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Molecular Infection Biology SHORT VERSION

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November 18, 2022
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Molecular Infection Biology
SHORT VERSION
AM_470657




P2 2021
AM_470657
Molecular Infection Biology Short version

,Inhoud
1.What is a pathogen? Symbiosis versus pathogenesis....................................................................................2
2.Which pathogen strain to use?......................................................................................................................4
3.What infection disease models?....................................................................................................................6
4.How to identify virulence factors?.................................................................................................................8
5.Virulence factors: Immune system interplay & Red queen hypothesis.......................................................11
6.Virulence factors: Adaptation in metabolism..............................................................................................13
7.Virulence factors: Intracellular trafficking & Survival...................................................................................15
8.Regulation of virulence factors....................................................................................................................17
9.Pathogens in the gut microflora: Clostridium difficile..................................................................................20
10.Molecular detection of novel viruses & Coronaviruses and coronavirus reinfections...............................22
11.Bacterial Vaccine Design............................................................................................................................24




1

, 1.What is a pathogen? Symbiosis versus pathogenesis
A pathogen is a microbiological agent that causes disease or illness to its host.
Microflora vs pathogens: can we make a distinction between the two.

Gut microflora: study the effects in gnotobiotic animal models. Animals without gut microflora:
 Need 30% more calories  gut microflora help with digestion of complex polymers.
 Have underdeveloped villi and less vascularization
 Have underdeveloped mucosal immune responses  gut microflora induce the production of
antimicrobial peptides.

Problems with our microflora:
Wrong sites
 Damage to epithelium cells: for instance infiltration from gut into peritoneum. Co-infection of E.
coli and B.fragilis has an synergistic effect causing abscess formation in the gut.
 New sites for microflora:
E.coli in urinary tract causing
infections
 Foreign bodies cause septic
shock in 1-5% of the
patients. The most common
pathogens are S. aureus and
S.epidermidis.
 Wrong host: different
species have similar
composition, but are strain
specific.

Abnormalities in host defense
 Genetic defects: they don’t need to be as severe as SCID. One example is the herpes simplex
encephalitis infection, caused by Alpha-herpesviridae.

Alpha-herpesviridae is a dsDNA virus, in which half of the population is chronically infected with one or
more HSV/VZV/EBV viruses. They reside in neuronal cells. They can reactivate and re-infect the peripheral
tissue cells or, in rare cases, cause herpes simplex encephalitis infection
 (Acyclovir: drug that helps against sporadic viral encephalitis.)

People with reactivated herpes simplex encephalitis has an unlucky composition in the TLR receptors.
Normally:
o TLR3: dsRNA strands
o TLR7/8: ssRNA strands
o TLR9: unmethylated GpC regions in the DNA.

People turned out to contains a TLR3 pathway deficiency. TLR 3, normally, trigger the upregulation of type
1 interferons. Neighboring cells can sense interferon type 1 and turn into a proapoptotic state. When the
virus infects these cells, these cells will trigger apoptosis. This way the virus cannot replicate anymore. This
process is altered.

 Suppression of immune responses: Measles/malaria could have severe outcomes upon
malnutrition. Also after transplantations you can get infections quickly, because they suppress the
immune system, so that they don’t attack the new organ.
 Other infections: HIV destroys CD4+ cells: AIDS patients have opportunistic effects. Influenza A
damage the epithelial cells: most often bacterial infections cause mortality.

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