Provide a general overview of the strategies used by bacteria to evade host defence response
Describe how B. pertussis limits its removal via mucus
inhibition of mucus removal through toxin production (Tracheal cytotoxin TCT)
release of toxin from cell wall during groth -> paralyses mucocilary escalator & loss of ciliated cells => bacterial colonisation of epithelium
List the 3 classes of AMPs and their mode of action
killing bacteria by insertion of cationic peptides (found at mucosal surfaces, within granules found in phagocytic cells) into microbial membranes
defensins
cathelicidins
thrombocidins (from platelets)
Provide 4 examples of how bacterial pathogens limit AMP action
modification of membrane charge
catalysation of additional palymitoyl residues to lipid A by bacterial pagP in Salmonella enterica -> less suspectible to binding of cationic peptides
-> less destruction, shown through creation of gene knockouts in pagP
direct destruction of peptides
Staphylococcus aureus: binding and complex formation of Staphylokinase for neutralisation
Streptococcus pyogenes: sequestion of peptides by M1 protein to prevent activity
efflux pump
less effective CAMPs by acidification of cytoplasm
active pumping of peptides from cell (RosAB efflux pump: CAMPs out, K+ in)
bacterial biofilms formation: consortium of surface-attached bacterial cells embedded into the matrix composed of EC proteins, EC DNA and EPS
higher resistance to AMPs than planktonic bacteria
partly mediation of increased resistance via decreased penetration of AMPs through matrix
Describe how bacterial pathogens avoid the activity of sIgA (secretory IgA)
production of various glycosilidases -> sigA heavy glycosylated
IgA1 proteases produced by several bacteria -> cleavage of IgA1 H chain near chain region => falling apart of AB
Streptococcus pneuomoniae
Haemophilus
influenzae
Neisseria meningitidis
Describe some of the strategies used by bacteria to avoid phagocytosis
toxin release -> killing phagocyte with toxin
opsonization prevented -> preventing interaction btw. opsonizing antibody and phagocyte => preventing phagocytosis
prevention of contact with phagocyte -> difficult/prevention of uptake of organism by phagocyte due to capsule (its charge, confirmation, mimicry of host cell structure, etc.)
multiple point evasion
engagement with defined surface receptors
modification of signal transduction pathways
survival under hostile conditions
escape from phagosome
DNAse -> break-down of DNA, dissolving nets
Briefly describe how superantigens disrupt efficient T-cell-mediated clearance
kind of toxin
brdges macrophage and Tell-cell -> stimulation -> tons of hyperactivation of immune system -> host system own destrcution and cells to feed pathogen => proinflammatory cytokines
Understand the methods used by bacteria to avoid complement-mediated killing (direkt and indirect methods)
bacterial cpasules : limited recognition of surface structures of bacteria & limited direct binding of C3b
LPS (Lipopolysaccharide): reduction of complement availability, limiting successful lysis of gram negative bacteria
modification of non-sialyted surface
Describe how bacterial pathogens employ molecular mimicry to avoid immune clearance
antigenic determinants very similar/identical to norm host cell components
-> initial step in autoimmune diseases
=> thinks own host cells attack immune system -> defence against them => less phagocytotic cells
List some examples of molecular mimicry to avoid immune clearance
Cytochrome B 561 (Burkholderia sp)
FimH (Escherichia sp., Klebsiella sp.)
Lipoligosaccharides (Campylobacter jejuni)
surface proteins (Haemophilus influenca, Neisseria gonorrhoeae)
Exopolysaccharide (Streptococcus pneumoniae)
Briefly describe what is meant by the term antigenic (phase) variation and provide an example of a bacterial pathogen that employs this to avoid anti-infection responses
alteration of surface proteins in order to avoid host immune response (those determined by specific antibodies)
-> alteration of surface structore on a regular basis
e. g. N. gonorrhoeae
Provide examples of methods that bacterial pathogens use to modulate host inflammatory responses
hijacking of host signalling pathways to inhibit inflammation -> supress cellular activation, increase bacterial survival)
e. g. N. meningitidis: inhibition of co-engaged TLR-2 signaling and cytokine release
Describe how poor recognition, desensitisation of immune responses and inhibition of secondary immune signals may also factilitate pathogen survival
poor recognition: allows pathogen to prosper
desensitisation of response
due to presence of large amount of antigen/ antigen/antibody complexes
anergic state pf T-cells through lack of second signal => ineffective T-cells
generation of regulatory T-Cells (Treg) produce anti-inflammatory IL-10
inhibition of secondary immune signal
lack of second signal activation -> no T-cell receptor activation -> no (appropriate) T-cell response
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