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bacteria have special signal sequences that allow them to
pass through the bacterium’s double membrane. The pro-
teins secreted by Yersinia lacked a key signal sequence that
two known secretion mechanisms require for transport. The
proteins must therefore have been secreted by means of a
third type of system, which researchers called the type III sys-
tem. This kind of system acts like a kind of molecular syringe
allowing the pathogen to inject proteins directly into the
cytoplasm of host cells.
As more bacterial species are studied, the genes coding
for the type III system are turning up in other gram-negative
animal pathogens, and even in more distantly related plant
pathogens. The genes seem more closely related to one another
than are the bacteria. Furthermore, the genes are similar to
those that code for bacterial flagella.
These proteins are used to transfer other virulence pro-
teins, such as toxins, into nearby eukaryotic cells. Given the
similarity of the type III genes to the genes that code for fla-
gella, the transfer proteins may form a flagellum-like structure
that shoots virulence proteins into the host cells. Once in the
eukaryotic cells, the virulence proteins affect the host’s response
to the pathogen.
In Yersinia, proteins secreted by the type III system are
injected into macrophages; the proteins disrupt signals that tell
the macrophages to engulf bacteria. Salmonella and Shigella use
their type III proteins to enter the cytoplasm of eukaryotic
cells, and thus they are protected from the immune system of
their host. The proteins secreted by certain strains of E. coli al-
ter the cytoskeleton of nearby intestinal eukaryotic cells, result-
ing in a bulge onto which the bacterial cells can tightly bind.
Bacteria are costly plant pathogens
Although the majority of commercially relevant plant patho-
gens are fungi, many diseases of plants are associated with par-
ticular heterotrophic bacteria. Almost every kind of plant is
susceptible to one or more kinds of bacterial disease, including
blights, soft rots, and wilts. Fire blight, which destroys pear and
apple trees and related plants, is a well-known example of bac-
terial disease.
The early symptoms of these plant diseases vary, but they
are commonly manifested as spots of various sizes on the stems,
leaves, flowers, or fruits. Most bacteria that cause plant diseases
are members of the group of rod-shaped gram-negative bacte-
ria known as pseudomonads.
Learning Outcomes Review 28.5
Prokaryotes exhibit amazing metabolic diversity with both autotrophic
and heterotrophic species. Photoautotrophs use light as an energy source;
chemolithoautotrophs oxidize inorganic compounds. Photoheterotrophs
use light as an energy source and organic compounds as carbon sources.
Chemoheterotrophs use organic compounds for both energy and carbon.
Bacterial animal pathogens attack host cells with toxic proteins that disrupt
the host’s immune response, among other eff ects.
■ Why is metabolism a better way than morphology to
characterize prokaryotes?
28.6
Human Bacterial Disease
Learning Outcomes
Describe common human bacterial pathogens.1.
Explain how bacteria can cause ulcers.2.
Identify sexually transmitted diseases caused by bacteria.3.
In the early 20th century, before the discovery and widespread
use of antibiotics, infectious diseases killed nearly 20% of all U.S.
children before they reached the age of five. Sanitation and anti-
biotics considerably improved the situation. In recent years,
however, we have seen the appearance or reappearance of many
bacterial diseases, including cholera, leprosy, tetanus, bacterial
pneumonia, whooping cough, diphtheria, and Lyme disease
(table 28.1). Members of the genus Streptococcus are associated
with scarlet fever, rheumatic fever, pneumonia, “flesh-eating dis-
ease,” and other infections. Tuberculosis, another bacterial
disease, is still a leading cause of death in humans worldwide.
Bacteria have many different methods to spread through a
susceptible population. Tuberculosis and many other bacterial
diseases of the respiratory tract are mostly spread through the
air in droplets of mucus or saliva. Diseases such as typhoid fever,
paratyphoid fever, and bacillary dysentery are spread by fecal
contamination of food or water. Lyme disease and Rocky Moun-
tain spotted fever are spread to humans by tick vectors.
Tuberculosis has infected humans
for all of recorded history
Tuberculosis (TB) has been a scourge to humanity for thou-
sands of years. There is evidence that peoples from ancient
Egypt and pre-Columbian South America died from TB; the
TB bacillus (Mycobacterium tuberculosis) has been identified in
prehistoric mummies. TB afflicts the respiratory system, thwarts
the immune system, and is easily transmitted from person to
person through the air.
The spread of tuberculosis
Currently, about one-third of all people worldwide are
regularly exposed to Mycobacterium tuberculosis. An estimated
9.27 million new cases were diagnosed, and 1.8 million deaths
occurred in 2007. In 2006, the World Health Organization re-
ported the incidence of TB falling in five of six WHO regions,
but the numbers continue to rise in Africa driven by the spread
of HIV.
Since the mid-1980s, the United States has experienced a
resurgence of TB. This peaked in the mid-1990s and has been
declining since, although the rate of decline is leveling off. The
latest statistics from the CDC indicate 13,300 TB cases in 2007,
down from 13,754 cases in 2006.
Tuberculosis treatment
Most TB patients are placed on multiple, expensive antibiotics for
six to twelve months. Alarming outbreaks of multidrug-resistant
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Diversity of Life on Earth
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