Microbial Virulence Flashcards

(50 cards)

1
Q

What is microbial virulence?

A

Measure of pathogenicity in a susceptible host

Virulence is a critical factor in the ability of a microbe to cause disease.

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2
Q

What is host susceptibility?

A

Person lacking immunity or resistance to a pathogen

Increased risk of infection due to various factors.

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3
Q

What is the relationship between virulence and infection?

A

Virulent microbe + susceptible host = infection

This equation highlights the necessity of both factors for infection to occur.

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4
Q

List the barriers to infection.

A
  • Intact skin and mucous membranes
  • Mucous
  • Antibacterial secretions
  • Presence of the microbiome
  • Innate/adaptive immunity

Disruptions to these barriers can increase host susceptibility.

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5
Q

What are virulence factors?

A

Gene products that enable colonization of a susceptible host

These factors play a crucial role in the ability of pathogens to cause disease.

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6
Q

Identify some factors that contribute to host susceptibility.

A
  • Age
  • Comorbidities
  • Lifestyle
  • Genetics
  • Immunization
  • Medical interventions
  • Medications
  • Trauma
  • Socioeconomic factors

These factors can significantly increase the risk of infection.

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7
Q

What role do biofilms play in infections?

A

Bacteria embedded in a sticky matrix, more resistant to removal by host immunity and antimicrobials

50-80% of infections are associated with biofilms.

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8
Q

True or False: All pathogens require a susceptible host for infection.

A

False

Obligate pathogens have specialized virulence factors that allow them to infect without a susceptible host.

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9
Q

What is the significance of antimicrobial resistance in Pseudomonas aeruginosa infections?

A

Complicates treatment and often requires combinations of antimicrobials

This resistance is a major concern in clinical settings.

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10
Q

Fill in the blank: The immune response against pathogens can cause _______.

A

[damage to host tissues]

Both the pathogen and the immune response contribute to pathology.

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11
Q

What are some microbial factors that contribute to pathogenesis?

A
  • Toxins
  • Enzymes
  • Biofilms
  • Immune evasion

These factors can directly damage host cells.

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12
Q

Define pathogenicity.

A

Ability of a microbe to cause infection

It reflects the potential of a microbe to lead to disease.

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13
Q

What is the role of antigenic variation in viral infections?

A

Ensures previous immune memory functions less well

This can lead to more severe infections as the immune system may not recognize the new epitopes.

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14
Q

What are the two types of host-mediated pathogenesis?

A
  • Prolonged inflammatory responses
  • Delayed immune responses

Both can contribute to increased pathology.

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15
Q

How do microbes cause disease in susceptible hosts?

A

By attaching, resisting host defenses, and multiplying

This process is essential for establishing an infection.

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16
Q

List key virulence factors of Pseudomonas aeruginosa.

A
  • Biofilms
  • Capsules
  • Immune evasion
  • Motility
  • Adhesins
  • Enzymes
  • Toxins

These factors enable the pathogen to survive and cause disease.

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17
Q

Fill in the blank: _______ are important for controlling the spread of antimicrobial resistance.

A

[Antimicrobial stewardship]

Proper use of antimicrobials is essential in healthcare.

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18
Q

What is the impact of medical interventions on host defenses?

A

They can disrupt defenses, increasing host susceptibility to infection

Examples include surgeries, use of catheters, and immunosuppressive treatments.

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19
Q

What are the two main types of immune responses?

A
  • Innate (non-specific)
  • Adaptive (specific)

Both types play critical roles in defense against infections.

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20
Q

True or False: Virulence factors are static and do not evolve.

A

False

Virulence factors are always evolving, which poses challenges for treatment and prevention.

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21
Q

What is the equation that represents infection?

A

VIRULENT MICROBE + SUSCEPTIBLE HOST = INFECTION

22
Q

Define microbial virulence.

A

Measure of pathogenicity in a susceptible host.

23
Q

What is a pathogen?

A

Microbe that can cause infection.

24
Q

What does pathogenicity refer to?

A

Ability of a microbe to cause infection.

25
What is a virulence factor?
Gene product that enables colonization of a susceptible host.
26
What factors influence host susceptibility?
* Age * Comorbidities * Lifestyle * Genetics * Immunization * Medical interventions * Medications * Trauma * Socioeconomic factors
27
True or False: A normal host has defenses that equal virulence, resulting in no infection.
True
28
What are obligate pathogens?
Pathogens that do not require a susceptible host for infection.
29
What are opportunistic pathogens?
Pathogens that require a susceptible host for infection.
30
List the factors that contribute to infection.
* Microbial factors * Host factors * Environmental factors
31
What is the role of microbe-mediated pathogenesis?
Virulence factors directly damage host cells.
32
What is host-mediated pathogenesis?
Prolonged/delayed/inappropriate inflammatory/immune responses.
33
What are the intrinsic (non-immune) host defenses?
* Physical barriers * Secretions * Physical removal * pH * Microbiome
34
What are the two types of immune defenses?
* Innate (non-specific) * Adaptive (specific)
35
What is the microbiome?
Colonized by a complex community of microbes even in health.
36
What type of infections is Pseudomonas aeruginosa known for?
Hospital-acquired infections.
37
What are some clinical diseases caused by Pseudomonas aeruginosa?
* LRTI (CF) * Sepsis * Bone & joint infections * UTI * Ear & eye infections * Wound infections * Folliculitis
38
What are some virulence factors of Pseudomonas aeruginosa?
* Biofilms * Capsules * Toxins * Enzymes * Immune evasion
39
What is a major challenge in treating Pseudomonas aeruginosa infections?
Multidrug resistance.
40
What are the mechanisms of antimicrobial resistance?
* Efflux pumps * Porins * β-lactamases
41
What is the role of mobile genetic elements in virulence?
Virulence genes may be on plasmids, transposons, phages.
42
What does virulence measure?
Pathogenicity or ability to cause disease.
43
Fill in the blank: Infection arises when virulence factors are expressed in a _______.
[susceptible host]
44
What is the significance of antimicrobial stewardship?
Controlling the spread of antimicrobial resistance.
45
What are some infections caused by Candida albicans?
* Mucocutaneous infections * Systemic, invasive infections
46
What is an example of a virus that exhibits virulence?
Influenza A.
47
What are the two key proteins associated with Influenza A virulence?
* HA (haemagglutinin) * NA (neuraminidase)
48
What is antigenic drift?
Seasonal epidemics caused by constant mutations.
49
What is the difference between antigenic drift and shift?
* Drift: seasonal epidemics * Shift: pandemics
50
What are some examples of factors that affect host response?
* Inflammation * Immune response