bacterium lyses / multiplies

    cause a series of reactions in the body

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    TOXINS

    Exotoxins:soluble, heat labile proteins secreted by bacteria

    produced by gram +ve & -ve bacteria

    Effects:

    inhibit protein synthesis

    inhibit nerve synapse function

    disrupt membrane transportdamage plasma membrane

    act as superantigens

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    TOXINS

    Effects:inhibit protein synthesis

    inhibit nerve synapse function

    disrupt membrane transport

    damage plasma membraneact as superantigens

    botulinum toxin

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    TOXINS

    Effects:inhibit protein synthesis

    inhibit nerve synapse function

    disrupt membrane transport

    damage plasma membraneact as superantigens

    Tetanus toxin

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    SIDEROPHORES