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| MeSH ID = {{MeSH ID|D025065}}
| MeSH ID = {{MeSH ID|D025065}}
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[[Soubor:SpirochaeteSchemamobilityFL.jpg|thumb|Schéma pohybového systému borélie: (1) pouzdro, (2) cytoplazma, (3) bičíky, (4) úpon bičíků]]
[[File:SpirochaeteSchemamobilityFL.jpg|thumb|Diagram of the borrelia locomotor system: (1) capsule, (2) cytoplasm, (3) flagella, (4) flagella insertion site]]
[[Soubor:Borrelia cycle.jpg|thumb|Životní cyklus borelie]]
[[File:Borrelia cycle.jpg|thumb|Life cycle]]
'''''Borrelia burgdorferi'' ''sensu lato '''''<nowiki/>''(also known as '''Borreliella burgdorferi'''''<ref>Baranton, G., Postic, D., Saint Girons, I., Boerlin, P., Piffaretti, J.C., Assous, M., and Grimont, P.A. "Delineation of Borrelia burgdorferi sensu stricto, Borrelia garinii sp. nov., and group VS461 associated with Lyme borreliosis." Int. J. Syst. Bacteriol. (1992) 42:378-383.</ref><ref>Adeolu, M., and Gupta, R.S. "A phylogenomic and molecular marker based proposal for the division of the genus Borrelia into two genera: the emended genus Borrelia containing only the members of the relapsing fever Borrelia, and the genus Borreliella gen. nov. containing the members of the Lyme disease Borrelia (Borrelia burgdorferi sensu lato complex)." Antonie van Leeuwenhoek (2014) 105:1049-1072.</ref>'')'' are bacterias of the '''[[Spirochetes|spirochetes]]''' class. It is one of the causative agents of the multiorgan disease called [[Lyme disease|Lyme diesease]] which is transmitted by ticks.
'''''Borrelia burgdorferi'' ''sensu lato '''''<nowiki/>''(also known as '''Borreliella burgdorferi'''''<ref>Baranton, G., Postic, D., Saint Girons, I., Boerlin, P., Piffaretti, J.C., Assous, M., and Grimont, P.A. "Delineation of Borrelia burgdorferi sensu stricto, Borrelia garinii sp. nov., and group VS461 associated with Lyme borreliosis." Int. J. Syst. Bacteriol. (1992) 42:378-383.</ref><ref>Adeolu, M., and Gupta, R.S. "A phylogenomic and molecular marker based proposal for the division of the genus Borrelia into two genera: the emended genus Borrelia containing only the members of the relapsing fever Borrelia, and the genus Borreliella gen. nov. containing the members of the Lyme disease Borrelia (Borrelia burgdorferi sensu lato complex)." Antonie van Leeuwenhoek (2014) 105:1049-1072.</ref>'')'' are bacterias of the '''Spirochetes''' class. It is one of the causative agents of the multiorgan disease called Lyme disease which is transmitted by ticks.


==Morfology==
==Morfology==


*Borelie jsou typické svým protáhlým '''spirálovitým tvarem '''(s bičíky na obou koncích), který jim umožňuje šroubovitý pohyb výhodný zejména ve vysoce viskózním prostředí [[Mezibuněčná hmota|mezibuněčné hmoty]].Tento způsob pohybu jim umožňuje překonat jak epiteliální bariéru, tak i [[hematoencefalická bariéra|hematoencefalickou bariéru]].
*Borrelia is typical for its elongated '''spiral shape '''(with flagellas at both ends), this allows helical movement, which is advantageous especially in the highly viscous environment of the [[intercellular mass|intercellular mass]].This type of movement allows Borrelia to cross both the epithelial barrier and the [[Blood Brain Barrier|blood-brain barrier]].
*Jsou také schopné vstupovat do buněk, například do [[Fibroblast|fibroblastů]], dendritických buněk a [[makrofágy|makrofágů]], a v nich dále přežívat.
*They are also able to enter cells, such as [[Fibroblasts|Fibroblasts]], dendritic cells and [[macrophages|macrophages]], and survive in them.
*Borelie jsou schopny vyvinout poměrně '''vysokou rychlost pohybu'''.<ref name="dpp" />
*Borrelia are capable of '''high speed movements'''.<ref name="dpp" />


==Fyziologie a kultivace==
==Physiology a Cultivation==


*Jsou '''mikroaerofilní''', vyžadují obohacenou komplexní půdu s N-acetylglukosaminem, aminokyselinami, vitaminy a nukleotidy.<ref name="Bednář" />
*Borrelia are '''microaerophiles''' that require an enriched complex medium with N-acetylglucosamine, amino acids, vitamins and nucleotides.<ref name="Bednář" />
*Nemají kompletní vlastní metabolickou výbavu, proto jsou '''plně závislé na hostiteli''' a nejsou schopny růstu ve vnějším prostředí.
*They do not have their own metabolic equipment, so they are '''fully dependent on the host'''. Therefore, they are not able to grow in the external environment.
*Chybí jim [[enzymy]] pro syntézu aminokyselin, mastných kyselin a nukleotidů, které získávají z hostitelského organizmu.
*They lack enzymes for the synthesis of amino acids, fatty acids and nucleotides that they obtain from the host organism.
*Jsou adaptovány na '''nízké hladiny [[Železo|železa]]''', jejichž aktivní snižování v tělesných tekutinách je jedním z hlavních mechanizmů [[Nespecifická imunita|nespecifické protibakteriální obrany]] hostitele.<ref name="dpp" />
*They are adapted to '''low levels of [[Iron|iron]]''', the active reduction of which in body fluids is one of the main mechanisms of non-specific antibacterial host defense.<ref name="dpp" />
*Borelie jsou schopny tvořit '''tzv. „non-spirální“ formy''' se sníženou metabolickou aktivitou. Jde o cystické formy a odškrcovací váčky obsahující složky [[Cytoplazma|cytoplazmy]]. Přeměna byla pozorována při vystavení klasické spirální formy suboptimálním životním podmínkám, jako je nízké [[pH]], nedostatek nutričních zdrojů nebo nízký [[osmotický tlak]]. „Non-spirální“ formy jsou schopny '''reverze''' v plně metabolicky aktivní spirální formu.<ref name="dpp">{{Citace| typ = článek| příjmení1 = Křupka| jméno1 = M| příjmení2 = Raška| jméno2 = M| příjmení3 = Weigl| jméno3 = E| článek = Lymská borelióza  – biologie, patogeneze, diagnostika a léčba| časopis = Dermatologie pro praxi| url = http://www.solen.cz/pdfs/der/2008/05/07.pdf| rok = 2008| ročník = 2| svazek = 5-6| strany = 236-239| issn = -}}</ref>
*Borrelia is able to form  '''so-called  „non-spiral“ forms''' with reduced metabolic activity. These are cystic forms and strangulation sacs containing cytoplasmic components. The transformation has been observed when exposing the classical spiral form to suboptimal living conditions such as low [[pH]], lack of nutritional resources or low [[osmotic pressure]]. „Non-spiral“ forms are capable of 'reversing' into a fully metabolically active spiral form.<ref name="dpp">{{Cite| type = article| surname1 = Křupka| name1 = M| surename2 = Raška| name2 = M| surname3 = Weigl| name3 = E| article = Lymská borelióza  – biologie, patogeneze, diagnostika a léčba| journal = Dermatologie pro praxi| url = http://www.solen.cz/pdfs/der/2008/05/07.pdf| year = 2008| the_year = 2| volume = 5-6| pages = 236-239| issn = -}}</ref>


==Antigenní vlastnosti==
==Antigen characteristics==


*[[Antigeny]] jsou vázány '''na povrchovou membránu a na bičíky'''.
*The antigens are bound to the '''the surface membrane and to the flagella.'''
*Bičíkové antigeny jsou druhově specifické. <ref name="Bednář" />
*Flagella antigens are species specific. <ref name="Bednář" />


==Faktory patogenity==
==Pathogenicity factors==


*Aktivní pohyb bičíků.
*Active movement of the flagella.
*Přítomnost '''lipopolysacharidového komplexu'''. <ref name="Bednář" />
*Presence of '''lipopolysaccharide complex'''. <ref name="Bednář" />


==Laboratorní diagnostika==
==Laboratory diagnostics==


*Přímá detekce se provádí v zástinu, ve fázovém kontrastu, [[Imunofluorescenční vyšetření v dermatologii|imunofluorescencí]], stříbřením.
*Direct detection is performed in shadow, phase contrast, immunofluorescence, silvering.
*Lymská borelióza se diagnostikuje '''sérologicky'''. <ref name="Bednář" />
*Lyme disease is diagnosed '''serologically.''' <ref name="Bednář" />


==Imunita==
==Imunity==


*V průběhu onemocnění je výrazná proliferace [[T-lymfocyty|T-buněk]] v periferní krvi, [[Mozkomíšní mok|mozkomíšním moku]] i v kloubní tekutině.
*During the course of the disease, there is a significant proliferation of T-cells in the peripheral blood, cerebrospinal fluid and joint fluid.
*'''[[IgM]]''' protilátky proti bičíkovému antigenu lze detekovat za 1–3 týdny, pak následují '''[[IgG]]''' protilátky.
*IgM antibodies to flagellar antigen can be detected in 1-3 weeks, followed by IgG antibodies.
*Protilátky lze prokázat i v [[Mozkomíšní mok|likvoru]].<ref name="Bednář">{{Citace| typ = kniha| isbn = 8023802976| příjmení1 = Bednář| jméno1 = Marek| příjmení2 = Souček| jméno2 = Andrej| příjmení3 = Fraňková| jméno3 = Věra| kolektiv = ano| titul = Lékařská mikrobiologie| podnázev = Bakteriologie, virologie, parazitologie| vydání = 1| místo = Praha| vydavatel = Marvil| rok = 1999| strany =191–192}}</ref>
*Antibodies can also be detected in cerebrospinal fluid.<ref name="Bednář">{{Cite| type = book| isbn = 8023802976| surname1, = Bednář| name1 = Marek| surname2 = Souček| name2 = Andrej| surname3 = Fraňková| name3 = Věra| others = yes| title = Lékařská mikrobiologie| subtitle = Bakteriologie, virologie, parazitologie| edition = 1| location = Praha| publisher = Marvil| year = 1999| pages =191–192}}</ref>


==Terapie==
==Therapy==


*V 1.stadiu perorálně '''penicilin''' - např. amoxicilin (v kombinaci s kyselinou klavulanovou, která nemá antibiotické účinky), či [[doxycyklin]].
*In stage 1, oral penicillin - eg amoxicillin (in combination with clavulanic acid, which has no antibiotic effects) or doxycycline.


==Dělení==
==Classification==
Druhová skupina ''Borrelia burgdorferi'' sensu lato zahrnuje:
Borrelia burgdorferi sensu lato species group includes:


*''Borrelia burgdorferi'' sensu stricto (zejm. v Severní Americe, kam byla zřejmě přenesena z Evropy);
*''Borrelia burgdorferi'' sensu stricto ((especially in north America, where it was apparently transferred from Europe);
*''Borrelia garinii'' (zejm. v Evropě a v Asii);
*''Borrelia garinii'' (especially in Europe and Asia);
*''Borrelia afzelii'' (zejm. v Evropě a v Asii);
*''Borrelia afzelii'' (especially in Europe and Asia);
*''Borrelia valaisiana'' (vzácný patogen);
*''Borrelia valaisiana'' (rare pathogen);
*''Borrelia lusitaniae'' (vzácný patogen).<ref name="dpp" />
*''Borrelia lusitaniae'' (rare pathogen).<ref name="dpp" />
<noinclude>
<noinclude>
==Odkazy==
===Související články===


*[[Lymeská borrelióza]]
==Links==
===Related articles===
 
*[[Lyme disease]]
*[[Repetitorium mikrobiologie]]
*[[Repetitorium mikrobiologie]]


===Externí odkazy===
 
===Reference===
===References===
<references />
<references />


</noinclude>
</noinclude>


[[Kategorie:Mikrobiologie]]
[[Category:Microbiology]]
[[Kategorie:Infekční lékařství]]
[[Category:Infectious diseases]]
[[Kategorie:Epidemiologie]]
[[Category:Epidemiology]]
[[Kategorie:Bakterie]]
[[Category:Bacteria]]

Latest revision as of 22:56, 1 January 2024

__BEZOBSAHU__ Template:Infobox - bakterie

Diagram of the borrelia locomotor system: (1) capsule, (2) cytoplasm, (3) flagella, (4) flagella insertion site
Life cycle

Borrelia burgdorferi sensu lato (also known as Borreliella burgdorferi[1][2]) are bacterias of the Spirochetes class. It is one of the causative agents of the multiorgan disease called Lyme disease which is transmitted by ticks.

Morfology[edit | edit source]

  • Borrelia is typical for its elongated spiral shape (with flagellas at both ends), this allows helical movement, which is advantageous especially in the highly viscous environment of the intercellular mass.This type of movement allows Borrelia to cross both the epithelial barrier and the blood-brain barrier.
  • They are also able to enter cells, such as Fibroblasts, dendritic cells and macrophages, and survive in them.
  • Borrelia are capable of high speed movements.[3]

Physiology a Cultivation[edit | edit source]

  • Borrelia are microaerophiles that require an enriched complex medium with N-acetylglucosamine, amino acids, vitamins and nucleotides.[4]
  • They do not have their own metabolic equipment, so they are fully dependent on the host. Therefore, they are not able to grow in the external environment.
  • They lack enzymes for the synthesis of amino acids, fatty acids and nucleotides that they obtain from the host organism.
  • They are adapted to low levels of iron, the active reduction of which in body fluids is one of the main mechanisms of non-specific antibacterial host defense.[3]
  • Borrelia is able to form so-called „non-spiral“ forms with reduced metabolic activity. These are cystic forms and strangulation sacs containing cytoplasmic components. The transformation has been observed when exposing the classical spiral form to suboptimal living conditions such as low pH, lack of nutritional resources or low osmotic pressure. „Non-spiral“ forms are capable of 'reversing' into a fully metabolically active spiral form.[3]

Antigen characteristics[edit | edit source]

  • The antigens are bound to the the surface membrane and to the flagella.
  • Flagella antigens are species specific. [4]

Pathogenicity factors[edit | edit source]

  • Active movement of the flagella.
  • Presence of lipopolysaccharide complex. [4]

Laboratory diagnostics[edit | edit source]

  • Direct detection is performed in shadow, phase contrast, immunofluorescence, silvering.
  • Lyme disease is diagnosed serologically. [4]

Imunity[edit | edit source]

  • During the course of the disease, there is a significant proliferation of T-cells in the peripheral blood, cerebrospinal fluid and joint fluid.
  • IgM antibodies to flagellar antigen can be detected in 1-3 weeks, followed by IgG antibodies.
  • Antibodies can also be detected in cerebrospinal fluid.[4]

Therapy[edit | edit source]

  • In stage 1, oral penicillin - eg amoxicillin (in combination with clavulanic acid, which has no antibiotic effects) or doxycycline.

Classification[edit | edit source]

Borrelia burgdorferi sensu lato species group includes:

  • Borrelia burgdorferi sensu stricto ((especially in north America, where it was apparently transferred from Europe);
  • Borrelia garinii (especially in Europe and Asia);
  • Borrelia afzelii (especially in Europe and Asia);
  • Borrelia valaisiana (rare pathogen);
  • Borrelia lusitaniae (rare pathogen).[3]


Links[edit | edit source]

Related articles[edit | edit source]


References[edit | edit source]

  1. Baranton, G., Postic, D., Saint Girons, I., Boerlin, P., Piffaretti, J.C., Assous, M., and Grimont, P.A. "Delineation of Borrelia burgdorferi sensu stricto, Borrelia garinii sp. nov., and group VS461 associated with Lyme borreliosis." Int. J. Syst. Bacteriol. (1992) 42:378-383.
  2. Adeolu, M., and Gupta, R.S. "A phylogenomic and molecular marker based proposal for the division of the genus Borrelia into two genera: the emended genus Borrelia containing only the members of the relapsing fever Borrelia, and the genus Borreliella gen. nov. containing the members of the Lyme disease Borrelia (Borrelia burgdorferi sensu lato complex)." Antonie van Leeuwenhoek (2014) 105:1049-1072.
  3. Jump up to: a b c d KŘUPKA, M – WEIGL, E. Lymská borelióza – biologie, patogeneze, diagnostika a léčba. Dermatologie pro praxi [online]2008, y. 2, vol. 5-6, p. 236-239, Available from <http://www.solen.cz/pdfs/der/2008/05/07.pdf>. 
  4. Jump up to: a b c d e  – SOUČEK, Andrej – FRAŇKOVÁ, Věra, et al. Lékařská mikrobiologie : Bakteriologie, virologie, parazitologie. 1. edition. Praha : Marvil, 1999. pp. 191–192. ISBN 8023802976.