Infectious Diseases

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Andrew_Ramirez  on February 15, 2012

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Biology

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Exam 1

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Infectious Diseases

After antibiotics were discovered, the medical community began to focus on which three major causes of disease?
Cancer, Heart Disease, and Viral (HIV)
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After antibiotics were discovered, the medical community began to focus on which three major causes of disease? Cancer, Heart Disease, and Viral (HIV)
Why after 1995 did infectious diseases become one of the top 5 causes of death in America? Aging population increase
Increase in immuno-compromised patients
New-New Diseases New disease caused by newly discovered species of pathogen (lyme disease)
New-Old Diseases Old disease whose pathogen/cause has recently been discovered
Old-New Diseases Old diseases that have reemerged (TB)
Old pathogens that have acquired new traits (Staph)
Old-Old Diseases Old disease from known pathogen that has recently been recognized by the public
Italian physician that proposed that epidemic disease is cause by "spores" Italian physician Girolamo Fracastoro
Proposed germ theory while working with Anthrax Robert Koch
Robert Koch'sFirst Postulate: Association of the microbe with the lesions of the disease
Second Postulate: Isolation of the bacterium in pure culture
Third Postulate: Showing that the isolated bacterium causes disease in humans or animals
Fourth Postulate: Reisolation of the bacterium from the intentionally infected animal
Stanley Falkow's PostulatesPhenotype or property under investigation should be
associated with pathogenic members of a genus or pathogenic strains of a species. The gene in question should be found in all pathogenic strains of the genus or species but be absent from nonpathogenic strains

 Specific inactivation of the gene(s) associated with the suspected virulence trait should lead to a measurable loss in pathogenicity or virulence (animal model)

 Reversion or allelic replacement of the mutated gene should lead to restoration of pathogenicity.

 The gene, which causes virulence must be expressed during infection.
Discovered Penicillin Alexander Fleming
Colonization Organism does not interfere with normal physiology of the host
Infection Organism has a parasitic relationship with the host
Disease Presence of the organism leads to damage to the host
Strict Pathogen Organism that is always associated with a disease
Opportunistic Pathogen Organism that is typically a member of the normal flora but leads to an infection when found in unprotected sites
Exogenous Infection Infection arising from an external source
Endogenous Infection Infection arising from host microbial flora
Convalescence Period of recovery in which the illness is still contagious
Acute (Duration) Rapid onset of symptoms
Chronic (Duration) Disease develops slowly and lasts longer
Latent (Duration) Infection is never completely eliminated
Horizontal Spread Spread of infection from individual to other individuals in a population
Vertical Spread Spread of infection through family lineage
Steps of Infection Attachment, spread, multiplication, evasion of host defenses, shedding (transmission), and disease (optional)
Where 95% of infections begin Respiratory, GI tract, Urogenital tract
Where 5% of infections begin Vector bite
Benefits of normal flora Supply of nutrients, keeps immune system on its feet, excludes potential pathogenic organisms
Factors that balance normal flora on skin dryness, shedding, low pH, salinity, lack of nutrients, toxic fatty acids
Protective mechanisms in upper respiratory tract hairs in the nares, lysozyme in saliva and nasopharynx, desquamation
Alveolar defense alveolar macrophages
Vaginal defense glycogen is secreted, which is broken down by lactobacilli, producing lactic acid, which lowers the pH
SALT skin associated lymphoid tissue
MALT mucosa associated lymphoid tissue
GALT gastrointestinal associated lymphoid tissue
Langerhans cell samples antigens for presentation (SALT)
M-Cell samples antigens for presentation (MALT/GALT)
Antibacterial peptides positively charged peptides that lyse bacterial cells by forming pores in the membrane
Complement set of proteins produced in the liver that circulate the body that upon activation, lead to a membrane attack complex (MAC)
Lectin Pathway (complement activation) carbohydrates with high mannose content on surface of bacteria lead to activation
Classical Pathway (complement activation) Antibody-Antigen complex
Alternate Pathway (complement activation) Bacterial surface components bind C3b
Toll Like Receptors (TLR) receptors that recognize microbial factors that are not found in human tissue
PAMPs (Pathogen Associated Molecular Patterns) microbial structures that are invariant within a class of microorganisms
PRRs (Pattern Recognition Receptors) Receptors of the innate immune system that directly recognize PAMPs
LPS/Lipid A a PAMP that activates the host innate immune system
Immunogen Any material capable of eliciting an immune response
Antigen molecule that is recognized by the immune system that leads to an immune response
Epitope the specific molecular structure (on the immunogen/antigen) that is recognized by the immune system
Antibody An immunoglobulin protein that interacts with an antigen and is produced by B cells
Humoral Immune Response Activation of B lymphocytes, production of antibodies
CDR (antigen) complementary determining region
Monoclonal Antibodies Identical antibodies that recognize same epitope
Polyclonal Antibodies heterogenous population of antibodies that recognize different epitopes of the same antigen
Ig immunoglobulin (antibody)
Cell Mediated Immune Response Activation of T cells and other cytotoxic cells
Two major functions of T cells 1. Control, suppress, and activate immune and inflammatory response by releasing cytokines
2. Directly kill foreign invaders
TCR T Cell Receptor (genetic maturation dependent on
Helper T cell binds to antigen-MHC II complex and releases cytokines to aid immune response
Cytotoxic T cell (CTL) binds to antigen-MHC I complex, leads to
Natural Killer Cells (NK) T cells that target host cells exhibiting an abnormal expression of MHC I complexes
Passive Immunity injecting antibodies against a particular pathogen
Active Immunity Immunity acquired after exposure to pathogen (natural immunization) or immunization (vaccination)
Toxoid Vaccine vaccine from inactivated toxic compounds specific to a disease
Inactivated (killed) vaccine from killed pathogens
Subunit Vaccine vaccine from the bacterial or viral components that illicit the immune response
Adjuvants compounds that aid antigens to illicit an immune response

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