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Bacterial Cell Wall Morphology; Mechanism of Pathogenicity Brandy Welch [email protected] Content Objectives ❖ Bacterial Cell Wall Morphology ➢ Understand the different biological factors used to classify bacteria ➢ Understand the bacterial cell wall composition and characteristics ➢ Understand the major components of peptidoglycan and the major difference between gram positive and gram negative cell walls ➢ Know the external cell wall structure and their purpose ❖ Mechanism of Pathogenicity ➢ ➢ ➢ ➢ ➢ Identify the principal portals of entry Explain how microbes adhere to host cells Explain how capsule and cell wall components contribute to pathogenicity Identify and understand the role of bacterial enzymes in pathogenicity Compare the types of bacterial exotoxins, their mechanism of action, and the bacterium/diseases associated with each ➢ Define and give an example of antigenic variation ➢ Contrast the nature and effect of exotoxins and endotoxins Bacterial Cell Wall Morphology Prokaryotes ❖ Prokaryotes include bacteria and archaea ❖ Lecture will focus on bacteria ❖ Bacteria may be classified by: ➢ Morphology ■ shape ➢ Nutritional requirements ➢ Chemical composition ➢ Biochemical activities ➢ Source of energy ■ Sunlight or chemical The Bacterial Cell ❖ Size range ➢ Diameter = 0.2 - 2.0 um ➢ Length = 2 - 8 um ❖ Shapes ➢ Coccus (cocci) ➢ Bacillus (bacilli) ➢ Spiral ■ Vibrio ❖ Arrangement ➢ Diplo ➢ Strepto ➢ staphylo Arrangement of Cocci ❖ Cocci are usually round but can appear oval, elongated, or flattened on one side Arrangement of Bacilli ❖ Bacilli divide only across their short axis ➢ They do not form the same number of groupons as cocci ❖ Most bacilli appear as single rods Arrangement of Spiral Bacteria ❖ Spiral bacteria have one or more twists ➢ Bacteria that look like curved rods are called vibrios ➢ Spiralla have a helical shape like a corkscrew and fairly rigid bodies ■ Use flagella to move ➢ Spirochetes are helical and flexible ■ Move via means of axial filaments The Bacterial Cell The Cell Wall: Composition and Characteristics ❖ Complex, semi-rigid ❖ Responsible for cell shape ❖ Protects the interior of the cell from the external environment ❖ Maintains osmotic pressure ❖ Composed of macromolecular network called peptidoglycan Lipopolysaccaride - LPS Found in the outer leaflet of the outer membrane Is also called endotoxin Can induce shock Composed of lipid A, core antigen, and O somatic antigen Biological activity is due to lipid A Lipopolysaccharide Peptidoglycan Provides shape and structure to the cell Composed of B 1-4 linked N-amino sugars N-acetyl glucosamine (NAG) N-acetyl muramic acid (NAM) Composed of L and D amino acids Composed of cross linked amino acids Peptidoglycan ❖ Consists of repeating disaccharides (NAG/NAM) attached by polypeptides ❖ Alternating NAG and NAM molecule are linked within rows ❖ Polypeptides link adjacent rows ❖ Penicillin blocks peptide cross bridges, causing lysis Peptidoglycan Peptidoclycan: Gram Positive Cell Wall ❖ In most gram positive bacteria, the cell wall consists of many layers of peptidoglycan ➢ Forming a thick rigid structure Gram Positive Cell Wall ❖ Cell wall contains teichoic acid (LTA) ➢ Provides a negative charge to regulate cation movement in/out the cell Peptidoglycan: Gram Negative Cell Wall ❖ Consists of only one or a few layers of peptidoglycan ➢ More susceptible to breakage ❖ Has an outer membrane with LPS ➢ LPS is lipopolysaccharide ❖ Do not contain teichoic acid Antiobiotics That Inhibit Bacterial Cell Wall Formation Penicillin Binds to PBP Inhibits transpeptidase activity Cephalosporin Binds to PBP Inhibits transpeptidase activity Vancomycin Complexes with D-Ala-D-Ala, blocking transpeptidase action Bacitracin Inhibits the transfer of peptidoglycan subunits from bactoprenol to preexisting peptidoglycan cell wall Cycloserine Structural analog of D-Ala External Cell Wall ❖ External structures may function to facilitate actions such as movement, attachment, and propagation ➢ Glycocalyx (dugary coat) is the general term for the substance that surrounds the cell ■ Capsule ■ Slime layer ➢ Flagella ➢ Axial filament ➢ Fimbriae ➢ Pili ❖ Movement of bacteria toward or away from stimuli is call taxis Bacterial Endospores Spore formation is characteristic of two genera Bacillus and Clostridium Sporulation occurs when the bacterium is under environmental stress Lack of nutrients Extreme temperature The structure of the spore allows it resist detrimental physical and chemical conditions Ca2+ and dipicolinic acid of the spore coat contribute to its heat resistance Bacterial spores are destroyed via autoclaving at 121oC for 20 minutes Flagella ❖ Flagella are long filamentous appendages that propel bacteria ➢ Four arrangement of flagella ❖ Certain bacteria can be identified by the protein of the flagella ❖ Bacteria cells can alter the speed and direction of rotation of flagella for motility ➢ Escherichia coli O157:H7 Axial Filaments ❖ Spirochetes move by means of axial filaments ❖ Axial filaments are anchored at one end ❖ Rotation of filaments propels the organism in a spiral motion ❖ Examples ➢ Treponema pallidium ■ Agent of syphilis ➢ Borellia burgdorferi ■ Agent of lyme disease Fimbriae and Pili ❖ Fimbriae (fimbria) ➢ Occur at the pole or are evenly distributed ➢ Enable cell adherence ➢ Absences of fimbriae often means no disease ➢ Example ■ Neisseria gonorrhoea ● Agent of gonorrhoeae ❖ Pili (pilus) ➢ Usually longer than fimbriae ➢ Join bacterial cell for the transfer of DNA ■ Sex pili Staining Properties ❖ Bacteria can be classified majorly by their staining properties ➢ The most common is the gram stain ❖ Other stains are used on more complex organisms ❖ Additional biochemical tests can be performed to identify microorganism in the laboratory Gram Stain Procedure Atypical Cell Walls ❖ Certain cells have no walls or very little wall material ❖ Plasma membranes contain lipids that offer similar protective effect ❖ Example ➢ Mycoplasma spp. Mycoplasma Pleomorphic cells that lack a cell wall Biochemical Classification Cell Protein Profile Cell Lipid Profile Mycolic acid +/- Enzymatic Properties Catalase +/- Oxidase +/- Nucleid Acid Analysis Molar G/C Ratio Nucleic Acid Ratio DNA Restriction Fragment Analysis Plasmid Analysis DNA Hybridization Ribosomal RNA PCR (polymerase chain reaction) Mechanism of Pathogenicity Introduction to Epidemiology ❖Epidemiology ➢The study of the distribution and determinants of health-related states or events in specified population, and the application of this study to the control of health problems ■Involves the study of incidence, distribution, and control of diseases ■Addresses other health factors ❖Pathology ➢The scientific study of disease ❖Etiology ➢The cause of disease ❖Pathogenesis ➢The manner in which a disease develops ❖Infection ➢The invasions or colonization of the body by microorganisms ❖Disease ➢Occurs when an infection result in any change from a state of health Koch’s Postulate ❖ Was the framework for the study of etiology ➢ Four principles of Koch’s Postulate ■ The same pathogen must be present in every case of the disease ■ The pathogen must be isolated from the disease host and grown in pure culture ■ The pathogen from the pure culture must cause the disease when it is inoculated into a healthy, susceptible laboratory animal ■ The pathogen must be isolated from the inoculated animal and must be shown to be the original organism Types of Transmission ❖ Contact ➢ Direct ■ Person to person ➢ Indirect ■ Contact with non-living object ➢ Droplet ■ coughing , sneezing, laughing, talking ❖ Vehicle ➢ Transmission through a medium ■ Food, water, air ■ Bodily fluids ■ vectors Pathogenicity ❖ Pathogenicity is the ability of a pathogen to produce a disease by overcoming the defenses of the host ➢ This is also known as the mechanism of action ❖ Virulence is the degree of pathogenicity ❖ Pathogenesis is how the disease develops Pathogenicity Many properties that determine a microbe’s pathogenicity or virulence are unclear or unknown When a microbe overpowers the host's defenses, disease results Pathogenecity ❖ Host organisms cause disease via attachment to tissue and penetration of evasion of host defenses. ❖ Damage of host tissues produce the symptoms that are associated with the disease process ❖ Number of microbes and their ability to adhere to host tissue greatly impacts an organism's likelihood to establish infection ★ Most pathogens leave the body the same way in which they entered Principle Portals of Entry ❖ Portal of entry is a specific route by which as particular pathogen gains access to the body ➢ Mucous membrane ■ Respiratory tracts ■ Gastrointestinal tracts ■ Genitourinary tracts ■ Conjunctiva ➢ Skin ➢ Parenteral route Mucous Membrane ❖ Respiratory tract ➢ Through droplets of moisture, dust particles, and inhalation ➢ Most common portal of entry ■ Easiest and most frequent ❖ Gastrointestinal tract ➢ Food, water, and contaminated fingers ➢ Most microbes that enter the G.I. tract are destroyed by HCl, enzymes of stomach or bite, and enzymes of small intestine ❖ Genitourinary tract ➢ Microorganisms enter the body through mucous membranes ❖ Conjunctiva Common Disease Contracted via the Respiratory Tract Common cold Flu Tuberculosis Whooping cough Pneumonia Measles Strep Throat Diphtheria Common Diseases Contracte via the G.I. Tract Salmonellosis Salmonella sp. Shigellosis Shigella sp. Cholera Vibrio cholerea Ulcers Helicobacter pylori Botulism Clostridium botulinum Fecal - Oral Diseases These pathogens enter the G.I. tract at one end and exit at the other end Spread by contaminated hands and finger or contaminated food and water Poor personal hygiene Mucus Membranes of the Genitourinary Systems - STDs Gonorrhea Neisseria gonorrhoeae Syphilis Treponema pallidum Chlamydia Chlamydia trachomatis HIV Herpes Simplex II Diseases of the Conjuctiva Conjunctiva is the mucus membrane that covers the eyeballs and lines the eyelid Trachoma Chlamydia trachomatis Skin ❖ Microorganisms cannot penetrate intact skin ➢ When unbroken is an effective barrier for most microorganisms ➢ Enter via hair follicles and sweat ducts ■ Openings of the skin Parenteral Route Gain of access to tissues by inoculation through the skin and mucous membranes Injections, bites, and other wounds Splitting of skin due to swelling or dryness Preferred Portal of Entry A pathogen entering your body does not guarantee that a disease will occur Pathogens Streptococcus pneumoniae If inhaled can cause pneumonia If enters the G.I. tract, causes no disease Salmonella typhi If enters the G.I. tract, can cause typhoid fever If on skin, causes no disease Number of Invading Microbes ❖ Virulence can be expressed as LD50 and ID50 ➢ LD50 ■ Lethal dose for 50% of the inoculated hosts ➢ ID50 ■ infectious dose for 50% of the inoculated hosts How Do Bacterial Pathogens Penetrate Host Defenses? Adherence Almost all pathogens have a way to attach to host tissue Binding sites Adhesins ligands Binding Sites: Adhesins and Ligands Adhesins and ligands are usually on fimbriae Neisseria gonorrhoeae ETEC (Enterotoxigenic E. coli) Bordetella pertussis Adherence ❖ Invasion can occur by adherence ➢ Adhesins ■ Surface projection on a pathogen ■ Adhere to complementary receptors on the host cells ■ Can be glycoproteins or lipoproteins ■ Frequently associated with fimbriae ➢ Mannose ■ The most common receptor on pathogens ■ MBL (Mannose binding lectin) pathway recognizes pathogens by the binding of lectin on the surface of phagocytes to mannose to initiate the complement cascade ➢ Biofilms ■ Provide attachment and resistance to antimicrobial agents ■ Diphtheria forms biofilms in the throat ● Can cause death if it isn’t detected early Capsule and Cell Wall Components ❖ Both the capsule and cell wall components contribute to pathogenicity ➢ Some pathogens are enclosed by capsule which prevent them from being phagocytized ■ Streptococcus pneumoniae ■ Klebsiella pneumoniae ■ Haemophilus influenzae ■ Bacillus anthracis ■ Streptococcus mutans ■ Yersinia pestis ➢ The cell wall contains proteins that facilitate adherence or prevent a pathogen from being phagocytized ➢ Some microbes can reproduce inside phagocytes Enzymes ❖ Leukocidins ➢ Destroy some immune cells (WBCs) ➢ Release and rupture lysosomes ■ Lysosomes contain powerful hydrolytic enzymes ■ The rupture of these cause more tissue damage ❖ Hemolysins ➢ Cause the lysis of RBCs ❖ Coagulase ➢ Protection in a fibrin clot ❖ IgA protease ➢ Destroys IgA antibodies ❖ Spread of infection ➢ Kinases ■ Destroy blood clots ➢ Hyaluronidase ■ Destroy mucopolysaccharides ● Mucopolysaccharides hold cells together ➢ Collagenase ■ Hydrolyzes collagen ● Collagen is present in connective tissue Hemolysins Alpha Hemolytic Streptococci Secrete hemolysins that cause the incomplete lysis of RBCs Beta Hemolytic Streptococci Secrete hemolysins that cause complete lysis of RBCs Gamma Hemolytic Streptococci Do not secrete any hemolysins Enzymes ❖ Leukocidins ➢ Destroy some immune cells (WBCs) ➢ Release and rupture lysosomes ■ Lysosomes contain powerful hydrolytic enzymes ■ The rupture of these cause more tissue damage ❖ Hemolysins ➢ Cause the lysis of RBCs ❖ Coagulase ➢ Protection in a fibrin clot ❖ IgA protease ➢ Destroys IgA antibodies ❖ Spread of infection ➢ Kinases ■ Destroy blood clots ■ Streptokinase is used to dissolve blood clots in the heart ➢ Hyaluronidase ■ Destroy mucopolysaccharides ● Mucopolysaccharides hold cells together ■ Spreading factor ➢ Collagenase ■ Hydrolyzes collagen ● Collagen is present in connective tissue ■ Clostridium perfringens - Gas Gangrene Antigenic Variation and Penetration of Host Cell Cytoskeleton ❖ Antigenic variation ➢ Some microbes can vary in the expression of antigens, escaping host immunity (antibody response) ❖ Strains of Salmonella and E. coli make contact with the host cell via the plasma membrane. ➢ These organisms secrete invasins that rearrange nearby actin filaments of the cytoskeleton ■ Creates a cytoplasm pedestal which facilitates entry into the cell ■ The actin structure supports the bacterial cells ● Then forms as actin basket ◆ The actin basket cuddles the Salmonella and moves it into the cell How Bacterial Pathogens Damage Host Cells ❖ Using the host’s nutrients ➢ Bacteria can take iron from the host using siderophores ■ Siderophores are iron chelators ❖ Direct damage ➢ Destruction of host cells when pathogens metabolize and multiple inside the host cell ❖ Production of toxins ❖ Plasmids, lysogeny, and pathogenicity ➢ Plasmids carry genes for antibiotic resistance toxins, capsules, and fimbriae ➢ Lysogeny can infer pathogenicity such as in the case of diphtheria toxin Toxins Toxins are poisonous substances produced by microorganisms Primary factor of pathogenicity 220 known bacterial toxin 40% cause disease by damaging the eukaryotic cell membrane Toxemia Toxins in the bloodstream Two types of toxins Exotoxins Secreted outside the bacterial cell Endotoxins Part of the outer cell wall of gram negative bacteria Endotoxins and Exotoxins Exotoxins Three types of exotoxins Cytotoxins Kill cells Neurotoxins Interfere with normal nerve impulses Enterotoxins Effect cells lining the G.I. tract Response to Toxins Antitoxins are antibodies against the toxin These are produced if the body is exposed to exotoxins Toxoids are altered exotoxins These are inactivated by heat, formalin, or phenol and no longer cause disease They stimulate the production of antitoxins Injected to stimulate the production of antitoxins and provide immunity DPT Vaccine D = Diphtheria Corynebacterium diphtheriae Diphtheria toxoid P = Pertussis Bordetello pertussis Pertussis antigen T = Tetanus Clostridium tetani Tetanus toxoid Nature and Effects of Exotoxins and Endotoxins ❖Exotoxins ➢Proteins produced inside gram positive bacteria ➢Secreted or released into the surrounding medium following lysis ➢Specific for a particular cell structure or function ■Affects cell functions, nerves, and GI tract ➢High toxicity ➢Unstable except Staphylococcal enterotoxin ➢Gas gangrene, tetanus, botulism, diphtheria, scarlet fever ❖ Endotoxins ➢ Lipids of gram negative bacteria ■ Lipid portion of LPSs (lipopolysaccharides) ➢ Liberated when the bacteria die and the cell wall breaks apart ➢ General effects ■ Fever, weakness, aches, and shock ➢ Fever producing ➢ Typhoid fever, UTIs, meningococcal meningitis