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Requisites for Successful Growth. Attachment Nutrition Survival from host defence Transmission. Virulence Factors. Factors which promote infection and which contribute to disease Studied with mutants Are multifactorial Consist of: Factors promoting colonization and invasion
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Requisites for Successful Growth • Attachment • Nutrition • Survival from host defence • Transmission
Virulence Factors • Factors which promote infection and which contribute to disease • Studied with mutants • Are multifactorial • Consist of: • Factors promoting colonization and invasion • Factors which are pathogenic
Bacterial Virulence Factors I: Adherence • Capsules • Pili • Adhesins
Capsules • Present in some gram negative and positive bacteria. • May be composed of protein or polysaccharide layers. • Is poorly antigenic and anti-phagocytic • Can act as a barrier to toxic hydrophobic molecules such as detergents. • Can promote adherence to other bacteria or cell surfaces
Bacterial Virulence Mechanisms • Adherence • Invasion • By-products of growth (gas, acid) • Toxins • Superantigen • Immune evasion • Resistance to antibiotics
Pili (Fimbriae) • Composed of subunits of pilin. • Promote adherence to other bacteria or host. • Synonyms: adhesins, lectins, evasins, aggressins. • Fragile, often replaced.
Adhesins • Adherence mediated by lectin activity. • Allow attachment to vulnerable membranes such as surfaces of the respiratory, GI and urogenitary tract as well as dentine. • Can alter structural properties of host cell membrane by signal transduction and induction of actin rearrangement (EPEC intimin) to enhance binding.
Bacterial Virulence Factors I: Invasion • Invasins e.g. Yersinia • Host cell necrosis e.g. Diphtheria toxin • Promote phagocytosis e.g. Shigella
Bacterial Virulence Factors II: Iron Adsorption • Siderophores
Toxins • Toxic byproducts of bacterial growthe.g. acids, gas, proteases • Toxins • Endotoxins e.g. LPS • Exotoxins e.g AB toxins • Toxins vs Toxoids • Heat labile vs Heat resistant • Ineffectiveness of antibiotics
Exotoxins • AB. e.g. Shigella dysenteriae, C. tetani, V. cholerae. • Cell Membrane Disruption. e.g. C. perfringens • Superantigens. e.g. S. aureus
Endotoxins: Lipopolysaccharide • Fever • Leukopenia, followed by leukocytosis • Complement activation • Thrombocytopenia • Coagulation • Decreased blood circulation • Shock • Death