Lecture 17

1.
What are the mechanisms of damage of microbial infection? (6)
"Exotoxins, degradative enzymes, acute inflammation, auto immune damage, chronic inflammation, carcinogenesis"
2.
What are some exotoxins? (5)
"S. aureus enterotoxin, cholera toxin, shiga toxin, pore forming toxin, superantigens"
3.
What are the characteristics of a staphylococcus aureus enterotoxin? (3)
"Heat/acid resistance, quick onset"
4.
What are the subunits of cholera toxin?
AB5
5.
What happens when AB5 binds to a receptor on epithelial tissue? (9)
Taken into cell > disassociated in ER > CTA binds Gs protein > activation of adenylate cyclase > upregulation of cAMP > activation/opening of CTFR Cl- channels > Cl- efflux > Na+ efflux > H2O efflux
6.
What is not present in stools of a person infected with cholera toxin?
Blood
7.
What microbe causes hamburger disease?
Enterohaemorrhagic E. coli
8.
What is the toxin of enterohaemorrhagic E. coli?
Shiga toxin
9.
What is the result of shiga toxin in the kidney?= =Thrombotic microangiopathy
10.
What are the subunits of shiga toxin?
AB5
11.
What happens when shiga toxin binds receptor on epithelial tissue?
As for cholera toxin except A subunit inhibits protein translation > inflammation > epithelial apoptosis > loss of epithelial barrier > bloody diarrhoea
12.
13.
How do pore forming cytolysins work?
Cytolysin binds cell membrane protein receptor > oligomerisation > membrane insertion
14.
What are classes of exoenzymes? (4)
"Lipases, proteases, DNAses, Hyaluronidases"
15.
16.
Which bacteria produces Zn-metallophospholipase C?
Clostridium perfringes
17.
What is the primary function of ZN-metallophospholipase C?
Spreading factor
18.
What is the primary function of sphingomelinase C?
immune evasion
19.
Which bacteria produces sphingomyelinase C?
S. aureus
20.
What is a common name for clostridial myonecrosis?
Gas gangrene
21.
What are examples of proteases as spreading factors? (2)
"Las A, Las B"
22.
Which microorganism produces Las A and Las B?
Pseudomonas aeruginosa
23.
How do Las A and Las B work synergistically?
"Las A nicks (marks) protein, Las B degrades it fully"
24.
What does the degradation of proteins result in?
Tissue necrosis
25.
What is the flesh eating disease?
Necrotising fasciitis
26.
What produces C5a peptidase?
S. pyogenes
27.
What does C5a peptidase do?
Cleaves C5a and disrupts chemotaxis
28.
How do DNAses contribute to spreading?
Cleave extracellular DNA to decrease viscosity
29.
How do DNAses promote immune evasion?
Cleave neutrophil extracellular traps (NETs)
30.
Which exotoxin deregulates cellular processes? (2)
"Enterotoxin, cholera toxin"
31.
Which exotoxins cause cell damage? (3)
"Shiga toxin, cytolysis, DNAses, proteases, hyaluronidase"
32.
Which exotoxins target the immune response?
"DNAs, C5a peptides"