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00:01 really? Mm hmm. Yeah. . Okay. Mm hmm.

00:26 Thank you. Okay folks, Thanks coming, raven bellwether. Um uh

00:36 like it's probably a long commute going tonight. But anyway, so we're

00:41 down here. So we're gonna the out the email this morning. So

00:47 remember the last of the smart work are due uh the usual sunday

00:53 sunday due date. But then there's the last one thursday. So we

00:58 back on the, On two So we go through today Wednesday,

01:06 next monday and that's it. So of that timing, Um and then

01:11 finish 26 completely until next Monday. kind of just pushed back to this

01:18 during that week. So normally it's you're done thursday through sunday this

01:23 It's actually sunday through thursday. So between now and then we'll have to

01:29 out another couple more emails. So to remind you, uh so just

01:34 a note of that. So a bit a week later, a few

01:37 later than usual in terms of Um So Uh today is really just

01:45 be a bunch of probably about 10 or so that Karen doesn't questions and

01:51 we'll kind of frame discussion around Um so just a couple of

01:57 So if you you likely have looked it already, but chapter 26,

02:02 , a bunch of different infectious We're going to look at not everything

02:08 in that in that chapter, but ones. Some, some spend a

02:13 bit more time on than others. but nonetheless this is kind of a

02:18 I put together from the notes. so what to know for each

02:24 So a lot of this is obviously be heavy memorization types of um one

02:30 to do it is through it. like this. Perhaps a table like

02:35 . Okay, I I filled out part of it. This is available

02:39 on blackboard. Want to take a at it uh and you're likely you

02:44 even add a couple more columns But this is kind of what to

02:49 about. Uh So common pathogens, disease, of course. Grandstand mythology

02:55 applicable. Um bare limbs factors. may be some that are, I

03:01 to put diseases that at least have , one case is unique. They

03:07 unique things associated with them. Um those factors, maybe some other features

03:13 associate with them. Um motive the reservoir. We'll talk about that

03:20 . So um That's kind of the what what you want to know

03:25 And you will see um we'll have questions, you know, uh as

03:32 go to 26, I'll give you idea of also the quiz will give

03:36 an idea of the kind of questions expect on this stuff. Um so

03:41 you know, that's it's this is suggestion how you can kind of organize

03:45 material together for 26. Okay. so um let's see any questions or

03:58 yeah, please session. Oh I'm . Yes let me uh glad you

04:07 that. I always forget that. we go. Yeah questions. Yeah

04:14 yeah you're gonna want to know um Yeah you're gonna wanna know I say

04:23 the context of the table like this the strange that no other restraint and

04:29 what goes with disease etcetera etcetera. Yeah it's um Yeah pretty much.

04:41 it's I don't think it is dunking you might think but we'll go through

04:47 um The next couple of days starting . The other questions. Yeah I'm

04:56 go see if we go through in context of of uh so most textbooks

05:02 your yours does does it in terms system so we'll go through skin infections

05:13 circulatory system blah blah blah. So system body system that's how we do

05:16 . So. Okay yeah. Um uh let's see. So let's start

05:24 we're starting with the questions. We're have a number of these today.

05:27 uh so just be ready. So seen the table before. So this

05:33 asking um So you got your choices . Through E. And I think

05:38 first one here is what is a A. Okay so as your uh

05:46 me open this there. Okay so as you're mulling this over so um

05:55 obviously as you know we've been uh we started this unit. It's all

05:59 about. What does our body What our what our defenses,

06:04 physical barriers, different types of immune selves, uh Different kinds of

06:13 information etcetera. The uh oops. . Like I started again. Alright

06:23 The the all the things that you to fight disease infectious disease of

06:31 So here we're gonna look at today is turning the viewpoint to the bacteria

06:38 viruses or other pathogens. Okay. at how do they overcome these various

06:45 obstacles to them causing disease? And uh they said we've been focused on

06:52 that's the answer to the next one well. There's also one here.

06:55 what is B. Okay with A his be Okay. Um Same

07:03 Okay. Uh So so we've been at this part right here.

07:14 And next we're gonna focus on all different mechanisms pathogens have to overcome through

07:21 types of enzymes they possess to toxins this to that. So we'll go

07:27 all those things. Okay. And know, one of the themes you'll

07:32 here is because we mentioned it from perspective of your bodies and your naming

07:36 is this concept of buying time. ? So either buying time for like

07:44 , right? For your immune system catch up, right? Your immune

07:48 to detect recognized? Do their thing time and pathogens buying time to make

07:57 invisible right to your immune system buys time to begin to multiply. So

08:01 goes both ways. Okay so let's what we got here. Um so

08:11 get c. So yeah so a course is the reservoir. Okay that's

08:19 source of the pathogen and b. the uh virulence factors. Okay see

08:28 see here and here. Okay so the and we saw this before now

08:39 gonna really focus on heavily on bee go through you know the routes of

08:44 routes of transmission of infectious diseases. you have to get from the reservoir

08:49 point from there to you and many diseases. We look at the reservoir

08:54 actually other humans. Um And so forces of various factors that enable the

09:02 overcome the different chemical physical barriers, system themselves etcetera. Okay um the

09:10 between primary opportunistic christ remember opportunistic types originate from your own my profile.

09:17 they can cause problems if if ah they actually just give you a question

09:27 , let me just that's okay, worry about it. So just remember

09:31 factors can be um transmitted uh in cases through plasma through conjugation and other

09:38 gene transfer mechanisms. Many are faith a lot of toxins that cholera

09:43 anthrax toxin required through fage right? a trans abduction. Okay um so

09:52 our focus is really heavily on on types of virulence factors. So let's

09:57 at the not quite there yet. um Right so a number of reasons

10:04 of course will fall into different Okay so whether its adherents so that

10:12 be a very big challenge factor for pathogen types of stick so to speak

10:17 your own cells tissues particularly um intestinal . Trying to stick to your

10:24 The intestinal wall respiratory pathogens is very that they of course adhere to your

10:32 , your mucus membranes of your lungs, nasal area and those those

10:40 adherence is a big factor. Um typically things that caused damage to

10:46 Uh invasion, colonization and invasion. all about numbers and multiplication of

10:54 Um the immune response inhibitors. So are different types of components. They

11:00 chemicals, enzymes etcetera that they can to either block complement activation, block

11:09 action of antibodies, um different types effects like that. Okay. All

11:15 course to to enable them to multiply cause disease. So uh let's look

11:23 the question that relates to these two here. The primary and opportunistic

11:27 Okay so here we go. Um basically it's comparing to these two and

11:34 is which is a true statement. yeah It'll be worth like less than

11:59 millionth of your final grade. Trust . Mhm. Okay let's see.

12:36 lets see see. Yeah certainly be a true statement. So some of

12:43 primary pathogens aren't just there by accident there to cause disease. And so

12:49 not going to be a part of normal normal microbiota. Okay opportunistic types

12:55 . Um Primary pathogen staff is more example of an opportunistic pathogen. Okay

13:03 Ebola are examples of primary pathogens. so be of course the true

13:09 Okay so um whether you're on antibiotics may cause an upset imbalance of your

13:19 microbiota and allow other types of take um a they gain entry to other

13:27 of your body that they don't that don't normally reside and that can cause

13:31 . So those are kind of typical for your own microbiota may become some

13:37 those will become opportunistic pathogens. Okay so uh here is. Now we're

13:45 go into some of these examples of factors. So which of these would

13:51 not consider virulence factors? So remember of think back to when we look

13:56 the example of E. Coli 0157 E coli. Benign harmless lab

14:05 Right so yeah pathogen has virulence factors not everything it possesses. Would you

14:12 consider virulence factors? Okay um so we're looking here for wood, he

14:33 the grants back. Mhm. Yeah you. Okay so if you answered

15:04 that's that's correct. Okay so settle membrane a. Okay A RNA polymerase

15:14 . N. A. Um These things you wouldn't necessarily consider various factors

15:19 themselves don't enable them to overcome compare necessarily because all all cells have a

15:26 membrane all cells have been all cells unemployment rates but those those are in

15:32 factors. Okay. But certainly top hi you're on today's enzyme. We'll

15:38 about that shortly. Opie a member those are all types of virulence

15:45 Um Now the uh so here's just example. Don't don't memorize this,

15:53 this is just such an example of are the types of graham's factories you

15:57 see in common pathogens. And so top of staphylococcus, aureus stuff,

16:04 in the bottom uh this you hear altar in terms staph infection, this

16:09 the one that typically causes it, aureus. Um staff progeny causes uh

16:17 throat uh different types of infectious diseases the skin. The flesh eating

16:24 You probably heard of that? Um fever is caused by streptococcus biology.

16:30 a number of different governments factors. not every staph aureus pathogen type will

16:37 every single one of these factors. will I sshepardcoxnews priorities have every single

16:44 of them but they'll have a collection them. Okay. And these are

16:49 in in uh enable it to enact different ways, whether it's to break

16:55 blood clots, which is what does to get through the tissue, which

17:01 what So so the connections between yourselves and your and your tissues have breaking

17:08 . So um uh and as well m proteins about kind of adhering from

17:13 other functions activated compliments. So the is they can have a big arsenal

17:19 virulence factors and uh it can correlate lots of different factors can correlate to

17:27 a more virulent, a deadly Okay. So it depends on the

17:34 and what they do in terms of factors. Okay um now the uh

17:44 we'll go through we'll look closer, little closer at some of those and

17:46 they what they do. But uh again we've seen this before, so

17:50 focusing really on going to start Okay. In terms of modes of

17:56 and then kind of go into different factors. Okay. And so uh

18:03 look at this question here. So relates to um transmission terms we use

18:11 talking about different modes of transmission. so things like a vehicle, motor

18:18 , which there's different types of those etcetera. Okay. The G.

18:42 . Tract, gastrointestinal tract. Okay let's see, mm hmm.

19:25 . I answered. Yes. What's one of the ones that

19:31 Good one? Which one? For more on what's what's what's another

19:40 ? Alright, so ingesting contaminated food water are both gonna be typical routes

19:47 um ah G. I. Tract , um respiratory tract infection.

19:59 Right so um so if you look most of transmission. Okay. Starting

20:05 reservoir. Remember reservoir is you say want to study pathogen. X.

20:12 . It doesn't have to be a outbreak going on. I just wanna

20:15 where where does it naturally live? and for some types it can be

20:20 varied. You know it can be water, different animals. Right.

20:27 Listeria kind of fits that mode. others are more narrow. Alright.

20:32 as only being in humans. Asymptomatic characters. Right. We're all

20:36 with that term by now. Um uh look at the number of different

20:41 measles, mumps, meningitis, It's actually the you would be the

20:47 as I reside in a good portion the population and those persons have no

20:52 or symptoms of disease. Um Certainly sexually transmitted diseases. Those are typically

21:00 exclusively reservoirs or humans. Okay So zoo and those seeds is also

21:07 common um Where the reservoir is an of some sort very common to be

21:14 uh insects in particular mosquitoes such as Nile virus, malaria, Yellow fever

21:23 others. Okay. Um uh Not just mosquitoes but ticks as

21:30 fleas plague please. So my ticks, rabies of course different types

21:37 mammals can carry rabies. And so non living. So our poor environmental

21:43 , soil water is that sort so like tetanus botulism. These organisms reside

21:52 soil. Okay of course fungal fungus, soil is the domain of

21:58 as well. Okay um So the getting from reservoir to you. Okay

22:07 it can be as something that's contact , these different types of contact

22:12 direct indirect droplet droplet droplet which is , it's really there's actually a distinction

22:21 in terms of distance. Okay, droplet, you're right, I'm in

22:26 face or your in my face and sneeze on you or your sneeze on

22:29 . I catch it. That's typically droplet. If I'm hearing, you're

22:34 there, right? And you catch and it's gonna be airborne.

22:37 So there's there's actually a distance component . Um So for me it's for

22:43 are um inanimate objects. Alright, a contaminated surface and you touch

22:50 right? And you transmit it to . Um They used Kleenex and you

22:55 it a door knob or door handle content and you touch it. Um

23:00 are our phone lines, direct physical , certainly kissing your partner, sexual

23:10 contact. So these will all be course direct contact. Okay.

23:15 vehicle modes comprised uh these and there be some others besides waterborne airborne and

23:23 foodborne meat, blood borne diseases as . Um And so with these

23:31 starting with waterborne typically contaminated water sources the how this happens. Um whether

23:42 a compromise water treatment system, so common in areas where there may be

23:48 sort of catastrophe or disaster such as earthquake or what have you that causes

23:54 breakdown in the infrastructure including water treatment , you know, very quickly uh

24:02 quickly will come to the effects of such as cholera and things like

24:07 Um so um airborne, of course can travel on dust particles. Pet

24:14 , um and and can transmit disease way. Food born of course is

24:21 just eating contaminated food. Um It be the handling of food, whether

24:28 wrong, sort of the wrong it's it's not keeping a clean area

24:33 food preparation is occurring, uh not sanitary procedures, not wearing gloves,

24:38 kind of things. So all that contribute to uh foodborne disease as well

24:46 you have to think about, you , if it's produce um that's contaminated

24:51 obviously starts in a agricultural area somewhere picked and gets to you. There's

24:57 lot of hands that goes through before gets to your mouth. Okay.

25:01 one of those, potentially a area improper handling can lead to foodborne

25:07 Okay, um accidental transmission. vertical transmission fairly easy passing from mother

25:17 child during birth of syphilis is and sexually transmitted diseases can be passed from

25:24 to offspring that way. But it's about what we call vertical transmission.

25:29 , accidental transmissions. Little a little . That's where um a human best

25:37 I can give of that is Lyme . Okay, so Lyme disease,

25:42 think the first reported cases of that About 30 or 40 years ago um

25:49 Connecticut and so lime juice, lime for lyme Connecticut. And in that

25:58 as there is all over the humans are developing, right Whether for

26:03 or whatever, right, clearing land stuff, right? So in this

26:09 there was a particular kind of life with this um tick okay, involving

26:15 few different animals and insects and you , humans aren't there where it's a

26:21 area and there's really no human encounters than the occasional hiker or whatnot.

26:27 . But when you have now development in your clearing forest land and lots

26:33 humans now are getting in there, kind of just accidentally insert themselves in

26:38 and get bitten and acquired a otherwise it would never have happened.

26:43 this kind of accidental encounter is what to this outbreak. And so um

26:51 that's really what accidental, it's kind a random thing, but it really

26:55 when the human inserts themselves unknowingly in situation where there might be this,

27:00 um pick a reservoir for a pathogen they get acquired that way.

27:07 Where they otherwise wouldn't. Okay, , vector of course insects, mosquitoes

27:14 mentioned, mosquitoes, ticks, party the more common uh types the mechanical

27:22 biological transmission. Right? So mechanical . Think of a housewife flying around

27:29 , lands on garbage or something right the garbage on top of a garbage

27:33 and so then it applies on right, lands on you and maybe

27:39 somehow with a touch of area, touch your mouth, your eyes would

27:42 you and you come down with whatever carrying on its legs. Right.

27:46 kind of a random thing as but acquired that way that that's what

27:50 would call mechanical transmission. Okay. , so theoretically, you know,

27:56 of different diseases could be passed that . Okay, biological transmission. It

28:04 involve parasite life cycle. Like the for example, malaria involves a

28:10 particular mosquito species that then feeds on . And the malaria parasite is specific

28:19 multiplying, I think first in the gets in the blood, then use

28:23 blood cells as a vehicle to So, so it's a very specific

28:27 . Alright, so that's that's what call biological transmission. So biological transmission

28:32 not be a random kind of a . We could catch anything that

28:35 That's a very specific. So malaria that mold added to a few

28:40 Typically some sort of not always, some sort of a protozoa type

28:48 Protozoa ones tend to have lots of weird life cycles involving different animal

28:53 So that's often where you see Okay. Um, yes. Any

29:00 so far. Okay. Yeah, sorry. All right. So,

29:06 , so let's look at, so all about transmissions. We're gonna transition

29:11 into different types of virulence factors. . And so, uh, and

29:18 this kind of question is relating to this is the the role of a

29:26 factor. So not Alabama's factors fit same function. Okay, summer for

29:34 , summer for these types of Others are for other type.

29:41 Um and so it's kind of what is kind of getting at here.

29:48 looking for. The exception here does is not involved in penetrating or hiding

29:55 host defenses. Okay. Mhm. . Let's see. Okay. Um

30:43 it actually would be toxins here. . So capsules will cover particularly cover

30:54 cell whether it's out of membrane or like and it's gram positive, gram

31:01 . Um that will enable it to of highlights engines. Maybe not make

31:06 as visible also it will enable it not be maybe as easily as Vegas

31:11 . Okay. Um and or genetic that certainly changes the profile of visible

31:19 on the surface that can make it if it changes those. That was

31:24 cold in Chapter nine No 10. This that was a phase variation.

31:29 right. Same thing. Hi, on today's and coagulants is a little

31:35 how you're gonna days can break apart connections between tissues and able to penetrate

31:41 is can clot and they'll kind of a cocoon around it so hide it

31:46 the immune system. So the choice given I'd say toxins, those are

31:51 about causing damage. Okay, causing in different ways. Um whether it's

31:57 a solid balance in the cell or protein synthesis. These are things about

32:04 damage to the cell toxins are not much really hiding from host offenses.

32:10 . Um Still looking at various factors . Right and the role they have

32:19 uh multiple whether it's um penetrating reading defenses damaging a host Adhering to the

32:26 is another one. So this question which is not a clicker question is

32:31 asking it's a footboard pageant because it caused a skin infection. And this

32:36 to preferred what we call preferred portal entry. Okay so each pathogen type

32:45 its particular Wait enters the body. so foodborne pathogens. So e coli

32:52 right foodborne pathogen you would of course through ingestion of contaminated food. Okay

33:00 that particularly coli is geared for uh acid americans. Think of the journey

33:06 you go into the intestines right then go to the stomach. So acidity

33:11 So it's it's built to withstand Um It also adheres to your intestinal

33:17 . So uh so it's virulence factors really geared towards that way of talking

33:22 . So if you took 157 and on your skin it's really not gonna

33:27 anything maybe cause a rash or Okay but that's about it. Right

33:31 it's about prefer parliamentary. Okay um some of the other types of pathogens

33:38 would take them from their not their normal route they probably not gonna do

33:43 to you. Okay so because Skin and parental rights. So mucus

33:48 of course your respiratory tract pathogens. S. T. D. These

33:52 the ones that use mucus membranes whether in inhaling okay. Um It could

34:01 through sexual contact. Okay. Um of course there's natural openings in the

34:06 . So a staph infection typically occurs getting into uh either through a parental

34:12 where you deposit skins under the So it's kind of a puncture wound

34:15 some type um skin through hair Sweat glands can drink Taiwanese eyes.

34:23 so these are all different routes uh your S. T. D.

34:29 . Are particularly sensitive to drying And so they really rely on the

34:35 of the mucous membranes to to Um Now adhesion. Right that's that's

34:43 big factor for many pathogens to adhere yourselves, respiratory pathogens G.

34:48 Tract pathogens. Um And then of you always have to consider how many

34:53 are infecting it. What's the dose to speak of microbes affecting um that

34:58 certainly play a part. Um And attachment can be so he he's in

35:05 kind of a generic term that is to apply to all any molecules involved

35:10 this in this function which can be it could be just other molecules that

35:17 not collected from bri I typically glycoprotein lipids on the surface. These are

35:23 that can maybe promote adherence to particular of your cells surfaces. In fact

35:33 the so here's some more specific So with e. Coli the

35:37 N. 57 again. Right february very important when they looked at mutant

35:43 lacking from brand they weren't able to disease. So an important feature for

35:49 uh in protein. So this this found streptococcus species several pageants in these

35:56 this group I mentioned in the next open a protein in Neisseria,

36:02 gonorrhea and meningitis or two of the types here. Um Looking at penetrating

36:12 coast defenses or capsule enzymes from collide damaging host toxins. We also were

36:21 of viruses that they're interested in the of course because they infect the host

36:25 use it to replicate. But there bacterial types that do that as

36:29 Okay but then not for the purpose replicating but for the purpose of hiding

36:33 right and then eventually causing damage as . Okay um the uh so let's

36:40 at this process is gonna take us some of the more specific virulence factors

36:46 to both adherents and then penetrating into body. Okay so we'll look at

36:55 . P. A. And Proteins here. Okay So this process

37:00 one that um my syria uses especially meningitis organism as a way to ah

37:14 other parts of your body. Okay it is indeed transito sis. Okay

37:58 I'll elaborate on that in a Let's look at um in host defenses

38:08 and here's the M protein. Yeah streptococcus. So um this like by

38:18 this is the meningitis organism. It's pairs like yourselves cox in pairs.

38:25 too is many streptococcus pneumonia. Um these M proteins on the surface for

38:35 as well as other activities inhibiting complement , preventing preventing figure psychosis. So

38:47 . Very much a factor. Okay here is the the O.

38:52 A. Protein. So the P. A. Protein is actually

38:55 the small little dark spots you see the surface. Okay and so um

39:04 two types of adherence that goes on , what we call kind of a

39:07 attachment in a tight adherence. Okay you see the pill i that are

39:15 from the surface. So remember that I can plumb arise and get

39:20 Diploma, rise and get short. so that's kind of what happens first

39:26 is that these cells kind of anchor on the surface through the pillow,

39:33 pill I shorten and then that promotes tight adherence with the O.

39:39 A. Proteins. Okay then that induces engulf mint by the cell.

39:47 is what the trans transito sis's basically through this cell layer. Okay so

39:54 that in that direction as you see course outside the cells going through this

40:00 there and coming out on the other . Okay so it's not using the

40:05 as a vehicle to replicate itself. it's a ways to get in and

40:09 out. Okay, penetrating deeper into body. Okay. And then of

40:13 on this side you can hitch a with different cell types. Right?

40:19 if if we're exiting near a blood let's say some of our blood vessels

40:27 um are made up of endothelial So if they can get inside and

40:33 the ethereal cell that makes up a vessel then they can get into the

40:37 . Thanks. Um Maybe he gets and they transport yourself into a neutral

40:45 or mon aside right that can go lymphatic fluid and develop into dendritic cells

40:53 macrophages. So the point is this can transport itself different parts of the

41:00 this way. Okay so we'll learn time that this the meningitis organism crosses

41:06 blood brain barrier. Like I mentioned before. So it has to get

41:11 you're into the central nervous system and that takes getting through different cell layers

41:16 that this is how we can do to this transito sis process.

41:22 And you know potentially become a systemic by getting through all the teachers of

41:27 body. Okay. Um Now the questions about so for many pathogens it's

41:40 know it's really about once they infect is how how far can we infect

41:45 we get into different parts of the . Can we obviously that's that's not

41:48 for you because the more it spreads that's more tissues and organs that are

41:54 obviously. Yeah, it's um I when it binds tightly it induces it's

42:04 on one of these receptors that brings endometriosis for the for the cell.

42:14 you have many my cholesterol for example buy into a receptor and then that

42:19 in those ketosis process to bring it . And so it's probably likely exploiting

42:22 of those types of mechanisms. So recall like the viruses can do that

42:28 well. Remember the reception media induced process to bring viruses in is probably

42:34 receptors like that that triggered that And it's my guess it's like uh

42:42 much yeah. Right, right. . Yeah. It's not it's not

42:44 random kind of thing that they're gonna specific in terms of by me,

42:49 specific receptor that induces that. Yeah. Um Okay, so this

42:57 a question about various factors. Okay, so uh correct that this

43:04 actually eat a through e okay, correctly matched. Okay, so functions

43:12 Berlitz factors here. Okay, mm . Mhm. Okay. Yeah,

44:31 you answered d are correct. so invasions that's really about getting inside

44:41 a cell. So your interest cellular use invasions to get inside of the

44:45 uh and the toxin that's found only gram negative. We talked about that

44:49 guess way back in sell procreate itself um OPM proteins. Those aren't exact

44:57 there adherence some other functions but not not extra toxin. Uh coagulates is

45:06 a man he's in it promotes kind clotting. Okay so the of course

45:11 correct. And so let's um look that. So these are all um

45:21 factors here on this line that relate penetration. Okay. Getting deeper in

45:26 tissues. It's gonna be enzymes. they're going they're going to do

45:30 Okay so it coagulates. So staph aureus the pathogen types there's a high

45:39 between pathogenic staph aureus and coagulates Right? There's not many I don't

45:46 coagulates negative staph aureus that are Both of them are coagulates positive.

45:55 and so it coagulates. So of fibrinogen is in our soluble protein factors

46:01 our blood that we enable it to into these network of fibers called fiber

46:08 . Okay. Um And these farmers together the 4:00. Okay. A

46:16 example of that. If you look a scab on top of your skin

46:21 you kind of tear it apart you there's lots of fibers in there.

46:25 ? But but it doesn't always occur occur visibly on top of your skin

46:29 also occur internally as well. Okay uh so it does happen it's

46:34 That process is triggered when you need . But there are bacteria that can

46:39 it on their own and and coagulates what enables that to happen. Okay

46:44 you see there's a test you can to determine this. So this test

46:50 have will have these protein fibers in . If the bacterium is carrying coagulates

46:57 will of course clock that and you'll kind of this solidifying of the medium

47:03 here it's actually staying liquid liquid form it's negative. Okay. Um and

47:10 you have the opposite as well. have enzymes that will break apart blood

47:14 . Okay. Um kindnesses. So like streptokinase, there's a staff specific

47:21 the particular pathogen but the functions is the same. Okay. Hi you're

47:27 it. So these are hyaluronic acid what um holds your tissues together in

47:35 cases connected tissue. And how ironic will break it apart. Okay,

47:42 is very similarly. Uh I'm gonna you an animation of this in a

47:47 . Proteus is of different kinds. So remember a lot of your respiratory

47:53 and others cling to your cells in respiratory track mucous membranes and I.

48:00 . A. Is a very common produced that sits there and can destroy

48:05 pathogen. But if it has a a specific for I. G.

48:08 . You can counteract that effect and can indeed then adhere to the to

48:14 mucous membranes. Okay. Um so look at this here. So this

48:22 um a couple of examples of some the various factors we just looked

48:29 So cross section through the skin. you see a hair follicle there and

48:38 gonna see a pageant coming right Um Since we need a close up

48:44 the tissue so of course there's gonna a layer of skin. Several layers

48:49 cells et cetera. And various enzymes can produce two penetrate. Okay so

48:59 go to zoom in. And so are your cells, right? The

49:04 material is hyaluronic acid. Right? them. You get kind of like

49:09 in a way. Okay and so ironic days enzyme can break apart.

49:14 can then penetrate through these tissues. here are layers of collagen. So

49:22 collagen acts like a foundation or what call a basement membrane. And for

49:28 cells attached to write. And so they have college and a son that

49:32 break apart these fibers and you can penetrate deeper into tissues. So it's

49:42 . Mhm. Let's see what else shot here. Okay so um okay

49:51 the kind of action. So here's blood clot um And here comes staph

49:57 strep I guess. And then it kindness. It can break apart that

50:02 and then gain entry through that So um now back to just over

50:12 second to the function of these Back here. Back here there we

50:20 . Okay so um we'll look at next one on Wednesday and different skin

50:29 and so typically involving staph or strep in particular um can college vary now

50:37 call it levels of skin destruction let's okay two more superficial layers to more

50:45 penetrating. So flesh eating is kind the extreme example we were down in

50:49 bone. Okay. But that ability to these kinds of enzymes and toxins

50:55 well to kind of cause damage and deeper in the tissues uh as bad

51:01 getting you know down to the bone sometimes that happens and then you likely

51:06 a limb or whatnot. So um it all relates to these kinds of

51:11 kinds of these kinds of enzymes it . Um let's let me go back

51:17 here And look at this one. . Uh Two, Go ahead this

51:30 . Okay, I'm gonna I'll say when we get to that part,

51:34 not quite there yet. So let's back to here. And toxins.

51:40 and different types. Okay, so the four or five categories of toxins

51:47 to are the types that inhibit protein are the types that manipulate the the

51:54 of ions across the membrane. Two that produce a hyper immune response to

52:04 affecting the integrity of the cell So, different categories uh what many

52:09 them have in common structurally is this of structure here? This basic A

52:15 . Or a. Is the active of the toxin that does the actual

52:20 , so to speak. And the part which is the bindings. Remember

52:24 XO toxins are made by the cell then secreted outside the cell. So

52:31 toxins have a target. Right so target specific cells and buying into a

52:38 type of receptor, another molecule on surface. And so only if those

52:43 have that particular molecule will be toxin . Okay yeah you have types that

52:50 neurotoxins that only work on chemicals involved neurotransmitter functions. Okay. Others our

52:59 cell type carbon so it just Alright the point is there are targets

53:03 these toxins of course. Remember toxins generally protein in nature and they too

53:12 energies that your body can produce your immune response to them. Okay that's

53:17 basis for tetanus tetanus shot uh that's we call it. Toxoid,

53:22 induces immune response. So a basic of function of a toxin the Xabi

53:30 you see here. So it's produced a pathogen and then we'll exit and

53:35 seek out a target and then on target cell it will bind. Typically

53:41 whole thing gets a window seat toast the cell. Okay and then clips

53:47 the active portion, we will then its function and then the other part

53:55 . Okay so again many many of toxins kind of have this basic kind

54:00 function binding and then the active portion its thing inside the cell. Um

54:07 these are these categories. Right so mentioned about disrupting the cell cytoplasmic

54:13 So cell membrane disruptors hey mollison's will that in the context of uh streptococcus

54:23 on blood auger we'll see clearing right? That's where it breaks apart

54:28 blood cells and it does it because has him. Allison's Okay, Lucas

54:33 are specifically for white blood cells. . Um protein synthesis disruptors. So

54:40 theory respiratory disease shiga toxin shiga is many gastrointestinal pathogens. Okay so these

54:52 inhibit protein synthesis which certainly will kill cell. Um These Lucas silencing

54:59 Allison's kind of are now just like a straw inside the membrane causing it

55:03 lice and causing death that way. cholera toxin and other types that are

55:10 in your intestinal pathogens disrupt the flow ions. So the second messenger pathway

55:20 um do that. Okay, so all are aware of the effects of

55:25 pathogen symptom number one typically diarrhea. ? So that that represents of course

55:30 loss of water from your system. it happens because not always because of

55:35 because the pathogen itself can cause many them are interest saver patterns. Um

55:41 of them uh cause inflammation of the of the intestinal tract and these can

55:47 to kind of these kind of effects well where uh i on balance is

55:52 , remember water goes where the ions . And so if they're coming out

55:55 the cell intestinal cells and water goes it and you have water loss and

56:00 typical symptoms of G. I tract . Okay whether it's stomach through or

56:06 have you. Okay. Um Super . So very much like we're gonna

56:12 about endo toxin effect here in a . It was super energy and similarly

56:18 really about a hyper response. So we went through the inflammatory response

56:25 where it was localized, right? local effect where the blood vessels in

56:31 area kind of get more permeable media come out figures sometimes pathogens in the

56:38 . Um And you get the other of, you know, dilation of

56:41 vessels etcetera. But it's all right? And that's fine when you

56:45 to make it now and more body effect involving potentially all affecting all the

56:51 your immune system and then they all the influential response that's too much.

56:56 body can't handle it. Okay so engines can do that because excess cytokines

57:03 remember information is all about producing these of kinds and they cause different

57:08 So again fine if you're doing it the local localized area of the

57:12 But when you begin to do it wide it becomes too much. And

57:16 that's when your body can go into . So very similarly we'll see that

57:22 with endo toxin effect because this is very similar type of thing.

57:27 Programs as we mentioned one of these , I. G. A proteus

57:31 there are types that are neurotoxins, tetanus toxin uh will destroy acetylcholine is

57:40 of the main neurotransmitters that enabled your system to talk to your muscles.

57:47 texas is all about getting the spasmodic and it's because it interferes with the

57:53 of the neurotransmitter. Okay so um in the toxins these in contrast and

58:02 a toxin is not produced and secreted an extra toxin. These are basically

58:09 part of an integral part of the . Okay and so the effect is

58:16 once that cell dies. Okay so negative. So basically any gram negative

58:23 as I know talks because part of lipid a material right on the outer

58:28 . And so um and when it's it's not a problem. Okay when

58:34 begins to lice then that material is free but then they can potentially encounter

58:41 cells. So here you see um ingesting a grandma. Uh huh digested

58:50 the material becomes available, triggering cytokine and traveling throughout the body Catholic of

59:00 and causing fever among other effects when toxin begins to travel through the

59:06 Okay that can of course alert many of the immune system and they will

59:12 how they would in inflammatory type response . Okay so we're gonna look at

59:19 here. Okay so again the severity this as I mentioned way back when

59:24 talked about this? It's a very gram negative infection really is depends on

59:29 advanced is it. Right. Is just a local infection or has it

59:34 ? Right. If it's a local that hasn't yet spread, that's not

59:38 not gonna be as big a concern but if it gets into the blood

59:43 that's a huge concern. Right? what sepsis refers to infection in the

59:48 . Okay. And so so he lipid a material so gram negative let's

59:52 is is LISZT um that material now available uh and combined with T.

59:59 . R. S right there on toll like receptors on the macrophages or

60:03 cells combine that and then of course whole study kind of effect.

60:09 so again this is a contained infection spread. Probably not that big of

60:15 deal. Right? Because you'll just out some cited kinds and sales will

60:20 to the site and help out with infection. But if this is something

60:24 traveling through the blood but now you activate all kinds of of immune system

60:29 that are everywhere, then they can this effect and dump site of kinds

60:34 the blood and everywhere else. And then many cells respond and you get

60:39 like production fever like this again, a cytokine io to um basic like

60:45 factors that we're aware of that that produced. Um you know, if

60:52 a local infection, not a But if its body wide now you

60:55 affect capillaries, feeding your vital Right. And that can lead to

61:01 loss. Exactly the drop in blood drop in blood pressure. Okay.

61:08 factors can be activated that can then up capillaries right? Um Now you're

61:14 get exchange of material exchange of nutrients those cells begin to die. Okay

61:20 death. So collectively all this when is all happening right again? Typically

61:27 as a result of a septic infections the blood all cells being lots of

61:33 are being activated and producing these Then the body says enough, okay

61:41 when your body says that, that's it goes into shock. Okay.

61:45 then once you're in shock that you have a lot of time at that

61:50 . So it's helped the person. you know what you do in this

61:54 where you have to um you have um uh somehow get rid of this

62:00 endo toxin. There are drugs that do that. Um But but it's

62:07 basically a body wide response, And and it overwhelms the body can't

62:11 it. Okay. And uh yeah I said it's it's it's if the

62:17 negative infection has gone septic and that's a huge concern at that point to

62:22 to prevent this from happening. Um questions about that. Okay so um

62:32 so interested in the pathogens. So we're not gonna talk about viruses here

62:39 we talked about viruses before. Okay focused on bacterial types here that can

62:47 a cell as a way to hide basically. Or handover hideout and um

62:54 it to penetrate deeper into the body spread. Okay, so uh and

63:00 really even further focused on the faculty times. Okay. Right here.

63:08 , so these are types that normally know do their thing outside sales where

63:14 can get inside and they need to , um shigella and salmonella are intestinal

63:21 um foodborne or waterborne and they can spread beyond your intestinal cells and get

63:33 into your body if they do this pathogen mechanism. Okay, there are

63:39 types. Okay, Acacia is a a very somewhat primitive bacterium. It's

63:49 bacterium no doubt, but it doesn't a lot of functions. So it

63:52 kind of multiplies within the cell and of hangs out there are spread by

63:59 . Um but but there are So these faculties of types are are

64:04 of exploits cells for the purpose of out um and and penetrating deeper.

64:10 invasions are kind of what they Okay, so it's a collection of

64:15 a dozen proteins or so that it insert into the cell. Okay,

64:21 this would be a intestinal cell Okay, here's the salmonella is the

64:27 and so it injects these proteins. call it factor proteins. They have

64:32 functions. One of them is to if you recall the intestinal cells.

64:39 . Have these Micro Villi right on side. Right. And that's where

64:47 absorption occurs. Right? You make , you get a lot of surface

64:50 , that's where nutrients are absorbed. ? And so it's due to the

64:56 are due to acting right? Like little tent poles acting plum arises and

65:02 of like holding up a tent Tent pole kind of forms forms kind

65:07 a pseudo pods if you will. . And so similarly these effective

65:13 One of the effects is to work do that with acting in the

65:17 So it kind of forces the cell make this these arms that will engulf

65:24 bacteria. That's what it induces in cells. And so it can then

65:30 inside the cell that way. and so um there you see an

65:37 of what's called membrane mm So here a sort of remembering folds furth via

65:46 invasions, some of which serves to the acting and cause these photos to

65:53 . Now we can get doubled up to speak and engulfed and take in

65:58 cell. And so uh let me show that real quick here.

66:04 so again, here is a intestinal . Okay, salmonella and she goes

66:14 another one, a non motile But it will I think this is

66:20 one that's gonna do it, Okay, come on, which one

66:25 guys are gonna do it? Okay, let me speed this

66:30 There we go. Okay, so and then this injection of these defective

66:38 invasions. Okay, what is things ? Let's speed this up here.

66:46 we go. So, assertion of . And I think it's through a

66:49 . I it does this Okay, talents. So it gets engulfed.

66:55 then it can use that to kind exploit the cell. And so your

67:01 cells, uh your intestines period are vascular arised, right? Lots of

67:08 surrounding your intestines. That's where nutrient occurs. Right? So they can

67:14 the intestinal cell. Get used it get through and then get into nearby

67:20 supply. Yeah, potentially. So also as well creating upset in

67:27 solute balance. Right? So salute water comes out. Uh And so

67:33 you're gonna see who goes into a then. Alright, so or maybe

67:38 the blood. So again, a to kind of exploit uh cells get

67:43 hide from the immune system and then further into the tissues. Here is

67:48 example of So, shigella is a motile type. Okay. And so

67:55 can actually get inside of a cell a similar fashion. Okay. And

68:00 use this um property of being able manipulate acting again. Okay. Uh

68:11 see if they show it here, see mm hmm. Yeah, So

68:21 me pause it. So you see guy Moving around. Right? So

68:26 it does is it takes active monomers it on one pole and claim arises

68:32 . Okay. And so basically uh is the this is the cell.

68:37 . And it claim arises action to but let's say okay here and then

68:43 keeps doing that. It moves, able to move that way. It's

68:46 of a weird motion. But you of see it here around. I

68:52 penetrate into other cells. Okay, it's what we call um formation of

68:58 acting rockets as you see here. , Like that. So it uses

69:03 plum arises the acting on one it gets longer and then this property

69:10 propels itself forward this way. Social gala, listeria which are both

69:14 motile. But this kind of gives motility. Okay, so if you

69:21 um a type that's a faculty active interesting other uh parasites, so to

69:31 . Okay, you get in right the cell then you have to remember

69:37 there are gonna be different strategies, ? Because there's gonna be different fates

69:41 you. Okay, so if you that right, in the form of

69:45 . Okay, well you have to that this will fuse. The cell

69:49 going to say that there is a ozone. Let's fuse with the lice

69:52 and digest digest it. Right? this thing has limited lifetime. In

69:58 mode, we're gonna have to do else is gonna die. Okay,

70:02 strategy is this one. Alright, out, right? Breakout, This

70:09 these are types that can do the rocket formation thing. Right? So

70:13 can move penetrate into other cells. penetrate out here spread. Okay so

70:20 one strategy just to break out. . Um One another one is prevent

70:28 fusion of the license zone and with rest of it. Alright. So

70:34 for next. And then salmonella uses to to really two entrances toast is

70:40 similar to what we saw with nice . Right? It breaks out here

70:45 then goes into other cell types Okay. Um And so does that

70:51 preventing fusion of these two. Um And by preventing fusion it can

70:57 to sell to them exit. Third strategy is to say the heck

71:02 it. I'll just stay inside I'll take whatever the cell throws at

71:07 . Right. So aligned design does . Right? But it's able to

71:12 the acidity and the enzyme action that's because license on license zones are digestive

71:18 . All right. So the bacteria just withstand it gets just able to

71:23 that and survive and basically multiply within the best. Okay so a toxic

71:31 an example that cocktail is very resistant that kind of treatment. So you

71:35 just hang out and survive and multiply these um vesicles. Okay so three

71:41 strategies depending on the particular type. but again what's it what's it enabled

71:49 do? Well while in here it be hidden from the immune system.

71:54 can multiply or and or it can this as a way to spread into

72:00 body or maybe it's the type that that's how it lives, it lives

72:04 of these things and just multiplies that . Grant this is probably uh this

72:10 limit. This strategy is limited to few right more common. Is this

72:15 this? Okay, caution. Okay so remember the other thing here

72:23 salmonella shigella or listeria faculty natives, do that sometimes. Okay, it's

72:35 a permanent thing for them, They can live outside the cell,

72:38 is what they typically do but they do this to avoid the immune system

72:42 to spread. Yeah. Um Okay let's look at um this one

72:52 So this is um so there's very factors um so we looked at intracellular

73:02 so you can have types that have intracellular strategy, so to speak.

73:06 we just saw they were gonna have that have extra sales. Right,

73:10 many passengers of course cannot get inside a cell and they have to do

73:14 thing. Oh they're outside of the , Right, exercise or pathogen.

73:19 so oops sorry didn't mean to do . I mean I opened it again

73:25 go ahead and answer real quick. my bet. So um Mhm So

73:32 a well that let's let's see what is. Yeah. Okay so yeah

74:29 is actually a virulence factor. it's one uh staphylococcus uses that.

74:37 a um actually kind of smart from perspective of pathogen. We'll see what

74:44 does. So that's where is what does have a picture there. So

74:47 it does, it actually has a on the surface. Okay. And

74:52 able to be a, remember that's oops not quite. That's the fc

74:59 , it binds the fC portion of . So these could be antibodies to

75:03 cell. But if it has protein on surface it can basically bind those

75:08 rendering it basically ineffective against it. pretty uh pretty sneaky. Okay,

75:14 kind of so that then the voices being having the antibody antigen interactions

75:21 So just making it rendering the antibodies in this case. Okay, by

75:28 it on the other end. Remember this is the this would be

75:34 business end, right. That would different effects. But if it can

75:37 around and then you can stop Okay, um let me just uh

75:43 just want to show this. we'll finish this up next time.

75:45 I just want to point out this I kind of just summarized all the

75:52 village factors that we went through. if you can use that as kind

75:56 a checklist. If you will. so do reference that when you're studying

76:02 stuff. So any questions. so we'll finish up, there's just

76:09 slide to do for this. Then going to diseases, infectious diseases.

76:14 folks, be careful driving home,

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