Pathogenicity
The ability to cause disease in a susceptible host (plants, animals, humans)
Host Defenses

Beating First Line Defenses - Attachment
Attachment may be sufficient for disease
• Bordetella pertussis
– whooping cough
– Toxins produced
– No invasion

Beating First Line Defenses - - Invasion
Submucosa

Beating Second Line Defenses
– Phagocytes
– Complement
– Toll-like receptors (TLRs)
– molecular patterns (LPS)
– Adaptive immune system
Beating Second Line Defenses - Capsules

Beating Second Line Defenses - Adaptive Immunity

Beating Second Line Defenses - Extracellular Mechanisms

Beating Second Line Defenses - Phagosomal Replication

Beating Second Line Defenses - Resistance to Intracellular Killing

Beyond finding a site to replicate what is another benefit (for the pathogen) of an intracellular strategy?
Evade Th2 response
TH2 – is for extracellular (Antibodies/eosinophils) TH1 – is for intracellular (CD8 cytotoxic T-cells)
Injury
Toxins!
• Exotoxins
– A/B
– Pore-forming
– Superantigen
• Endotoxin Inflammatory Response
A/B Toxins

Membrane Active Exotoxins
• Cytotoxins
– pore forming
– Inserts in lipid bilayer
– Leakage of essential components
– Osmotic instability

Superantigen Toxins

Protein (Toxin) Secretion

Endotoxin - LPS

Inflammation

Genetics of Virulence
Genetic Evolution
• Chromosome
– Homologous recombination/ transformation
– Transposon
• Gene transfer
– Virulence plasmids
* Conjugation
* Transduction
Regulation

Pathogenicity Island
