BIOL 1414 Lecture 23: day 23

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bronzegnat756

1 Mar 2017

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Stages of infection: the disease process in which there are usually five stages. Incubation period time between acquisition of the microbe and the first signs or symptoms. The length depends upon the virulence or pathogenicity of the microbe and the status of the immune system and overall health of individual. Prodromal period time of mild, early symptoms such as malaise and muscle aches. The microbe can usually be found or recovered in/from the body. The health care professional usually sees the patient at this time. Note: this is the time when the pathogen is present. Host is reacting with something called innate immunity general form of immunity not terribly specific. This innate immunity tries to control the infection to a localized area. Decline body is returning to normal. If this decline does not occur, the patient succumbs to the infection.

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QuestionGroup: #51 Innate immune 1

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What is the name of a chemical substance responsible for stimulating an immune response?

Pathogen

Rotomers

Antigen

Antibody

Troll receptor

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QuestionGroup: #52 Innate immune2

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What is the purpose of secondary metabolites produced by normal flora in your body?

To aid T cells in fighting local infection

To kill infected B cells

To help balance electrolytes

To inhibit adhesion, and growth of the certain microbes

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QuestionGroup: #53 Innate immune3

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The lysozyme removes most bacteria in our foods through the saliva in our mouth, how does it do this?

The lysozyme attacks the bacteria through the blood.

The lysozyme are not strong enough to get rid of bacteria.

The lysozyme breaks down the polysaccharide walls of different bacteria.

The lysozyme will tell your body to get rid of the bacteria by vomiting.

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QuestionGroup: #54 Adapt immune 1

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In adaptive immunology, the key component is which of the following?

Antigen trigger the the production of vaccines.

Antibodies will trigger responses in the antigen which will cause an inflamation.

Antigens trigger responses of the antibodies which will recognize the antigen.

Antibodies will be able to recognize other antibodies and destroy them.

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QuestionGroup: #55 Adapt immune2

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An autoimmune induced disorder is...?

When the body's immune system attacks a tissue or organ in the body

When the immune system is not present

When the body attacks the antigens and antibodies of the immune system

When the autonomic nervous system attacks the antigen and antibodies of the immune system

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QuestionGroup: #56 Adapt immune3

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Antibodies are also called immunoglobulins and constitute part of the blood proteins. How do antibodies work?

Agglutination-- they just clump with each other (blocking antigen)

Precipitation-- force insolubility and settled out of solution along with antigens

Complement fixation-- proteins attach to antigen surface (causing cell lysis)

Neutralization-- bind to specific sites to prevent antigen attachment

All of the above

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QuestionGroup: #57 Infectious disease

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The most deadly STD is HIV, but many other viruses can be deadly. Name the most common sexually transmitted infection.

Genital human parisis virus (GHPV)

Herpes Simplex

Human papilloma virus (HPV)

Human pappathe virus tentis (HPVT)

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QuestionGroup: #58 Infectious disease2

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Microbes have developed an array of weapons to be able to go from host to host. These virulent factors are divided into several groups, but one important group is the one produced by bacteria. Name the subgroups within this bacterial group.

Retretoxin and maitotoxin

Retretoxin and butotoxin

Endotoxins and exotoxins

Lipotoxin and exotoxin

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QuestionGroup: #59 Infectious disease3

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Sexually transmitted diseases are very successful at spreading from one person to another. Name one important reason for this fact.

Mucous membranes use B cells only and are resistant to antigens

Mucous membranes in the sex organs differ from those of the skin in that they allow certain pathogens into the body

STDs are transmitted through sex only

STDs are usually caused by viruses

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QuestionGroup: #60 HIV/ AIDS

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HIV has which of the following characteristics?

It has an enzyme called reverse transcriptase which causes the DNA to reverse the nucleotide sequence in messenger RNA.

It is a retrovirus meaning that it reverses the order of protein production in that the virus affects the DNA in the cell to make the protein.

It is an anti-retrovirus meaning that it attacks the DNA causing the development of new HIV particles.

It has a short incubation period which means that the symptoms show up also immediately after infection.

The following CASE REPORT is given:

This 3 1/2-year-old boy was born to nonconsanguineous parents from Chihuahua, Mexico after an uncomplicated pregnancy and delivery. A brother had died at 3 months of age of a "liver problem" after an unexplained coma. The parents and three siblings are well.

At 3 months of age the boy was admitted in coma to a community hospital and suffered a cardiac arrest. Examination revealed hepatomegaly and cardiomegaly and a serum glucose of 15 mg/del (normal, 60-100 mg/dl). The patient eventually recovered and the hepatomegaly resolved. At 6 months of age he developed congestive heart failure after an upper respiratory tract infection and was brought o the medical center of the University of California, Los Angeles. Hepatomegaly and hypotonia were noted on admission. ON day 3 he became lethargic and developed generalized seizure activity and cardiac arrest, but he was successfully resuscitated. Laboratory studies at the time of the arrest revealed a blood glucose level of 15 mg/dl without associated acidosis or ketosis; mild elevation of serum aspartate aminotransferase (SGOT) (337 I.U./liter; normal, 6-36 I.U./liter) and alanine aminotransferase (SGPT) (179 I.U./liter; normal, 10-45 I.U./liter); and hyperammonemia (300 ug/dl; normal <69 ug/dl). Delayed milestones (developmental quotient 66; normal, 100), proximal-muscle weakness, and growth retardation (weight and height below the 3rd percentile) were noted after recovery. Metabolic studies showed normal glucose, galactose, and fructose tolerance, and a normal 10-hour fasting blood glucose, with no increase in lactate, pyruvate, or ketone bodies. The electroencephalogram, brain scan, and chromosomal studies were unremarkable. Also normal were the plasma levels of electrolytes, calcium, phosphorus, magnesium, bilirubin, thyroxine, thyroid-stimulating hormone, and growth hormone. Results of total serum protein determination, serum electrophoresis, cerebrospinal fluid studies, and studies of immune function were also normal. Between acute episodes, serum levels of glucose, ammonia, SGOT, SGPT, and creatine phosphokinase were all normal.

The patient was again admitted with cardiorespiratory arrest after upper respiratory tract infections at the ages of 20, 24, and 33 months. The episodes were associated with liver enlargement, elevations of transaminases to >2000 I.U./liter, and of creatine phosphokinase from 1500 to 33,000 I.U./liter. Maintenance glucose requirements varied from normal (3 mg/kg of body weight per minute) to slightly elevated (5-7 mg/kg/min).

A muscle biopsy specimen contained large amounts of neutral lipids. Liver biopsy also showed severe but nonspecific fatty changes. Abnormal mitochondrial structure, many electron-dense lysosome-like bodies, and dense, laminate, rounded lipofuscin-like particles were evident.

A thirty-two hour fasting study was performed. During the fasting period the patient had no nausea, cramps, or pigmenturia. However, at thirty-two hours he suddenly had a cardiorespiratory arrest characterized by an absence of cardiac electrical activity. He was successfully resuscitated and intravenously glucose was administered.

At the start of the fast his blood glucose level was 92 mg/dl, but by twenty-four hours it had fallen to 66 mg/dl. Plasma triglyceride levels rose from 66 to 126 mg/dl and free fatty acids increased from 0.1 to 2.0 mEq/liter. Serum SGOT rose from 36 to 1450 I.U./liter, with no increase in creatine phosphokinase or aldolase. Ammonia increased from 40 to 134 ug/dl. The most significant finding, however, was the lack of production of measurable ketone bodies.

During the 11th admission, the diagnosis of carnitine deficiency was considered because of fatty changes in the liver and the lack of production of ketone bodies after twenty-four hours of fasting. At that time the patient's height and weight were normal but his developmental quotient was 40, and he had a variety of neuromuscular abnormalities. A computerized axial tomography (CAT) scan of the brain revealed marked enlargement of both lateral ventricles and of the sulci between the cerebral gyri.

QUESTION: For treatment of a systemic carnitine deficiency, the patient was given carnitine supplements and a diet that was high in carbohydrates, low in fat and had 20% of the calories from protein. It was recommended that the fat comes from medium-chain triglycerides. Explain how this diet will help relieve the symptoms of the patient.

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BIOL 1414 Lecture 23: day 23

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