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for students
2 course 3(4) semester
Medical faculty
SUMMARY
• Microorganisms are a large and diverse group of microorganisms existing as single cells or clusters; they also include viruses, which are
microscopic but not cellular.
• A virus consists of a nucleic acid molecule, either DNA or RNA, enclosed in a protein coat, or capsid, sometimes enclosed by an envelope
composed of lipids, proteins, and carbohydrates.
• A prion is an infectious protein, which is capable of causing chronic neurologic diseases.
• Prokaryotes consist of bacteria and archaebacteria.
• Prokaryotes are haploid.
• Microbial eukaryotes, or protists, are members of four major groups: algae, protozoa, fungi, and slime molds.
• Eukaryotes have a true nucleus and are diploid.
A. Microorganisms.
1. Belong to the Protista biologic kingdom.
2. Include some eukaryotes and prokaryotes, viruses, viroids, and prions.
3. Are classified according to their structure, chemical composition, and biosynthetic and
genetic organization.
B. Eukaryotic cells.
1. Contain organelles and a nucleus bounded by a nuclear membrane.
2. Contain complex phospholipids, sphingolipids, histones, and sterols.
3. Lack a cell wall. (Plant cells and fungi have a cell wall.)
4. Have multiple diploid chromosomes and nucleosomes.
5. Have relatively long-lived mRNA formed from the processing of precursor mRNA, which contains exons and introns.
6. Have 80S ribosomes and uncoupled transcription and translation.
7. Include protozoa and fungi.
a. Organisms in kingdom Protozoa are classified into seven phyla; three of these phyla (Sarcomastigophora, Apicomplexa, and Ciliophora) contain
medically important species that are human parasites.
b. Organisms in kingdom Fungi:
(1) Are eukaryotic cells with a complex carbohydrate cell wall.
(2) Have ergosterol as the dominant membrane sterol.
(3) May be monomorphic, existing only as single-celled yeasts or multicellular, filamentous molds.
(4) May be dimorphic, existing as yeasts or molds depending on temperature and nutrition.
(5) May have both asexual and sexual reproduction capabilities. Deuteromycetes, or Fungi Imperfecti, have no known sexual stages.
C. Prokaryotic cells.
1. Have no organelles, no membrane-enclosed nucleus, and no histones; in rare cases, they contain complex phospholipids, sphingolipids, and sterols.
2. Have 70S ribosomes composed of 30S and 50S subunits.
3. Have a cell wall composed of peptidoglycan-containing muramic acid.
4. Are haploid with a single chromosome.
5. Have short-lived, unprocessed mRNA.
6. Have coupled transcription and translation.
7. Include typical bacteria, mycoplasmas, and obligate intracellular bacteria.
a. Typical bacteria:
(1) Have a cell wall.
(2) May be normal flora or may be pathogenic in humans.
(3) Do not have a sexual growth cycle; however, some can produce asexual spores.
b. Mycoplasmas:
(1) Are the smallest and simplest of the bacteria that are self-replicating.
(2) Lack a cell wall.
(3) Are the only prokaryotes that contain sterols.
c. Obligate intracellular bacteria include Rickettsia and Chlamydia.
(1) Rickettsia are incapable of self-replication and depend on the host cell for adenosine triphosphate (ATP) production.
(2) Chlamydia are bacteria-like pathogens with a complex growth cycle involving intracellular and extracellular forms. They depend on the host cell for
ATP production.
D. Viruses.
1. Are not cells and are not visible with the light microscope.
2. Are obligate intracellular parasites.
3. Contain no organelles or biosynthetic machinery, except for a few enzymes.
4. Contain either RNA or DNA as genetic material.
5. Are called bacteriophages (or phages ) if they have a bacterial host.
E. Viroids.
1. Are not cells and are not visible with the light microscope.
2. Are obligate intracellular parasites.
3. Are single-stranded, covalently closed, circular RNA molecules that exist as base-paired, rodlike structures.
4. Cause plant diseases but have not been proven to cause human disease, although the RNA of the hepatitis D virus (HDV) is viroid-like.
F. Prions.
1. Are infectious particles associated with subacute progressive, degenerative diseases of the central nervous system (e.g., Creutzfeldt-Jakob disease).
2. Copurify with a specific glycoprotein (PrP) that has a molecular weight of 27 to 30 kDa. They are resistant to nucleases but are inactivated with
proteases and other agents that inactivate proteins.
3. Are altered conformations of a normal cellular protein that can autocatalytically form more copies of itself.
Microbial pathogenicity refers to a microbe’s ability to cause disease, which depends on genetically determined virulence factors. A
microbe’s pathogenicity is related to its:
1. Entry
2. Colonization
3. Escape from host defense mechanisms
4. Multiplication
5. Damage to host tissues
Virulence factors are chromosomal and extrachromosomal (plasmid) gene products that affect aspects related to an organism’s:
1. Invasion properties
2. Adherence and colonization
3. Tissue damage induced by toxins, immune system reactions, and intracellular growth
4. Eluding host defense mechanisms
5. Antibiotic resistance
In gram-positive bacteria, proteins are secreted directly, but proteins secreted by gram-negative bacteria must traverse the outer membrane
as well. Six pathways of protein secretion have been described in bacteria: the type I, type II, type III, type IV, type V, and type VI secretion
systems. The type I and IV secretion systems have been described in both gram-negative and gram-positive bacteria, but the type II, III, V, and
VI secretion systems have been found only in gram-negative bacteria. Proteins secreted by the type I and III pathways traverse the inner membrane
(IM) and outer membrane (OM) in one step, but proteins secreted by the type II and V pathways cross the IM and OM in separate steps. Proteins
secreted by the type II and V pathways are synthesized on cytoplasmic ribosomes as preproteins containing an extra leader or signal sequence of
15–40 amino acids—most commonly about 30 amino acids—at the amino terminal and require the sec system for transport across the IM. In E
coli, the sec pathway comprises a number of IM proteins (SecD to SecF, SecY), a cell membrane–associated ATPase (SecA) that provides energy
for export, a chaperone (SecB) that binds to the preprotein, and the periplasmic signal peptidase. After translocation, the leader sequence is
cleaved off by the membrane-bound signal peptidase, and the mature protein is released into the periplasmic space. In contrast, proteins secreted
by the type I and III systems do not have a leader sequence and are exported intact.
The type III secretion pathway is a contact-dependent system. It is activated by contact with a host cell, and then injects a toxin protein into the host
cell directly.
Type IV pathways secrete either polypeptide toxins (directed against eukaryotic cells) or protein–DNA complexes either between two bacterial cells
or between a bacterial and a eukaryotic cell.
A. The Peptidoglycan Layer Peptidoglycan is a complex polymer consisting, for the purposes of description, of three parts: a backbone,
composed of alternating N-acetylglucosamine and N-acetylmuramic acid connected by β1→4 linkages; a set of identical tetrapeptide side
chains attached to N-acetylmuramic acid; and a set of identical peptide cross-bridges. The backbone is the same in all bacterial species; the
tetrapeptide side chains and the peptide cross-bridges vary from species to species.
Diaminopimelic acid is a unique element of bacterial cell walls. It is never found in the cell walls of Archaea or eukaryotes. Diaminopimelic
acid is the immediate precursor of lysine in the bacterial biosynthesis of that amino acid.
B. B. Special Components of Gram-Positive Cell Walls Most gram-positive cell walls contain considerable amounts of teichoic and teichuronic
acids, which may account for up to 50% of the dry weight of the wall and 10% of the dry weight of the total cell. In addition, some gram-
positive walls may contain polysaccharide molecules.
C. C. Special Components of Gram-Negative Cell Walls Gram-negative cell walls contain three components that lie outside of the peptidoglycan
layer: lipoprotein, outer membrane, and lipopolysaccharide.
1. Outer membrane—The outer membrane is chemically distinct from all other biological membranes. It is a bilayered structure; its inner leaflet
resembles in composition that of the cell membrane, and its outer leaflet contains a distinctive component, a lipopolysaccharide (LPS). The
ability of the outer membrane to exclude hydrophobic molecules is an unusual feature among biologic membranes and serves to protect the
cell (in the case of enteric bacteria) from deleterious substances such as bile salts. Because of its lipid nature, the outer membrane would be
expected to exclude hydrophilic molecules as well. However, the outer membrane has special channels, consisting of protein molecules
called porins that permit the passive diffusion of low-molecularweight hydrophilic compounds such as sugars, amino acids, and certain ions.
Large antibiotic molecules penetrate the outer membrane relatively slowly, which accounts for the relatively high antibiotic resistance of
gram-negative bacteria. The permeability of the outer membrane varies widely from one gram-negative species to another; in P aeruginosa,
for example, which is extremely resistant to antibacterial agents, the outer membrane is 100 times less permeable than that of E coli.
2. Lipopolysaccharide (LPS)—The LPS of gram-negative cell walls consists of a complex glycolipid, called lipid A, to which is attached a
polysaccharide made up of a core and a terminal series of repeat units (Figure 2-19A). The lipid A component is embedded in the outer
leaflet of the membrane anchoring the LPS. LPS is synthesized on the cytoplasmic membrane and transported to its final exterior position.
The presence of LPS is required for the function of many outer membrane proteins. Lipopolysaccharide, which is extremely toxic to animals,
has been called the endotoxin of gram-negative bacteria because it is firmly bound to the cell surface and is released only when the cells are
lysed. When LPS is split into lipid A and polysaccharide, all of the toxicity is associated with the former.
3. Lipoprotein—Molecules of an unusual lipoprotein cross-link the outer membrane and peptidoglycan layers. The lipoprotein contains 57
amino acids, representing repeats of a 15-amino-acid sequence; it is peptidelinked to DAP residues of the peptidoglycan tetrapeptide side
chains. The lipid component, consisting of a diglyceride thioether linked to a terminal cysteine, is noncovalently inserted in the outer
membrane. Lipoprotein is numerically the most abundant protein of gram-negative cells (ca 700,000 molecules per cell). Its function (inferred
from the behavior of mutants that lack it) is to stabilize the outer membrane and anchor it to the peptidoglycan layer.
4. The periplasmic space—The space between the inner and outer membranes, called the periplasmic space, contains the peptidoglycan layer
and a gel-like solution of proteins. The periplasmic space is approximately 20–40% of the cell volume, which is far from insignificant. The
periplasmic proteins include binding proteins for specific substrates (eg, amino acids, sugars, vitamins, and ions), hydrolytic enzymes (eg,
alkaline phosphatase and 5′-nucleotidase) that break down nontransportable substrates into transportable ones, and detoxifying enzymes (eg,
β-lactamase and aminoglycoside-phosphorylase) that inactivate certain antibiotics.
D. The Acid-Fast Cell Wall. Some bacteria, notably the tubercle bacillus (M tuberculosis) and its relatives have cell walls that contain large
amounts of waxes, complex branched hydrocarbons (70–90 carbons long) known as mycolic acids. The cell wall is composed of peptidoglycan
and an external asymmetric lipid bilayer; the inner leaflet contains mycolic acids linked to an arabinoglycan, and the outer leaflet contains other
extractable lipids. This is a highly ordered lipid bilayer in which proteins are embedded, forming water-filled pores through which nutrients and
certain drugs can pass slowly. Some compounds can also penetrate the lipid domains of the cell wall albeit slowly. This hydrophobic structure
renders these bacteria resistant to many harsh chemicals, including detergents and strong acids. If a dye is introduced into these cells by brief
heating or treatment with detergents, it cannot be removed by dilute hydrochloric acid, as in other bacteria. These organisms are therefore called
acid fast. The permeability of the cell wall to hydrophilic molecules is 100- to 1000-fold lower than for E coli and may be responsible for the
slow growth rate of mycobacteria.
Flagella
A. Structure. Bacterial flagella are thread-like appendages composed entirely of protein, 12–30 nm in diameter. They are the organs of locomotion
for the forms that possess them. Three types of arrangement are known: monotrichous (single polar flagellum), lophotrichous (multiple polar
flagella), and peritrichous (flagella distributed over the entire cell). A bacterial flagellum is made up of several thousand molecules of a protein
subunit called flagellin. In a few organisms (eg, Caulobacter species), flagella are composed of two types of flagellin, but in most, only a single
type is found. If flagella are removed by mechanically agitating a suspension of bacteria, new flagella are rapidly formed by the synthesis,
aggregation, and extrusion of flagellin subunits; motility is restored within 3–6 minutes. The flagellins of different bacterial species presumably
differ from one another in primary structure. They are highly antigenic (H antigens), and some of the immune responses to infection are directed
against these proteins.
B. Motility. Bacterial flagella are semirigid helical rotors to which the cell imparts a spinning movement. Rotation is driven by the flow of protons
into the cell down the gradient produced by the primary proton pump (see earlier discussion); in the absence of a metabolic energy source, it can
be driven by a proton motive force generated by ionophores.
Pili (Fimbriae)
Many gram-negative bacteria possess rigid surface appendages
called pili (L “hairs”) or fimbriae (L “fringes”). They are shorter and finer
than flagella; similar to flagella, they are composed of structural protein
subunits termed pilins. Some pili contain a single type of pilin, others
more than one. Minor proteins termed adhesins are located at the tips of
pili and are responsible for the attachment properties. Two classes can be
distinguished: ordinary pili, which play a role in the adherence of
symbiotic and pathogenic bacteria to host cells; and sex pili, which are
responsible for the attachment of donor and recipient cells in bacterial
conjugation.
In one group of gram-positive cocci, the streptococci, fimbriae are the site of the main surface antigen, the M protein. Lipoteichoic acid, associated
with these fimbriae, is responsible for the adherence of group A streptococci to epithelial cells of their hosts. Pili of different bacteria are antigenically
distinct and elicit the formation of antibodies by the host. Antibodies against the pili of one bacterial species will not prevent the attachment of another
species. Some bacteria, such as N gonorrhoeae, are able to make pili of different antigenic types (antigenic variation) and thus can still adhere to cells in
the presence of antibodies to their original type of pili. Similar to capsules, pili inhibit the phagocytic ability of leukocytes.
Endospores
Members of several bacterial genera are capable of forming endospores. The two most common are grampositive rods: the obligately aerobic genus
Bacillus and the obligately anaerobic genus Clostridium. The other bacteria known to form endospores are Thermoactinomyces, Sporolactobacillus,
Sporosarcina, Sporotomaculum, Sporomusa, and Sporohalobacter spp. These organisms undergo a cycle of differentiation in response to environmental
conditions: The process, sporulation, is triggered by near depletion of any of several nutrients (carbon, nitrogen, or phosphorous). Each cell forms a
single internal spore that is liberated when the mother cell undergoes autolysis. The spore is a resting cell, highly resistant to desiccation, heat, and
chemical agents; when returned to favorable nutritional conditions and activated (see below), the spore germinates to produce a single vegetative cell.
A. Sporulation
The sporulation process begins when nutritional conditions become unfavorable, near depletion of the nitrogen or carbon source (or both) being the
most significant factor. Sporulation occurs massively in cultures that have terminated exponential growth as a result of this near depletion. The sequence
of events in sporulation is highly complex: Differentiation of a vegetative cell of B subtilis into an endospore takes about 7 hours under laboratory
conditions. Different morphologic and chemical events occur at sequential stages of the process. Seven different stages have been identified.
Morphologically, sporulation begins with the formation of an axial filament. The process continues with an infolding of the membrane so as to produce
a doublemembrane structure whose facing surfaces correspond to the cell wall–synthesizing surface of the cell envelope. The growing points move
progressively toward the pole of the cell so as to engulf the developing spore. The two spore membranes now engage in the active synthesis of special
layers that will form the cell envelope: the spore wall and the cortex, lying outside the facing membranes. In the newly isolated cytoplasm, or core, many
vegetative cell enzymes are degraded and are replaced by a set of unique spore constituents.
2. Spore wall—The innermost layer surrounding the inner spore membrane is called the spore wall. It contains normal peptidoglycan and becomes the
cell wall of the germinating vegetative cell.
3. Cortex—The cortex is the thickest layer of the spore envelope. It contains an unusual type of peptidoglycan, with many fewer cross-links than are
found in cell wall peptidoglycan. Cortex peptidoglycan is extremely sensitive to lysozyme, and its autolysis plays a role in spore germination.
4. Coat—The coat is composed of a keratin-like protein containing many intramolecular disulfide bonds. The impermeability of this layer confers on
spores their relative resistance to antibacterial chemical agents.
5. Exosporium—The exosporium is composed of proteins, lipids, and carbohydrates. It consists of a paracrystalline basal layer and a hairlike outer
region. The function of the exosporium is unclear. Spores of some Bacillus species (eg,
B anthracis and B cereus) possess an exosporium, but other species (eg, B atrophaeus) have spores that lack this structure.
B. Germination
The germination process occurs in three stages: activation, initiation, and outgrowth.
1. Activation—Most endospores cannot germinate immediately after they have formed. But they can germinate after they have rested for several
days or are first activated in a nutritionally rich medium by one or another agent that damages the spore coat. Among the agents that can overcome
spore dormancy are heat, abrasion, acidity, and compounds containing free sulfhydryl groups.
2. Initiation—After activation, a spore will initiate germination if the environmental conditions are favorable. Different species have evolved
receptors that recognize different effectors as signaling a rich medium: Thus, initiation is triggered by l-alanine in one species and by adenosine
in another. Binding of the effector activates an autolysin that rapidly degrades the cortex peptidoglycan. Water is taken up, calcium dipicolinate
is released, and a variety of spore constituents are degraded by hydrolytic enzymes.
3. Outgrowth—Degradation of the cortex and outer layers results in the emergence of a new vegetative cell consisting of the spore protoplast with
its surrounding wall. A period of active biosynthesis follows; this period, which terminates in cell division, is called outgrowth. Outgrowth
requires a supply of all nutrients essential for cell growth.
ENDOSPORES
Organisms: Bacillus and Clostridium
Function
- Survival not reproductive (1 bacterium → 1 spore)
- Resistance to chemicals, dessiccation, radiation, freezing, and heat
Mechanism of resistance
- New enzymes (i.e., dipicolinic acid synthetase, heat-resistant catalase)
- Increases or decreases in other enzymes
- Dehydration: calcium dipicolinate in core
- Keratin spore coat
Plasmids. 1. Plasmids are small, circular, nonchromosomal, double-stranded DNA molecules that are: a. Capable of self-replication. b. Most frequently
extrachromosomal but may become integrated into bacterial DNA. 2. Function: contain genes that confer protective properties such as antibiotic
resistance, virulence factors, or their own transmissibility to other bacteria.
Morphology of microorganisms
Shape. Along with other properties, shape is used to identify bacteria. It is determined by the mechanism of cell wall assembly.
1. Bacterial shape usually can be determined with appropriate staining and a light microscope.
2. Types:
a. Round (coccus)
b. Rod-like (bacillus)
c. Spiral
3. Cocci and bacilli often grow in doublets (diplococci) or chains (streptococci). Cocci that grow in clusters are called staphylococci.
4. Some bacterial species are pleomorphic, such as Bacteroides. 5. Antibiotics that affect cell wall biosynthesis (e.g., penicillin) may alter a bacteria’s
shape.
TASKS FOR INDEPENDENT WORK OF STUDENTS ON SELF-CONTROL AND STANDARDS OF ANSWERS
1. Which one of the following terms characterizes the interaction (A) Bacteria
between herpes simplex virus and a human? (B) Protozoa
(A) Parasitism (C) Human cells
(B) Symbiosis (D) Viruses
(C) Endosymbiosis (E) None of the above
(D) Endoparasitism
(E) Consortia 6. Viruses, bacteria, and protists are uniquely characterized by their
respective size. True or false?
2. Which one of the following agents lacks nucleic acid? (A) True
(A) Bacteria (B) False
(B) Viruses
(C) Viroids 7. Quorum sensing in prokaryotes involves
(D) Prions (A) Cell–cell communication
(E) Protozoa (B) Production of molecules such as acetylated homoserine lactone
(AHL)
3. Which one of the following is a prokaryote? (C) An example of multicellular behavior
(A) Bacteria (D) Regulation of genes involved in diverse physiologic processes
(B) Algae (E) All of the above
(C) Protozoa
(D) Fungi 8. A 16-year-old female patient presented to her family physician with a
(E) Slime molds complaint of an abnormal vaginal discharge and pruritus (itching). The
patient denied having sexual activity and recently completed a course of
4. Which one of the following agents simultaneously contains both doxycycline for the treatment of her acne. An examination of a Gram-
DNA and RNA? stained vaginal smear revealed the presence of gram-positive oval cells
(A) Bacteria about 4–8 μm in diameter. Her vaginitis is caused by which of the
(B) Viruses following agents?
(C) Viroids (A) Bacterium
(D) Prions (B) Virus
(E) Plasmids (C) Protozoa
(D) Fungus
5. Which of the following cannot be infected by viruses? (E) Prion
9. A 65-year-old man develops dementia, progressive over several 10. Twenty minutes after ingesting a raw clam, a 35-year-old man
months, along with ataxia and somnolence. An electroencephalographic experiences paresthesias of the mouth and extremities, headache, and
pattern shows paroxysms with high voltages and slow waves, ataxia. These symptoms are the result of a neurotoxin produced by
suggestive of Creutzfeldt-Jakob disease (CJD). By which of the algae called
following agents is this disease caused? (A) Amoeba
(A) Bacterium (B) Blue-green algae
(B) Virus (C) Dinoflagellates
(C) Viroid (D) Kelp
(D) Prion (E) None of the above
(E) Plasmid
(E) Pili
11. Which of the following structures is not part of the bacterial cell
envelope? 13. Which of the following terms does NOT describe the bacterial
(A) Peptidoglycan chromosome?
(B) Lipopolysaccharide (A) Haploid
(C) Capsule (B) Diploid
(D) Gas vacuole (C) Circular
(E) S-layer (D) Nucleoid
(E) Feulgen positive
12. Which of the following components is present in gram-negative
14. 50S ribosomal subunits are found in
bacteria but not in gram-positive bacteria?
(A) Bacteria
(A) Peptidoglycan
(B) Fungi
(B) Lipid A
(C) Prions
(C) Capsule
(D) Protozoa
(D) Flagella
(E) Viruses