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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).
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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.
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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
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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.
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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
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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
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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
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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.
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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.
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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.
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M. pneumoniae Nucleic Acid
Probes
specific recombinants to
oligonucleotide sequences that are only
found in Mycoplasma pneumoniae.
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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.
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L Forms vs Mycoplasma
contain a rigid cell wall, at least at one
stage of their life cycle
no sterols in their cytoplasmic
membrane.
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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.
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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.
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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.
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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%.
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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.
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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.