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Microbiology World Issue1
Microbiology World Issue1
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Microbiology World Sept – Oct, 2013
COUNCIL
President
Mobeen Syed, M.D.
King Endward Medical University Lahore
MSc. from ASD, BSc. from Punjab University
D-Lab from MIT MA USA
Vice-President
Sudheer Kumar Aluru, Ph.D
Human Genetics, Sri Venkateswara University, India
HOD of Biology Department (Narayana Institutions)
Managing Director
Dr. D K Acharya, Ph, D
Asst Prof., Biotech Dept.
A. M. Collage of Science, Management and Computer Technology, India
Chief Editor
Mr. Sagar Aryal
Medical Microbiology (M.Sc), Nepal
Reviewers
Mr. Samir Aga
Department of Immunological Diseases
Medical Technologist, Iraq
Editors
Dr. Sao Bang
Hanoi Medical University
Dean of Microbiology Department (Provincial Hospital)
Microbiology Specialist, Vietnam
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Table of Content
What is Microbiology? 4-7
Bacterial endocarditis:
Serious and Fatal Disease 12-15
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What is Microbiology?
The world around us is full of organisms that are too small to be seen with
naked eye-bacteria, virus, fungi, algae and protozoa. These microbes live in a
wide range of habitats from hot springs to the human body and depth of ocean.
They affect each and every aspects of life on earth.
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All around our planet there are microbiologists making a difference to our lives
– maybe ensuring the safety of our food or treating and preventing diseases or
developing green technologies or tracking the role of microbes in climate
change.
Basic Reseach
Before Microbiologist can solve the problems caused by microbes, or exploits
their amazing powers, they have to find out about the detailed workings of
microbial cells. The basic knowledge of genetics, cell structure and function can
then be used in applied microbiology as well as in other areas of biology.
Healthcare
Microbiologists are essential in the fight against infectious diseases. Many work
as biomedical scientists in hospitals and Health
Protection Agency labs, investigating the samples of
body tissues and fluids to diagnose infections, monitor
treatments or track disease outbreaks. Some
microbiologist work as clinical scientists in hospital and
medical school laboratories where they carry out
research and give scientific advice to medical staff who
treat patients. Other microbiologists work on pathogens
that cause diseases, such as ‗flu‘ or TB, and the
information they find is used by their colleagues to develop vaccines and better
treatments.
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Environment
Some microbiologists study how microbes live
alongside other creatures in different habitats such as
the oceans, salt lakes and Antarctica. They develop
early warning sensors to detect pollution and use
microbes to treat industrial waste. Other contributes to
the worldwide research on climate change, investigating
the effect of microbial processes on the composition of
atmosphere and climate. Microbiologists also work with
technologists and engineers to develop greener sources of energy produced from
urban and industrial waste.
Agriculture
Business
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Universities, research
institutes and industrial
companies employ
microbiologists to do
basic, environmental,
healthcare and agricultural
research.
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in summer, air temperature can rise to a balmy 0°C. Humidity is low (<10% RH
in winter). And then there are the ceaseless katabatic winds (from the Greek
word katabatikos meaning "going downhill"). Cold, dense air falls downhill off
the East Antarctic Ice Sheet and races through the valley at speeds commonly
exceeding 50 km/h, sometimes reaching 320 km/h (200 mph). These winds
evaporate all moisture and carry sand grains that scour the barren landscape. All
in all, these conditions bear some resemblance to those used to freeze-dry
biological samples.
The valley floor is an unstable, gravelly, desiccated mineral soil with high
salinity, little organic material, and the lowest nitrate concentrations known for
any terrestrial soil. Surface temperatures fluctuate wildly under the intense
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Acidobacter and Actinobacteria. As you might expect, at the top of the list are
desiccation tolerant taxa such as Deinococcus and Rubrobacter. There are also
numerous nitrogen fixers. With neither photoautotrophs or chemoautotrophs
present, organic carbon is at a premium, and its lack is thought to preclude
further community development.
Both qualitatively and quantitatively, most of the life in this valley is associated
not with the soil, but with the rocks. Here and there the flat-lying sedimentary
bedrock is exposed. The rock surfaces, and even the shallow cracks, are likely
sterile due to temperature fluctuations and abrasion from windblown sand. But
any life that burrows in even just a few millimeters finds more stable
temperatures and shelter from the incessant wind, even in the intense cold.
Given the estimate that -6 ºC or -8 ºC is the lower limit for metabolic processes,
some activity would be possible in these rock niches for 1000 hours per year at
the most. However, that is enough to sustain microbial communities, both the
endoliths, organisms that live within the porous structure of the rock itself and
the chasmoliths that live within the cracks and crevices.
Due to their structure and mineralogy, sedimentary rocks such as the local
sandstone are particularly well-suited for housing endoliths a few millimeters
beneath their surface. Enough light penetrates for photosynthesis (at least during
the months when there is sun), while damaging UV is reduced. In contrast to the
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soil community, these rock dwellers are mostly photoautotrophs. Two distinct
communities of bacteria and eukaryotes are detectable, both visibly and
experimentally. The upper 2 mm, called the lichen zone, is dominated by a
lichenized fungus, Texosporium sancti-jacobi, associated with the green alga
Trebouxia jamesii. Below 2 mm, the photosynthetic cyanobacteria rule, mostly
Chroococcidiopsis, a genus noted for having radioresistance comparable to that
of Deinococcus radiodurans. Low
light levels not withstanding, light
may not be the factor limiting these
endolithic communities, but rather
lack of available CO2. The chasmolith
communities in the crevices are made
up primarily of various lichens and
cyanobacteria, combined with a
distinctive sprinkling
of other bacterial groups. There is yet a fourth cryptic community here, the
hypoliths that live underneath light-colored, translucent stones. These are almost
exclusively cyanobacteria, making do in an environment that receives less than
0.1% of the incident light. There are no fungi here, and only a very few algae.
There is a tendency to think that the more extreme the environment, the less the
biological diversity. The communities in the Dry Valleys don't conform to that
pattern. The endoliths and chasmoliths combined comprise more than 50
bacterial species (based on 98% identity of their 16S rDNA sequences).
Although eukaryotes represent only 5% of these communities, they include four
genera of fungi (both Ascomycota and Basidiomycota) as well as three groups
of algae. Add in the hypoliths, and these three lithic communities span 16 phyla
in two domains.
What about the missing archaea, those masters of extreme environments? Not a
one to be found so far, not even one lurking under a rock. Surely there are yet
even more surprises to be found by the cryophilic researchers.
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Subject Father
Biology Aristotle
Toxicology Paracelsus
Virology Paracelsus
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Endocarditis is more common in older people, with half of all cases occurring in
people who are over 50. However, cases of endocarditis have been recorded in
children, particularly those who are born
with congenital heart disease. Twice as
many men are affected by endocarditis as
women. Endocarditis is regarded as a
medical emergency and usually requires
admission to an intensive care unit
(ICU). Intravenous antibiotics are usually
used to treat the underlying infection.
Just under half of all people with
endocarditis will require surgery to repair
the damage to their heart.
Bacteria in the mouth, intestinal tract or urinary tract travel to the heart via the
bloodstream but usually don't cause a problem in normal hearts. However,
hearts that have defects, often even if the defects have been repaired are
vulnerable to infection. As the Once infection occurs, the bacteria continue to
grow and may seriously damage the heart. Bacterial endocarditis is most likely
to occur in patients who have: Aortic Valve Lesions, Patent Ductus Arteriosus,
tetralogy of Fallot, ventricular septal defect, Mitral Valve Prolapse,
transposition of the great Arteries.
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Gram positive cocci have always dominated the scene as major etiologic agents.
Gram negative bacilli (GNB) other than Hemophilus, Actinobacillus,
Cardiobacterium, Eikenella and Kingella (HACEK) are regarded as less
frequent cause of endocarditis. They are associated with certain percentage of
Endocarditis in Intravenous drug abuser (IVDU) and Prosthetic valve
endocarditis (PVE).
The usual signs of bacterial endocarditis are prolonged fever for two to three
days in a person with congenital heart disease that occurs after a procedure in
the mouth, intestinal tract or urinary tract. However, the infection may occur
without a previous procedure. Symptoms may include: Poor appetite, Fatigue,
Joint pain, Rash, Weight loss.
Pathophysiology
It occurs when bacteria spread through the
bloodstream and land inside the heart and grow
there. Usually, if there are bacteria circulating in
the bloodstream, they don't stick to the inside of
the heart: the blood flows smoothly. If the heart is
abnormal due to certain types of surgery or other
defects, there may be rough surfaces causing
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turbulent blood flow (known as a murmur) to which bacteria can attach and
cause infection.
Lab diagnosis
Major criteria for probable endocarditis are persistant
bacteremia with a new regurgitant heart murmur or
valvular heart disease with vesculitis or negative or
intermittent bacteremia with fever. Modern blood
culture techniques includes three sets suffice for two
days, not necessarily beyond this point. CT scan
electrocardiogram, echocardiogram, can be done for
the diagnosis of disease. New diagnostic approaches
like culture of vegetations and infected cardiac valve
tissue has shown better result in blood culture negative endocarditis.
When causative microorganisms are cultured or seen histologically in
vegetations and valve tissues. In case of streptococcal infection Anti
streptolysin O titer can be determined. Latex particle coated with anti-CRP
antibodies were used for CRP test by mixing with 50μl of patients‘ serum
Haematuria and pyuria can be observed by microscopy from urine sample of
each patient on same day of blood examination when blood culture is seen
negative.
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Treatment
The penicillin, often in combination with
gentamicin, remains the cornerstones of
therapy for endocarditis caused by
penicillin-susceptible streptococci. For
penicillin-allergic patients, vancomycin
is substituted. For relatively penicillin-
insensitive streptococci (minimal
inhibitory concentration higher than 0.1
to 0.5 mg/mL), the penicillin dosage is
higher and duration of therapy is 2 weeks. Gentamicin is given for the first 2
weeks; treatment for endocarditis caused by enterococci is longer; both
penicillin and gentamicin are given for 6 weeks, For vancomycin-resistant
enterococci (VRE), streptogramin quinupristin-dalfopristin (Synercid) either
alone or in combination with doxycycline and rifampin is administered.
Prevention
Bacterial endocarditis is one of the most dreaded complications of structural
heart disease. Its mortality rate in the pre-antibiotic era was nearly 100% and
remains high even today; approaching 20-30 %. This is mainly due to
increasing organism resistance to antibiotics and emergence of fungal infections
in response to multiple antibiotic treatments. So the prevention is important.
Prophylaxis for Bacterial endocarditis is effective only if appropriate antibiotic
is given in a sufficient amount at the right time. Antibiotics should be
administered at time only when there is likelihood of bacteremia so as not to
give a bacterial resistance. Better the antibiotic administered at a perioperative
period. If a procedure involves affected tissue, it is necessary to provide
additional doses of antibiotic for treatment of an established infection. The
recommended prophylactic regimen for dental and oral procedures is a single
dose of oral amoxicillin. If the patient is unable to take oral medication,
parenteral administration of antibiotic is required. If parenteral amoxicillin is
not available, ampicillin is the alternative.
- Bharat Pangeni
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Monoclonal Antibody
An antibody is a Y-shaped protein produced by a type of white blood cell
known as a B cell. B cells are made in the bone marrow of the body and then
travel to such organs as the spleen and the lymph nodes. Mature B cells
respond to foreign substances called antigens. They then differentiate into
plasma cells, which secrete antibodies. Antibodies neutralize or mark antigens
for destruction with the help of other cells of the immune system- the system of
organs, tissues, cells, and cell products, including antibodies, responsible for
ridding the body of disease causing organisms or substances.
MAbs are ten injected into a patient‘s body. The MAbs find cancer cells for
which they targeted and blind to them. A special machine that uses film
sensitivity to radioactivity is used to take an internal picture of the patient‘s
body. This image reveals any cells to which the MAbs attached, indicating the
presence of cancer.
MAbs can also be used to diagnose the human immunodeficiency virus (HIV)
that causes AIDS. A laboratory test determines whether an individual is
producing antibodies against HIV. In this test, a MAb is used to test the blood
of a patient for the presence of another type of antibody that binds to the virus.
Only patients who have been exposed to HIV will have the second type of
antibody in their blood.
- Bidur Aryal
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"If we could keep this pathway from inciting the host immune system, we may
be well on the way to finding innovative new therapies against TB, as well as
other serious disorders," said the senior researcher on the study, Dr. Lalita
Ramakrishnan, University of Washington (UW) associate professor of
microbiology, medicine, and immunology. The results appear in the Dec. 10,
2009, express edition of Science.
Global health researchers are eager for new treatments for TB because many
strains worldwide have become resistant to standard antimicrobials. Blocking a
host pathway that the bacteria use would be an entirely different approach,
Ramakrishnan explained, because it would keep the body from allowing the
infection to take hold and be sustained, rather than a treatment aimed at killing
the bacteria themselves. A host pathway blocker, if one becomes available,
might also be quicker than current therapies, which take a long time to subdue
the TB infection.
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"Most diseases, such as high blood pressure and depression, are already being
treated by blockers and inhibitors of host enzymes and pathways,"
Ramakrishnan noted, "Many of these turn down certain cell signals as part of
their therapeutic action. We and some other researchers are now exploring the
possibility of blocking or inhibiting molecular mechanisms in the body to
prevent or treat infectious diseases as well. "
So by wooing more macrophages into the granuloma, the bacteria can use them
to expand further. Some germ-laded macrophages then move to a new location,
where they again attract more macrophages. New tubercles form and the scene
is repeated.
Ramakrishan's group now has found that this secreted bacterial protein induces
epithelial cells -- the cells that make up membranous tissue covers inside the
body -- to produce an enzyme called MMP9. This enzyme has many functions
including breaking down gelatin -- a connective tissue protein -- into its
components. In people, the presence of MMP9 is associated with increased
susceptibility to infection and worse outcomes. The findings of this new study
explain why this might be the case. MMP9 is also implicated in the
development of several non-infectious inflammatory conditions, like arthritis, as
well as heart disease and cancer.
"TB bacteria may have a two-prong strategy," said the first author of the Dec.
10 Science Express report, Dr. Hannah E. Volkman, who recently received her
Ph.D. from the UW Molecular and Cellular Biology Program, "whereby the
bacteria simultaneously suppress the macrophages inflammatory programs in
order to create a hospitable niche inside them, while prodding epithelial cells to
signal more macrophages to arrive and be unwitting participants in their home
expansion project."
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Scientists have long wondered how much further life can be stripped down and
still remain alive. Is there a genetic essence of life? The answer seems to be that
the true essence of life is not some handful of genes, but coexistence.
E. coli has fewer genes than we do, in part because it has a lot fewer things to
do. It doesn‘t have to build a brain or a stomach, for example. But E. coli is a
versatile organism in its own right, with genes allowing it to feed on many
different kinds of sugar, as well as to withstand stresses like starvation and heat.
In recent years, scientists have systematically shut down each of E. coli‘s genes
to see which it can live without. Most of its genes turn out to be dispensable.
Only 302 have proved to be absolutely essential.
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Those essential genes carry out the same fundamental tasks that take place in
our own cells, like copying DNA and building proteins from genes. And yet the
302 genes that are essential to E. coli turn out not to be life‘s minimal genome.
Scientists have come up with lists of essential genes in other microbes, and
while the lists overlap, they are not identical. Scientists can also look to nature
for species that are closer to the minimal genome. In 1969, they first recognized
that a group of disease-causing bacteria called Mycoplasma had remarkably tiny
genomes. One species, Mycoplasma genitalium, turned out to have a mere 475
genes — one-fiftieth the number in our own set.
For years, M. genitalium held the record for the smallest genome. (Scientists
don‘t allow viruses into this contest, since viruses can‘t grow and reproduce on
their own.) But in recent years, M. genitalium has lost its minimalist crown.
Today, the record-holder is a microbe called Tremblaya princeps, which
contains only 120 protein-coding genes.
Have we found the minimal genome at last? The answer, once again, is no. But
the reason for that reveals something else intriguing about life.
Tremblaya lives in one particular place: the body of a mealybug. And the
mealybug, in turn, depends on Tremblaya for its survival.
The insect‘s only source of food is the sap that it drinks from trees. On its own,
the mealybug couldn‘t survive on this meager diet. Tremblaya transforms the
sap into vitamins and amino acids, which the mealybug can then use to build
proteins. In exchange for this biological alchemy, mealybugs provide
Tremblaya with a steady source of food and shelter.
It‘s not precisely accurate to say that Tremblaya provides this service. It needs
help. Scientists have long known that Tremblaya contains mysterious blobs, but
it wasn‘t until 2001 that Carol D. von Dohlen of Utah State University and her
colleagues discovered that those blobs were a second species of bacteria, living
within Tremblaya.
The bacteria, named Moranella endobia, have a genome of their own. It‘s a tiny
genome, with just 406 genes, but it‘s more than twice as big as Tremblaya‘s.
Last month in the journal Cell, John McCutcheon of the University of Montana
and his colleagues dissected the genes of both Tremblaya and Moranella to get a
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better sense of what each one does. The two species split up the work involved
in building amino acids and assembling them into proteins. Just as the mealybug
cannot live without its microbes, the microbes can‘t live without each other.
Dr. McCutcheon‘s research reveals a baroque history. At some point in the
distant past, the ancestors of Tremblaya infected the ancestors of mealybugs.
The microbes gave the insects new metabolic powers, allowing them to feed on
an abundant substance — sap — that most other insects couldn‘t touch. In its
comfortable environment, Tremblaya cast off most of its genes.
Only later did Moranella invade the mealybug, and then Tremblaya. It took over
some of Tremblaya‘s work, opening the way for Tremblaya to lose even more
of its DNA, until it was stripped down to a mere 120 genes.
Tremblaya and Moranella are the only bacteria found in a healthy mealybug.
But Dr. McCutcheon and his colleagues also found vestiges of vanished
microbes — in the mealybug‘s own DNA. Some of its genes are more closely
related to genes found in bacteria than genes found in any animal.
This strange resemblance means that mealybugs were once host to other species
of bacteria, and some of the genes from those mystery microbes accidentally
ended up incorporated into their own DNA.
Six separate species apparently donated genes to the insects. Dr. McCutcheon
and his colleagues suspect that the insect uses some of these genes to manage its
microbial residents — perhaps using bacteria proteins to extract amino acids
from them, for example.
Studies like Dr. McCutcheon‘s show that the concept of a minimal genome,
while provocative, is ultimately a dead end. Life does not exist in a laboratory
vacuum, where scientists can pare away genes to some Platonic purity. Life
exists in a tapestry, and the species with the smallest genomes in the world
survive only because they are nestled in life‘s net.
Note: (An earlier version of this article misstated the academic affiliation of
Carol D. von Dohlen. Dr. von Dohlen, a biologist, is with Utah State University,
not the University of Utah)
- Samir Aga
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Wolf-Dietrich Hardt, a professor of microbiology at ETH Zurich, and his team have
now discovered the circumstances under which an individual can become a chronic
carrier of salmonella in a mouse model.
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Hardt and his team have created a mouse whose gut flora is extremely simple and
species-poor. In these mice, the pathogen can implant itself, regardless of the
remaining immune response. Whilst the carrier no longer feels any effects of the
infection, traces of the pathogens remain in the faeces even weeks after the infection.
For people who work in the food industry, especially meat processing, this is serious;
they can‘t work until all traces of salmonella have disappeared. Treatment methods
can be quite crude. Patients are sent into quarantine and given antibiotics. If that
doesn‘t contain the disease, the gall bladder might be removed. ―That‘s where the
salmonella seems to settle more long-term if it can‘t be eliminated altogether‖, says
Hardt.
If a way could be found to supplement and stabilise the patients‘ gut flora permanently
with a greater variety of bacteria, persistent Salmonella infections might subside
without drastic intervention. However, that is still a long way off. For the time being,
we still know far too little about how the commensal bacteria work to manipulate or
use them specifically for therapeutic purposes.
Reference:
Endt K, Stecher B, Chaffron S, Slack E, Tchitchek N, et al. 2010 The Microbiota
Mediates Pathogen Clearance from the Gut Lumen after Non-Typhoidal Salmonella
Diarrhea.
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Statistical methods were then used to estimate that P. giganteus likely harbor 58
different viruses, of which 55 were identified in this study. If the 5,486 known
mammalian species each harbor 58 viruses, there would be ~320,000 unknown
viruses that infect mammals. This is likely to be un under-estimate as only 9
viral families were targeted by the study. In addition, the PCR approach only
detects viruses similar to those that we already know. Unbiased approaches,
such as deep DNA sequencing, would likely detect more.
Let‘s extend this analysis to additional species, even though it might not be
correct to do so. If we assume that the 62,305 known vertebrate species each
harbor 58 viruses, the number of unknown viruses rises to 3,613,690 – over
three times more than Dr. Morse‘s estimate. The number rises to 100,939,140
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This number does not include viruses of bacteria, archaea, and other single-
celled organisms. Considering that there are 1031 virus particles in the oceans –
mostly bacteriophages – the number is likely to be substantially higher.
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Thanks,
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