23. H. pylori Flashcards

1
Q

Shape and Gram and motility of H. pylori?

A

G-
Spiral-shaped rod
2-4 polar sheathed flagella

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2
Q

Transmission of H.pylori?

A

Oral-oral, possible parents-children

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3
Q

2 scientists who discovered H.pylori?

A

Barry Marshall and Robin Warren

Marshall drank it

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4
Q

Function of urease?

A

Maintain H.pylori cytosol at neutral pH

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5
Q

What does urease catalyze?

A

Urea (in gastric juices) to ammonia and CO2

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6
Q

2 purposes of ammonia made from urease rxn?

A

Removes H+ to form ammonium ions = increases alkalinity

Intracellular amino acid production

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7
Q

Aside from survival, another purpose of H.pylori decreasing pH via urease?

A

Decreases mucin viscosity = easier to penetrate to reach epithelium

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8
Q

Bacterial oncogene in H. pylori?

A

CagA (cytotoxin-associated gene A)

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9
Q

What encodes H.pylori T4S?

A

cag PAI

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10
Q

CagA is associated with H.pylori strains that cause ______ and ______

A

ulcers and cancer

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11
Q

Why is CagA an oncoprotein?

A

Ability to induce cell proliferation

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12
Q

What does CagA cause?

A

Cytoskeletal rearrangements, initation of pro-inflammatory response

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13
Q

Function of VacA?

A

Kills gastric epithelial cells via vacuole formation, permeability, and apoptosis

Initiaties pro-infalmmatory response

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14
Q

What recruits neutrophils and monocytes that cause tissue damage via ROS release?

A

Neutrophil-activating protein (NAP)

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15
Q

Function of Cag T4S?

A

Translocates virulence-associated proteins from bacteria to cytosol of epithelial cells

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16
Q

What are BabA, HpaA, and lectins in relation to H.pylori?

A

Adhesins

17
Q

2 ways H.pylori can cause cancer?

A
  • High cell tunover, chronic inflammation producing ROS which cause DNA damage
  • Cell proliferation due to oncoprotein CagA
18
Q

What 2 things do cag PAI encode?

A

T4S, CagA