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Misc Bacterial Agents I
Exam 3
33
Biology
Undergraduate 2
04/05/2014

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Term
What is a prion?
Definition
Prions are self-replicating proteins from our own bodies that cause TSE's.
Term
What is PrPc?
Definition
A native protein with correct folding. PrPc is on the membrane of nerve cells and immune cells.
Term
What is PrPsc?
Definition
PrPsc is a prion with wrong folding. They are  misfolded version of PrPc.
Term
What happens when PrPsc's contact PrPc's?
Definition
The PrPc's misfold into PrPsc's.
Term
What is the order of prion propagation?
Definition
  1. Normal lymphoid or nerve cell has PrPc on it.
  2. Someone has eaten something with prions on it (PrPsc).
  3. Cell Phagolyses PrPc because it has PrPsc on it.
  4. Conversion takes place in the phagolysosome
  5. Cell becomes Prion factory, falls apart and spews prions out and the process repeats
Term
What are some TSE's in non-humans.
Definition

(Not genetic)

  • Scrapie, FSE, BSE, CWD
Term
What is Kuru?
Definition
A slower acting prion diseae, cannibalism kept the disease in the Fore tribe.
Term
What is the cause of genetic TSE's?
Definition
  • Some alleles in PrPc can lead to misfolding.
  • Different mutations on genes predispose people to spontaneous misfolding. 
  • It is Autosomal dominant 
Term
What is the gene that codes for PrPc?
Definition
prnp
Term
What is the cause of non-genetic TSE's.
Definition
  • Ingestion of contaminated food
    • Kuru (cannibalism)
    • vCJD (mad cow meat) 
  • Iatrogenic (acquired through a medical procedure)
Term
What are TSE symptoms?
Definition
  • Abnormal behavior
  • Delirium
  • Dementia
  • Deteriorating motor control
  • Memory loss
  • Sensory loss
Term
TSE treatment
Definition
  • No treatment
  • supportive only
Term
TSE Prevention & Control
Definition
  • No Vaccine
  • Genetic
    • counseling to families/potential parents
    • deal with as found
  • Non-genetic
    • careful what you eat
Term
Vibrio cholerae
Definition
  • Bacterial
  • Family: Vibrionacae (Gram -) 
  • Faculative anaerobes
  • Curviform
  • Fresh or brackish (salty) water, oxygen poor water
  • 1800s major outbreaks in America
Term
What is Cholera's Transmission in epidemics?
Definition
  • Human feces or vomit that gets into drinking/cooking water supplies. 
Term
What is cholera's transmission in isolated outbreaks?
Definition
  • Contaminated shellfish
Term
What are the symptoms of Cholera?
Definition
  • Rice water stool
  • dehydration
    • thirst
    • weakness
    • tallow skin, sunken eyes
    • muscle cramping
  • Self limiting- once toxin is used up thats the end. 
  • Collapse of circulatory system > death
  • Diarrhea persists until intestinal cells are replaced (takes weeks or months)
Term
Why isn't cholera an infection but rather an intoxication?
Definition
  • Cholera cant survive in the gut for more than 24 hours. Cholera toxin leads to dehydration. 
Term
What are the effects of Cholera Toxin (CT)?
Definition
CT blocks absorption of salts and the salts concentrate in your gut, so water evacuates from the body into the gut due to diffusion gradients.
Term
What are other products of the Cholera "Virulence Cassette"
Definition
  • ACE toxin and ZOT toxin. 
Term
What is ACE toxin?
Definition
  • accesory cholera enterotoxin
  • loosens tight junctions which makes gaps, thus more water rushes through
Term
What is ZOT toxin?
Definition
  • Zonula occidens toxin
  • It augments CT effects
Term
What is the treatment of Cholera?
Definition
  • Rehydration Therapy
    • IV rehydration: water, glucose, salts
  • Antibiotics for symptoms or to prevent transmission
    • Doxycyline
    • Tetracycline
Term
Cholera Prevention & Control
Definition
  • Maintenance and monitoring of water, sewer supplies
  • Personal Hygiene
Term
Cholera Vaccines
Definition
(Not avaliable in the U.S.)
  • Dukoral (Sweden) 
  • ShanChol (India only) 
  • oral
  • limited effectiveness (6 mo. - 2 yrs)
Term
Campylobacter jejuni
Definition
  • Bacterial
  • Family: Campylobacteraceae (Gram -)
  • Curviform
  • Some are vibrio shaped, spirilla, spirochetes
  • Environmental resevoir: birds/poultry, pets and livestock, water
  • Most common cause of bacterial food poisoning.
  • Antibody-resistant capsule/slime layer
Term
Campylobacter Transmission
Definition
  • Meat (poultry)
  • Water
  • Milk
Term
Campylobacter symptoms
Definition
  • Range in severity
  • CJT toxin has effects like CT toxin except milder
  • Diarrhea
  • Abdominal Pain
  • Fever
  • Headache
Term
Campylobacter Treatment, Prevention & Control
Definition
  • Fluid and electrolyte replacement
  • Antibiotics (in extreme cases)
  • P&C: food safety
Term
Helicobacter pylori
Definition
  • Bacterial
  • Helicobacteraceae (Gram -)
  • Curviform
  • Adapted for stomach's low pH
  • Acidophile
  • Causes Gastritis and Ulcers
Term
Helicobacter Transmission
Definition
  • Many healthy humans harbor this bacterium
  • found in many animal species
  • Possibly from
    • water
    • oral-oral
    • fecal-oral
    • zoonotic
Term
Helicobacter Symptoms
Definition
  • Gastritis (acid reflux)
    • stomach inflammation
    • abdominal pain
    • "burning" sensation
  • Ulcers
    • all of the above
    • lesion in stomach or duodenum (major)
Term
Helicobacter Treatment, Prevention & Control
Definition
  • Treatment is pincer attack
    • acid-surpressors (palliative)
    • antibiotics (clarithromycin, metronidazole)
  • P&C: many different ideas
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