MFD 27 (PD) Flashcards

Periodontal disease

1
Q

Describe the process of carrying out a checkerboard-DNA, DNA- hybridisation format

A
  1. extract DNA from samples
  2. attach to DNA probes to wells on plate , parallel to each other
  3. label DNA from samples
  4. Apply multiple clinical samples perpendicular to DNA probes at 90 degree angle
  5. Observe signal of probe (thus results are semi-quantitative)
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2
Q

Why is checkerboard-DNA, DNA- hybridisation format useful in identifying cause of periodontal diseasw?

2) How many species can you look at at a time
3) What do we use now?

A

can screen huge numbers of bacteria, thus can loo for association between disease and bacteria as well as grouping bacteria which appear together into complexes.

2) 40
3) sequence everything with next generation sequecning

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3
Q

What are the red complex species of periodontal disease?

A

Porphymonas gingivalis
Tanella forsythia
T .denticola

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4
Q

What sort of bacteria bind to fusobacterium nucleatum, the bridging bacteria between early colonisers (streptococcus) and later colonisers?

A

later colonises are more pathogenic
and include red complex bacteria e.g. p.gingivalis
T.forsythia
Treponomea denticola

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5
Q

What do all red complex bacteria have in common?

A

they are all gram-negative, proteolytic, anaerobes

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6
Q

P.gingivalis

1) What shape is it?
2) What sort of pigment does it produce?
3) What can it adhere to?
4) What agar should be used to identify it?

A

1) rod
2) black and brown porphyrin (haem-containing pigements)
3) I am assuming fusobacterium nucleatum as well as certain forms of streptococci, therefore don’t really need the bridging organism
4) blood agar

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7
Q

T.forsythia

1) shape?
2) is it a challenge to grow in the lab?
3) how does one wild type of it hide itself from the immune system?

A

1) short rods with tapered ends
2) difficult to grow in a monoculture, growth is facilitated by other bacteria
3) has a glycosylated S-layer on the outside

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8
Q

T. denticola

1) Which phylum is it apart of?
2) what is the name of the bacterium it is related to ? What disease this bacterium cause
3) How does it adhere?
4) Are they motile?

A

1) spirochaetes (they have distinctive double membranes)
2) Treponemea pallidum, (causes syphilis)
3) in outer sheath have a major protein
4) have a flagellum, yes

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9
Q

TM7 phylum has recently now able to be cultured. How did they do it?

A

they enriched a plaque sample,
continuously using flourscent insitu hybridisation to see which sample had the phylum then , carryied on enriching till the got a pure culture.

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10
Q

What is the significance of TM7 phylum in dentistry?

2) what shape are they?

A

is present in mild periodontitis compared with health or severe disease
2) variance, rod or cocci depending on partner bacterium species it grows with

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11
Q

WHy is it important that we can grow bacteria in pure cultire?

A

to carry out koch’s postulates

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12
Q

How big is the genome of TM7 genome?

2) What is the significance of this?
3) How was the genome identified?

A

1) less than 1Mbp
2) very small , reflects how bacteria is dependent on other species as could not be grown alone , had o be co-cultured with A. odontolycitus
3) via reconstruction of meta-genomic sequence

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13
Q

What animals are used in animal models for perio?

2) which is the most difficult to work with?
3) Which are the most similiar to humans?

A

1) rodents, dogs, primates
2) primates
3) primates

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14
Q

Co-infection in animal models leads to greater damadge than with any of the bacteria alone, the bacteria being: P.ging and F.nucleatum

A

true

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15
Q

Why are animal models not useful the way koch intended in periodontal disease?

A

as perio is likely due to more than one bacterium and its more to do with level than the infecting bacterium that is important

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16
Q

Why can’t we use koch’s postulate to find cause of periodontal disease?
2) to enphasise, what is it not to do with?

A

1) as perio is likely due to more than one bacterium and its more to do with level than the infecting bacterium that is important
2) a) the fact that we can’t pure culture the bacterium (false e.g TM7 phylum)
b) that fact that there are no animal models availble (there are e.g primates)
c) the fact that no infecting organism can be detected (false, we can detect e.g. Checkerboard DNa, DNA hybridisation)

17
Q

What other way is there than koch’s postulate to find the cause of disease?

A

look at virulence factors.

18
Q

What are the 4 virulenc efactors p.gingivalis has?

A
  1. adhesions/invasions
  2. capsule
  3. haemagglutinins
  4. proteases
  5. LPS
19
Q

What are the 2 adhesions/invasions p.gingivalis has?

A
minor fimbriae (mfa1)
major fimbriae (mfa2)
20
Q

What is the role of mfa2 in p.gingivalis ?

A

adhesion and invasion

21
Q

What is the role of mfa1 in p.gingivalis ?

A

coaggregation

22
Q

What effect does LPS have on the host?

A

its pro-inflammatory, triggers immune response

23
Q

What are haemagglutinins?

A

a substance, such as a viral protein, which causes haemagglutination (specific form of agglutination that involves red blood cells (RBCs). It has two common uses in the laboratory: blood typing and the quantification of virus dilutions in a haemagglutination assay.)

24
Q

Whats special about capulated strain of P.gingivlis?

2) What are the capable of?

A

they are highly virulent

2) they can resist host immunity (phagocytosis, c-reactive protein)

25
Q

P.gingivalis has several proteases, which is the most important?

2) What is their function:
3) What is their secondary function:

A

1) extracellular cystein proteases (gingipains)
2) a) role in nutrition and processing bacterial proteins
b) cleave host proteins in connective tissue (laminin, fibronectin, collagen)
c) multiple roles in evasion of immune system
3) haemoglutination, adhesion,

26
Q

what are the major antigens in infecitn with P.gingivalis/ what are the 2 types of gingipains?
B) what does Xaa stand for?

A

1) Arg-Xaa specific proteases (RGP)
2) Lys-Xaa specific proteases(KGP)
B) unspecified amino acid

27
Q

What does keystone pathogen?

2) What is the proposed keystone pathogen in periodontal disease?

A

present at low levels in disease state, but without it your not going to get that disease
2) P,gingivalis

28
Q

What bacterium is an exception to the ecological -plaque hypothesis?

2) Which type of periodontal disease is it implicated in ?
3) what other diseases is it involved in?

A

Actinobacillus actinomycetemcomitans

2) localised aggresive periodontitis
3) can cause systemic disease e.g. endocarditis

29
Q

Actinobacillus actinomycetemcomitans

1) Is it gram + or -
2) Is it capnophobic or capnophilic . What does that mean?
3) What shape is it( use latin term)

A

1) -
2) capnophilic, thrive in the presence of high concentrations of carbon dioxide
3) coccobacillius, bacterium with a shape intermediate between cocci (spherical bacteria) and bacilli (rod)

30
Q

What virulence factors does Actinobacillus actinomycetemcomitans have?

A

adhesions/nvasions
LPS
leukotoxins
proteases

31
Q

Actinobacillus actinomycetemcomitans

1) What does it use to adhere to surfaces
2) what doe they adhere to together?

A

fimbria and assciated gene products (tad locus)

2. uses BOTH: to surfaces

32
Q

What does fimbria only do in Actinobacillus actinomycetemcomitans:

A

Justs FIMBRIAE:

a) epithelial cells
b) enhance receptor mediated endocytosis

33
Q

What is the leukotoxin of Actinobacillus actinomycetemcomitans:

2) What is it anchored to?
3) what does it target? & how?
4) what causes its enhanced expression in JP2 clone?
5) what properties does the JP2 clone have?

A

116KDa pore-forming toxin

2) cell wall
3) target immune cells by expressing beta-2 integrins, by forming pores in our cell membranes
4) deletion mutation upstream of an operon encoding the leukotoxin
5) strongly haemolytic, strong leukotoxin activity

34
Q

What is an operon?

A

operon is a functioning unit of DNA containing a cluster of genes under the control of a single promoter.

35
Q

What systemic diseases are associated with periodontal disease?

A
  1. adverse pregnancy outcomes
  2. association with DM
  3. association with CVD