INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Practi cal No. 1 (In tr o d u c ti o n to M e d i c a l M y c o l o g y ) Ob j e c t i v e s : 1 - Describe the main characteristics of fungi. 2 - To know how to classify the fungi. Def i n i t i on of f u n gi The living world is divided into the five kingdoms of Planta, Animalia, Fungi, Protista and Monera. It is important to recognize that the fungi are not related to bacteria (Monera). The main characteristics of fungi are: 1 - Euka ryo t i c: contain cell organelles including nuclei, mitochondria, Golgi apparatus, endoplasmic reticulum, lysosomes etc. Eukaryotes also exhibit mitosis. These features separate fungi from bacterial which are prokaryotic cells lacking the above structures. 2 - Het er ot r oph i c : fungi lack chlorophyll and are therefore not autotrophic (photosynthetic) like plants and algae; rather they are heterotrophic absorptive organisms that are either saprophytes (living on dead organic matter) or parasites (utilizing living tissue). 3 - Like plants, fungi have ri g i d ce l l m e m b ra ne m a d e up o f e rg o st e ro l and are therefore non-motile, a feature that separates them from animals. 4 - Cel l wal l c on t ai n s c h i t i n : thus, fungi are insensitive to antibiotics. 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 1 2 INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Cl a s s i f i c at i on of f u n gi I. M o r p h o l o g i c a l c l a s s i f i c a ti o n : 1 - Yeas t : unicellular, which is defined morphologically, as a single-celled fungus that reproduces by simple budding. 2 - Fi l am en t ou s or m ol ds : multicellular, which grow as long branching filaments called ''hyphae'' and form a mat termed ''mycelium''. Reproduction is by spores or conidia. 3 - Di m or ph i c : they form different structures at different temperatures. They exist as molds in the environment at ambient temperature (25oC) and as yeast at body temperature (37oC). T y pes of h y p h a e 1 - Tr u e h y ph ae: a - Se p t a t e d : cells are divided by cross-walls called ''septa'' (Figure 1.1) e.g. Aspergillus spp. b - Ase p t a t e d (c o e n o c y ti c ): long, continuous cells that are not divided by septa (Figure 1.2) e.g. Zygomycete. 2- Ps eu doh yph ae: They are the result of a sort of incomplete budding where the cells remain attached after division (Figure 1.3) e.g. yeasts. Fi gu r e 1 . 1 : Septate hyphea 3rd Fi gu r e 1 . 2 : Aseptate hyphea Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 3 INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Fi gu r e1 . 3 : Pseudohyphae II. S y s te m a ti c c l a s s i f i c a ti o n : Based on the type of sporulation; (sexual or asexual). 1 - Se xua l ( p e rfe ct fung i ) : produce "sexual spores": a - Zyg o sp o re s: spores are produced inside a sporangium e.g. Rhizopus (Figures 1.4 – 1.6), Mucor (Figures 1.5 – 1.7). b - Asco sp o re s: spores are produced in a sack called ''ascus'' e.g. Sacromycete. c - Bas i di os por es : spores are produced in a sack called ''basidium'' e.g. Mushroom. Fi gu r e 1 . 4 : Rhizopus Fi gu r e1 . 5 : Mucor Dr. Nessrin AL-abdallat 3rd year Laboratory Medicine, 1434-1435H 4 INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Fi gu r e 1 . 6 : Rhizopus Fi gu r e1 . 7 : Mucor 2 - Ase xua l ( i m p e rfe ct fung i ) : produce asexual spores called "conidia": a - Th al i c : the conidium is produced from an existing hyphal cell: i. Art ho sp o re s: hyphae break up into sections to form individual cells e.g.Coccidiodes immitis (Figure 1.8). ii. Ch l am y dos por es : one cell develops a thick wall to form a resting spore e.g. Epidermatophyton floccosum (Figure1.9). b - Bl as t i c : the conidium is produced by budding: i. Hol obl as t i c : both the outer and inner wall of conidiogenous cell swell out to form the conidium e.g. pseudohyphae. ii. Ent e ro b l a st i c: the outer layer of the hyphal wall being ruptured and an inner layer extending to become the new spore wall e.g. Aspergillus spp (Figure 1.10). Fi gu r e 1 . 8 : Coccidiodes immitis Fi gu r e 1 . 9 : E. floccosum Dr. Nessrin AL-abdallat 3rd year Laboratory Medicine, 1434-1435H 5 INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Fi gu r e 1 . 1 0 : Aspergillus spp T y pes of co ni d i a 1 - Mi c r o c o n i d i a : small conidia, one celled conidia e.g. Trichophyton spp (Figure1.11), Aspergillus spp. 2 - Ma c r o c o n i d i a : large conidai, more than one celled conidia e.g. Microsporum spp (Figure 1.12), Alternaria spp (Figure 1.13). Fi gu r e 1 . 1 1 : Trichophyton spp Fi gu r e 1 . 1 2 : Microsporum spp Fi gu r e 1 . 1 3 : Alternaria spp Dr. Nessrin AL-abdallat 3rd year Laboratory Medicine, 1434-1435H INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 III. C l i n i c a l c l a s s i f i c a ti o n : 1 - Sup e rfi ci a l m yco se s: are local infections of outer layer (epidermis) of keratinizes tissues e.g. skin, hair and nails, e.g. Tinea virsicolor. 2 - Cu t an eou s m y c os es : are local infections of keratinizes tissue, e.g. Dermatophytes. 3 - Sub cut a ne o us m yco se s: are fungal infections of the dermis, subcutaneous tissue and bone. They are acquired when the pathogen is inoculated through the skin by minor cut or splinter wound, e.g. Sporotrichosis. 4 - Syst e m i c m yco se s: are caused by agents of thermally dimorphic fungi. They are acquired by inhalation, e.g. Coccidioidomycosis. 5 - Op p o r t u n i s t i c my c o s e s : are infections due to fungi with low inherent virulence. E.g. candidiasis. Dr. Nessrin AL-abdallat 3rd year Laboratory Medicine, 1434-1435H 6 INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Worksheet Ma t e r i a l s : 1 - Sabouraud dextrose agar (SDA) plate. 2 - Forceps. 3 - Scissors. 4 - Nail cutter. 5 - Alcohol swab. Exe rci se 1 : Take your own sample (skin, hair or nail) and culture it on SDA plate. Method: 1 - Scrapings of scale: take it from the leading edge of the rash after the skin has been cleaned with alcohol. 2 - Hair: pulled it out from the roots. 3 - Nail clippings. 4 - Put it on the center of SDA plate. 5 - Incubate the SDA plate in 25oC for 5-7 days. Dr. Nessrin AL-abdallat 3rd year Laboratory Medicine, 1434-1435H 7 INTRODUCTION TO MEDICAL MYCOLOGY PRACTICAL NO. 1 Exe rci se 2 : Examine the given slides under the light microscope. Draw what you see with labeling. Mu c o r Molds Rh i z opu s Asp e rg i l l us sp p Al t e rna ri a sp p Yeasts Can di da s pp Cr y pt oc oc c u s s pp Dr. Nessrin AL-abdallat 3rd year Laboratory Medicine, 1434-1435H 8