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00:03 | OK. Wait a it. Mhm. Mhm. Hey folks, |
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00:53 | . Um Let's see. So are close excited or just had enough of |
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01:07 | ? I, I don't know, seems to be that I, I |
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01:11 | with that. Not I can be person. No, even faculty. |
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01:16 | get a point where it's I had . So anyway, yeah, it's |
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01:22 | anyway. Um OK, so we're finish up 25. No, I'm |
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01:30 | gonna finish. We're gonna start We're gonna finish our vaccines. Um |
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01:35 | through a good chunk of 25. We are gonna be going all the |
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01:39 | through, maybe pure delight or this through the uh 27th, right? |
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01:45 | we're, we're gonna have to, going through it but this day |
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01:49 | because I already put together all the for each of the next a couple |
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01:54 | weeks and so this week and next so we'll have roughly a couple of |
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01:59 | to do, but it'll take probably 30 minutes to cover. So it |
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02:02 | be a full day on the 20 or 27th. Excuse me, |
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02:07 | not a full day on the But there will be a day. |
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02:11 | . So, um, all So, uh, so in terms |
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02:17 | this is the usual stuff, weekly you got this week, smart work |
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02:20 | not due until next Monday. Um And then uh we got the |
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02:27 | quiz and then one more assignment or couple more uh for smart work to |
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02:32 | everything up. But uh the exam or I'm sorry, last week. |
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02:38 | yeah, nearly pretty average. Uh I know a drop date is coming |
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02:44 | and I think it's tomorrow, I . Um and so the question |
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02:49 | what's my grade? What do I to get whatever, you know, |
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02:53 | a final grade? Right? So is not new, this is, |
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02:57 | in the syllabus, it gives you by step, do this, do |
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03:00 | , do this, do this. . So um you know, in |
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03:04 | smart work grade it's not posted on but it's, if you go to |
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03:07 | smart work site, that percentage is great. It's the same thing you |
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03:12 | that you're gonna see on black. I'm not just because it's not a |
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03:16 | doesn't mean it's, it's not what is, right? So what you |
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03:19 | on a smart work, that's your work grade, whatever your percentage is |
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03:24 | through all the assignments you got because represents an average of your, of |
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03:28 | smart work grades. And so that is your smart work grade right? |
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03:32 | this point. So, so remember blackboard quizzes smart, work quicker |
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03:37 | So for quicker grade, uh tally your top 14 scores or something. |
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03:44 | . You, you're just trying to an estimate, ok. And it'll |
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03:47 | a close enough estimate for what you and then um exam average. So |
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03:52 | that you got three exams right? right? So your sum total, |
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03:57 | you don't, your sum total, divide, add all those numbers |
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04:00 | divide by 170.83 because you've got 83% your grade. You have one more |
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04:05 | to go yet. Ok. So give you an estimate. Uh If |
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04:10 | want to know the question of what I need to make an exam |
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04:13 | to get yada yada grade in the , right? I don't know, |
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04:17 | plug in 100 plug in 100 for , four, that'll at least give |
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04:21 | your upper ceiling, right? That's max you'll be able to make, |
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04:25 | ? Um So, uh, but remember, you know, if you |
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04:29 | figuring exam four score, now you've 100%. So you need to, |
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04:33 | don't need to divide by anything. by one, right? So |
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04:36 | so that's gonna be, that's what would do, right? So that |
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04:39 | give you uh your upper estimate for you can again, estimate, estimate |
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04:44 | where you can be if you want in, I forget what it |
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04:48 | The extra credit is like a half for the evaluation. I think you |
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04:53 | a half point to whatever it says the syllabus. So you can add |
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04:56 | on there too if you want and can figure out your clicker grade extra |
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05:00 | too. So you add that So you're just trying to get an |
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05:04 | . Ok? And it'll be close for what you need to know. |
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05:07 | . So, and now I'm gonna this out in the email as |
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05:11 | But again, it's the same stuff in the syllabus, right? |
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05:13 | but I think what people fail to is they forget to, to divide |
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05:19 | . So, if you're only going three exams, divide it by 28 |
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05:22 | , right? So, anyway, know, um, I'll, I'll |
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05:25 | this in, in an email, send out later today. Um, |
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05:31 | , um, any questions, any ? Um, so, I don't |
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05:38 | . See, I looked at the site, there's nothing about when the |
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05:42 | opens for the last exam. And not, that's typical because CASA |
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05:48 | especially when the final week comes I think they're kind of still juggling |
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05:54 | for different classes and things. So is yet set in stone. |
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05:59 | um, because normally it would always two weeks before, right when the |
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06:03 | are open. So I didn't know . I just looked, um, |
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06:07 | I'm guessing it will pop up uh, in any case, |
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06:12 | that's still a a ways away. uh what else? I think that's |
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06:20 | . OK. So, uh I'm beginning here. Uh let's go |
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06:27 | . OK. So here's the OK, let's get the old |
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06:33 | brain cells cranked up here. Let me get that out of the |
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06:37 | . All right, let me pause . So, as you're looking this |
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06:43 | , so we're talking about vaccines, ? When we finished up chapter 24 |
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06:48 | the immune system, right? T , T cells and their functions and |
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06:53 | vaccines, right? We looked, looked at, you know, a |
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06:58 | . And uh so of course, try to get the if you can |
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07:02 | , construct your vaccine to, to your chemo immunity B cells and |
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07:11 | your cell media, immunity T cells both of those going is ideal, |
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07:18 | not necessarily always possible, but that's you try to do. OK. |
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07:23 | of course, there's various types of of a vaccine as you can see |
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07:27 | the list here. OK. So looking for an a virulent, a |
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07:31 | means not, not um able to disease. And that's what a virulent |
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07:38 | . OK. So uh I'm going assume we're gonna get about 95% correctness |
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07:47 | this. Heard some laughing out there . Um V two. OK. |
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08:12 | , not quite 95%. OK. All right. So the key things |
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08:27 | , virus, right? Um A are capable of replicating. Those are |
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08:32 | key terms OK, because that's what the, that's why we call this |
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08:39 | live attenuated vaccine. OK. If people replicating it such means it's, |
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08:45 | can affect, it can do its inside of the cell. But the |
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08:49 | part is it can't, uh, can't kill the cell. Ok. |
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08:54 | it can replicate um, the, , and then show an right and |
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09:00 | , and then stimulate your immune system that's alive, turning the vaccine. |
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09:06 | . And so the types we looked last time, OK. Um The |
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09:15 | not just attenuated, but live but the line inactivated. So it's |
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09:19 | really able to replicate uh but but um still. So and of |
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09:25 | the uh toxoid which can many, toxins, diseases, diseases like pertussis |
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09:31 | um um tetanus uh boxes and these all toxin producers. So there's vaccines |
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09:37 | that um the subunit uh likely the safest type, right? The uh |
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09:45 | only the um uh parts that are , not, not using a whole |
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09:52 | , but just taking parts, but stimulate the immune system and cloning those |
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09:57 | there are different forms you can but it's, you know, you're |
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09:59 | a part, sub part that so the virus like particle is basically taking |
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10:10 | parts and the self assembling them into virus. But it's basically at the |
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10:15 | shell, right? But part of assembly includes the antigen parts of the |
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10:21 | shown here. OK. Again, inject that then and stimulate the, |
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10:27 | humor, humor role, I these uh antibodies to it. |
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10:34 | um OK. So we're gonna look some of the, some different ones |
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10:38 | we finish this up. And um these uh here, I don't really |
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10:45 | this other than what you see in slide. And that's um there's not |
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10:50 | many of those, that's why um of using uh the outer membrane of |
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10:55 | gram negative, right? Which is lipid bilayer. So you can take |
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10:59 | parts and they'll self assemble into a . OK? But in that, |
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11:04 | include, again, um the right, in this case, the |
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11:09 | is a capsular um part of that the answer. So um so we'll |
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11:17 | at these other three here. So polysaccharide vaccines. So remember, |
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11:24 | in general, like the best antigens those proteins you get good binding with |
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11:29 | antigens and that typically translates into uh robust immune response, right? That |
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11:37 | binding. And um so carbohydrates don't that as much rapids even less. |
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11:44 | , but you still can get a , you know, you you you'll |
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11:46 | a response just won't be as strong antibodies might not be as, as |
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11:52 | as they otherwise would, but something better than nothing, right? And |
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11:56 | , and that's what these vaccines um , that's how they work. And |
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12:02 | the um um so also remember that sacro being very big, right? |
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12:08 | can do that the um uh T um independent, right? P cell |
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12:18 | activation of the B cell, And so, but what's, but |
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12:22 | downside of that, it's not generally strong, but nonetheless, you |
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12:26 | uh the vaccine, uh pneumococcal uh , obviously, meningitis vaccine is this |
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12:34 | um conjugated back. So you actually these stronger, right by hooking on |
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12:41 | protein to it as you see OK. And that's um they call |
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12:49 | . So you're conjugating, you're adding other molecule to it, it makes |
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12:52 | a stronger response in this case by involving now, t cells that become |
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12:58 | part of activation. And that's, typically these two with stronger response |
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13:05 | OK. Um So the last of kind of focused these two types, |
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13:12 | we see in the COVID vaccine, . Um Nucleic acid uh vaccines. |
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13:20 | so COVID vaccines, well, some them are built around the R N |
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13:25 | molecule. OK. And so the here is that you um you have |
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13:32 | uaic acid form of the antigen, ? So if an COVID is a |
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13:38 | spike, you have the sequence that for that. Uh In case of |
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13:42 | Pfizer vaccine, it's the M R A that translated into that viral um |
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13:50 | protein. OK. And so injecting , right? So it's a mus |
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13:56 | injection. OK? And um muscle of course have um multinucleate. |
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14:04 | And so they can take in this an example of a plasmid, |
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14:08 | using a plasmid that carries the gene the whatever the engine is. |
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14:14 | And then you get into the So take it in. Um |
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14:17 | and then begin to express it, ? And it shows up on, |
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14:22 | know, the cells on the right, stimulates the immune system. |
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14:27 | ? Can also get T cells So you stimulate the immune system this |
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14:33 | . Um the so the vehicle is again the the nucleic acid but very |
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14:44 | you kind of have to put some things with it, with this |
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14:48 | right? So sometimes um especially with Pfizer vaccine, the the the the |
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14:56 | , the M R N A itself to be kind of stabilized and enter |
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15:00 | cell and, and you'll typically have molecules that will help that happen. |
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15:07 | . So I don't know how common is if it's a DNA vaccine that |
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15:11 | pure DNA, you have to have stuff in there to kind of help |
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15:14 | get into cells and things like that stabilize it. OK. So just |
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15:19 | just mentioned that because it's not always as simple as what you see in |
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15:22 | picture there, OK. There's could the other molecules along with it to |
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15:26 | stabilize and get into cells. And so the common in vaccines, |
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15:32 | is actually what the while the um moderna or of the nucleic acid |
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15:40 | specifically R N A OK, the vector vaccines that was J and J |
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15:48 | . Uh but in general, these using a virus, a very common |
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15:54 | Denno virus. Um and, and which are DNA viruses and you manipulate |
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16:01 | DNA. So it's not, it cause disease but can uh you |
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16:07 | you carry, it carries a gene you put in there. OK. |
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16:10 | it affects the cell, then the expresses the, the answer. |
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16:15 | And in this example, here is flu virus. So it's the gene |
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16:19 | the one of these spike proteins H . So the geno clone into the |
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16:25 | genome and then expresses it. And then of course, it means |
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16:30 | can respond to that, right? if we look at um the COVID |
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16:35 | , so this is what the and this is of course, the first |
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16:39 | . OK. So there is, a term we use or that's used |
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16:46 | the vaccines is, is monovalent uh see bivalent vaccines. Um And so |
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16:59 | current COVID vaccine is a bib Does anybody know what my vaccine would |
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17:05 | ? I guess now there's more than is COVID, right? There's homo |
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17:12 | homo variants, right? Variants in spy protein. OK. And so |
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17:21 | is uh called B A four B five. So by the vaccine, |
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17:25 | can have both of those in That's a, you have both variations |
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17:30 | in the vaccine. A much more uh better vaccine, right? Because |
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17:36 | you're counteracting both types of variants that out there. OK. And so |
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17:41 | the first generation were mono because there only one predominant type around until it |
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17:49 | . OK. So um so both of course, center on that, |
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17:56 | particular energy. OK. They they just have a delivery of it |
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18:00 | , in, in two different It is basically a difference here. |
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18:03 | . So um looking at the Pfizer vaccine, OK? Again, |
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18:10 | the, but they're, we're just the mode of delivery if you will |
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18:17 | um get this engine to, to your immune system in the vaccine. |
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18:22 | uh the Pfizer vaccine involves uh using R N A. So just just |
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18:27 | um sequence, the M R N basically that will translate into that. |
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18:33 | . So you have, because we're this, of course is for humans |
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18:37 | Caros, right? We have to the elements in that enable uh an |
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18:45 | R N A to get into a and be express. OK? You |
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18:49 | to have those parts on it. ? Um It's not just enough to |
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18:54 | the sequence that pro rea you gotta these other parts, right? Because |
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18:59 | it goes into the nucleus. Um sorry, it gets um translated and |
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19:06 | don't need to have these other parts it. OK? And also for |
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19:10 | . If you don't have this on , this poly a tail, it |
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19:14 | rapidly degraded, right? So it to look like any other transcript that |
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19:18 | be in the cell and that's what's your transcript. So, um and |
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19:25 | M R N A is what's in vaccine. OK. Kind of in |
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19:30 | next slide, it will show you of what else is added to |
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19:32 | OK. And so uh basically it's and M R A enters a cell |
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19:37 | you express it and those spike proteins up on the surface, right? |
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19:43 | your immune system cells, T e cells can both be stimulated. |
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19:50 | ? Now, the um and so are a form I mentioned this |
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19:55 | but Nesic antibodies, right? They the virus, the virus can't buy |
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20:00 | whole cell or, or, or like that. So um and |
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20:07 | and the R N A itself that's there, it gets into your |
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20:11 | it gets, it gets into your , the cell is depressed and the |
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20:14 | N A actually gets degraded after a . It kind of just leaves your |
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20:18 | . OK? Um Now the, J and J vaccine, oh forgot |
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20:24 | . I, I only put this in here just to really just show |
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20:27 | this, OK? That it's not the R N A by itself, |
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20:34 | not just this, but this plus it called the coated, right? |
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20:42 | to get into the cell. Uh What these specifically are is of |
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20:48 | a secret, not secret, but enables the, the uh entry of |
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20:54 | R N A into the cell. . So, and that's not uncommon |
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20:58 | any kind of a nucleic acid vaccine you have to add these things to |
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21:03 | and allow it to help enter the . OK? Um The J and |
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21:08 | vaccine. OK. Uh again, , right? Still the same spike |
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21:15 | . Um But we're going to clone into a virus, the, in |
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21:20 | case, uh I think it's a virus DNA of that virus. |
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21:25 | but we're taking out the parts that it virulent, right? So it's |
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21:29 | really gonna express that that antigen and a cell cell eventually then expresses |
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21:35 | right? And so again, this gets B cells and T cells uh |
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21:40 | . OK. Um Now the just not anything you need to know you |
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21:49 | which is better J and J or . Well, um J and |
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21:54 | well, Pfizer Moderna uh are uh little bit better in terms of um |
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22:04 | serious disease uh or causing infections, better, but in terms of |
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22:09 | they're not that far off right in the hospitalization. So the worst effects |
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22:14 | COVID, uh both types are kind not that far apart. Uh They |
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22:20 | recommend I think if you've had JJ get the Pfizer booster every time, |
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22:27 | any case. So that's, that's the two types. There were any |
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22:32 | about any of those. OK. uh So that summarize summary of the |
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22:41 | types. Again, don't, I'm not gonna ask you things like |
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22:48 | kind of a vaccine is made against . Don't, don't even know those |
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22:51 | of things. All right. Just , what are the types, how |
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22:54 | differentiate each type? OK. Um , somewhat, more general things |
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23:00 | than, than what type of, type of which disease and so |
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23:05 | OK. Um OK. So next 25 right? So we got a |
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23:13 | of quicker slides here. OK. let's start with this one. |
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23:20 | So, uh the layout here of chapter is um, some of the |
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23:27 | we talked about before. OK. my cry pa genesis is all |
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23:34 | of course, we've been looking at much all, all we've been looking |
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23:37 | is how your body fights this disease now. I'm gonna turn the |
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23:42 | look at the other side, How the pathogen get around all of |
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23:46 | various defenses, right? And so kind of begin with the basics, |
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23:52 | is OK. It's, it's here . How does it get to |
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23:56 | But all terms involved in different ways can acquire it and this and that |
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24:01 | ? Then we'll get into specifics of actual, how it causes disease. |
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24:07 | . So, um, if I opened this up, we already be |
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24:11 | with this question. Now, now can, now you can answer sorry |
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24:35 | . Mhm OK. Let's count down . OK. Okey doke. And |
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24:58 | see. Yeah, of course, where you're gonna find the pathogen, |
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25:04 | ? A reservoir of infection. So um, look at this question here |
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25:11 | there'll be a question popping up Just give me a second there. |
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25:15 | is B what is Fox B? . Is box B? So what |
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25:44 | box B represented? So what, do you think? What fits the |
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26:11 | ? What fits the best? What want? OK. And which, |
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26:31 | one fits best in box B All right. Correct virulence factors. |
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26:41 | . So um that of course, reservoir here. All right, let's |
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26:53 | . Transmission, right? I think have it on the next slide. |
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27:00 | . So um all about brillance right? Which is basically what we're |
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27:04 | be honing in on here for the of these chapters, different types of |
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27:09 | for different things, right? So of the infection as having different |
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27:14 | right? Um There are factors needed the beginning that aren't needed later |
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27:21 | right? Because pathogens have to get you, right? Once they're into |
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27:26 | , they have to maybe stick on cells. Uh they maybe need to |
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27:30 | out somewhere and then maybe later on some toxins and whatnot all there was |
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27:35 | course pathogen. But um but there , it was kind of a sequence |
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27:41 | kind of um an infection in most which I many of these factors are |
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27:47 | , antibiotic resistance can be transferred uh looked at these earlier, right? |
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27:53 | um conjugation, transformation, et OK? Um transduction. And |
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27:59 | um so the various virulence factors are these kinds of functions, right? |
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28:06 | to your cell colonizing, right? proliferating. Um sometimes they get inside |
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28:13 | cells, right? Obviously, buyers do that. But remember we're gonna |
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28:17 | examples of bacterial pathogens that do this well, not for the purpose of |
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28:23 | just for for kind of hiding out the cell. OK. Um Using |
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28:27 | as a way to get elsewhere in body. OK. Kind of like |
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28:32 | you like a hijacking, driving, the cell around different parts of the |
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28:36 | , so to speak. Ok. certainly they can do damage to |
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28:40 | OK? And um affect the immune in different ways, right? They |
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28:45 | sometimes shut off complement activation. Um can uh kind of take over uh |
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28:52 | certain immune system themselves and immune system can't do what they normally do so |
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28:58 | ways they affect. OK. All course, obviously, in an effort |
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29:02 | get over these, right? Your in various ways. OK. And |
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29:09 | can be quite sneaky about it. . So, um, so primary |
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29:14 | opportunistic pastors, we also mentioned this , right? So let's look at |
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29:17 | question about that shame. Mhm. . 143. OK. So, |
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30:44 | , so some very opportunistic pathogens arise your own microbial. OK. |
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30:52 | they're on you. Um, they're only right now, they're just |
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30:58 | you know, they're held in so to speak or they're not able |
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31:01 | get to other parts of your Um, um, but where they're |
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31:06 | and where they're at right now, . They're, they're not causing any |
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31:09 | . Ok. So, um, primary passengers are not like that, |
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31:14 | not part of your Toyota. You have Ebola just sitting on you |
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31:20 | Ok. Just hanging out. It would be there. You required |
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31:25 | , it's gonna cause an infection. . Um, so for that reason |
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31:32 | doesn't fit, right? Um, pathogen. Staff, no staff is |
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31:38 | an example of a typical example of opportunistic type. So you have on |
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31:45 | nose, very typical, uh different of your skin, right? They |
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31:49 | issues. Usually when you have, , um, when they get into |
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31:54 | of your body, they don't normally either through a, usually through a |
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31:58 | of your skin or puncture of your . Now, they get into areas |
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32:02 | they don't normally reside and that's when can kind of cause issues. |
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32:08 | the primary pathogen wouldn't originate in your , but this, that could certainly |
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32:14 | true. So when your immune system compromised and check can, um, |
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32:23 | , than a lot of chronic so that could be, that could |
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32:27 | true. The, um, you have heard of, uh, |
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32:31 | see the cell, the cell, heard of that one, right? |
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32:36 | commonly elderly can get susceptible to Um, and that happens when you |
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32:42 | that in your gut, but when on antibiotics, it can upset the |
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32:46 | and then they can, they uh, emerge. Um, so |
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32:51 | ones can be opportunistic, but they're gonna originate from what you've already |
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32:55 | Ok. Um, so an example brillance factors, right? Don't memorize |
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33:02 | number one, just an example to you what are the types of things |
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33:06 | can do a certain type of this causes things like um strep |
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33:15 | Um it's called fever, uh different of uh skin infections, flesh eating |
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33:22 | . You probably heard of that, that. But there's a whole host |
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33:26 | um various factors when using enzymes and can break apart the connection between tissues |
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33:33 | penetrate deep um and uses to help stick the cells of toxins that cause |
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33:41 | effects. Um The uh that's a term term kind of for uh the |
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33:51 | that they can allow them to inside . That's our immune system for the |
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33:57 | , a number of different enzymes. also surface proteins to help them stick |
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34:02 | do other kinds of functions. So the other point here is that um |
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34:08 | one. Yeah, say staff works necessarily have every single one of |
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34:15 | OK? What they possess any given , it's what they can use, |
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34:20 | it's down for them to have every type here. OK? But they |
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34:24 | certainly have a collection of these Staff typically very commonly have things like |
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34:30 | , how you it's pretty common. some of the evidence, some |
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34:34 | some constantly don't. But yeah, you understand the point here they can |
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34:40 | this one here protein A this is that can uh kind of uh bypass |
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34:45 | effect of an antibody, right. , antibodies, right? This is |
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34:49 | antibody binding site here, right? yet this protein, a factor on |
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34:55 | surface is binding the F C portion the antibody, right. So essentially |
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35:02 | the antibody can't do anything to it the antibody binding sites aren't binding to |
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35:07 | . It's taken by the tail, to speak in the front of the |
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35:13 | , that's very sneaky. OK. these are kind of things they can |
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35:17 | . OK? They can also secrete that destroy the antibody altogether. |
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35:23 | So again, just example of what talking about here. So um could |
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35:30 | cytic membrane or DNA, could that considered a appearance factor? Remember we |
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35:42 | that example way back of uh E K 12 lab string versus E coli |
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35:49 | 157 separated them was one has virulence , right? Genes for those |
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35:56 | That separates it from K 12. what do they, what do they |
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36:01 | have? You got a cytoplasmic They these are the things that you |
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36:07 | , all, all, all stranges gonna have. So it's not something |
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36:10 | separates them in terms of being a . OK? Just having DNA is |
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36:16 | factor, just having a membrane is factor, right? It's a part |
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36:21 | what any living cell is. Has , but unique things that enable them |
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36:26 | cause disease. But yeah, that's be a good spot. OK. |
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36:31 | just keep that in mind. Um Now, all right. So |
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36:37 | the question. So now we're gonna into um the, I'll back it |
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36:43 | here. We're gonna get two in . Um How they get in different |
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36:53 | . They can uh transmit from their to you different ways. And so |
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37:05 | one, each type is kind of and type, type has kind of |
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37:12 | particular way it gets into your right? Um It kind of depends |
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37:20 | their reservoir in many cases. So here we're talking about a G |
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37:25 | tract pathogen. OK. Intestinal. Pastor. OK. The survey |
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38:14 | OK. So what are the Yeah, see food born and um |
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38:26 | water right here and here. So I think of fecal contaminated |
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38:33 | right? Fecal contaminated water. Uh food born. OK. So um |
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38:41 | obviously that means F F is the dancer here. OK. So um |
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38:46 | , so air can be a um soil can be a vehicle, |
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38:54 | food. And so um but we'll start with reservoir what you talked |
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39:01 | That's the source. So if you and listen to be an outbreak of |
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39:06 | , right? If you just want study and you think, where am |
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39:10 | gonna find it? Wherever that That's the reservoir. Ok. Like |
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39:16 | can see for many of them, reservoirs, many human diseases are, |
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39:22 | not humans, there's an outbreak, because of the humans carry it, |
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39:25 | ? Carriers, asymptomatic carriers. Um is also very common. So, |
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39:34 | it's very likely the next pandemic will from some sort of zoonotic disease. |
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39:40 | don't yet know, don't yet know COVID origin of COVID um about to |
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39:46 | active, specific bat species. Um so it's uh it's making that leap |
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39:54 | from the animal and human uh that can um be dangerous. And |
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40:00 | , um but then of course, we call an or environmental. |
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40:05 | soil and water, many different uh a way to many different pathogen |
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40:11 | Um And so all the focus on , bacteria, viruses. Uh remember |
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40:18 | things are pathogens to pro or pro in the category of G I tract |
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40:25 | , foodborne, waterborne, typically, . So um the um and in |
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40:32 | of transmission from these various reservoirs, takes different forms. So um |
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40:40 | So there's different categories of contact right? Direct contact, touching someone |
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40:46 | somebody's sexual contact, that's direct, that way, um indirect. So |
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40:54 | um it could be a somebody uh right could be a fomite. Um |
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41:05 | needle, a dirty needle could be fomite. Um any kind of inanimate |
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41:11 | , right? The doorknob, The door handle, these could all |
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41:14 | potentially to be fomites. The inanimate contains the pathogen, then you touch |
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41:21 | and then touch yourself, then you right. That's indirect via fomite a |
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41:28 | . So there is as it may , there there is there is to |
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41:34 | and droplet, it has to be distance that travels the droplets travel. |
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41:40 | um short distance drop infection, which of course you get in close |
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41:45 | . So he sneezes and you're in vicinity and you acquire it right. |
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41:50 | And then vehicle transmission of these three , waterborne air food or more fairly |
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41:58 | , right? Contaminated water. Um But doesn't always have to be |
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42:04 | . Um If you don't, uh a disease um uh legionella, |
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42:10 | It causes a type of pneumonia that transmitted through uh typically through um H |
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42:17 | systems, right? Air conditioning. because commercial where the air conditioners, |
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42:23 | are big rightly on water, evaporation water that then is that is uh |
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42:30 | and then a it and and heat and whatnot to provide cool air. |
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42:36 | water isn't. It just is never systems never cleaned out and disinfected that |
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42:41 | is just standing there that can, can um and contain the regional |
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42:47 | Um But certainly physical contaminated water, , um airborne, typically through microbes |
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42:54 | travel through dust particles, pet Um So, obviously, you |
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42:58 | uh air filters can trap some of things and minimize them. But um |
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43:04 | is probably the most common mode of transmission of diseases. They can |
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43:09 | you know, the respiratory illnesses that out there. A common cold, |
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43:12 | ? How prevalent that is uh et cetera, right. So, |
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43:17 | if a food born, of course in different forms, it's not just |
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43:22 | food, it also begins with the in various ways, whether it's, |
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43:28 | , not using sanitary practices, Um, not wearing gloves when you're |
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43:32 | food, talking about food workers, , not having gloves on. |
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43:38 | food is not sitting out and should refrigerated or so forth. So all |
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43:43 | these can lead to, um, illness. Now, uh, so |
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43:49 | get into accidental transmission. That's not be a common one. Lyme disease |
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44:01 | due to a tig, uh, the bacteria, but the tick |
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44:07 | of course, hitch has arrived on animal, typically a deer or |
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44:12 | uh, depending on the environment where is. And, um, humans |
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44:19 | down with this, uh, like the eighties, I wanna say, |
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44:23 | , or late seventies when due to natural human expansion, right? We |
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44:30 | grows, you need to build houses malls and blah, blah, |
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44:33 | right? And so now you, cutting out forested areas and things humans |
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44:38 | interject themselves into one of these life , right? So, so the |
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44:41 | is maybe has this life cycle where uses a, an animal and then |
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44:45 | and that, but the human animal injected in there and they get bit |
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44:49 | that's when you can acquire, that's what we call accidental, |
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44:54 | The human is not normally there, then by accident is now, is |
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44:58 | there. He gets bit, for . Right? A lot of examples |
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45:02 | accidental transmission. But that's certainly Yeah. Oh, yeah. That's |
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45:13 | . Um, so, yeah, think of that. Um good |
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45:18 | Yeah. Actually sticking yourself in a . Wow. Yeah. Yeah, |
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45:22 | . Right. Good. Um uh transmission. So mother child, mothers |
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45:29 | passes on the child. OK. Vector. OK. So, |
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45:37 | but your transmission mechanical. So house lands on a piece of garbage or |
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45:44 | it flies on you, right? its legs are touching theoretically, maybe |
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45:50 | gonna be transmitted to you. That's moco mechanical. OK. Uh |
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45:56 | of random more or less, It's uh um theoretically a number of |
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46:01 | types of, I guess micro types be passed on that way, but |
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46:06 | more or less kind of a random , biological transmission. Uh That's a |
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46:11 | cycle. So think for something like . OK. Which involves uh proto |
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46:17 | and involves a mosquito. So it's of a definite life cycle. Um |
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46:22 | what we call biological transmission. So, um so again, all |
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46:28 | ways. Uh and again, I'd respiratory uh it's gonna be the most |
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46:34 | probably followed by waterborne or probably second my desk and then food born. |
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46:41 | . Um ok. So let's look this question here. So we're gonna |
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46:46 | at a little bit about Lin's factors are beginning to at least. So |
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46:53 | gonna be kind of a pattern right infection. OK. So we have |
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47:02 | transmission to a host you, for . And then what are the things |
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47:08 | can happen? Ok. So it's listing a bunch of virulence factors, |
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47:30 | some virulence factors are meant for different of the infection cycle. OK. |
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47:54 | we're looking for those that contribute to ability to penetrate, typically penetrating tissues |
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48:01 | or hide from your host defenses, from the immune system. OK? |
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48:16 | that from five. Remember, don't afraid to pick all the above. |
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48:28 | right. Here we go. I I influenced a number of people on |
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48:35 | one. In fact, it is of these can help you do both |
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48:39 | these. In fact, so invasions help you and help get, get |
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48:49 | of a cell, right? That's from the immune from your immune |
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48:54 | right? The capsule, a here's our, here's our pathogen. |
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49:00 | a capsule on it. Now you're up its antigens. And so making |
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49:08 | less susceptible to your immune system managing , right? That's that one where |
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49:13 | can change your pattern of manage, ? Hide from the immune system that |
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49:18 | these two um lead to either penetrating tissues. Uh coag is coagulation is |
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49:28 | of help it wall itself off from infection. So it can't find like |
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49:33 | barrier, so to speak. So these, it can either penetrate |
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49:37 | and or um hydro an immune Ok. Um Now, so here's |
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49:45 | of the process here. OK. So, portals of entry, |
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49:52 | So the way the microbe gets into , ok? And so this and |
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49:59 | these forms here uh through your G I G U tract respiratory |
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|
50:08 | um pathogens that, that use typically respiratory tract pathogens, adherence is typically |
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50:14 | big part of their what they do to your cell types, OK. |
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50:19 | these particular areas, uh skin like can see natural openings in the |
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|
50:26 | um sweat glands, pores, but uh eyes, right? The uh |
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50:36 | came by yesterday um mentioned to me the eye drops that is infected with |
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50:44 | like 50 something people coming down with . Um Somebody lost their eye because |
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50:50 | it. So, um but that's way to penetrate the body through that |
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50:55 | the eyes. Um Pre route that's gonna be through some kind of wound |
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51:00 | . Ok. Breaking the skin, have you and then introducing microbes. |
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|
51:05 | Now, here's a question. 157 is a food borne pathogen. |
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|
51:11 | . Um You're gonna get it through of food typically. Um Could it |
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|
51:20 | a skin infection? This kind of to this idea of what we |
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|
51:26 | right. And could it cause a infection? They may think it cause |
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|
51:31 | skin infection. Skin infection actually. I think the worst you get is |
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51:39 | of a rash, right? Because is not built to be to infect |
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|
51:44 | your skin, right? You can it on your skin, right? |
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|
51:48 | on your skin, you'll probably get rash, right? But it's not |
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|
51:50 | to do anything beyond that, You have to ingest it. It's |
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51:54 | to withstand uh a a specific P or the little encounter in your digestive |
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|
52:01 | , it's built to stick to Uh So that's what it's made |
|
|
52:06 | right? It's not, it's not , it's not a skin pathogen, |
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52:09 | example, OK? Doesn't have, have the virulence factors for that. |
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|
52:14 | . But um other types can do . Stress, staff and strep can |
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|
52:19 | that, right? But staff can strep. Strep can, doesn't cause |
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52:23 | poisoning, right? It's not built that kind of environment, right? |
|
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52:26 | everybody has kind of its own, me mode of, of entry. |
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52:33 | . And so um so if we at things like uh he the |
|
|
52:38 | so it he's sticking to yourselves, ? Can be a big thing. |
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|
52:43 | Of course, how many infectious units coming into how, what's, what's |
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|
52:48 | numbers of cells that obviously will have factor? Um So adhese is, |
|
|
52:54 | kind of a generic term to cover kind of molecule that helps it stick |
|
|
52:59 | your cells. OK. Now, course, things you talked about |
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|
53:02 | Right. Right. But there can other things too, there can be |
|
|
53:07 | surface molecules that facilitate this interaction. . Um And so uh here's a |
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|
53:15 | of examples. So for the E uh the oh 157 that causes the |
|
|
53:22 | chipotle, right? That, that a big deal mu mu lack, |
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|
53:27 | , don't cause infection. Uh M protein O P A, these are |
|
|
53:34 | , not just helping facilitate adherence, they have other functions as well. |
|
|
53:41 | can counteract the immune system in different . Um Well, look at that |
|
|
53:48 | little closer here in a second. so uh damaging the host, |
|
|
53:52 | Certainly toxins, intracellular pathogens can do , but they can also, they |
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|
53:58 | also do this, right? They both really. Um Of course, |
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|
54:03 | think of the virus, right? that's a cell, it's a letting |
|
|
54:05 | , it will kill the cell, ? But while it's inside the |
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54:09 | it's hidden from the immune system as . OK. So they can kind |
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|
54:12 | do both these things, damage a and be inside of a cell hidden |
|
|
54:17 | the immune system. OK. Um let's look at this question. All |
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|
54:24 | . So this is the process um now Syria can do nice good. |
|
|
54:33 | your familiarity with this one is what you got vaccinated for serious |
|
|
54:40 | Um, that, that group in is one has a whole bunch of |
|
|
54:53 | factors. Ok. Gonorrhea is another Nigeria species. Go ahead and cut |
|
|
55:07 | here. Yeah, absolutely. I just realized one thing if you |
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|
55:43 | know it, it. Mhm. realize that. Ok. So, |
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55:56 | , it is cytosis. Ok. , uh, so, uh, |
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|
56:03 | come back to this in a couple slides. So let's go, |
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|
56:05 | look at, um, penetration of , ok. Um to the |
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|
56:11 | right? So that can cover engines the surface, right? Make them |
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|
56:16 | visible to the immune system. Um call it acids that um I'm missing |
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|
56:26 | s here. Um very thick, ? It's a very thick envelope, |
|
|
56:34 | ? And, and um uh can protective, of course, the uh |
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|
56:38 | proteins. This is what you see hairs that are on the surface of |
|
|
56:42 | cell. And so strep pneumonia has characteristic, like what's typical diplococcus morphology |
|
|
56:51 | two beans stuck together, right? so these, these protein fibros help |
|
|
56:56 | adhesion but also have these properties, ? It can um resist cytosis, |
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|
57:04 | . Um And can interfere with It actually binds compliment and it activates |
|
|
57:10 | . And so it doesn't uh it , it's not susceptible to compliment for |
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|
57:15 | reason. OK. Or not very . The um OK. So back |
|
|
57:20 | the question. So the cytosis OK. Um So what we see |
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|
57:27 | here's a typical, this is also diplococcus, this is a gram negative |
|
|
57:32 | It has uh these long I need see there and then these O P |
|
|
57:40 | proteins on the surface. OK. there's two types of adhesion that |
|
|
57:45 | One is kind of a loose OK. That you see here in |
|
|
57:51 | which is kind of a more loose . But what happens is it gets |
|
|
57:54 | to the cell surface where you then tight adherence. And that's the, |
|
|
58:01 | the O P A proteins causing OK. So that tight adherence then |
|
|
58:08 | the engulfment of the cell that you happening here. OK. And so |
|
|
58:15 | , it's finding its way through the layer, right? So it starts |
|
|
58:20 | , ends up in here. And then can go into these other |
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|
58:28 | types that's being a invasive type, ? So we can go inside these |
|
|
58:33 | hide from the immune system. 12 travel, right? Uh So |
|
|
58:42 | so remember this is what lines, would be a blood vessel that could |
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|
58:47 | a blood vessel. So it can inside there now and travel through the |
|
|
58:51 | . OK? Or it can hitchhike on a blood vessel or hitchhike into |
|
|
58:59 | by getting in itself, right? or granite. These are also in |
|
|
59:04 | blood, OK? And so we'll um meningitis is one of the diseases |
|
|
59:10 | look at. And so the ability become meningitis has to do with being |
|
|
59:15 | to get into your central nervous Ok. So normally you reside in |
|
|
59:20 | throat are those that are about half population carries them. Um That's |
|
|
59:27 | that's the reservoir for there it And so it gets, so then |
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|
59:32 | do you get from there into the nervous system? That's not an easy |
|
|
59:35 | to do as you learn. But being able to do the transit tosis |
|
|
59:41 | hitchhiking either directly into the blood stream through other cells, it can get |
|
|
59:47 | the central nervous system. So uh , the factor is specific to it |
|
|
59:52 | enable it to do this, Because the central nervous system is very |
|
|
59:57 | , there's a lot of layers there protect your neurons, which obviously is |
|
|
60:02 | you want, but they can get there this way. OK. Um |
|
|
60:08 | . So let's look at this question beer that's factor stuff. OK. |
|
|
60:35 | the end of this chapter, 25 , we lift up different factors. |
|
|
60:39 | you might find a helper is studying this stuff. OK. Right. |
|
|
61:03 | count down and uh these are not , excuse you, these are not |
|
|
61:22 | correctly matched, right? Definitely. . Mhm OK. Let's see. |
|
|
61:45 | , if you answer the D D correct. So um endotoxin that's gram |
|
|
61:55 | . I have that not gram Um Asians allow you to get inside |
|
|
62:00 | a cell. Nothing to do with . Uh We just talked about these |
|
|
62:06 | . Uh this has to do with adherence, uh some other functions but |
|
|
62:12 | an exotoxin. Um OK. So look at some of these types |
|
|
62:18 | So a number of these you find this list, you find in staph |
|
|
62:23 | strep that are pathogens um to So you do part of your normal |
|
|
62:30 | clotting function, right is to take um soluble fibers in your blood, |
|
|
62:40 | ? And called fibrinogen. And you things like uh uh platelets and other |
|
|
62:47 | actually come together to to make that a network of fibers, right? |
|
|
62:53 | fiber in right becomes a more insi as you as you produce these |
|
|
63:01 | Um clot blood, for example, . Well, bacteria, certain types |
|
|
63:06 | have their own kind of enzyme that the same effect, creating a blood |
|
|
63:13 | . If it, if it does it can kind of wall itself off |
|
|
63:17 | the immune system. I think of if you already, you already know |
|
|
63:21 | that's had like AAA boil, It could be like a very hard |
|
|
63:26 | with the skin and that's due to this fibrinogen form. So the cell |
|
|
63:31 | of just basically walls it off from immune system the way to treat |
|
|
63:34 | Of course, you have to, have to penetrate it, drain |
|
|
63:37 | et cetera to get uh to, um treat it. Um the um |
|
|
63:45 | think I just went out. Um on. Yeah, you and best |
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|
64:16 | there we go all right. or enzymes, these um if you |
|
|
64:21 | form clots, well, these break apart, right? So that can |
|
|
64:26 | a cell type to then get into body if you have a clot, |
|
|
64:30 | maybe it's part of a healing you form a clot in a scab |
|
|
64:33 | something and then they can find their in by breaking apart the clot and |
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64:38 | penetrating into your tissues. Um how on a day? So you have |
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64:44 | your um say your skin, for , you got epithelial cells that are |
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64:50 | packed, right? So um layer layer, right? So these are |
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64:59 | your epithelial cells. Well, the between that's hyaluronic acid, all |
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65:08 | So the enzyme having the enzyme hyon will allow the organism to penetrate through |
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65:14 | tissue layers. Ok. Breaking apart have a, they can vary the |
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65:20 | of severity of a skin infection can like superficial layers are kind of torn |
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65:25 | to mild rash to very extreme flesh disease where it penetrates all the way |
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65:31 | to the bone. So that's not having hyoid days but also other toxins |
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65:36 | things to kind of to bring this . So, but the point is |
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65:41 | can allow the cells to penetrate deeper your tissues. Ok. Collagen |
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65:46 | So below here, right? So we go through layers of cells, |
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65:52 | , let's say we have another layer . OK. Well, if it |
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65:57 | below here, but this is the , let's say, well, what's |
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66:03 | of holding the cells in place, ? Collagen collagen fibers. Now, |
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66:12 | often call that a a basement right? And your cell is sitting |
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66:17 | top, right? And so that membrane kind of just anchors in |
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66:22 | And so of course, this is into your tissues. And so if |
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66:26 | have collagen ace, you can break apart and it can go even |
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66:32 | so deeper penetration, right? So it's just it's all about layers and |
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66:37 | deep you can get in there. you have these enzymes that break apart |
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66:41 | cellular connections, right? And then course, a proteases can come in |
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66:46 | forms, these degrade obviously proteins. so uh a one of the major |
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66:52 | is this so many of your respiratory have this because remember I G A |
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67:01 | secreted in your mucosal membranes. And uh those antibodies coat, right? |
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67:08 | the pathogen and and, and and it not to stick to your |
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67:12 | But if you have a prote if they have a proteas, they |
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67:14 | destroy the I G A, then stick to your respiratory system or tissues |
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67:20 | then potentially cause uh infection. So with many of these things, your |
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67:27 | , their very factors kind of act other in different ways. So it's |
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67:33 | evolving. OK. Um Any questions was all I got for today. |
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67:42 | we will continue Thursday. |
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