Define pathogenicity
Ability of an organism to cause damage / disease to a host that it infects
Define virulence
Degree of pathogenicity; a phenotype
Define avirulence
Not a pathogen
Define disease
Disruption of homeostasis
Pathogens express genes that code for ____________
virulence factors
Virulent pathogens have a ____ threshold than less virulent relatives
less; that means it takes fewer to cause disease

Some pathogens employ a _____ growth strategy to avoid immune system
slow

Treponema pallidum incites…
Syphillis
LD50
lethal dose of LETHAL pathogens; expressed as # of organisms required to kill 50% of test animals

Which is more virulent: Streptococcus pyogenes OR Salmonella enterica serovar Typhimurium
Streptococcus pyogenes (according to LD50)
ID50
infectious dose of NONLETHAL pathogens; expressed as # of organisms to cause illness in 50% of test animals

Opportunistic pathogens
Avirulent organisms that cause disease when host’s immune system is weakened; severe burns may result in this
What causes oral thrush / candidiasis in HIV patients?
Candida albicans
What causes lung infections of cystic fibrosis patients?
Psuedomonas aeruginosa
Virulence Continuum
Lactobacilli, Candida albicans, Clostridium difficile, Pseudomonas aeruginosa, Bordetella pertussis, Yersinia pestis, Francisella tularensis

Types of virulence factors
Adhesions, extracellular enzymes, exotoxins, endotoxins, antiphagocytic factors, biofilm formation, phase variation / antigenic shift
Adhesion factors
Specialized attachment proteins on fimbriae, flagella & capsule;
Viruses & bacteria have lipoproteins & glycoproteins that bing to host receptors

Neisseria gonorrhoeae
Extracellular enzymes
Released by BACTERIA to degrade host molecules and evade immune system
Hemolysins
cause lysis of RBCs; extracellular enzyme
Hyauronidase
Degrades hyaluronic acid; extracellular enzyme
Connective, epithelial, and neural tissue

Collagenase
Degrades collagen; extracellular enzyme

Coagulase
Promotes blood clots; extracellular enzyme

Kinase
digest blood clots; extracellular enzyme
