Lecture 15

1.
What is bacterial transformation?
When a bacteria takes in fragments of DNA from other bacteria and incorpororate it into their DNA
2.
What is transduction?
When a virus transfers DNA from one bacteria to another
3.
What is conjugation?
When bacteria unite through pili and share DNA plasmids
4.
What are the sources of transmission? (6)
Self/others, food/drink/ environment, air, fomites, insects/animals
5.
What are the modes of transmission?
Airborne, eating/drinking, bodily fluids, direct contact, insect bite, surgery
6.
What are the steps to infection? (4)
Colonisation, evade host defences, proliferate, cause damage
7.
What are some risk factors for infection? (5)
Age, medical conditions, genetics, surgery, medication
8.
Why do bacteria stick? (2)
Prevent elimination, anchor at preferred niche
9.
How do bacteria stick? (2)
Non specific adhesion molecules, specific adhesins
10.
What are some non-specific adhesins? (2)
Techoic acids (S. aureus), alginate capsule (P. aeruginosa)
11.
What are some gram negative specific adhesins? (2)
Pili/fimbrae, outer membrane adhesins
12.
What are some gram positive specific adhesins?= =MSCRAMMS
13.
What is the mechanism of pili adhesin? (3)
Pili attach to receptor, pili retract, outer membrane adhesins bind receptors on cell
14.
What is the mechanism for lipoteichoic acid attachment?
Lipoteichoic acids attach, MSCRAMMS bind matrix proteins (fibrinogen, fibronectin, collagen)
15.
What is our primary barrier defense against microbes? (2)
Skin, mucous membranes
16.
What is an additional protective defense mechanism of mucos membranes (besides barrier)?
Contains antimicrobial compounds
17.
What is a metabolic defense against microbes?
Iron restriction
18.
What are the immune defences? (3)
Complement, phagocytes, antibodies
19.
How can microbes resist antimicrobial fluids? (3)
Altering surface charge (repel antimicrobial peptides), producing proteases (cleave sIgA), barrier (capsule etc.)
20.
How can microbes evade the immune system?
Masking/hiding
21.
What are the methods of hiding/masking? (3)
Capsule, invasion of host cell, mimicking host (self)
22.
How does a microbe employ mimicry with Ig?
Protein A of S. aureus binds FC region of Ig antibody, inhibiting binding of Ig to immune system
23.
How does a microbe employ mimicry with MSCRAMMS?
S. aureus binds extracellular matrix proteins which cover the cell presenting it as self
24.
How does a capsule enable hiding/masking?
Prevents opsonisation/contact by immune system
25.
26.
How does binding factor H facilitate immune evasion by microbes?
S. pyogenes and N. meningitidis bind factor H (produced by the body to protect from autoimmune attack) and degrade C3b
27.
How can a microbe destroy a phagocyte? (2)
Phagocyte ingests microbe, microbe produces toxin which kills phagocyte
28.
How do microbes detoxify phagocytes?
M. tuberculosis is ingested by phagocyte, detoxifies reactive oxygen species
29.
How do microbes disrupt complement?
S. aureus inhibits chemotaxis by blocking C5a receptors on immune cells (C5a antagonist) through secretion of CHIPS
30.
What is antigenic variation?
Where a microbe (N. meningitidis) stimulates production of immune antibodies, then mutates so the antibodies don’t  recognise it
31.
What are decoys used to confuse the immune system?
Lipopolysaccharide blebs of outer membrane decoy immune system
32.
How can microbes physically resist the immune response?
By producing long O-antigens which prevent complement adhesion
33.
How can the host restrict iron availability to microbes? (2)
Lactoferrin, transferrin
34.
How do microbes overcome iron restriction?
(3) Siderophores (transport iron across membranes), transferrin binding proteins, haemolysis/protease