S. pneumoniae and the Cell Wall Flashcards
(75 cards)
Traits of Streptococcus pneumoniae?
Shape and diagnosis?
- Importance of this? (hint - midcell)
Gram-positive bacteria with a characteristic elliptical shape (prolate ellipsoid/egg shaped)
Shape was used to diagnose bacteria under a microscope a long time ago
Also important for its pathogenesis as they’re pointed at one end, when they cause infection they will hit on they’re pointed end and roll over, so they are side on
- Proteins involved in pathogenesis are all found at the mid cell, so this surface needs to be in contact with the host to deploy the virulence factors
Disease caused by S. pneumoniae?
Pneumonia, Meningitis, Sepsis, Otitis media
Pneumonia symptoms?
Subtlety and progression?
Shaking chill, fever, cough, discomfort, heavy breathing
Symptoms can be very subtle
Disease progresses rapidly and onset of severe illness is abrupt
Deaths from S. pneumoniae?
Groups more susceptible?
Underreported?
1.2+ million deaths worldwide pa
Mainly in patients >65, <5 or immunocompromised
Pathologists typically ignore pneumoniae on death certificates e.g. those who had cancer but developed pneumonia
Major virulence factors of S. pneumoniae?
Polysaccharide capsule
Also pneumolysin (damages heart) etc.
How is S. pneumoniae transmitted?
Reservoir?
Direct contact with respiratory secretions containing the organism
These come from coughing, sneezing etc. creating droplets onto a surface that are picked up
Treatments for S. pneumoniae?
Antibiotics (usually penicillin or related compounds)
- Vaccination (against capsule types)
What niche is S. pneumoniae found in?
WHat is the niche made of?
What is secreted?
Nasopharynx; Airways at the top of the throat/back of the nose
Nasopharynx is a mixture of 60% squamous (‘flat’) epithelial cells and 40% ciliated columnar cells
Lymphocytes buried in the submucosa along with seromucous glands that produce mucus
What are the carbon and nitrogen sources of S. pneumoniae?
Mucus - Complex mixture of glycoproteins on the surface of epithelial cells; Bacteria has many sugar metabolism genes
Poor nitrogen diet; Maintained all of the genes required to make the basic amino acids from scratch
How does S. pneumoniae escape its niche and where to? (4 places)
Escapes its niche and accesses the membrane surrounding the brain (meninges) through the soft tissue between the brain and spinal column; Causes meningitis
Accesses middle ear to cause otitis media through eustachian tubes which open up into nasopharynx
Access the lungs when droplets on the nasopharynx are inhaled; Causes pneumonia
Can access blood through either:
- Cause local infection in the lungs which are covered in blood vessels allowing easy access
- Many blood vessels on nasopharynx which can allow direct access
Why is it bad for S. pneumoniae to become invasive?
Why do they?
S. pneumonia can’t leave body and transmit if host is killed; These bacteria then become evolutionary dead end
Its ‘panicking’ as it’s in a part of the human body it isn’t designed to be in; Not trying to kill the host
% of adults and infants colonised at any one time?
Length of carriage?
Stable niche and survival?
10% adults and up to 60% of infants are colonised at any one time
Carriage lasts only weeks/months (average 3 weeks)
S. pneumoniae does not have a stable niche; The only way it survives is constantly transmitting on a monthly timeframe
What is Symbiosis?
Close, prolonged association between two or more different biological species
e.g. mitochondria
What is mutualism?
Association between organisms of two different species in which each benefits
What is commensalism?
Relationship between individuals of 2 species in which 1 species obtains food or other benefits from the other without either harming or benefiting the latter
What is parasitism?
Relationship between the two living species in which one organism is benefitted at the expense of the other
What is an obligate pathogen? (hint - reproduce)
Microorganism that must infect a host to complete its life cycle and reproduce; Always causes disease
What type of microorganism does S. pneumoniae class as?
When does it trigger invasive responses? (2 times)
Randomness?
Sits between commensalism and parasitism
Occurs during either co-infection or when the immune system is in a suppressed state
- An individual must already be colonised at the time of either; Introduces ‘randomness’ to the pathology, as it colonises so briefly
How does vaccination treat S. pneumoniae? (hint - carriage)
Target?
Vaccine reduced invasive diseases in targeted strains. Caveat to vaccine?
- What did this require?
Primes the immune response to clear carriage, removing risk of invasive disease
- Block colonisation = Prevent invasive infection
Polysaccharide capsule; ≈92 capsule types for S. pneumoniae
Left the niche ‘open’ for other strains; 2-3 years for invasive disease to return to pre-vaccine levels
- Required more and more vaccines to be developed with increasing valencies
What is the primary treatment for S. pneumoniae?
Different recommendations?
- Macrolide?
Penicillin-related drugs and other β-lactams that target the cell wall
British, American and European recommendations are all different
- Europe recommends macrolide (erythromycin or kanamycin etc.); Antibiotic resistance varies across Europe, so a secondary treatment being used as a primary treatment may be necessary
Why is the bacterial cell wall important? (hint - pressure)
Target?
Large internal osmotic pressure, with tensile forces provided by the cell wall; If the cell wall weakens, water can rush in and causes the cell to enlarge and lyse
Therefore a good target to kill bacterium
What 3 challenges does the bacteria face?
Build cell wall from the inside out
Maintaining cell wall shape
Maintaining integrity through these processes
All must be done at max possible rate
Peptidoglycan structure
Macro-structure?
Repeating disaccharide units cross-linked together by short peptides
Forms a single large molecule that encases the membrane and resists the osmotic pressure
How is PG made? (hint - lipid II)
What 2 biochemical activities are needed?
Made from lipid II precursor that carries disaccharide and peptide stem, ending in D-Ala
Transglycosylase – Polymerases lipid precursor into glycan strands
Transpeptidase – Cross-links the peptidoglycan by the peptide stems; Terminal D-Ala is cleaved in this reaction