Fungal Part 1 Flashcards

(40 cards)

1
Q

what are conidia

A

greek for dust. Sexual spores that arise from the hyphae of the fungi

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2
Q

why is it hard to treat a fungal infection with most anti-protein synthesis antibiotics

A

because they have multiple RNA polymerases just like we do and ribosomes like ours whihc means that they are not killed by most anti-protein synthesis antibiotics

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3
Q

describe the plant like righid cell wall of fungi

A
  1. That cell wall is comprised of an inner glucose polymer which is referred to as a glucan. Glucan is a long linear polymer.
  2. Outside of the glucose polymer there’s also a mannose polymer that’s usually highly branched and provides a lot of antigenic specificity that we can use both for diagnosis and also for classifying fungi.
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4
Q

what is a major difference between fungi and humans

A

we have cholesterol as our major sterol in the plasma membrane which holds it together, fungi usually have some form of the sterol ergosterol in the membrane. The only difference between ergosterol and cholesterol is one double bond. However this little difference is enough to provide some drug specificity for therapy.

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5
Q

hyphae vs pseudohyphae

A

i. Pseudohyphae are simply yeast cells that grow in an elongated manner. The growing tip cell will divide to produce a chain of yeast cells that are in a pseudohyphal conformation. These are elongated yeast cell. If we have pseudohyphal growth, we refer to those colonies as having a pseudomycelium.
ii. If we have regular hyphal growth it’s called a mycelium.

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6
Q

what kind of spore is common in athletes foot

A

aleurospore

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7
Q

what kind of spore is a jointed spore

A

arthrospores…these spores that grow within the hyphae and they give a joint-like appearance

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8
Q

histoplasma and cadida albicans exhibit what type of spores

A

chlamdospores, which are large, round and thick walled spores

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9
Q

if fungus gives rise to a yeast cell what do we call the spore

A

blastospore

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10
Q

describe the steps of sexual reproduction in fungi

A
  1. Two sexes communcate with each other via peptide pheromones
  2. That stimulate a ras protein kinase cascade that turns on an alternate developmental pathway
  3. Cell fusion and karyogamy
  4. Sometimes zygote can grwo and produce more diploid fungi. ultimately, zygote undergoes meiosis
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11
Q

in this fungal sexual cycle, sexual spores are produced in a sac or ascus

A

ascomycetes and the fungi in this category include Penicillium

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12
Q

When these undergo meiosis, the sexual spores are put on a base or basidium

A

basidiomycetes and include all mushrooms such as amanitis, porcini, and cryptococcus

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13
Q

Nonseptate fungi which have a very large diameter probably about 5-10 times the diameter of other hyphae.

A

Zygomycetes are the nonseptate fungi and includes an opportunistic fungus called Mucor.

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14
Q

what role do protein formation play in fungal processes

A

They secrete cell wall components like enzymes and partly-made polysaccharides that assemble at the growing tip into a cell wall. But in order to eat, some other of those ribosomes in the rough ER get resorted to make different proteins which are transported via vesicles to the same growing tip. These other proteins are secreted as proteases, nucleases, lipases, and carbohydrolases which are the enzymes that can turn decaying organic matter into basic compounds. These secreted proteins also play an important part in the disease process as well. Fungi are also capable of changing their cell types depending on the environment. Not all fungi can do this. But it’s a very important process with respect to the disease processes especially in the case of systemic fungi

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15
Q

what happens when you culture yeast cell on Sabouraud’s agar

A

it will produce a mold

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16
Q

how do we see fungal infections

A
  1. 10% KOH
  2. Calcofluor: because of chitin fluoureescent stain
  3. CSF because of polysaccharide capsule
  4. Silver stain protein
  5. Gram stain
  6. UV light/ wood lamp
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17
Q

probably the most lethal drug to fungi but can be lethal to immunocomprised humans with fungal infections is ____ and explain its mechanism

A

polyenes: 1. Amphotericin B works by incorporating preferentially into ergosterol containing membranes. When amphotericin B incorporates into the cell membrane it forms a pore. The pore renders the cell membrane useless and small molecules leak into the cell. The cell wall won’t protect the fungus because it is very permeable. The cell can’t maintain its osmolarity and it dies. It’s a very effective anti-fungal medication.
2. The only problem with amphotericin B is that whereas it incorporates preferentially into ergosterol-containing membranes, it can still go into cholesterol-containing membranes at a much lower efficiency. However it can still render mammalian cells permeable and therefore dead this way. Obviously your most important cells with respect to transport and permeability are the kidney cells and as a result kidney failure for people treated with amphotericin B is fairly common. Amphotericin B is called “amphoterrible” in the clinic because of its side effects. Unfortunately since most of the fungal infections that require amphotericin B treatment are acquired by immunocompromised patients, you’re making them more vulnerable to side effects since they are already sick. So this is a drug of choice but it’s also a drug of last choice.

18
Q

how do imidazoles work

A

ii. Imidazoles are a little bit more benign. These work by inhibiting a cytochrome 450 containing enzyme. Because this enzyme is blocked by imidazole, the fungal cell cannot make ergosterol. If you can’t make ergosterol, you can’t make good membranes. The membranes will be leaky and the cells die. It’s thought that imidazoles may affect steroid metabolism a little bit in some people but generally they are much more benign than polyenes.

19
Q

how do terbinafine or allylamines work against fungal infections

A

accumulation of squalene and the prevention of ergosterol biosynthesis.

terbinafine or allylamines. These drugs inhibit squalene epoxidase which is an early enzyme in ergosterol biosynthesis. Allylamines are specific for fungi. There are two modes of action that have been proposed for terbinafine or allylamines.

  1. One thing that’s believed is that they prevent the formation of ergosterol to some extent.
  2. But it’s also believed that because fungal cell cannot process squalene due to inhibition, the cell accumulates squalene. Although squalene is an important intermediate, it’s also toxic at high concentrations.
20
Q

how do echinocandins work?

A

the penicillin of fungal drugs. Echinocandins inhibit cell wall formation by inhibiting the glucan. Caspofungin and Cancidas are types of echinocandins which are made by Merck.

21
Q

how does fluorocytosine or Ancobon work

A

inhibits synthesis of nucleic acids. It’s not all that fungi specific but it seems to work better on fungi than on mammalian cells. Fluorocytosine is often used in combination with other antifungals. However high concentrations of fluorocytosine can be carcinogenic because it inhibits nucleic acid synthesis

22
Q

what is the fungal name for athletes foot

A

trichophyton mentagrophytes

23
Q

what causes the itching in athletes foot

A

Those secreted proteases are antigenic and cause a Type II hypersensitivity response. As a result of the Type II HS reaction, mast cells come in and you start itching which leads you to scratch.

24
Q

is ringworm on the beard

A

b. Tinea barbi

25
is jock itch in males.
Tinea cruris
26
is ringworm of the scalp area. You can make the condition severe by scratching the infection which will lead to bleeding and oozing of pus which comes from the fungus producing the kerion which is a thick pus-like substance.
tinea capitis
27
is ringworm of the body
tinea corporis
28
Finally there’s ringworm infection of the nail called
tinea unguium or onychomnycosis
29
i. Trichophyton mentagrophytes
causes athletes foot
30
ii. Trichophyton rubrum produces
a red hyphal matt on the petri dish. It takes 2-3 weeks to grow but it can grow faster if you add olive oil to the media.
31
1. Tinea versicolor
is a much more benign skin infection. It rarely itches. The name tinea versicolor comes from the fact that it changes your skin color. You have fungi growing on the surface of the skin. What they do is that they inhibit melanin production and this produces a white colorization on . Tinea versicolor is caused by Mallesezia globosa and Mallesezia furfur. It’s a dimorphic fungus which is considered normal flora.
32
tinea nigra
2. Another fungus is a tropical one that causes tinea nigra or black palms. This is usually found only in tropical areas.
33
This organism produces a hyper keratosis on the scalp that causes hair loss and scales
3. We also have FAVUS which is caused by Trichophyton schoenleineii.
34
we have piedras which usually are just localized to the hair itself and not the skin. a. Black piedras are localized infections of the hair caused
Piedraia hortai.
35
b. White piedra is caused by _____and what kind of spores do you get
Trichosporon beigelii. You can see arthrospores in this infection.
36
b. How do we diagnose superficial fungal infections?
i. We can use KOH preps which lets you see the hyphae under the microscope. ii. You can also use Wood’s lamp. iii. Fungi can also be identified using the silver stain. You can see purple fungus shining through under the microscope.
37
an allergic reaction with no fungal cells
an allergic response or a dermatophytid response (or simply id response)
38
a. Sporotrichosis is caused by
by Sporotrichum schenkii. i. Sporotrichum schenkii is a dimorphic fungus. 1. So if you grow it on Sabouraud’s agar at 25o C you can see that it grows as a mold with hyphae and 4 spores producing a mycelium. 2. If you grow Sporotrichum schenkii on blood agar at 37o C, you see elongated yeast cells. This is what you’re going to find in a sporotrichosis infection.
39
which people are known to get sporotrichosis
is also known as rosethorn disease. It’s very common among people who work with rose bushes or in places where they can get poked by a thorn. It is a soil organism so the thorns get contaminated by the Sporotrichum schenkii spores.
40
the spores however invade your lymph channels, the fungus can grow into the lymphatic system and cause eruptions up and down the lymphatic system.
is referred to as lymphocutaneous sporotrichosis.