Cell Wall & Membranes
Gram-Positive (+)
Structure: Thick peptidoglycan layer, single cell membrane. Contains teichoic acid and lipoteichoic acid (LTA). LTA induces TNF-α and IL-1.
Analogy: A thick brick wall (peptidoglycan) with reinforcing bars (teichoic acids).
Gram Stain: Retains crystal violet, appears purple/blue .
Key Features: More susceptible to penicillin.
Gram-Negative (-)
Structure: Thin peptidoglycan layer in the periplasmic space between inner and outer membranes.
Analogy: A thin brick wall surrounded by a chain-link security fence (outer membrane).
Outer Membrane: Contains endotoxins.
Lipopolysaccharide (LPS): The major endotoxin.
Analogy: The alarm system on the security fence.
Lipid A: The siren of the alarm system; triggers a massive immune response (shock, fever, DIC ).
O-Antigen: The specific model number of the alarm system , used for identification (e.g., E. coli O157).
Lipooligosaccharide (LOS): Found in some species (e.g., Neisseria ). Has endotoxic Lipid A but lacks the O-antigen .
Analogy: A generic, but equally loud, motion-detecting siren that lacks a specific model number. Its structural variability helps evade the immune system.
Atypical Cell Walls
Nontuberculous Mycobacteria : Contain mycolic acid . Do not Gram stain; require acid-fast stain .
Analogy: A waxy, waterproofed wall that repels the purple/pink “paint” of Gram stain.
Mycoplasma: No cell wall . Cell membrane contains sterols .
Analogy: A tent with flexible poles (sterols) instead of rigid walls.
External Structures
Capsule
Patho/Etiology: A well-organized polysaccharide layer.
Mostly polysaccharide (high-yield exception: Bacillus anthracis has a polypeptide capsule containing D-glutamate ) t
Function: Antiphagocytic virulence factor.
Analogy: A slippery, invisibility cloak that helps the bacterium evade capture by immune cells.
Glycocalyx (Slime Layer)
Patho/Etiology: A loose, disorganized polysaccharide layer.
Function: Mediates adherence and forms biofilms .
High-Yield Examples:
S. epidermidis: Adheres to IV catheters and prosthetic devices.
P. aeruginosa: Biofilm formation in the lungs of cystic fibrosis patients and on contact lenses.
Non-typeable H. influenzae: Biofilms in otitis media.
Analogy: Sticky glue that helps bacteria clump together and stick to surfaces (like catheters or teeth).
Pili (Fimbriae)
Patho/Etiology: Hair-like proteinaceous appendages.
Function: Adhesion to host cells. Sex pilus is used for conjugation .
Analogy: Velcro hooks for grabbing onto host cells. The sex pilus is a “tunnel” for passing genetic information.
Flagella
Patho/Etiology: Long, helical filament for motility .
Function: Provides movement (chemotaxis). H-antigen.
Analogy: A motorboat propeller that drives the bacterium through its environment.
Intracellular Structures
Spores (Endospores)
Patho/Etiology: Dormant, highly resilient structures formed by some gram-positive rods (Bacillus , Clostridium ).
Key Components: Core contains dipicolinic acid .
Function: Survival in harsh conditions. Resistant to boiling (100°C) and ethanol-based hand sanitizers. t
Clinical Pearl: For C. difficile patients, must use soap and water (mechanical removal) rather than alcohol hand rub, as spores are alcohol-resistant.
Analogy: A survival bunker or panic room that protects the bacterium’s DNA during a disaster, allowing it to reactivate when conditions improve.