How Bacteria Cause Disease


The microorganisms that cause disease

 

Bacteria

  • Bacteria are generally simple structures. The bacterial cell lacks a membrane-bound nucleus. Because of this, bacteria are described as prokaryotes, "pro-" meaning "before" and "-karyon" from the Greek word for a "nucleus". Despite their simplicity, bacteria have an enormous range of metabolic capacities, and can be found in some of the most extreme environments on earth. Only a small minority of bacteria causes disease.
  • There are three basic shapes that bacterial cells adopt. They are either round, rod shaped or spiral. Round bacteria are referred to as cocci (singular: coccus), and rod shaped bacteria are known as bacilli (singular: bacillus). The term 'bacillus' meaning a rod-shaped bacterium should NOT be confused with the genus of bacteria known as 'Bacillus'. The shape of bacterial cells is of fundamental importance in the classification and identification of bacteria. Although bacteria are of three basic shapes, they display an astonishing variety of forms when viewed microscopically.
Staphylococci

Staphylococci

Clostridium tetani

Sporing cells of
Clostridium tetani

Note spores do not stain and in this case cause the bacilli to swell

Corynebacterium diphtheriae

Irregular cells of
Corynebacterium diphtheriae

Streptococcus pneumoniae

Diplococcal cells of
Streptococcus pnuemoniae

 

Bacillus anthracis

Sporing cells of
Bacillus anthracis

Note spores do not cause the bacilli to swell in this species.

Haemophilus influenzae

Various shaped cells of
Haemophilus influenzae


Streptococci

Streptococci

Treponema pallidum

Spiral cells of
Treponema pallidum

This bacterium causes syphilis and is so slender that it cannot be seen using conventional light microscopy.
It is most easily visualised using dark-ground microscopy.

Vibrio cholerae

Curved rods of
Vibrio cholerae

  • Bacteria may be conveniently divided into two further groups, depending upon their ability to retain a crystal violet-iodine dye complex when cells are treated with acetone or alcohol. This reaction is referred to as the Gram reaction, named after Christian Gram, who developed the staining protocol in 1884. It may seem a very arbitrary basis on which to build one's classification system. This reaction, however, reveals fundamental differences in the structure of bacteria. Electron microscopy shows that Gram-negative and Gram-positive bacteria have fundamentally different structures, related to the composition of the cell wall, amongst other things.
  • Flagella are responsible for the motility of pathogenic bacteria and can play a role in the production of disease. Gram-negative pathogenic bacteria may be covered in fine hairs called fimbriae (singular: fimbria) these help to stick to body surfaces. Pili can attach two bacterial cells together: sex pili are necessary for the transfer of certain plasmids between bacteria.
  • Gram-negative bacteria have additional structures. They exchange genetic material in a process of conjugation that involves cells being joined by sex pili: tube-like structures through which DNA is passed. The surface of Gram-negative cells is also covered in fine, hair-like structures called fimbriae (some microbiologists also call these pili, confusing them with sex pili). These are important in adhesion and can play a central role in virulence. If a microbe is to cause an infection, first it must attach to its surface.
  • Some bacteria are enclosed within a capsule. This protects the bacterium, even within phagocytes, helping to prevent the cell from being killed. Encapsulated bacteria grow as 'smooth' colonies, whereas colonies of bacteria that have lost their capsules appear rough. Rough colonies do not generally cause disease. Encapsulated bacteria do not succumb to intracellular killing as easily as bacteria that lack capsules. Strains of Streptococcus pnuemoniae that lack capsules do not cause disease. All the bacteria that cause meningitis are encapsulated. Suspending bacteria in India ink is an easy way of demonstrating capsules. Ink particles cannot penetrate the capsular material and encapsulated cells appear to have a halo around them. This is the Quellung reaction.
  • In the 'Quellung' reaction, bacterial cells are resuspended in antiserum that carries antibodies raised against the capsule. This causes the capsule to swell, and this can be easily visualised by suspension in India Ink. The ink particles cannot penetrate the capsule, which this appears as a halo around the bacterial cells.
The Quellung reaction

The Quellung reaction

  • Some bacteria produce slime to help them to stick to surfaces. Slime is produced by several types of pathogenic microbes, and is usually made up from polysaccharides. The slime produced by Streptococcus mutans enables it to stick to the surface of teeth, where it helps to form plaque, leading eventually to dental caries. 'Coagulase-negative' staphylococci live on the skin, and some strains produce a slime that enables them to stick to plastics. These bacteria cause infections associated with implanted plastic medical devices.
  • A few species of bacteria have the ability to produce highly resistant structures known as endospores (or simply spores). These resist a range of hazardous environments, and protect against heat, radiation, and desiccation. Endospores form within (hence endo-) special vegetative cells known as sporangia (singular sporangium). Diseases caused by sporing bacteria include botulism (Clostridium botulinum), gas gangrene (Clostridium perfringens), tetanus (Clostridium tetani) and acute food poisoning (Clostridium perfringens, again) All these bacteria are 'anaerobic'.
  • The aerobic sporing bacteria can also cause disease. Anthrax is caused by Bacillus anthracis. Bacillus cereus causes two types of food poisoning.
 

Link to list of topics for this section

Link to the person-to-person spread of infection page

Link to the microorganisms that cause disease - Protozoa page

Link to list of dental tutorial subjects


Page edited April 2006


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© John Heritage 2005, 2006


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