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بسم ا..الرحمن الرحیم Microbial Pathogenesis Today we will talk about How do we study Bacteria Microscopes Some terms and definitions How a microorganism enters to body Modes of infectious disease transmission Microbial Toxins Intracellular/ Extracellular bacteria Invasion How do we study Bacteria 1- Microscope 2- Cuture 3- Immunological Methods 4- Molecular Methods Different Kinds of Microscopes: Compound Light Microscope (transmitted light) Transmission Electron Microscope (transmitted electron beam) Scanning Electron Microscope (reflected electron beam) Dark-field Microscopy Phase Contrast Microscopy Basic Principles Magnification: objects are made to appear larger than they are Resolution: the ability to see close together objects as distinct Early Light Microscopes: A Compound Light Microscope Total Magnification: Simply multiply the ocular magnification by the magnification of the objective you are using Resolving Power: dmin = 0.61 / N.A. Resolving Power: Human eye: about 0.2 mm Compound Light Microscope: about 0.2 μm Transmission Electron Microscope: about 0.2 nm Microscopes Light M Dark Field M Fluorescent M Confocal M Transmission and Scanning Electron Microscope Phase Contrast M Scanning Tunnelig Microscope Ocular Lens Body Tube Nose Piece Arm Objective Lenses Stage Clips Diaphragm Stage Coarse Adj. Fine Adjustment Light Source Base Skip to Magnification Section Dark-Field Microscope Phase Contrast Microscope Fluorescence & Microscopy: Fluorescence: when a molecule is excited by light at a shorter wavelength, and emits light at a longer wavelength Auto fluorescence: some substances, such as chlorophyll, are naturally fluorescent Fluorescence Microscope: a microscope that excites and detects fluorescent materials Fluorescent Dyes: are widely used in biology to label cell organelles, molecules, and genes in cells Confocal Laser Scanning Microscopy The higher the magnification the less “depth of field” - only a narrow slice is in focus Lasers scan the specimen at different depths A computer reconstructs a clear 3D image Usually used with fluorescent specimens Confocal Scanning Laser Microscope (CLSM) Confocal Scanning Laser Microscope (CLSM) Transmission Electron Microscope Is capable of much higher resolution than the light microscope An electron beam is transmitted through a very thin section Instead of glass lenses, magnetic lenses are used, which bend and focus the electron beam much like a glass lens bends and focuses light Transmission Electron Microscope TEM Image Scanning Electron Microscope Is capable of higher resolution than the light microscope An electron beam is “bounced off” the specimen to a detector, instead of being passed through it It produces a detailed image of the surface of the specimen, but not its internal structure Scanning Electron Microscope SEM Image Microbial Pathogenesis Number of Invading Microbes LD50: Lethal dose for 50% of hosts. Number of microbes that will kill 50% of inoculated test animals ID50: Infectious dose for 50% of hosts. Number of microbes that will cause a demonstrable infection in 50% of inoculated test animals. Definitions Pathogenicity Ability of a microorganism to cause disease by overcoming the defenses of a host Virulence The degree or extent of pathogenicity How a microorganism enters to body I. Mucous Membranes II. Skin III. Parenteral Route I. Mucous Membranes Respiratory tract: Easiest and most frequently used entry site for microbes. Gastrointestinal tract: Enter through water, food, contaminated fingers and fomites. Must survive stomach HCl, enzymes, and bile. Genitourinary tract: Entry site for most sexually transmitted diseases (STDs). Conjunctiva: Membrane covering eyes and eyelids. II. Skin u Unbroken skin is impenetrable by most microbes. Some microbes gain access through hair follicles and sweat glands. III. Parenteral Route Injections, bites, cuts, wounds, surgery, punctures, and splitting due to swelling or drying. Infection/entry Ingestion (fecal-oral) Inhalation (respiratory) Trauma (burn) Arthropod bite (zoonoses: mosquito, flea, tick, Tsetse fly) Sexual transmission Needle stick (blood transfusion) Maternal-neonatal 32 Modes of infectious disease transmission Contact transmission Vehicle transmission Direct contact (person-to-person): syphilis, gonorrhear, herpes Droplet (less than 1 meter): whooping cough, strep throat Airborne: influenza, tuberculoses, chickenpox Water-born: (fecal-oral infection): cholera, diarrhea Food-born: hepatitis, food poisoning, typhoid fever Vector transmission Biological vectors: malaria, plaque, yellow fever Mechanical vectors: E. coli diarrhea, salmonellosis 33 Virulance Factors Adhesion Invasion Toxins Enzymes Adherence Biofilms Biofilms Communities of microorganisms and their extracellular products that attach to non-living and living surfaces Algae Dental plaque Medical catheters Biofilms How Bacterial Pathogens Penetrate Host Defenses Capsules Resist host defenses by impairing phagocytosis. Host can produce antibodies to capsule, which attach to microbe and allow phagocytosis Cell Wall Components M protein: Found on cell surface and fimbriae of Streptococcus pyogenes. Mediates attachment and helps resist phagocytosis. Waxes: Cell wall of Mycobacterium tuberculosis helps resist digestion after phagocytosis How Bacterial Pathogens Penetrate Host Defenses Exotoxins Proteins: Enzymes that carry out specific reactions. Soluble in body fluids, rapidly transported throughout body in blood or lymph. Produced mainly by gram-positive bacteria. Most genes for toxins are carried on plasmids or phages. Cytotoxins: Kill or damage host cells. Neurotoxins: Interfere with nerve impulses. Enterotoxins: Affect lining of gastrointestinal tract Exotoxins A-B toxins A-B toxin released by bacteria B part binds to receptor of host cell Toxin transported across membrane into cell A-B components separate A component inhibits protein synthesis and kills cell Toxins: cause hyperactivation Vibrio cholerae 41 Toxins: affect on nerve-muscle transmission 42 Exotoxins Exotoxins 2 – Membrane disrupting toxin Causes lysis of cells by disrupting cell membrane Leukocidins Form protein channels Staphylococcus aureus Disrupt phospholipids Clostridium perfringens Membrane disrupting toxins that kill phagocytic WBC’s Hemolysins Membrane disrupting toxins that kill erythrocyes RBC’s Exotoxins Exotoxins 3- Superantigens Provoke intense immune response Protein in nature (antigens) Stimulate T – cells Release cytokines (too much) Causes fever, nausea, vomiting diarrhea Superantigens Polyclonal T cell activation Aberrant cytokines, cell death Antigen/ MHC-1 Specific T cell activation Anti-microbes immunity 45 Known and suspected association of superantigens with human disease (1) Acute diseases Food poisoning: SEs Staph TSS Menstrual: TSST-1 Nonmenstrual: SEB, SEC, TSST-1 StrepTSS:SPe’s Sudden infant death syndrome: SEs?, SPe,s 46 Known and suspected association of superantigens with human disease (2) Autoimmune diseases Rheumatic fever, rheumatic hart disease: M proteins, SPe’s? Kawasaki disease: TSST-1?, SPe’s? Lyme disease Reumatoid arthritis Multiple sclerosis 47 How Bacterial Pathogens Penetrate Host Defenses Endotoxins Part of outer membrane surrounding gram-negative bacteria. Endotoxin is lipid portion of lipopolysaccharides (LPS), called lipid A. Effect exerted when gram-negative cells die and cell walls undergo lysis, liberating endotoxin. All produce the same signs and symptoms: Chills, fever, weakness, general aches, blood clotting and tissue death, shock, and even death. Can also induce miscarriage. Events leading to fever Gram-negative bacteria are digested by phagocytes. LPS is released by digestion in vacuoles, causing macrophages to release interleukin-1 (IL-1). IL-1 is carried via blood to hypothalamus, which controls body temperature. IL-1 induces hypothalamus to release prostaglandins, which reset the body thermostat to higher temperature. Endotoxins and the Pyrogenic (Fever) Response Endotoxins Shock: Any life-threatening loss of blood pressure. Septic shock: Shock caused by endotoxins of gramnegative bacteria. Phagocytosis of bacteria leads to secretion of tumor necrosis factor (TNF), which alters the permeability of blood capillaries and causes them to lose large amounts of fluids. Low blood pressure affects kidneys, lungs, and gastrointestinal tract. Endotoxins: heat stable IL-6 induced in monocytes exposed to LPS and PM10-2.5 extracts from indoor and outdoor air. Cytokines were measured after exposure of monocytes to particle extracts for six hours. 52 Endotoxin: lipopolysaccharide IL-1 TNF Pseudomonas aeruginosa Fever Disseminated intravascular coagulation Septic shock death 53 Enzymes 1- Hyaloronidase 2- Dnase 3- Streptokinase . . . Where to find the pathogen? Extracellular versus Intracellular Parasitism Extracellular parasites destroyed when phagocytosed. damaging tissues as they remain outside cells. inducing the production of opsonizing antibodies, they usually produce acute diseases of relatively short duration. Intracellular parasites can multiply within phagocytes. frequently cause chronic disease. 55 The environment in a cell Cytosol: pH=7 Phagosome: pH=6 Phagolysosome: pH=5 http://bio.winona.msus.edu/bates/Bio241/images/figure-04-13b.jpg 56 Intracellular bacteria Listeria Shigella Endosomes Phagolysosomes Legionella Chlamydia Sammonella Mycobacteria lysosomes Phagosomes 57 Evasion/Manipulation of Host Defense Modulation of innate/inflammatory response • Resistance to phagocytic killing in subepithelial space • Serum resistance • Antigenic variation Resistance to phagocytic killing in subepithelial space • Inhibit phagocyte mobilization :(chemotaxis, complement activation) Inhibit chemoattractants: Streptococcus pyogenes degrades C5a • Avoid ingestion kill phagocytes: Streptolysin O lyses PMNs; Staphylococcus aureus alpha, beta and gamma toxins and leucocidin lyses PMNs capsular protection from opsonization: M proteins, Streptococcus pyogenes Bacterial capsules that resemble self: Neisseria meningitidis (sialic acid); Streptococcus pyogenes (hyaluronic acid) • Survive within phagocyte Survival within phagocyte Escape endosome or phagolysosome: - Shigella, Listeria monocytogenes Inhibit phagosome-lysosome fusion - Legionella pneumophila, Mycobacterium tuberculosis, Salmonella Survive within phagolysosome Inactivate reactive oxygen species: Salmonella, via superoxide dismutase, catalase, recA - Resist antimicrobial peptides: Host cationic peptides complexed with SapA peptide Scape from Immune response con Antigenic variation Induction of apoptosis