pathogen: a bacterium, virus, or other microorganism (fungi, protozoa, worms) that can cause disease
pathogenicity: ability of a pathogen to cause disease; represents a geneticcomponent of pathogen and overt damage done to the host is property of host-pathogen interactions; qualitative trait
virulence: degree of pathology caused by the organism; quantitative measure of pathogenicity (i.e. LD50, TD50, ID50)
opportunistic pathogen: normally commensal infectious microorganism or one that does not typically harm host; can cause disease when host's resistance is low
colonization: presence of microorganism on mucosal and body surfaces
infection: inflammatory response to microbes or the invasion of normally sterile tissue by those organisms; not synonymous with disease
disease: signs and symptoms of illness; consequence of presence of offending microorganism
tools in the arsenal against bacterial infectious disease
hand washing
disinfectants
nutrition
pasteurization
cleandrinkingwater
improvedsanitationinfrastructure
vaccines
antibiotics
why are infectious diseases still commonplace?
aging population
cancer chemotherapy/organ transplant= immunosuppression
diabetes= immunosuppression
HIVAIDS
medical procedures
emergence of new strains of bacteria due to horizontal gene transfer (HGT)
global travel
human encroachment into wildlife habitats
food processing and distribution
modern conveniences (ex. airconditioning)
global climate change
immunity: ability to resist disease caused by pathogen
epithelia refers to the cell layers that covers the parts of the body exposed to external environment
tight junctions between epithelia cells are important because they prevent microbes from crossing epithelia layer
the lung has simple squamous epithelium
the kidneys and gland ducts have simple cuboidal epithelium
the skin, vagina, and cervix have stratified squamous epithelium
the stomach and colon have simple columnar epithelium
the smallintestine, upper airway, fallopiantubes, and ear canal have ciliatedcolumnar epithelium
epidermis defenses
keratinocytes
arid environments
desquamation
acidic (pH 5), fatty acids
sebum components
temp. 34-35°C
normal flora
defense of a dry, acidic environment
prevents growth of many bacteria
defense of coolertemperature than internal body temp
slows growth of bacteria that prefer optimal internal body temp of ~37°C
defense of dead, keratinized cells
hard to degrade and penetrate, discourages colonization
defense of sloughing of surface cells (desquamation)
removes bacteria that adhere to surface cells
defense of sebum containing toxic lipids, lysozymes, and defensins
protectshairfollicles, sweat glands, and sebaceous glands by preventing bacteria growth or killing bacteria
defense of normal microbiota
competes with pathogens for nutrients, colonization sites
defense of SALT underlying immune cells comprised of phagocytic cells (Langerhan cells), T cells and B cells
combats bacteria that manage to reach the dermis and tissue below it by initiating protective immune response
defense of tight junctions between epithelia cells
prevents bacteria from crossing and gaining access to internalbody tissue
mucus is composed primarily of mucin which has glycoprotein components and is resistant to microbial proteases
mucus is gel-like and sticky; can trap microbes
mucus-associated antimicrobial proteins of the mucosa
lactoferrin
lactoperoxidase
defensins
lysozymes
phospholipase A2
sIgA
lactoferrin removes iron and prevents growth of bacteria
lactoperoxidase uses hydrogen peroxide to oxidize thiocyanite (SCN-) into hypothiolcyanite (OSCN-), which attacks thiol groups on bacterial proteins; most abundant in oralcavity and lungsecretion
lysozymes digest peptidoglycan and lyses growing bacteria; found in mucus, tears, saliva, and milk
sIgA (secreted IgA) are glycosylated protein complexes that bind and coat bacterial surfaces and mucin, traps bacteria in mucus that is sloughed off
protectants in mucin include lysozymes, sIgA, lactoferrin, and phospholipase A2
defensins are amphipathic, antimicrobial, cationic proteins that disrupts bacterial cell integrity by inserting and forming pores
lysozymes hydrolyze the B-1,4 glycosidic bond between NAM and NAG (components of peptidoglycan)
due to their cationic nature, lysozymes are also able to insert into bacterial membranes and form pores
mucosa-associated lymphoid tissue (MALT) are the immune cells underlying mucosal surfaces or extrude between epithelial cells; includes T cells, B cells, M cells, and phagocytic cells like macrophages and dendritic cells
T cells recognize antigen bound APCs and regulate immune system