Atypical envelope Flashcards
2 structural features of mycobacterium
Aerobic and nonmotile rods
-ie. require oxygen and don’t have a flagella
Mycobacteria grow ___ and survive within ____
Slowly, Macrophages
Name 3 important species of mycobacteria that are human pathogens
M. tuberculosis (tuberculosis)
M. bovis (also causes TB)
M. leprae (leprosy)
Which species of mycobacteria was responsible for the spread of TB from cows to humans?
M. bovis
- TB could be passed to humans via the unpasteurized milk – pasteurization has really controlled the spread of M. bovis from cows to humans in most industrialized countries.
- still a problem in countries without pasteurization
How was the BCG vaccine developed
2 researchers took M. bovis from a cow and cultured the bacteria and, over many generations, attenuated the bacteria in order to yield a non-virulent vaccine strain
- also protects against M. tuberculosis
- you don’t give it to someone if they’ve already been exposed to TB
Mycobacteria are considered to be gram __
Positive
-contains peptidoglycan
Mycobacteria cannot be gram stained, instead they are stained using what method?
Acid fast
7 Steps of acid fast staining
- Heat-fix a smear of the sample (usually sputum from the TB patient)
- Cover smear with blotting paper and flood with carbol fuschin (red colour stain in phenol)
- Steam for 5 min by passing the slide through a flame
- Wash the slide with water
- Add the acid alcohol drop wise until the dye no longer runs off the smear
- Rinse with water
- Counter-stain with methylene blue
Composition of mycobacterial cell wall
- Waxy
- Hydrophobic
- High lipid content
*up to 60% of the dry weight of the organisms may be mycolic acids (long chain branched fatty acids)
Which feature of the mycobacterial cell wall can be used to distinguish between different species ?
Type of mycolic acid
3 clinical features of the mycobacterial cell wall
1) Refractory to antibiotics (except rifampin & streptomycin).
2) ‘Acid-fast’ nature ⇒ characteristic for presumptive identification in sputum and infected tissues.
3) Has adjuvant properties and may be responsible for the development of delayed type hypersensitivity (DTH).
What are the 2 drugs that can get through the mycobacterial cell wall?
Rifampin and Streptomycin
What is it about the cell wall of mycobacteria that prevents staining with water based gram stain?
Mycolic acid
What is a potent adjuvant containing killed mycobacterial cells?
Freund’s complete adjuvant
List the order of layers in the mycobacterial cell wall
- cytoplasmic membrane
- Peptidoglycan
- Arabinoglycan layer
- Mycolic acid
- protein and lipid layer
Does the mycobacterial cell wall contain porins?
Yes. Porins are present to transport small hydrophilic molecules through the outer layer of the acid-fast cell wall.
what are 2 other glycolipids present in the mycobacterial cell wall?
lipoarabinomannan and phosphatidyinositol mannosides (PIM).
4 functions of the Acid-Fast cell wall components
- Peptidoglycan prevents osmotic lysis
- Mycolic acids + glycolipids impede the entry of chemicals
- causes it to grow slowly
- more resistant to chemical agents and lysosomal components of phagocytes - Low amount of porins + longer porin channels
- makes it less permeable - Surface proteins in the acid fast cell wall do many jobs like functioning as enzymes and serving as adhesins
Which 2 TB drugs are specialized to inhibit synthesis of the acid fast cell wall
Isoniazid and Ethambutol
Isoniazid blocks the incorporation of mycolic acid into the wall and Ethambutol interferes with the incorporation of arabinogalactan
Describe the procedure of the Mantoux test
A small amount of tuberculin/PPD (purified protein derivative) is injected intradermally, swelling is measured after 48-72 h.
What is a positive Mantoux test and what does it mean?
A positive test is indicated by a greater than 10 mm swelling of the injection area
Means that the person has cell-mediated immunity against antigens of M. tuberculosis, as a result of either vaccination, infection, or exposure to mycobacteria.
Name 3 ways in which the acid fast cell wall is medically relevant
- Allows you to conduct the mantoux test
- Allows for diagnosis using an acid fast stain
- Limits the spectrum of antibiotics that can be used to treat a TB infection
What can generate a false negative mantoux test?
If the immune system is not very competent
-won’t give a strong enough response
Archeobacteria classification
third domain of living organisms distinct from eukaryotes and prokaryotes