[W1] Eukaryotic pathogens Flashcards

(38 cards)

1
Q

What defines fungal cells?

A

Eukaryotic, chitin cell walls, ergosterol in membranes, osmotrophic, non-photosynthetic.

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2
Q

Name the 5 main fungal phyla.

A
  • Chytridiomycota
  • Zygomycota
  • Glomeromycota
  • Ascomycota
  • Basidiomycota
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3
Q

What is dimorphism in fungi?

A

Ability to switch between yeast and hyphal forms based on environment (e.g., temp, CO₂).

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4
Q

What are the 5 categories of fungal diseases (mycoses)?

A
  • Superficial
  • Cutaneous
  • Subcutaneous
  • Systemic
  • Opportunistic
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5
Q

Which fungi commonly cause cutaneous mycoses?

A
  • Trichophyton
  • Microsporum
  • Epidermophyton
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6
Q

What causes blastomycosis?

A

Blastomyces dermatitidis – dimorphic, pulmonary to systemic spread.

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7
Q

What fungus causes histoplasmosis?

A

Histoplasma capsulatum – inhaled from soil/bird droppings.

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8
Q

What is cryptococcosis?

A

Caused by Cryptococcus neoformans or gattii; CNS involvement common in AIDS.

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9
Q

What causes aspergillosis?

A

Aspergillus fumigatus – inhaled spores cause pulmonary or invasive infections.

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10
Q

What is candidiasis?

A

Caused by Candida spp., part of normal flora, overgrowth in immunocompromised.

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11
Q

What is pneumocystis pneumonia (PCP)?

A

Caused by Pneumocystis jirovecii; cholesterol-based membranes, not ergosterol.

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12
Q

Name 4 major antifungal targets.

A
  • Membrane (ergosterol) – azoles, polyenes, allylamines
  • Cell wall – echinocandins, chitin synthase inhibitors
  • Nucleic acid synthesis – flucytosine
  • Mitosis (microtubules) – griseofulvin
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13
Q

What do azoles do?

A

Inhibit ergosterol synthesis via 14α-demethylase (e.g., fluconazole).

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14
Q

What are polyenes and their mechanism?

A

Bind ergosterol, form membrane pores (e.g., amphotericin B, nystatin).

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15
Q

What do echinocandins inhibit?

A

β-1,3-glucan synthesis in the fungal cell wall.

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16
Q

What is flucytosine’s mechanism?

A

Converted to 5-FU in fungi → disrupts RNA/DNA synthesis.

17
Q

List mechanisms of antifungal resistance.

A
  • Drug efflux
  • Target modification
  • Reduced uptake
  • Cholesterol substitution
  • HSP90 upregulation
18
Q

What is a parasite vs. a pathogen?

A
  • Parasite: Lives on/in another and benefits at host’s expense.
  • Pathogen: Causes disease.
19
Q

What causes Acanthamoeba keratitis?

A

Acanthamoeba spp. – eye infection, mostly contact lens users.

20
Q

What is Naegleria fowleri?

A

Thermophilic amoeba causing Primary Amoebic Meningoencephalitis (PAM); usually fatal.

21
Q

What causes trichomoniasis?

A

Trichomonas vaginalis – STD, no cyst stage, treated with metronidazole.

22
Q

What diseases are caused by trypanosomatids?

A
  • Leishmaniasis (Leishmania spp.)
  • Sleeping sickness (Trypanosoma brucei)
  • Chagas’ disease (Trypanosoma cruzi)
23
Q

What is a kinetoplast?

A

A dense mitochondrial DNA-containing granule unique to trypanosomatids.

24
Q

How is leishmaniasis transmitted?

A

Sandfly bite; causes cutaneous, mucocutaneous, or visceral disease.

25
What drugs treat leishmaniasis?
* Antimonials (e.g., sodium stibogluconate) * Amphotericin B * Miltefosine
26
What causes sleeping sickness?
T. brucei, transmitted by tsetse flies.
27
What is VSG switching?
Antigenic variation of surface glycoproteins to evade immunity.
28
What are treatments for sleeping sickness?
* Stage 1: Pentamidine, suramin * Stage 2: Melarsoprol, eflornithine
29
How is Chagas’ disease transmitted?
Triatomine bug bite and fecal contamination.
30
What causes the chronic form of Chagas?
Amastigote invasion of cardiac, GI, and nervous tissue.
31
What is the treatment for Chagas?
Benznidazole or nifurtimox (most effective in acute stage).
32
What species causes the most severe malaria?
Plasmodium falciparum.
33
What is PfEMP1?
A variable surface protein involved in adhesion and immune evasion.
34
How does Plasmodium detoxify heme?
Converts it into hemozoin crystals.
35
How do quinolines work?
Inhibit hemozoin formation → ROS buildup → parasite death.
36
What is artemisinin’s target?
PfPI3K; resistance involves mutations in PfKelch13.
37
What is atovaquone’s mechanism?
Disrupts mitochondrial membrane potential by targeting coenzyme Q analog.
38
List malaria prevention strategies.
* Insecticide-treated nets * Vector control * Prophylactic drugs * Vaccines (RTS,S and R21/Matrix-M)