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Microbial Mechanisms of Pathogenicity. Pathogenicity The ability to cause disease Virulence The extent of pathogenicity. Portals of Entry. Mucous membranes Skin Parenteral route. Numbers of Invading Microbes. ID 50 : Infectious dose for 50% of the test population
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Microbial Mechanisms of Pathogenicity • Pathogenicity The ability to cause disease • Virulence The extent of pathogenicity
Portals of Entry • Mucous membranes • Skin • Parenteral route
Numbers of Invading Microbes • ID50: Infectious dose for 50% of the test population • LD50: Lethal dose (of a toxin) for 50% of the test population
Adherence • Adhesions/ligands bind to receptors on host cells • Glycocalyx Streptococcus mutans • Fimbriae Escherichia coli • M protein Streptococcus pyogenes • Opa protein Neisseria gonorrhoeae • Tapered end Treponema pallidum
Penetration into the Host Cell Figure 15.2
Penetration of Host • Capsule • Components of the Cell Wall • Enzymes • Antigenic Variation • Cytoskeletal components
Enzymes • Coagulase Coagulates blood • Kinases Digest fibrin clots • Hyaluronidase Hydrolyses hyaluronic acid • Collagenase Hydrolyzes collagen • IgA proteases Destroy IgA antibodies
How Pathogens Damage Host Cells • Use of Host Nutrients • Siderophores • Direct Damage • Production of Toxins • Hypersensitivity Reaction
Toxins • Toxin Substances that contribute to pathogenicity • Toxigenicity Ability to produce a toxin • Toxemia Presence of toxin the host's blood • Toxoid Inactivated toxin used in a vaccine • Antitoxin Antibodies against a specific toxin
Endotoxin Figure 15.4b
Endotoxins Figure 15.6
Exotoxins Figure 15.4a
Exotoxins • A-B toxins or type III toxins Figure 15.5
Exotoxins • Membrane-disrupting toxins or type II toxins • Lyse host’s cells by: • Making protein channels in the plasma membrane (e.g., leukocidins, hemolysins) • Disrupting phospholipid bilayer
Exotoxins • Superantigens or type I toxins • Cause an intense immune response due to release of cytokines from host cells • Fever, nausea, vomiting, diarrhea, shock, death
Cytopathic Effects of Viruses Table 15.4
Portals of Exit • Respiratory tract • Coughing, sneezing • Gastrointestinal tract • Feces, saliva • Genitourinary tract • Urine, vaginal secretions • Skin • Blood • Biting arthropods, needles/syringes
Mechanisms of Pathogenicity Figure 15.9