1Virulence is the measure of __________ and is measured using ___________.
the severity disease caused by an organism, LD50.
2Over time, the relationship between a pathogen and a naïve, susceptible population tends towards:
a balance between host and pathogen such that both are maintained.
3Which of the following is NOT an example of an endotoxin?
Lipotechoic acid
Cholera Toxin
Lipopolysaccharide
Peptidoglycan
Cholera toxin
4________ is the number of new cases of a disease divided by the number of persons at risk for the disease.
Incidence Rate
5Triple E or Sleeping Sickness is a disease caused by the Eastern Equine Encephalitis Virus. Humans contract the virus through the bite of Culiseta melanura and Culiseta morsitans mosquitoes. This is an example of what kind of disease transmission:
Indirect Transmission
6Toxoplasmosis is parasitic disease caused by the parasite Toxoplasma gondii. Toxoplasma gondii primarily infect rodents, live stock, and domesticated cats. Humans are susceptible to infection through ingestion of contaminated meat products and/or contact with cat feces. Toxoplasmosis is an example of a/an:
Zoonosis
7True or False: When humans encounter a new microorganism, the new microorganism will always colonize the human and cause disease.
False
8Listeria monocytogenes has an ID50 of 106 bacteria. Shigella dysenteriae has an ID50 of 50 bacteria. _______ is (more/less) (pathogenic/virulent) than _____.
n
Listeria monocytogenes is less pathogenic than Shigella dysenteriae.
9Dental carries are the primarily result of ____________ growing in biofilms on teeth and using ______, the byproducts of which weaken tooth enamel.
ra
Streptococcus mutans, fermentative metabolism
10___________ is the leading source of foodborne illness in the US.
t
Produce
11The uptake of DNA released from a cell is ________, while transfer of DNA with cell-to-cell contact is referred to as________.
transformation, conjugation
12The microbiome of the gastrointestinal tract is influenced by ________ of an individual.
diet, age, immune status
13AB Toxins are composed of two subunits. The A subunit__________. The B subunit _____________.
has the toxic activity; binds the cell and delivers the A-subunit to the cytoplasm.
14True or False: The normal flora of the human urogenital track is uniform. Microorganisms present in the urogenital track of biological males can be found in the urogenital track of biological females in roughly the same proportions.
False
15Dr. Strummer is working with Escherichia coli 0AT-M1LK, a lacZ-strain that is unable to utilize lactose as a carbon source. He conducts an Hfr conjugal mating between Escherichia coli 0AT-M1LK and Escherichia coli CR3AM, a lacZ+ positive bacteria. He then selects for Escherichia coli 0AT-M1LK that can utilize lactose. Is the new e. coli 0AT-M1LK lacZ+ or LacZ-, and F+ or F-?
Escherichia coli 0AT-M1LK is now lacZ+ and F-.
16The prevalence of Measles in the U.S. is approximately 200 total cases per year. From 01/01/2019 to 04/26/2019, however, the United States had a total of 704 confirmed cases of measles. The increase in cases of measles was limited to the United States, but did effect every US state. Which epidemiological term best describes the cases of measles during this 4 month period in 2019?
epidemic disease
17True or False: Specialized Transduction can transfer any gene found on the bacterial chromosome of the initial temperate phage host.
False
18What two main things impact an infant's gastrointestinal microbiome?
Method of Delivery and Feeding
19How do bacteriophage influence bacterial evolution?
r
Bacteriophage transfer genetic information between bacterial cells through transduction, thus increasing the genetic diversity of bacterial populations.
20What is the EPS? (full name, composition, function)
Extracellular Polymeric Substance-- composed of protein, nucleic acids, and polysaccharide. It is where microorganisms are embedded in a biofilm
21True or False: Biofilms are usually composed of one type of microorganism
FALSE. much diversity in a biofilm
22You decide to conduct a public study of Human Papilloma virus in the town of Durham, NH. Each Durham resident is screened for presence of the virus. Out of a population of 14,000 residents screened, 200 were identified HPV positive, thus the _________ rate of HPV in Durham is 0.014.
prevalence
23Three types of error-proof repair:
mismatch, light, excision repair
24Light repair: What happens?
PHOTOLYASE excises/cuts out THYMINE DIMERS, DnaPol I fills gap, DNA ligase links new and old dna
25Excision repair: What happens?
EXCISION REPAIR ENZYMES remove a SECTION of DAMANGED DNA, DNApol I fills gap, DNA ligase links new and old dna
26Mismatch repair: what happens?
MISTMATCH REPAIR ENZYME removes UN-METHYLATED BASE PAIR, DNApol I fills gap, DNA ligase links new and old dna
27Error-Prone / SOS response: What happens?
Large-scale DNA damage activates RecA, RecA cleaves LexA repressor protein. DNA POL V used to fix gap
28Two types of recombination:
1. Homologous
2. Site-specific
29Homologous Recombination:
Needs RecA, requires two recombining molecules to have significant HOMOLOGOUS streches of DNA
30Site-Specific Recombination:
Requires specific short sequence to be recognized by specific enzyme
31Who uses site-specific recombination?
Lysogenic phages, Transposons (mobile genetic elements that allow F plasmid to integrate in cell)
32What kind of recombination can turn non-pathogenic bacteria into a pathogenic one?
HOMOLOGOUS recombination
33Horizontal gene transfer: definition and three types
Def: DNA transfer NOT due to bacterial reproduction (unlike vertical transfer).
Types: Transformation, Conjugation, Transduction.
34Transformation
importing FREE dna into COMPETENT cells. (dna not always incorporated, often broken down)
35 tranformasome complex used in transformation of what bacteria?
gram positive
36Which cells can transform DNA without competence factors?
SOME gram negatives
37can all bacteria transform bacteria naturally?
no
38Transduction: definition and 2 types
Def: Bacteriophages carry host DNA from one cell to another
2 types: Generalized, specialized
39Generalized transduction
1. can transfer any gene from donor -> recipient. 2. results in lytic pathway
40Specialized transduction
can only transfer only a few closely linked genes. results in lysogeny
41Conjugation: explain
1. F+ to F-
2. only ONE strand transferred
3. requires contact
42Hfr cells
high freq. recombination: cells that have a plasmid incorporated
43episome
genetic element that can be integrated into host chromosome. example: F plasmid
44How to prevent transduction?
filtration of phages (very small, also includes cells)
45how to prevent transformation?
DNAse, make bacteria incompetent
46how to prevent conjugation?
filtration of cells
47F factor contains:
oriT and tra genes, oriR and replication maintenance genes, insertion elements, a transposon
48Recipient cells do not become F+ unless...
entire chromosome is transferred
491, how many cells are you composed of?
2. how many bacteria are on you?
3. ___ of those bacteria are in your ___
1. 1e14
2. 1e15
3. 1e14, intestine
508% of your genome is comprised of...
HERVS: human endogenous retroviruses
51Colonization vs disease:
Colonization can be transient or permanent, frequently begins at mucous membrane sites and need to move towards cell surface.
disease is when homeostasis is disrupted.
not all colonization causes disease
52commensalism
host provides benefit, bacteria has no effect on host
53Upper Respiratory vs lower respiratory tract in terms of colonization
upper has biodiversity, lower is sterile
54Describe bacteria gradient in GI tract
More anaerobes as you get further down towards colon. not many microorganisms in stomach + areas near it. Liver, gallbladder, pancreas are sterile
55common biolfilm in the mouth:
dental plaque.
56how do dental caries occur?
Streptocuccus mutans grows in teeth biofilm, uses carbohydrates for fermentation, acids break down enamel
57High fat/protein, low fiber diets: _________. High fiber, low protein/fat diet: _______
bacteroides dominated, prevotella dominated
58Urogenital tract microbiome: diff. w uterus vs. not, bladder is??
Vagina slightly acidic-- lots of glycogen, lactobacillus acidphilus ferments it into lactic acid; bladder is sterile
593 sites of skin microbiota
Sebaceous/oily (forehead, back), moist sites (groin, foot, skin folds, etc), dry sites (forearms, buttocks, hands, etc)
60primary pathogens
non-normal in the flora, unlike opportunistic pathogens
61pathogenicity: def and measurement
Ability to cause disease, ID50 (infectious dose 50: number of organisms needed to colonize 50% of host population)
62virulence def. and measurement
Disease sevity, Lethal Dose 50 (LD50): number of organisms to kill 50% population
63virulence factors
pathogen metabolites that allow or organisms to cause disease
64attenuation
decrease or loss in virulence
65host factors
reservoir, mode of transmission, immune response
66Direct vs. indirect transmission
Direct: person to person transmission
indirect: through intermediates such as fomites (inanimate objects) or reservoirs (organisms that carry)
67human responses to disease (3)
phagocytosis, complement system (proteins bind to bacteria and promote lysis or phagocytosis), antibodies (bind to bacteria/products and neutralize, promote phagocytosis)
683 ways pathogens avoid immune response:
capsules: allow for attachment prevent antibodies, complement sys, and phagocytosis
toxins: obvious
pili: allow attachment, prevent phago. and compsys
69Exotoxins vs. endotoxins
Exotoxin: purpose is TO damage the host
endotoxins: have other purpose but illicit immune response " accidentally ". can over-illict IR and kill/shock host if conc too high
70exotoxin and endotixin examples
exo: cholera, tetanus, pertussis
endo: LPS and LTA
715 types of exotoxins:
1. Cytolytic: pokes holes in host membrane
2. Superantigens: overactivate immune system, cause toxic shock syndrome
3. block protein synthesis (ie shiga toxin from dysentery )
4. proteases that cleave host cell proteins
5. blocking 2nd messenger pathways
72epidemic vs outbreak vs pandemic vs endemic
both epi and outbreak are a higher amount of reported cases of disease than expected in an area. outbreak has smaller geographical region.
pandemic is very widespread, often worldwide
endemic: always present, can spike into an epidemic
73incidence and incidence rate
Incidence: # new cases at a given peroid
incidence rate: # new cases of disease diveded by the number of people at risk
74prevalence and prevalence rate
Prevalence: total of new + existing cases
P. Rate: measure of total disease in population, "____ out of 100,000 people"
75mortality vs morbidity
mortality: death # in pop due to disease
morbidity: any departure from well-being (disability, death, illness)
76subclinical infections
no symptoms. the person is called carrier
77coevolution between host and pathogen occurs when:
transmission is direct
78common-source vs. host-host epidemics
common: sharp rise and start. usually contaminated water or food
host-host: gradual rise and fall
79zoonosis
any disease that effects primarily animals, but can infect humans
803 types of food preservation
1. heat: reduce (pasteurization) or sterilize (canning) bacterial load
2. refrigeration: slows bacterial growth
3. dry/dehydration: removes water content
81inflammation of stomach lining
gastritis
823 GI tract inflammations + general one
General: Gastroenteritis
Small intestine: enteritis
Colon/large intetine AND small intestine: enterocolitis
Colon/large intestine: colitis
83Foodborne intoxication vs. foodborne infection -- definition and sympton onset
Intoxication: bacterial toxins ingested alongside food, symptom onset - 8 hours
Infection: microorganisms ingested w food, colonize GI tract. symptom onset - 12-24 hours
84enterotoxins
toxins that cause gastroenteritis
85use antibiotics for foodborne intoxication or infection?
Infection, sometimes. NEVER for intocication.
86Example of foodborne infection: listeriosis
listeria monocytogenes.
gram positive, coccobacillus.
fresh water or soil reservoir.
usually contaminates deli meats, found in other food groups as well.
point source spread, no human-human transmission
diagnosis via spinal fluid or blood sample
self-limiting, antibiotics in severe cases (penicillins, etc)
1 day incubation, 2 days of symptoms (nausea, headache, vomiting). Pregnant women especially, can cause miscarriages. self-limiting.
87example of foodborne intoxication: S. aureus
severe vomiting, diarrhea, cramps
resolves after 24 hours
gram positive cocci
Found on normal flora of nostrils and skin, contaminated surfaces. opportunistic infection or not
diagnosis through gram stain + MSA of food source
treatment via fluid replacement if necessary
88example of waterborne disease: vibrio cholera
gram-negative
reservoir: shellfish, water
2-3 days incubation times
89droplet nuclei
airborne water droplets that are infectious
90how does the respiratory tract defend itself against pathogens? what is this process called?
GOBLET CELLS produce a mucous to trap bacteria, CILIATED CELLS beat it upwards to prevent it from reaching lower. MUCOCILIARY CLEARANCE
91Sinusitis
sinus inflammation. viral infection, anti-virus fluid floods nasal pathways, but OOPS!! fluid good for bacteria. bacteria overgrow. infection
92Otitis externa (swimmers ear) vs. media
Ear cannal infection (bacterial), middle ear infection (same fluid thing as sinusitis). different seasonal incidence periods. both treated w antibiotic drops
93Pharyngitis
inflammation of oropharynx-- bacterial or viral.
Symptoms worsening after 5-7 days or lasting over 10 days: likely bacterial
94pneumonia
viral or bacterial. swelling + fluid filling of alveoli. 80% of cases is streptococcal pneumoniae.