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Infectious diseases. What is a pathogen?. What is a pathogen?. Pathogen- from Greek pathos (emotion/suffering) ; gene – to give birth to An agent causing illness or disease in the host/ an infectious particle able to produce disease. Are all pathogens infectious?. Not necessarily.
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What is a pathogen? Pathogen- from Greek pathos(emotion/suffering); gene – to give birth to An agent causing illness or disease in the host/ an infectious particle able to produce disease
Are all pathogens infectious? • Not necessarily
Infectious agents • Pathogenic bacteria • Pathogenic viruses (not considered organisms) • Pathogenic fungi • Pathogenic protists (protozoa) • Pathogenic parasites – e.g. helminth worms • Pathogenic prion (not organisms)
What are the top ten infectious diseases? 10. Smallpox 9. Typhoid 8. Influenza 7. Bubonic Plague 6. Cholera 5. Anthrax 4. Malaria 3. SARS Coronavirus 2. EBOLA or Nantahaemorrhagic virus 1. HIV
Non-specific defences: External Defences 6.3.3: Outline the role of skin and mucous membranes in defence against pathogens
Innate Immunity: commensal (non-pathogenic) bacteria • Of the 100 billioncells in our bodies, only 10 billion are actually human cells! • The rest are commensal bactseria, fungi, protozoa and even arhropods! • They perform essential housekeeping functions in our bodies…
Summary of external defences Anatomical Defences • skin • mucous membranes Body secretions/excretions • mucous • tears, saliva, urine (wash-out) • Lysozyme (antibacterial enzymes) in tears/nose/saliva • lactoperoxidase in breast milk • Acidic pH (sweat, urine, gastric fluid, vaginal secretions) • Zinc and spermine in semen Normal commensal flora • Inhibitory substances • Compete for nutrients Cilia Mucociliary escalator in respiratory tract
Drug treatment of infection – Antibacterials, Antifungals and antiviral treatments
Antibiotics • Many antibiotics are naturally produced by saprotrophic organisms (fungi and bacteria) in order to compete for the dead organic matter on which they feed • Many antibiotics are produced by fungi, to inhibit bacterial growth • Some antifungals are produced by bacteria to inhibit fungal growth
How do antibiotics work? • Antibiotics block metabolic pathways which are specific to bacterial or fungal cell metabolism/replication (but are absent or different in eukaryotic animal cells): • Cell wall synthesis • Cell membrane function • DNA replication • Transcription and translation of RNA (remember that the 70 S prokaryote ribosome differs from the eukaryotic 80 S ribosome)
How do antibiotics work? • A great wee animation
Antibiotics can be bacteriostatic OR bactericidial Bacteriostatic drugs inhibit replication and growth of the bacteria (maintain bacteria in a stationary phase of growth): • May act on cell metabolism – specific prokaryotic enzymes • May inhibit DNA replcation, transcription or translation • Work in concert with the immune system • (Chloramphenical, macrolides, tetracyclins) Bactericidal drugs KILL bacteria • May disrupt the integrity of the cell wall • May act on essential metabolic pathways – specific prokaryotic/fungal enzymes
The definition bacteriostatic/bacteriocidal is an oversimplification • It depends on the DOSE of drug used • It depends on the efficacy of the host innate defence system • It depends on ability of the drug to penetrate the infected tissue (e.g cross the blood brain barrier in meiningitis, penetrate bronchial secretions in pneumonia, penetrate cells for intracellular bacterial infection)
Antibiotics were (once) miracle drugs • the paradox of the antibiotic miracle drug
Do antibiotics work on viruses? Obviously not!!! This hyperlink introduces the whole complicated world of viral replication…
Antiviral agents Acyclovir Highly specific for Herpes Viruses – disables viral DNA replication Tamiflu Specific for Flu virus May accelerate alleviation of symptoms by 12 h Resitance has been recorded
Interferon Treatment • Interferon is a naturally produced protein (cytokine) which is produced in response to viral infection • It has been used for treatment of HIV, Hepatitis C and certain types of cancer
Innate immunity begins with the inflammatory response • the inflammatory response
Blood components Involved in allergic reactions Respond to parasitic infections
Phagocytes • Neutrophils (polymorphonuclear neutrophils)(most abundant, 60 – 70%) • Macrophages: circulating or ‘marginal’ (Big devourers) • Dendritic Cells
Neutrophils • Most common type of white blood cell (50 – 70%) • Phagocytic – but die immediately! • First immune cells to reach a site of infection – attracted by chemotaxis • PUS is made of dead neutrophils (that’s what makes pus white…)
A dendritic cell slide show… • Dendritic Cells are beautiful...