2005 Sample C106 Midterm Examination: 1. How does mucus production function as a defense mechanism in the upper respiratory tract of humans? 2. How do members of the normal bacterial flora serve as a defense mechanism against potential bacterial pathogens? 3. Name 2 ways in which the activated complement system defensively works during an innate immune response? 4. Name 2 types of professional phagocytes and describe in general terms how they engulf and destroy microorganisms? 5. Name 3 different types of bacterial PAMPs that stimulate the acute phase response of innate immunity? 6. Adaptive immunity that involves CD4+ lymphocytes and a Th1-like response results in what type of immune effector molecules or cells? What type of bacterial pathogenic strategy are these effector molecules or cells most effective against? 7. Name 2 ways in which specific antibody functions defensively against a bacterial pathogen? 8. In the Vibrio cholerae study of Peterson and Mekalanos, why was the transposon tnphoA chosen to search for virulence genes of V. cholerae. What property about a gene or gene product does the tnphoA transposon indicate following transposition and how is this accomplished? 9. How does the plasmid pFPV25 function to identify promoters? Following transformation of recombinant pFPV25, how are transformants initially selected and then identified for functioning promoters? 1 10. In the pIVET system developed by Mahan and Mekalanos, what was the purpose of including the promoterless purA gene on the plasmid, i.e. how was it used to find the induced in vivo genes? What is the second reporter gene of this system and what is its function? Why was this system rather than transposon mutagenesis used to identify virulence expressed genes? 11. How does the DNA microarray technique allow transcription identification of the entire genome of an organism? What is the term for the transcription profile of the entire genome? 12. What are common structural features of the botulism and tetanus toxins (note: not the functions of these toxins)? 13. How does the tetanus toxin cause a spastic paralysis whereas the botulism toxin causes a flaccid paralysis? 14. List three main classes of virulence factors produced by Staphylococcus aureus. Give at least one example of each class and suggest a mechanism for each. 15. List at least 3 main bacterial targets for the most commonly used classes of antibiotics? 16. What is the amino acid sequence recognized by sortase? What does sortase attach substrate proteins to? What major class of virulence factor is processed by sortase? Give one example. 17. Staphylococcus aureus secretes an exotoxin called alpha toxin. This protein is produced as a water-soluble monomer. Describe two changes to this structure that occur upon interaction with mammalian cells. 18. What aspect of the autoinducing peptide (AIP) did Richard Novick’s research group take advantage of to identify the AIP receptor? How can this be used to devise a therapeutic to treat Staph infections? 19. What are the three main routes of infection by Bacillus anthracis? What is the infectious stage of the Bacillus anthracis life cycle? 2 20. What are the two main virulence factors produced by Bacillus anthracis and what are they encoded on? 21. List the three components of anthrax toxin. What are their functions and relative contributions to virulence? What two other pathogens covered in class produce toxins that are structurally or functionally similar to individual components of anthrax toxin? 22. Describe how Smith and Keppie discovered anthrax toxin in 1954. Why did it take 50 years to discover this toxin? 23. What is the “point of no return” with respect to anthrax? What does this tell us about the treatment window when using antibiotics? How would you circumvent this? 24. How would you evaluate Streptococcus mutans induced dental caries with Koch’s Postulate? 25. Why board-spectrum antibiotics work effectively against many other microbial infections, but have limited efficiency against oral microbial infection? 26. Name 3 cell wall components of Mycobacterium tuberculosis that differentiate its cell wall from typical gram positive cell walls? 27. What type of adaptive immune response that develops during the course of tuberculosis is most effective against the causative agent, Mycobacterium tuberculosis? 28. What is the name of the specialized host immune generated structure that is responsible for the containment and dormancy of M. tuberculosis during tuberculosis infection? 29. Vaccination against tuberculosis using the attenuated M. bovis strain known as the “Bacille of Calmette-Guerin; BCG” is used in many places in the world but is not used in the United States. Give on reason why the BCG vaccine is not used in the U.S.? 3 30. The integrating cosmid shuttle vector known as pYUB178 was used by Collins et al., PNAS, 1995, to complement virulence of an attenuated strain of Mycobacterium bovis (ATCC strain) using DNA from a virulent strain of M. bovis (WAg200 strain). a. What was the purpose of the lambda cos site on the pYUB178 cosmid? b. Why was it desired to clone into pYUB178 large fragments of DNA from the WAg200 strain (these fragments were approximately 30 to 50kbp in size)? c. Following transformation of M. bovis ATCC strain with recombinant pYUB178, containing cloned WAg200 DNA, 4000 transformed integrates were selected by antibiotic resistance. 12 of these 4000 integrates were randomly chosen and their chromosomal DNA was isolated and digested with the restriction endonuclease Pst1. The restricted DNA from each of these 12 clones was electrophoretically separated and analyzed by Southern hybridization using a probe specific to the cloning region of the pYUB178 plasmid. In general terms, what was were findings of this analysis and what was the significance? d. Following guinea pig infection using the above 4000 integrates (a total of 107 organisms were used/guinea pig), organisms were isolated from infected guinea pig spleen lesions and a total of 14 of these isolates were randomly chosen and analyzed as described above in question 25c. Again in general terms, what were the findings of this analysis and what was the significance? e. Collins et al. showed that a common 2.3kb Mlu1 restriction fragment was common to all integrates that were recovered from infected spleen lesions. How was it confirmed that this restriction fragment contained the gene or genes responsible for virulence complementation? 4