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1
1
05/14/25
Mycoplasmas
Hugh B Fackrell
2
2
05/14/25
Presentation Outline
 Structure
 Classification
 Multiplication
 Clinical manifestations
 Epidemiology
 Diagnosis
 Control
3
3
05/14/25
Pleuropneumonia organism
 The mycoplasmas are essentially
bacteria lacking a rigid cell wall during
their entire life cycle, although they are
also much smaller than bacteria. The
first organism of this type was
associated with pleuropneumonia of
cattle, and was originally called the
pleuropneumonia organism (PPO).
4
4
05/14/25
General Characteristics
 smallest known free-living organisms.
 Because of the absence of cell walls, they do
not stain with the Gram stain, and they are
more pleomorphic and plastic than eubacteria.
 Giemsa stain
– they appear as tiny pleomorphic cocci, short rods,
short spirals, and sometimes as hollow ring forms.
Their diameter ranges from 0.15 u to 0.30 u.
5
5
05/14/25
Mycoplasma, Ureaplasma
 very small (0.2 x 0.8 um)
– pass through a 0.45 um filter
 No Cell wall: plasma membrane only
– resistant to antibiotics that interfere with
the integrity of cell wall; penicillins,
cephalosporins, vancomycin, bacitracin
 susceptible to tetracycline, erythromycin
6
6
05/14/25
Structure
 The cell is enclosed by a limiting membrane which
is more similar to that of animal cells than that of
bacterial cells because of sterols present in the
membrane.
 The cytoplasm contains ribosomes,but lacks
mesosomes. There is no nuclear membrane.
 In some strains, amorphous material on the outer
surface of the membrane suggests the existence of a
capsule.
7
7
05/14/25
8
8
05/14/25
Mycoplasma
 requires sterols for growth, can be
grown on laboratory media
 most are facultatively anaerobic
– Exception M. pneumoniae
 replication controversial
– replication time 1-6 hours
9
9
05/14/25
Mycoplasma pneumoniae
 AKA Eaton’s agent
– aerobic but very slow growing
 extracellular pathogen: attaches to respiratory
epithelium by an attachment factor called P1
 interacts with a glycoprotein receptor on the
epithelial cell surface
 ciliostasis is followed by epithelial cell
destruction
10
10
05/14/25
Clinical Syndrome
 Pneumonia
– walking pneumonia frequently
confused with virus infection
– primary atypical
– clinical
 Tracheobronchitis
 Pharyngitis
– differential diagnosis from Strep
throat
11
11
05/14/25
Children most susceptible
12
12
05/14/25
No Seasonal Incidence
13
13
05/14/25
Urethritis
 1/2 of urethral infections not caused by
Chlamydia or N. gonorrhoeae.
 Caused by
– Mycoplasma hominus
– Ureaplasma
14
14
05/14/25
Infection of Tracheal ring
Organ culture
15
15
05/14/25
Destruction of host
 due to release of hydrogen peroxide
and superoxide anion.
16
16
05/14/25
Laboratory diagnosis
 Culture:
– fried egg colonies on medium containing
sterols
– Most mycoplasmas require a rich medium
containing a sterol and serum proteins for growth.
 Serology:
– Complement Fixation test,
Hemagglutination
17
17
05/14/25
Laboratory Diagnosis
 Culture Mycoplasma from sputum,
mucous membrane swabbings or other
specimens
 direct inoculation into liquid or solid
media containing serum, yeast extract
and penicillin to inhibit contaminating
bacteria.
18
18
05/14/25
Cultural Characteristics
 Despite the lack of a cell wall, they do not
require a medium of very high osmotic pressure.
 On solid media, they form minute, transparent
colonies.
– looks like a fried egg. The different strains vary in
their growth rate
 may take from two days to several weeks to
form a colony.
19
19
05/14/25
Fried Egg Colonies
20
20
05/14/25
Fried Egg Colonies
 Stain intensely with neutral
red or tetrazolium or
methylene blue.
21
21
05/14/25
serology: complement fixation
 on acute and convalescent serum.
 patient’s serum heated to 56C to eliminate
complement
 combine patient’s serum and known Mycoplasma
antigen in presence of added complement. Mix.
 Incubate - add indicator system
– Red cells and anti-red cell antibody
– hemolysis occurs if complement is unused.
22
22
05/14/25
Hemagglutination
 Cold agglutinins to human O
erythrocytes.
 hemabsorption & B-hemolysis of
guinea pig red blood cells.
23
23
05/14/25
Identification
 conclusively identified by staining its
colonies with fluorescein-labelled
antibody.
24
24
05/14/25
M. pneumoniae Nucleic Acid
Probes
 specific recombinants to
oligonucleotide sequences that are only
found in Mycoplasma pneumoniae.
25
25
05/14/25
26
26
05/14/25
L Forms
 Some bacteria readily give rise
spontaneously to variants that can replicate
in the form of small filterable protoplasmic
elements with defective or absent cell walls.
 These organisms, called L-forms, can also be
formed by many species when cell wall
synthesis is impaired by antibiotic treatment
or high salt concentration.
27
27
05/14/25
L Forms vs Mycoplasma
 contain a rigid cell wall, at least at one
stage of their life cycle
 no sterols in their cytoplasmic
membrane.
28
28
05/14/25
Pleuropneumonia-like organisms
 Several organisms with similar
morphological characteristics and cultural
properties have been isolated. These are
commonly referred to as pleuropneumonia-
like organisms or PPLO. A certain group of
mycoplasmas produce extremely tiny
colonies on agar plates, and are called the T-
strains.
29
29
05/14/25
Metabolism
 The parasitic mycoplasmas have truncated
respiratory systems, lacking quinones and
cytochromes.
 Another indication for the simplicity of the
electron transport chain is the finding that
the reduced nicotinamide adenine
dinucleotide (NADH) oxidase activity is
cytoplasmic.
30
30
05/14/25
Arginine dihydrolase Pathway
 pathway Complex electron transport chains are
usually membrane bound, since they depend on
the spatial organization of their components.
Ruling out oxidative phosphorylation as an
ATP-generating system leaves only two proven
ways of ATP generation, both based on substrate
level phosphorylation. The major source for
ATP is the arginine dihydrolase pathway.
31
31
05/14/25
Metabolism
 A few species derive their energy from the
degradation of glucose or the hydrolysis of urea.
 All species synthesize DNA, RNA, lipids and
proteins.
 Not known if they can synthesize amino acids.
 Those species that require sterols incorporate
these sterols (mainly cholesterol) into the cell
membrane up to concentrations of 65%.
32
32
05/14/25
Multiplication
 In the absence of a rigid cell wall, the
pattern of replication is quite different from
that of typical bacteria, whose division
starts with the formation of a well-defined
septum.
33
33
05/14/25
Life Cycle of PPLO
Elementary
body
34
34
05/14/25
Fragmentation of filaments
 mechanism of division in mycoplasmas
is controversial, sequential microscopic
observation suggests that new
elementary particles arise by
fragmentation of filamentous cells
containing several discrete DNA
components.
35
35
05/14/25
DONE!!!

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Mycoplasma lecture 5 ( Hugh B Fackrell) .ppt

  • 2. 2 2 05/14/25 Presentation Outline  Structure  Classification  Multiplication  Clinical manifestations  Epidemiology  Diagnosis  Control
  • 3. 3 3 05/14/25 Pleuropneumonia organism  The mycoplasmas are essentially bacteria lacking a rigid cell wall during their entire life cycle, although they are also much smaller than bacteria. The first organism of this type was associated with pleuropneumonia of cattle, and was originally called the pleuropneumonia organism (PPO).
  • 4. 4 4 05/14/25 General Characteristics  smallest known free-living organisms.  Because of the absence of cell walls, they do not stain with the Gram stain, and they are more pleomorphic and plastic than eubacteria.  Giemsa stain – they appear as tiny pleomorphic cocci, short rods, short spirals, and sometimes as hollow ring forms. Their diameter ranges from 0.15 u to 0.30 u.
  • 5. 5 5 05/14/25 Mycoplasma, Ureaplasma  very small (0.2 x 0.8 um) – pass through a 0.45 um filter  No Cell wall: plasma membrane only – resistant to antibiotics that interfere with the integrity of cell wall; penicillins, cephalosporins, vancomycin, bacitracin  susceptible to tetracycline, erythromycin
  • 6. 6 6 05/14/25 Structure  The cell is enclosed by a limiting membrane which is more similar to that of animal cells than that of bacterial cells because of sterols present in the membrane.  The cytoplasm contains ribosomes,but lacks mesosomes. There is no nuclear membrane.  In some strains, amorphous material on the outer surface of the membrane suggests the existence of a capsule.
  • 8. 8 8 05/14/25 Mycoplasma  requires sterols for growth, can be grown on laboratory media  most are facultatively anaerobic – Exception M. pneumoniae  replication controversial – replication time 1-6 hours
  • 9. 9 9 05/14/25 Mycoplasma pneumoniae  AKA Eaton’s agent – aerobic but very slow growing  extracellular pathogen: attaches to respiratory epithelium by an attachment factor called P1  interacts with a glycoprotein receptor on the epithelial cell surface  ciliostasis is followed by epithelial cell destruction
  • 10. 10 10 05/14/25 Clinical Syndrome  Pneumonia – walking pneumonia frequently confused with virus infection – primary atypical – clinical  Tracheobronchitis  Pharyngitis – differential diagnosis from Strep throat
  • 13. 13 13 05/14/25 Urethritis  1/2 of urethral infections not caused by Chlamydia or N. gonorrhoeae.  Caused by – Mycoplasma hominus – Ureaplasma
  • 15. 15 15 05/14/25 Destruction of host  due to release of hydrogen peroxide and superoxide anion.
  • 16. 16 16 05/14/25 Laboratory diagnosis  Culture: – fried egg colonies on medium containing sterols – Most mycoplasmas require a rich medium containing a sterol and serum proteins for growth.  Serology: – Complement Fixation test, Hemagglutination
  • 17. 17 17 05/14/25 Laboratory Diagnosis  Culture Mycoplasma from sputum, mucous membrane swabbings or other specimens  direct inoculation into liquid or solid media containing serum, yeast extract and penicillin to inhibit contaminating bacteria.
  • 18. 18 18 05/14/25 Cultural Characteristics  Despite the lack of a cell wall, they do not require a medium of very high osmotic pressure.  On solid media, they form minute, transparent colonies. – looks like a fried egg. The different strains vary in their growth rate  may take from two days to several weeks to form a colony.
  • 20. 20 20 05/14/25 Fried Egg Colonies  Stain intensely with neutral red or tetrazolium or methylene blue.
  • 21. 21 21 05/14/25 serology: complement fixation  on acute and convalescent serum.  patient’s serum heated to 56C to eliminate complement  combine patient’s serum and known Mycoplasma antigen in presence of added complement. Mix.  Incubate - add indicator system – Red cells and anti-red cell antibody – hemolysis occurs if complement is unused.
  • 22. 22 22 05/14/25 Hemagglutination  Cold agglutinins to human O erythrocytes.  hemabsorption & B-hemolysis of guinea pig red blood cells.
  • 23. 23 23 05/14/25 Identification  conclusively identified by staining its colonies with fluorescein-labelled antibody.
  • 24. 24 24 05/14/25 M. pneumoniae Nucleic Acid Probes  specific recombinants to oligonucleotide sequences that are only found in Mycoplasma pneumoniae.
  • 26. 26 26 05/14/25 L Forms  Some bacteria readily give rise spontaneously to variants that can replicate in the form of small filterable protoplasmic elements with defective or absent cell walls.  These organisms, called L-forms, can also be formed by many species when cell wall synthesis is impaired by antibiotic treatment or high salt concentration.
  • 27. 27 27 05/14/25 L Forms vs Mycoplasma  contain a rigid cell wall, at least at one stage of their life cycle  no sterols in their cytoplasmic membrane.
  • 28. 28 28 05/14/25 Pleuropneumonia-like organisms  Several organisms with similar morphological characteristics and cultural properties have been isolated. These are commonly referred to as pleuropneumonia- like organisms or PPLO. A certain group of mycoplasmas produce extremely tiny colonies on agar plates, and are called the T- strains.
  • 29. 29 29 05/14/25 Metabolism  The parasitic mycoplasmas have truncated respiratory systems, lacking quinones and cytochromes.  Another indication for the simplicity of the electron transport chain is the finding that the reduced nicotinamide adenine dinucleotide (NADH) oxidase activity is cytoplasmic.
  • 30. 30 30 05/14/25 Arginine dihydrolase Pathway  pathway Complex electron transport chains are usually membrane bound, since they depend on the spatial organization of their components. Ruling out oxidative phosphorylation as an ATP-generating system leaves only two proven ways of ATP generation, both based on substrate level phosphorylation. The major source for ATP is the arginine dihydrolase pathway.
  • 31. 31 31 05/14/25 Metabolism  A few species derive their energy from the degradation of glucose or the hydrolysis of urea.  All species synthesize DNA, RNA, lipids and proteins.  Not known if they can synthesize amino acids.  Those species that require sterols incorporate these sterols (mainly cholesterol) into the cell membrane up to concentrations of 65%.
  • 32. 32 32 05/14/25 Multiplication  In the absence of a rigid cell wall, the pattern of replication is quite different from that of typical bacteria, whose division starts with the formation of a well-defined septum.
  • 33. 33 33 05/14/25 Life Cycle of PPLO Elementary body
  • 34. 34 34 05/14/25 Fragmentation of filaments  mechanism of division in mycoplasmas is controversial, sequential microscopic observation suggests that new elementary particles arise by fragmentation of filamentous cells containing several discrete DNA components.