On
Thursday, September 19, 2024, I wrote an essay on:
Origin
of Viruses, Viral Diseases and Monkey Pox
As
promised, I shall now continue with bacteria- induced diseases. Let me
fleetingly start with their origin.
Origin
of Bacteria
Bacteria
are among the oldest life forms on Earth, dating back over 3.5 billion years.
The exact origin is still a topic of debate. There are at least three
prevailing hypotheses.
The
first one is the Primordial Soup Hypothesis. It is hypothesized that bacteria
may have originated in Earth's early oceans, where chemical reactions between
simple molecules gave rise to life. Over time, these early life forms evolved
into more complex bacteria.
The
second one is the Panspermia Hypothesis where it was suggested that bacteria
(or their precursors) might have originated from space, arriving on Earth via
meteorites or comets.
The
third proposal is the Hydrothermal Vent Hypothesis. Evolutionary biologists
have hypothesized that bacteria might have evolved near deep-sea hydrothermal
vents, where extreme conditions allowed for unique forms of early life to
develop.
Having
hypothesized the origin of bacteria, let us go into their classification.
Bacteria
are diverse and can be classified based on several characteristics:
First,
are their shapes. Here are their shapes and appearances.
1. Cocci are spherical (e.g., Staphylococcus)
2. Bacilli are rod-shaped (e.g., Escherichia coli)
3. Spirilla are spiral-shaped
(e.g., Spirillum minus)
4. Vibrios are comma-shaped (e.g., Vibrio cholerae)
Secondly, are their colours after Gram staining. By this I mean a technique we use to differentiate bacteria based on the structure of their cell walls. Gram-positive bacteria show thick peptidoglycan cell wall, retain purple colour (e.g., Staphylococcus aureus), whereas gram-negative bacteria show thin peptidoglycan layer, appear pink after staining (e.g., Escherichia coli).
Thirdly,
are their oxygen requirements. Aerobic bacteria require oxygen for growth
(e.g., Mycobacterium tuberculosis), whereas anaerobic bacteria grow in
the absence of oxygen (e.g., Clostridium botulinum). Facultative
anaerobes can grow with or without oxygen (e.g., E. coli).
What
about their metabolic characteristics? Phototrophs obtain energy from light
(e.g., Cyanobacteria), whereas chemotrophs derive energy from chemical
compounds (e.g., Nitrosomonas).
Cell
structure of prokaryotic are those bacteria that lack a membrane-bound nucleus
and other organelles. This differentiates them from eukaryotes (e.g., human
cells).
Classification
by Phyla:
1.
Proteobacteria are a large group including E. coli and Salmonella.
2.
2.
Firmicutes include Clostridium and Bacillus.
3.
Actinobacteria include Mycobacterium.
4.
Cyanobacteria are photosynthetic bacteria responsible for producing oxygen in
Earth's early atmosphere.
Having
briefly explained the above, let us now have a look at the diseases they cause
(Pathogenicity of Bacteria). This area would be of interest to medical doctors
who specialize in infectious diseases.
Some
bacteria are pathogenic, meaning they cause disease, while others are commensal
or mutualistic, meaning they coexist harmlessly with their hosts or even
provide benefits (such as gut bacteria). Bacteria can become pathogenic through
several mechanisms. We shall briefly list at least four (4) below.
- Toxin Production - Some bacteria produce toxins
that damage host tissues or disrupt normal cellular processes. Examples
include exotoxins released by bacteria (e.g., Clostridium tetani
produces tetanus toxin). Endotoxins are found in the outer membrane of
Gram-negative bacteria (e.g., E. coli endotoxin).
- Invasion of Host Cells - Pathogenic
bacteria can invade and replicate within host cells, leading to tissue
damage and immune responses.
- Immune Evasion - Some bacteria have evolved
mechanisms to avoid detection or destruction by the host’s immune system.
For example, Mycobacterium tuberculosis survives within immune
cells.
- Opportunistic Infections - Certain bacteria are
usually harmless but can cause disease in immunocompromised individuals
(e.g., Pseudomonas aeruginosa).
Examples
of pathogenic bacteria and diseases they cause.
- Escherichia coli (E. coli). They are
Gram-negative, facultative anaerobe. The diseases they cause are
gastrointestinal infections, urinary tract infections (UTIs). The symptoms
presented are diarrhoea, abdominal cramps, fever. Most E. coli
infections are self-limiting; severe cases may require antibiotics.
- Mycobacterium tuberculosis (TB). These are
Gram-positive, aerobic, and the disease they cause is tuberculosis where
the symptoms presented are persistent cough, weight loss, night sweats,
fatigue. Tuberculosis is treatable with a long course of antibiotics
(e.g., isoniazid, rifampicin), but antibiotic-resistant strains pose a
challenge.
- Staphylococcus aureus (MRSA). These are
classified as Gram-positive, facultative anaerobe. The diseases caused are
skin infections, sepsis, pneumonia. Symptoms presented are red, swollen
boils or abscesses, fever. It is curable with appropriate antibiotics,
though MRSA strains are resistant to many drugs.
- Clostridium botulinum (Botulism). The
classification is Gram-positive, anaerobic, and the disease they cause is
botulism. The symptoms are paralysis, difficulty breathing, muscle
weakness. This can be treated with antitoxins and supportive care; curable
if treated early.
- Vibrio cholerae (Cholera). The
classification is Gram-negative, facultative anaerobe. The disease is
cholera with symptoms of severe diarrhoea, and dehydration. Cholera is
curable with rehydration therapy and antibiotics (e.g., doxycycline).
- Helicobacter pylori (Stomach Ulcers). Here
we classify it as caused by Gram-negative, microaerophilic. The disease
caused is gastric ulcers and gastric cancer. The symptoms are stomach pain,
bloating, nausea. Ulceration of the stomach is curable with antibiotics
and proton pump inhibitors (PPI).
Let us
now have a look at bacteria that do not cause disease (non-pathogenic
bacteria). Many bacteria are beneficial and play critical roles in human
health and the environment. Examples include gut microbiota. Bacteria in
the human intestines (e.g., Bacteroides, Lactobacillus) aid in
digestion, vitamin synthesis, and immune regulation.
Nitrogen-fixing
bacteria are Rhizobium species that convert atmospheric nitrogen into forms
usable by plants, crucial for agriculture.
The
next question someone has asked me is, why are some bacteria pathogenic? There are 3 factors that I know.
- Virulence factors. This means pathogenic bacteria
possess specific genes or mechanisms (e.g., toxins, adhesins, enzymes)
that enable them to cause disease.
- Host susceptibility. Weakened immune systems,
poor hygiene, and other factors increase the likelihood of bacterial
infections.
- Environmental factors. Bacteria thrive under
certain environmental conditions, like temperature, pH, or the presence of
nutrients, which can enhance their pathogenic potential.
Bacteria
vs. Viruses
First,
is the size. Bacteria are much larger than viruses and can be seen with a
light microscope. Viruses are typically visible only under an electron
microscope.
Second,
is the cell structure. Bacteria are living, single-celled organisms with a cell
wall, plasma membrane, and the ability to replicate independently. Viruses are
non-living, lack cellular structure, and require a host to replicate.
Third,
are antibiotics that are effective against bacteria, but not viruses.
Antibiotic misuse can lead to bacterial resistance.
Others have asked me about the curability of bacterial infections.
Most
bacterial infections are curable with antibiotics. However, the rise of
antibiotic-resistant bacteria (e.g., MRSA, multidrug-resistant TB)
presents a significant challenge in modern medicine. The development of new
antibiotics and alternative treatments (e.g., bacteriophages, immunotherapy) is
essential for managing resistant strains.
Bacteria
are incredibly diverse, with some species being essential to life and others
capable of causing serious diseases. Understanding their origin,
classification, and pathogenic mechanisms helps us develop effective treatments
and preventive measures.
I shall
in the next two articles over the week write on parasitic diseases, and
diseases caused by moulds and micro-fungi.
Hope
this is educational. Take Care with communicable diseases.
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