lectures%2011%20 12%20 pathogen%20identification

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Chapter 10 Prokaryote Identification • Microscopy – Chapter 3 • Other Phenotypic Characteristics – Chapters 4, 17 • Genomic Identification • Strain Differences

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Page 1: Lectures%2011%20 12%20 pathogen%20identification

Chapter 10Prokaryote Identification

• Microscopy– Chapter 3

• Other Phenotypic Characteristics– Chapters 4, 17

• Genomic Identification

• Strain Differences

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Prokaryote Identification

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Microscopy

1670sAntony van Leeuwenhoek

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Microscopy

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Microscopy: Stains

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Gram Stain

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Gram Stain: Clinical Specimen

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Acid-Fast StainMycobacterium species

Cell wall composition prevents dye uptake

Red dye added heated over boiling water or concentrated dye added

Rinse

Decolorizing acid-alcohol wash

Blue counterstain

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Capsule Stain / Negative Stain

Cryptococcus neoformans

Capsule (glycocalyx)Gel-like layer for protection or attachment

Distinct and gelatinousStains poorly :

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Endospore Stain

Green dye added heated gently

Rinse

Red counterstain

Bacillus and Clostridium species

Endospores resistant to Gram stain

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Fluorescent Dyes and Tags

Living: greenDead: red

AuramineMycobacterium cell wall

(a) Metabolic activity alters fluorescent properties of a dye (b) Fluorescent dyes bind to pathogen-specific compound (c) Dye-conjugated antibodies: recognize pathogen-specific antigens

S. pyogenes protein

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Identification by Microscopy

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Prokaryote Identification

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Enrichment Culture

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Streak Plate

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Types of Growth Media

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Complex vs. Defined Media

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Selective & Differential Media

Selective MediaInhibits growth of all but target organism

Differential MediaTarget bacteria changes in a recognizable way

MacConkey AgarIsolate/identify Gram negative rods from the intestine

Selective: bile salts/crystal violet dye inhibit growth of all but Gram negative rodsDifferential: lactose fermenting bacteria produce pink colonies (pH indicator)

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Differential Media: Blood Agar

Differential media detects bacteria that lyse red blood cells (hemolysin production)Red blood cell lysis generates a zone of clearing (a) clear zone = beta hemolysis = S. pyogenes (b) greenish zone = alpha hemolysis = non-pathogenic Streptococcus

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Prokaryote Identification

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Biochemical Tests

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Biochemical Tests

Catalase testbubbles = catalase activity

Sugar fermentation testGas and acid production = fermentation activity

Urease testGas and ammonia (base) production = urease activity

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Dichotomous Key

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Biochemical Tests:Commercial Arrays

API strip testadd liquid culture to dehydrated media

EnterotubeInnoculation from rod drawn through liquid compartments

Other formats: 96 well plates, Miniaturized systems

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Prokaryote Identification

Serology:1. Recognition of host antibody produced in response to bacterial antigen2. Direct recognition of bacterial antigen

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SerologySeronegativeNo specific antibodies to a pathogenbecause no prior exposure

SeropositiveProduction of specific antibodiesto a pathogen

SeroconversionSwitch from seronegative to positive

SerologyIn vitro study of antibody-antigeninteractions

SerumFluid portion of the blood that remains after blood clots

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Serology: Indirect ELISAELISAEnzyme-Linked Immunosorbent Assay

Bacterial antigen affixed to substratePatient serum added if antibody vs. antigen present, it will stay in the wellPeroxidase-conjugated anti-human IgG antibody added color reaction = antibody in serum recognizes antigen

Testing for antibody production in response to antigen

Often used as HIV test (anti-gp120, anti-p24 antibodies)

“Indirect” because second antibody required for signal

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Western Blot Analysis

To confirm positive HIV ELISA result

HIV proteins run on SDS-PAGE gel protein separation based on sizeSeparated proteins transferred to membrane Test serum addedEnzyme-labeled secondary antibody added

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Direct ELISA

Known antibodies vs. antigen attached to substratePatient sample added if bacterial antigen is present, it will stay in the wellPeroxidase-conjugated antibody added

Direct testing for presence of antigen

“Direct” because antibody directly conjugated to peroxidase

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ELISA plates

96 well format for ELISA, other high-throughput protocols

Antibody titer (concentration): serial dilutions of serum testedreciprocal of last dilution with positive reaction = titer (1:256 dilution = 256 titer)

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Fatty Acid Analysis

Bacteria differ in the type and quantity of membrane fatty acids

Fatty acids removed and converted to methyl ester form (Fatty Acid Methyl Ester)Gas chromatography analysis

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Prokaryote Identification

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Nucleic Acid Hybridization

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Polymerase Chain Reaction

Nucleotide sequence must be known for primer design

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Polymerase Chain Reaction

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Polymerase Chain Reaction

30 cycles = billion-fold amplification

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Prokaryote Identification: PCR

Could also use DNA probe instead of gel

Requires knowledge of a specific nucleotide sequence from the target pathogen

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rRNA Sequencing

Ribosomes protein + rRNA components S = Svedberg unit measure of sedimentation

mRNA translation & protein synthesis important / conserved process

Sequence rRNA directlySequence DNA that codes for rRNA

Usually 16S rRNA sequenced

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Strain Differences

E. coli strainsK-12

EPECEHECSTECETECEIEC

EAggEC

Strains: related, but not identical, isolates of a species

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Detecting Strain Differences

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Biochemical Typing

• Some bacterial strains can be differentiated with biochemical tests

• Biovar/Biotype:strain with a characteristic biochemical pattern

• Vibrio cholerae:– Pandemics 1-6 = Classical Biotype– Pandemic 7 = El Tor Biotype

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Serological Typing

• Strain differentiation based upon antigenic (protein/carbohydrate) differences

• Serovar/serotype: strain with characteristic antigen pattern

• V. cholerae O1 and O139 (LPS O region)

• E. coli O157:H7– 1st antigen = carbohydrate (LPS O region)– 2nd antigen = protein (flagella)

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Genomic Typing

RFLP: Restriction Fragment Length Polymorphism

Strain differences based on subtle differences in DNA sequence

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Genomic Typing

PulseNet: national database of RFLPs from foodborne pathogens

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Phage Typing

Strain differences based on bacteriophage susceptibility patterns

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Antibiograms

Strain differences based on antibiotic susceptibility patterns

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SummaryProkaryote Identification / Classification

• Microscopy– Chapter 3

• Other Phenotypic Characteristics– Chapters 4, 17

• Genomic Identification

• Strain Differences