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教学课件课件PPT医学培训课件教育资源教材讲义
Molecular Mechanisms of Microbial Pathogenesis and Virulence;Controlling Infectious Diseases
The pre-antibiotic Era- Improving Sanitation hygiene education
Typhoid (Salmonella),
Plague (Yersina pestis)
Syphilis (Treponema pallidum)
2. The antibiotic Era (1940-70)- Defeat of infectious bacteria?
3. Post-antibiotic Era - Emergence and reemergence of infectious diseases.
Deaths due to TB (3 million) Diarrhea (3-4 million)
Legionnaires disease (Legionella pneumoniae)
Lyme Disease (Borriella burgdoferi)
Gastric ulcers cancer: Helicobacter pyori
Campylobacter jejuni
7 strains of E. coli
Viral agents:SARS, Morbilli, HIV, Hunta;We have lost control over infectious diseases? Why?
Role of Antibiotics:
Overuse of antibiotics / antimicrobials has increased drug resistant microbes; no new antibiotics have been discovered in the past 20 yr
Some examples of antimicrobial ressistance:
Pseudomonas aeruginosa dominate hospital burn units
Emergence of multiple (methicillin) resistant staphylococcus aureus (MRSA); Some strains are now resistant to vancomycin, the only effective remaining antibiotic;2. Improved standard of living:
Air conditioners and Legionella
3. Removing and / or substituting environments:
SARS, HIV, Lyme disease
4. Aging population, compromised immunity;;;;Pathogenic microbes subvert functions of hosts in many ways:Host signaling, host-parasite signaling; parasite signaling;Acquiring New Genes- Horizontal Gene Transfer Genetic Recombination ;Genetic Recombination is:
An exchange between two homologous DNA molecules - general / homologous recombination. What is the mechanism
Results in a new combination of genes
Mechanism of recombination - E.coli model:
Complex, 25 genes: recA genes essential universal
Homologous DNA pair up
Donor DNA nicked (nuclease) displaced (helicase) eg E.coli: RecBCD - nuclease +helicase
Reunion of paired segments by strand invasion (Single Strand Binding protein + RecA complex)
Exchange of homologous DNA - D
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