Streptococcus pneumoniae and cell wall Flashcards
(59 cards)
Pneumo pathogenesis
gram-positive bacteria (monoderm)
prolayelipsoid - oval shape; pointed at one end
point allows it to always land on their side
- land on point and fall over
- virulence factor are all in mid section
Diseases caused by pneumo
Pneumonia
Meningitis
Sepsis
Otitis Media (middle ear infection)
Pneumonia symptoms
Shaking chill
Fever
Cough
Discomfort
Can be very subtle but onset of severe is abrupt
Pneumo virulence
Causes 1.2 million deaths worlwide a year
- under reported due to people with underlying illnesses e.g. cancer
Mainly immunocompromised groups i.e. >65 or <5
Major pneumo virulence factors
Polysaccharide capsule
Pneumolysin
- really large
- damages the heart
Pneumo reservoir/transmission
Direct contact with respiratory secretions
Pneumo treatment/prevention
Antibiotics
- penicillin or other beta-lactams
Pneumo niche
Nasopharynx
- top of throat, back of nose
60% squamous epithelium
40% ciliated columnar cells
Lymphocytes buried in submucosa along with seromucous glands - make mucus
Lymphocytes constantly patrolling
NOT A STABLE NICHE
Pneumo food source
Mucus and glycoproteins on epithelial cell surface
40-50% genome is dedicated to metabolism of sugar
Has N-poor diet so retained genes required to make all basic amino acids from scratch
Brain: Meningitis
pneumo can leave nasopharynx through hole at top of spine that allows spinal cord into brain
Only soft tissue between then - gets into brain meninges
Middle ear: Otitis Media
Pneumo travels down Eustachian tubes in middle ear
These tubes control pressure in ear by periodically openining and shutting
Open into nasopharynx
Lungs: Pneumonia
Contantly inhaling air that passes over nasopharynx
If droplets are released off of surface they can be inhaled into lungs
Blood: Spesis
- Taken into lungs and cause local infection
Lungs covered in blood vessels so gives direct access to blood - Nasopharynx is covered in very fine set of capillaries
Can get direct access if they start to invade
Why does pneumo become invasive?
Due to stress of being in part of the body it’s not meant to be in
- not designed for it
Pneumo carriage
Carriage lasts only weeks/months
Does not have a stable niche so needs to be passed on frequently
Falls somewhere between commensal and parasite
Challenges of building cell wall
Have to build from inside out
While mainting shape
Without compromising integrity
At maximum possible rate
Role of cell wall
Bacteria have high internal osmotic pressure due to concetrated contents
Pressure is balanced by tensile forces provided by PG cell wall
If cell wall compromised, cell explodes
PG cell wall composition
Repeating dissacharide units crosslinked together by short peptides
Made from precursor: Lipid II
Lipid II
Lipid-linked precursor that contains dissacharide and pentapeptide stem - ending in D-ala-D-ala
PG formation
Transglycosylase activity (TG)
- polymerase lipid II into glycan strands
Transpeptidase activity (TP)
- cross-links strands
- removes D-ala at end of penta-peptide strand
Penicillin mode of action of PG
Irreversible competitive inhibition of transpeptidase activity required to build cell wall
- Is a chemical mimic of D-ala leaving group
- capable of binding TP domains
Forms intermediate cross-link via covalent bond
- lock protein in inactive state
PBPs
Identified biochemically as they are all covalently modified by penicillin
Bacterial cell growth
Grow through repeated cycles of cell elongation and division
Problem with genetic approaches
Cells have to survive in order for them to be studied further
If cells die there is no way of identifying gene
AND
Genetic redundancy