PART I : OBJECTIVES Establishment of Infectious Diseases: Understand the basic concepts of host-bacteria interaction events that occur during infectious disease. Know the basic components of bacterial pathogenicity virulence factors; invasiveness/toxigenesis Know the basic components of innate immunity against bacterial infection Review of Koch’s postulates: implication for the study of host-bacteria interaction/pathogenesis Biology of Bacteria: Understand the basic structure of Gram +, Gram-, Acid Fast, Cell wall deficient bacteria and S layers. Appreciate the relationship of cell/wall membrane and appendage structure to pathogenesis (Braun lipoprotein and blebbing, capsules, LPS, pili) Discussion of persistent forms of bacteria and relevance to pathogenesis Anaerobiosis Basic bacteriological procedures Understand the relative abundance, distribution and public health importance of microflora colonizing the human body Microbiome Understand that members of the normal microflora can be pathogenic Describe representative predisposing conditions of the body that may lead to disease by otherwise commensal organisms Highlight representative disease syndromes with a etiologic agents that are otherwise non-pathogens Understand the concept that a disease syndrome can manifest due to a shift in microflora rather than a single etiologic agent Example: Bacterial vaginosis Describe how antibiotic therapy influences the human microflora Classical Approaches to study bacteria Discussion of the procedures whereby one can identify, isolate and purify biologically active molecules. Examples will include amongst several: Parameters of bacterial growth to achieve optimal product Primary isolation procedures Chromatographic procedures Electrophoretic procedures Immunological procedures Learn to collectively develop approaches to obtain the goals desired. Genetic Approaches to study bacteria Overview of bacterial genetic materials Bacterial genetic information flow Exchange of bacterial DNA and medical implications Regulation of gene expression Genetic approaches to studying bacterial pathogenesis Toxins and Secretion Systems Understand bacterial toxins. Toxicity and mode of action of exotoxins and endotoxins. Bacterial factors-induced sepsis Understand bacterial secretory systems Type I-VI secretory systems Properties of T3SS, T4SS and T6SS T3SS virulence strategy Application of combined techniques to design the role of secretion protein in host cell attachment and entry Host-Bacterial Interactions Know steps of bacterial pathogenesis Appreciate that there is a large range of adhesins and basic types Bacteria utilize different invasion strategies Bacteria utilize host cytoskeleton to enter, survive and move within the cell Bacteria utilize host signaling pathways to survive intracellularly and evade host immune response Realize the myriad of ways one bacterium can foil the host. Understand potential ways infection with a microorganism can lead to cancer Link with a chronic infection General understanding of experimental approaches employed to understand bacterial pathogenesis/ carcinogenesis Antibiotics and Antibiotic Resistance To delineate antibiotics by their Spectrum of activity (broad or narrow) Mechanism of action Organism’s mechanism(s) of resistance Determinants of Bacterial Pathogenesis Identify how select bacterial determinants result in different clinical outcomes. Understand potential clinical manifestations from bacterial infections that target leukocytes compared to mucosal pathogens. Identify selected virulence factors of bacteria, and how these factors contribute to differential pathogenesis of human pathogens.