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15. Microbial Mechanisms of Pathogenicity. 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. Dosage Amounts
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15 Microbial Mechanisms of Pathogenicity
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 • Dosage Amounts • ID50: Infectious dose for 50% of the test population. • LD50: Lethal dose (of a toxin) for 50% of the test population. • Examples • Botulinum 0.03 ng/kg • Shiga toxin 250 ng/kg • Staphylococcal enterotoxin 1350 ng/kg
Adherence • Adhesions/ligands bind to receptors on host cells • Glycocalyx • Biofilms • Fimbriae • Pili • Flagella
Enzymes • Bacterial Capsules • Help Prevent Phagocytosis • Increase Virulence • Anchor Bacterial Cells
Penetration into the Host Cell Figure 15.2
Toxins • Toxin: Substances that contribute to pathogenicity. • 2 main types of toxins • Toxigenicity: Ability to produce a toxin. • Toxemia: Presence of toxin in the host's blood. • Toxoid: Inactivated toxin used in a vaccine. • Antitoxin: Antibodies against a specific toxin.
Endotoxins Figure 15.4b
Exotoxin Example: Botulinum Toxin Figure 15.4a
Exotoxins • A-B toxins Figure 15.5
Exotoxins • Membrane-disrupting toxins • Lyse host’s cells by • Making protein channels in the plasma membrane • Disrupting phospholipid bilayer.
Exotoxins • Superantigens • Cause an intense immune response due to release of cytokines from host cells. • Fever, nausea, vomiting, diarrhea, shock, and death.
Exotoxins • Specific for a structure or function in host cell Figure 15.4a
Endotoxins Figure 15.4b
Endotoxins The fever caused by endotoxin release: Figure 15.6
Cytopathic Effects of Viruses Table 15.4
Portals of Exit • Respiratory tract • Coughing and sneezing • Gastrointestinal tract • Feces and saliva • Genitourinary tract • Urine and vaginal secretions • Skin • Blood • Biting arthropods and needles or syringes
Mechanisms of Pathogenicity Figure 15.9