Pathogenicity
Ability to cause disease
Virulence
The extent of pathogenicity
Three ways a MO can infect a host
- Mucous membranes
- Respiratory tract
- GI tract
- Genitourinary tract
- Conjuctiva
- Skin
- Parenteral route
Portals of Entry: Respiratory tract
- Easiest
- Colds, pneumonia, tuberculosis, flu, measles, smallpox
Portals of Entry: Gastrointestinal tract
- Ingesting
- Most can be destroyed by stomach
- Poliomyelitis, hep A, typhoid fever, amoebic dysentery, giardiasis, shigellosis, cholera
Portals of Entry: Genitourinary tract
- Sexually transmitted
- May penetrate an unbroken mucous membrane
- Others require a cut or abrasion
- Herpes. HIV, genital warts, chlamydia, syphilis, gonorrhea
Portals of Entry: Skin
- Unbroken skin is excellent barrier
- Some gain access through an open wound
Portals of Entry: Parenteral Route
- Deposited beneath the skin
- Needles, punctures, bites, cuts, wounds, surgery
True or False: If an organism enters the body, it will produce a disease
False. Organisms have a preferred portal of entry therefore will not always produce disease.
ID50
Infectious dose for 50% of the test population (virulence)
LD50
Lethal dose (of a toxin) for 50% of the test population (potency of toxin)
Adhesion
- Surface molecules on MO that allow the MO to adhere to host tissue
- Glycocalyx, pili, fimbrae, flagella
Bioflim
- Communities of MO
- Scum in pools, shower doors, teeth
Capsule
- Glycocalyx can resist phagocytosis, therefore increases virulence
- Prevents adhesion of phagocytic cell
M protein
- Component of cell wall
- Acid and heat resistant
Extracellular enzymes
- Coagulase
- Kinases
- Hyaluronidase
- Collagenase
- IgA proteases
Coagulase
Coagulates blood
Kinase
Digests fibrin clots
Hyaluronidase
Hydrolyses hyaluronic acid
Collagenase
Hydrolyzes collagen
IgA proteases
Destroys IgA antibodies
Antigenic variation
Alter surface proteins
Invasins
Manipulate cytoskeleton allowing entry to cell membrane
Ways Bacterial Pathogens Can Damage Host Cells
- Use host nutrients
- Direct damage
- Producing toxins
- Inducing hypersensitivity reactions
Ways Bacterial Pathogens Can Damage Host Cells: Using host's nutrients
Siderophores: take iron from host iron-binding proteins
Ways Bacterial Pathogens Can Damage Host Cells: Direct damage
- Immediate area
- Use of nutrients
- Production of waste
- Rupture of cells
Ways Bacterial Pathogens Can Damage Host Cells: Toxins
- Toxin
- Toxigenicity
- Toxemia
Toxin
Poisonous substance produced by MO that contributes to pathogenicity
Toxigenicity
Ability to produce a toxin
Toxemia
Presence of toxin in host's blood
Exotoxins
- GRAM POSITIVE
- Produced inside the bacteria and released to surrounding medium
Toxoid
Inactivated toxin used in a vaccine
Antitoxin
Antibodies vs. a specific toxin
Characteristics of Exotoxins
- Genes carried on bacterial plasmids
- Soluble in bodily fluids
- Easily transported throughout body
- Among most lethal substances known
- I mg Botulinum = enough ExoT to kill 1 million Guinea Pigs
- Diseases are caused by ExoT, not bacteria themselves
Three types of Exotoxins
- B toxins (Type III)
- Membrane-disrupting (Type II)
- Superantigens (Type I)
B toxins
- Type III
- Two polypeptide components
- B for Binding
- A is enzyme
Membrane-disrupting toxins
- Type II
- Lyse host cells
- Make protein channels in the plasma membrane
- Disrupt phospholipid bilayer
Superantigens
- Cause intense immune response due to release of cytokines from host cells
- Fever, nausea, shock, vomiting, diarrhea, death
Classification of Exotoxins
- Cytotoxins
- Neurotoxins
- Enterotoxins
Cytotoxin
Kills cells or damages function
Neurotoxin
Alter nerve impulses
Enterotoxins
Affect GI tracts
Endotoxins
- GRAM NEGATIVE
- Lipopolysaccharides from outer membrane of G- bacteria
- All endotoxins produce same signs and symptoms
- Fever, ache, nausea, shock, blood clotting and death
Fever is caused by a
Pyrogenic response
Interleukins
- Released by macrophages
- Causes temperature to rise by affecting the hypothalamus
Ways virulence is enhanced
- Plasmids
- Lysogeny
- Pathogenicity
Viral Pathogenicity: Cytopathic effects
Observable signs of cell damage
Viral Pathogenicity: Cytocidal effects
Cell death
Fungi Pathogenicity
- Don't have well-defined set of factors
- Damage is usually by toxins
- Aflatoxin: carcinogenic fungus on peanuts
Protozoan Pathogenicity
- Presence of and waste produce disease symptoms
- Toxoplasma attaches to macrophages and gains entry by phagocytosis
Helminth Pathogenicity
- Presence produces disease
- Elephantitis
Algae Pathogenicity
- Few produce neurotoxin
- Saxitoxin: paralytic shellfish poisoning