•Most favorable to pathogens •Facilitates entry through breathing
The Gastrointestinal Tract
• Open to the outside world. • A leading portal of exit for pathogens in feces.
Urinary and reproductivetracts
• Diseases of the reproductive tract are usually sexuallytransmitted
The Parenteral Route
Movement of organisms past the barrier of the skin that requires a break in the barrier.• Injections• Insect bites• Animal bites
A pathogen must find a way to stay in the host if it is to establish the focus of the infection.
Adherence (adhesion, attachment)
which pathogens stick to the surfaces ofhost cells.
The Role of Adhesion in Infection• Microorganisms attach themselves to cells(process)
•Fimbriae
enable the bacteria to bind to specific receptor structures and thereby to colonize specific surfaces.
•Glycocalyx
covering that surrounds the cell membranes of some bacteria, epithelia, and other cells.
•M Protein – Streptococcus pyogenes
The virulence factor on the surface plays various roles in streptococcal infection, including resistance to phagocytosis, adherence to epidermal keratinocytes, microcolony formation, and invasion of epithelial cells.
Opa proteins
outer membrane proteins that mediate tight interaction of these pathogens with human cells.
AVOIDING, EVADING, OR COMPROMISING HOSTDEFENSES (DEFEAT THE HOST DEFENSES)
Pathogenic bacteria have built-in passive defenses, such as capsules and cell wall components, and active defenses, which involve attacking the host's defenses, primarily through enzymes.
Capsule (Passive) Defenses
Pathogens can encapsulate themselves, covering their entire surface in a slimy capsule, to protect against phagocytosis, preventing phagocytes from adhering to the bacterium's surface.
Cell Wall (Passive) Defenses
Bacteria use wall components to increase virulence against host defenses, such as M proteins in Streptococcus pyogenes and mycolic acid in Mycobacterium tuberculosis.
Enzyme (Active) Defenses
Leukocidins, hemolysins, coagulase, kinases, and hyaluronidase are enzymes that destroy white blood cells, disrupt host cell membranes, cause fibrin clot formation, break down connective tissue, and allow infections to spread.
DAMAGINGTHEHOST
Infection damage can be categorized into two parts: damage due to bacteria, by-product of host response, and direct or indirect damage directly attributed to the pathogen.
Direct damage
Is the obvious destruction of host cells and tissues and is usually localized to the site of the infection
Indirect damage
seen in most serious infections and is much more dangerous to the host because it involves systemic disease
Microbial Toxins
• Promote infection and disease by directly damaging host tissues and by disabling the immune system.
Exotoxins
Proteins produced inside pathogenic bacteria
Endotoxins
part of outer membrane of cell wall, and liberated when bacteria die and the cell wall breaks apart
TYPES OF EXOTOXIN
Type I- • Superantigens• Cause intense immune response. •Type II • Membrane-disrupting toxins• Damage host cell membranes. •Type III • A-B Toxins( Protein complexes secreted by bacteria)
Endotoxins• LPS: Lipopolysaccharide/Lipoglycans• Not produce by the bacteria• Part of the cell wall (outer membrane)• Only Present in Gm- bacteria