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132-449: As a field of general inquiry and research, pathology addresses components of disease: cause, mechanisms of development ( pathogenesis ), structural alterations of cells (morphologic changes), and the consequences of changes (clinical manifestations). In common medical practice, general pathology is mostly concerned with analyzing known clinical abnormalities that are markers or precursors for both infectious and non-infectious disease, and

264-406: A nucleus and rarely harbour membrane -bound organelles . Although the term bacteria traditionally included all prokaryotes, the scientific classification changed after the discovery in the 1990s that prokaryotes consist of two very different groups of organisms that evolved from an ancient common ancestor . These evolutionary domains are called Bacteria and Archaea . The word bacteria

396-543: A potential difference analogous to a battery. The general lack of internal membranes in bacteria means these reactions, such as electron transport , occur across the cell membrane between the cytoplasm and the outside of the cell or periplasm . However, in many photosynthetic bacteria, the plasma membrane is highly folded and fills most of the cell with layers of light-gathering membrane. These light-gathering complexes may even form lipid-enclosed structures called chlorosomes in green sulfur bacteria . Bacteria do not have

528-404: A terminal electron acceptor in a redox reaction . Chemotrophs are further divided by the types of compounds they use to transfer electrons. Bacteria that derive electrons from inorganic compounds such as hydrogen, carbon monoxide , or ammonia are called lithotrophs , while those that use organic compounds are called organotrophs . Still, more specifically, aerobic organisms use oxygen as

660-744: A bacterial strain. However, liquid growth media are used when the measurement of growth or large volumes of cells are required. Growth in stirred liquid media occurs as an even cell suspension, making the cultures easy to divide and transfer, although isolating single bacteria from liquid media is difficult. The use of selective media (media with specific nutrients added or deficient, or with antibiotics added) can help identify specific organisms. Most laboratory techniques for growing bacteria use high levels of nutrients to produce large amounts of cells cheaply and quickly. However, in natural environments, nutrients are limited, meaning that bacteria cannot continue to reproduce indefinitely. This nutrient limitation has led

792-408: A biopsy of nervous tissue is taken from the brain or spinal cord to aid in diagnosis. Biopsy is usually requested after a mass is detected by medical imaging . With autopsies, the principal work of the neuropathologist is to help in the post-mortem diagnosis of various conditions that affect the central nervous system. Biopsies can also consist of the skin. Epidermal nerve fiber density testing (ENFD)

924-445: A combination known as general pathology. Cytopathology (sometimes referred to as "cytology") is a branch of pathology that studies and diagnoses diseases on the cellular level. It is usually used to aid in the diagnosis of cancer, but also helps in the diagnosis of certain infectious diseases and other inflammatory conditions as well as thyroid lesions, diseases involving sterile body cavities (peritoneal, pleural, and cerebrospinal), and

1056-437: A conclusive diagnosis, and a skin biopsy is taken to be examined under the microscope using usual histological tests. In some cases, additional specialized testing needs to be performed on biopsies, including immunofluorescence , immunohistochemistry , electron microscopy , flow cytometry , and molecular-pathologic analysis. One of the greatest challenges of dermatopathology is its scope. More than 1500 different disorders of

1188-424: A disorganised slime layer of extracellular polymeric substances to a highly structured capsule . These structures can protect cells from engulfment by eukaryotic cells such as macrophages (part of the human immune system ). They can also act as antigens and be involved in cell recognition, as well as aiding attachment to surfaces and the formation of biofilms. The assembly of these extracellular structures

1320-413: A few micrometres in thickness to up to half a metre in depth, and may contain multiple species of bacteria, protists and archaea. Bacteria living in biofilms display a complex arrangement of cells and extracellular components, forming secondary structures, such as microcolonies , through which there are networks of channels to enable better diffusion of nutrients. In natural environments, such as soil or

1452-415: A few species are visible to the unaided eye—for example, Thiomargarita namibiensis is up to half a millimetre long, Epulopiscium fishelsoni reaches 0.7 mm, and Thiomargarita magnifica can reach even 2 cm in length, which is 50 times larger than other known bacteria. Among the smallest bacteria are members of the genus Mycoplasma , which measure only 0.3 micrometres, as small as

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1584-524: A fixative that stabilizes the tissues to prevent decay. The most common fixative is formalin , although frozen section fixing is also common. To see the tissue under a microscope, the sections are stained with one or more pigments. The aim of staining is to reveal cellular components; counterstains are used to provide contrast. Histochemistry refers to the science of using chemical reactions between laboratory chemicals and components within tissue. The histological slides are then interpreted diagnostically and

1716-426: A fixed size and then reproduce through binary fission , a form of asexual reproduction . Under optimal conditions, bacteria can grow and divide extremely rapidly, and some bacterial populations can double as quickly as every 17 minutes. In cell division, two identical clone daughter cells are produced. Some bacteria, while still reproducing asexually, form more complex reproductive structures that help disperse

1848-549: A formal area of specialty was not fully developed until the late 19th and early 20th centuries, with the advent of detailed study of microbiology . In the 19th century, physicians had begun to understand that disease-causing pathogens, or "germs" (a catch-all for disease-causing, or pathogenic, microbes, such as bacteria , viruses , fungi , amoebae , molds , protists , and prions ) existed and were capable of reproduction and multiplication, replacing earlier beliefs in humors or even spiritual agents, that had dominated for much of

1980-471: A general examination or an autopsy ). Anatomical pathology is itself divided into subfields, the main divisions being surgical pathology , cytopathology , and forensic pathology . Anatomical pathology is one of two main divisions of the medical practice of pathology, the other being clinical pathology, the diagnosis of disease through the laboratory analysis of bodily fluids and tissues. Sometimes, pathologists practice both anatomical and clinical pathology,

2112-418: A large domain of prokaryotic microorganisms . Typically a few micrometres in length, bacteria were among the first life forms to appear on Earth , and are present in most of its habitats . Bacteria inhabit the air, soil, water, acidic hot springs , radioactive waste , and the deep biosphere of Earth's crust . Bacteria play a vital role in many stages of the nutrient cycle by recycling nutrients and

2244-408: A membrane-bound nucleus, and their genetic material is typically a single circular bacterial chromosome of DNA located in the cytoplasm in an irregularly shaped body called the nucleoid . The nucleoid contains the chromosome with its associated proteins and RNA . Like all other organisms , bacteria contain ribosomes for the production of proteins, but the structure of the bacterial ribosome

2376-436: A number of visual and microscopic tests and an especially large variety of tests of the biophysical properties of tissue samples involving automated analysers and cultures . Sometimes the general term "laboratory medicine specialist" is used to refer to those working in clinical pathology, including medical doctors, Ph.D.s and doctors of pharmacology. Immunopathology , the study of an organism's immune response to infection,

2508-528: A particular organism or group of organisms ( syntrophy ). Bacterial growth follows four phases. When a population of bacteria first enter a high-nutrient environment that allows growth, the cells need to adapt to their new environment. The first phase of growth is the lag phase , a period of slow growth when the cells are adapting to the high-nutrient environment and preparing for fast growth. The lag phase has high biosynthesis rates, as proteins necessary for rapid growth are produced. The second phase of growth

2640-543: A pathologist generally requires specialty -training after medical school , but individual nations vary some in the medical licensing required of pathologists. In the United States, pathologists are physicians ( D.O. or M.D. ) who have completed a four-year undergraduate program, four years of medical school training, and three to four years of postgraduate training in the form of a pathology residency . Training may be within two primary specialties, as recognized by

2772-415: A process called transformation . Many bacteria can naturally take up DNA from the environment, while others must be chemically altered in order to induce them to take up DNA. The development of competence in nature is usually associated with stressful environmental conditions and seems to be an adaptation for facilitating repair of DNA damage in recipient cells. Second, bacteriophages can integrate into

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2904-415: A significant portion of all general pathology practice is concerned with cancer , the practice of oncology makes extensive use of both anatomical and clinical pathology in diagnosis and treatment. In particular, biopsy, resection , and blood tests are all examples of pathology work that is essential for the diagnoses of many kinds of cancer and for the staging of cancerous masses . In a similar fashion,

3036-425: A single continuous stretch of DNA. Although several different types of introns do exist in bacteria, these are much rarer than in eukaryotes. Bacteria, as asexual organisms, inherit an identical copy of the parent's genome and are clonal . However, all bacteria can evolve by selection on changes to their genetic material DNA caused by genetic recombination or mutations . Mutations arise from errors made during

3168-427: A single linear chromosome, while some Vibrio species contain more than one chromosome. Some bacteria contain plasmids , small extra-chromosomal molecules of DNA that may contain genes for various useful functions such as antibiotic resistance , metabolic capabilities, or various virulence factors . Bacteria genomes usually encode a few hundred to a few thousand genes. The genes in bacterial genomes are usually

3300-649: A source of electrons and a substrate for carbon anabolism . In many ways, bacterial metabolism provides traits that are useful for ecological stability and for human society. For example, diazotrophs have the ability to fix nitrogen gas using the enzyme nitrogenase . This trait, which can be found in bacteria of most metabolic types listed above, leads to the ecologically important processes of denitrification , sulfate reduction , and acetogenesis , respectively. Bacterial metabolic processes are important drivers in biological responses to pollution ; for example, sulfate-reducing bacteria are largely responsible for

3432-425: A suspicious lesion , whereas excisional biopsies remove the entire lesion, and are similar to therapeutic surgical resections. Excisional biopsies of skin lesions and gastrointestinal polyps are very common. The pathologist's interpretation of a biopsy is critical to establishing the diagnosis of a benign or malignant tumor, and can differentiate between different types and grades of cancer, as well as determining

3564-797: A thick peptidoglycan cell wall like a Gram-positive bacterium, but also a second outer layer of lipids. In many bacteria, an S-layer of rigidly arrayed protein molecules covers the outside of the cell. This layer provides chemical and physical protection for the cell surface and can act as a macromolecular diffusion barrier . S-layers have diverse functions and are known to act as virulence factors in Campylobacter species and contain surface enzymes in Bacillus stearothermophilus . Flagella are rigid protein structures, about 20 nanometres in diameter and up to 20 micrometres in length, that are used for motility . Flagella are driven by

3696-417: A three- dimensional random walk . Bacterial species differ in the number and arrangement of flagella on their surface; some have a single flagellum ( monotrichous ), a flagellum at each end ( amphitrichous ), clusters of flagella at the poles of the cell ( lophotrichous ), while others have flagella distributed over the entire surface of the cell ( peritrichous ). The flagella of a group of bacteria,

3828-459: A vast array of species, but with a significantly smaller number of practitioners, so understanding of disease in non-human animals, especially as regards veterinary practice , varies considerably by species. Nevertheless, significant amounts of pathology research are conducted on animals, for two primary reasons: 1) The origins of diseases are typically zoonotic in nature, and many infectious pathogens have animal vectors and, as such, understanding

3960-458: A wide range of other body sites. Cytopathology is generally used on samples of free cells or tissue fragments (in contrast to histopathology, which studies whole tissues) and cytopathologic tests are sometimes called smear tests because the samples may be smeared across a glass microscope slide for subsequent staining and microscopic examination. However, cytology samples may be prepared in other ways, including cytocentrifugation . Dermatopathology

4092-418: A wide variety of diseases, including those caused by fungi , oomycetes , bacteria , viruses , viroids , virus-like organisms, phytoplasmas , protozoa , nematodes and parasitic plants . Damage caused by insects , mites , vertebrate , and other small herbivores is not considered a part of the domain of plant pathology. The field is connected to plant disease epidemiology and especially concerned with

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4224-495: Is a more recently developed neuropathology test in which a punch skin biopsy is taken to identify small fiber neuropathies by analyzing the nerve fibers of the skin. This test is becoming available in select labs as well as many universities; it replaces the traditional nerve biopsy test as less invasive . Pulmonary pathology is a subspecialty of anatomic (and especially surgical) pathology that deals with diagnosis and characterization of neoplastic and non-neoplastic diseases of

4356-477: Is a significant field in modern medical diagnosis and medical research . The Latin term pathology derives from the Ancient Greek roots pathos ( πάθος ), meaning "experience" or "suffering", and -logia ( -λογία ), meaning "study of". The term is of early 16th-century origin, and became increasingly popularized after the 1530s. The study of pathology, including the detailed examination of

4488-445: Is a small piece of tissue removed primarily for surgical pathology analysis, most often in order to render a definitive diagnosis. Types of biopsies include core biopsies, which are obtained through the use of large-bore needles, sometimes under the guidance of radiological techniques such as ultrasound , CT scan , or magnetic resonance imaging . Incisional biopsies are obtained through diagnostic surgical procedures that remove part of

4620-428: Is a subspecialty of anatomic pathology that focuses on the skin and the rest of the integumentary system as an organ. It is unique, in that there are two paths a physician can take to obtain the specialization. All general pathologists and general dermatologists train in the pathology of the skin, so the term dermatopathologist denotes either of these who has reached a certain level of accreditation and experience; in

4752-404: Is also heavily, and increasingly, informed upon by neuroscience and other of the biological cognitive sciences . Mental or social disorders or behaviours seen as generally unhealthy or excessive in a given individual, to the point where they cause harm or severe disruption to the person's lifestyle, are often called "pathological" (e.g., pathological gambling or pathological liar ). Although

4884-534: Is also possible to take a Royal College of Pathologists diploma in forensic pathology, dermatopathology, or cytopathology, recognising additional specialist training and expertise and to get specialist accreditation in forensic pathology, pediatric pathology , and neuropathology. All postgraduate medical training and education in the UK is overseen by the General Medical Council. In France, pathology

5016-480: Is caused by a toxin released by the bacteria that grow from the spores. Clostridioides difficile infection , a common problem in healthcare settings, is caused by spore-forming bacteria. Bacteria exhibit an extremely wide variety of metabolic types. The distribution of metabolic traits within a group of bacteria has traditionally been used to define their taxonomy , but these traits often do not correspond with modern genetic classifications. Bacterial metabolism

5148-412: Is classified into nutritional groups on the basis of three major criteria: the source of energy , the electron donors used, and the source of carbon used for growth. Phototrophic bacteria derive energy from light using photosynthesis , while chemotrophic bacteria breaking down chemical compounds through oxidation , driving metabolism by transferring electrons from a given electron donor to

5280-448: Is conducted by experts in one of two major specialties, anatomical pathology and clinical pathology . Further divisions in specialty exist on the basis of the involved sample types (comparing, for example, cytopathology , hematopathology , and histopathology ), organs (as in renal pathology ), and physiological systems ( oral pathology ), as well as on the basis of the focus of the examination (as with forensic pathology ). Pathology

5412-411: Is considered a subfield of anatomical pathology. A physician who specializes in neuropathology, usually by completing a fellowship after a residency in anatomical or general pathology, is called a neuropathologist. In day-to-day clinical practice, a neuropathologist generates diagnoses for patients. If a disease of the nervous system is suspected, and the diagnosis cannot be made by less invasive methods,

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5544-536: Is dependent on bacterial secretion systems . These transfer proteins from the cytoplasm into the periplasm or into the environment around the cell. Many types of secretion systems are known and these structures are often essential for the virulence of pathogens, so are intensively studied. Some genera of Gram-positive bacteria, such as Bacillus , Clostridium , Sporohalobacter , Anaerobacter , and Heliobacterium , can form highly resistant, dormant structures called endospores . Endospores develop within

5676-534: Is determined by the bacterial cell wall and cytoskeleton and is important because it can influence the ability of bacteria to acquire nutrients, attach to surfaces, swim through liquids and escape predators . Multicellularity . Most bacterial species exist as single cells; others associate in characteristic patterns: Neisseria forms diploids (pairs), streptococci form chains, and staphylococci group together in "bunch of grapes" clusters. Bacteria can also group to form larger multicellular structures, such as

5808-441: Is different from that of eukaryotes and archaea. Some bacteria produce intracellular nutrient storage granules, such as glycogen , polyphosphate , sulfur or polyhydroxyalkanoates . Bacteria such as the photosynthetic cyanobacteria , produce internal gas vacuoles , which they use to regulate their buoyancy, allowing them to move up or down into water layers with different light intensities and nutrient levels. Around

5940-439: Is divided into a number of subdisciplines within the distinct but deeply interconnected aims of biological research and medical practice . Biomedical research into disease incorporates the work of a vast variety of life science specialists, whereas, in most parts of the world, to be licensed to practice pathology as a medical specialty, one has to complete medical school and secure a license to practice medicine. Structurally,

6072-414: Is essential to the survival of many bacteria, and the antibiotic penicillin (produced by a fungus called Penicillium ) is able to kill bacteria by inhibiting a step in the synthesis of peptidoglycan. There are broadly speaking two different types of cell wall in bacteria, that classify bacteria into Gram-positive bacteria and Gram-negative bacteria . The names originate from the reaction of cells to

6204-529: Is made of about 20 proteins, with approximately another 30 proteins required for its regulation and assembly. The flagellum is a rotating structure driven by a reversible motor at the base that uses the electrochemical gradient across the membrane for power. Bacteria can use flagella in different ways to generate different kinds of movement. Many bacteria (such as E. coli ) have two distinct modes of movement: forward movement (swimming) and tumbling. The tumbling allows them to reorient and makes their movement

6336-468: Is made primarily of phospholipids . This membrane encloses the contents of the cell and acts as a barrier to hold nutrients, proteins and other essential components of the cytoplasm within the cell. Unlike eukaryotic cells , bacteria usually lack large membrane-bound structures in their cytoplasm such as a nucleus , mitochondria , chloroplasts and the other organelles present in eukaryotic cells. However, some bacteria have protein-bound organelles in

6468-496: Is motile in liquid or solid media. Several Listeria and Shigella species move inside host cells by usurping the cytoskeleton , which is normally used to move organelles inside the cell. By promoting actin polymerisation at one pole of their cells, they can form a kind of tail that pushes them through the host cell's cytoplasm. A few bacteria have chemical systems that generate light. This bioluminescence often occurs in bacteria that live in association with fish, and

6600-456: Is often applied in a context that is as much scientific as directly medical and encompasses the development of molecular and genetic approaches to the diagnosis and classification of human diseases, the design and validation of predictive biomarkers for treatment response and disease progression, and the susceptibility of individuals of different genetic constitution to particular disorders. The crossover between molecular pathology and epidemiology

6732-712: Is represented by a related field " molecular pathological epidemiology ". Molecular pathology is commonly used in diagnosis of cancer and infectious diseases. Molecular Pathology is primarily used to detect cancers such as melanoma, brainstem glioma, brain tumors as well as many other types of cancer and infectious diseases. Techniques are numerous but include quantitative polymerase chain reaction (qPCR), multiplex PCR , DNA microarray , in situ hybridization , DNA sequencing , antibody-based immunofluorescence tissue assays, molecular profiling of pathogens, and analysis of bacterial genes for antimicrobial resistance . Techniques used are based on analyzing samples of DNA and RNA. Pathology

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6864-411: Is separated into two distinct specialties, anatomical pathology, and clinical pathology. Residencies for both lasts four years. Residency in anatomical pathology is open to physicians only, while clinical pathology is open to both physicians and pharmacists . At the end of the second year of clinical pathology residency, residents can choose between general clinical pathology and a specialization in one of

6996-426: Is sometimes considered to fall within the domain of clinical pathology. Hematopathology is the study of diseases of blood cells (including constituents such as white blood cells , red blood cells , and platelets ) and the tissues, and organs comprising the hematopoietic system. The term hematopoietic system refers to tissues and organs that produce and/or primarily host hematopoietic cells and includes bone marrow ,

7128-447: Is the stationary phase and is caused by depleted nutrients. The cells reduce their metabolic activity and consume non-essential cellular proteins. The stationary phase is a transition from rapid growth to a stress response state and there is increased expression of genes involved in DNA repair , antioxidant metabolism and nutrient transport . The final phase is the death phase where

7260-440: Is the logarithmic phase , also known as the exponential phase. The log phase is marked by rapid exponential growth . The rate at which cells grow during this phase is known as the growth rate ( k ), and the time it takes the cells to double is known as the generation time ( g ). During log phase, nutrients are metabolised at maximum speed until one of the nutrients is depleted and starts limiting growth. The third phase of growth

7392-529: Is the best and most definitive evidence of disease (or lack thereof) in cases where tissue is surgically removed from a patient. These determinations are usually accomplished by a combination of gross (i.e., macroscopic) and histologic (i.e., microscopic) examination of the tissue, and may involve evaluations of molecular properties of the tissue by immunohistochemistry or other laboratory tests. There are two major types of specimens submitted for surgical pathology analysis: biopsies and surgical resections. A biopsy

7524-423: Is the generating of visual representations of the interior of a body for clinical analysis and medical intervention. Medical imaging reveals details of internal physiology that help medical professionals plan appropriate treatments for tissue infection and trauma. Medical imaging is also central in supplying the biometric data necessary to establish baseline features of anatomy and physiology so as to increase

7656-632: Is the plural of the Neo-Latin bacterium , which is the Latinisation of the Ancient Greek βακτήριον ( baktḗrion ), the diminutive of βακτηρία ( baktēría ), meaning "staff, cane", because the first ones to be discovered were rod-shaped . The ancestors of bacteria were unicellular microorganisms that were the first forms of life to appear on Earth, about 4 billion years ago. For about 3 billion years, most organisms were microscopic, and bacteria and archaea were

7788-455: Is the process by which bacteria cause infectious illness. Most diseases are caused by multiple processes. For example, certain cancers arise from dysfunction of the immune system ( skin tumors and lymphoma after a renal transplant , which requires immunosuppression ), Streptococcus pneumoniae is spread through contact with respiratory secretions , such as saliva , mucus , or cough droplets from an infected person and colonizes

7920-502: Is to classify mental illness, elucidate its underlying causes, and guide clinical psychiatric treatment accordingly. Although diagnosis and classification of mental norms and disorders is largely the purview of psychiatry—the results of which are guidelines such as the Diagnostic and Statistical Manual of Mental Disorders , which attempt to classify mental disease mostly on behavioural evidence, though not without controversy—the field

8052-613: Is widely used for gene therapy and disease diagnosis. Oral and Maxillofacial Pathology is one of nine dental specialties recognized by the American Dental Association , and is sometimes considered a specialty of both dentistry and pathology. Oral Pathologists must complete three years of post doctoral training in an accredited program and subsequently obtain diplomate status from the American Board of Oral and Maxillofacial Pathology. The specialty focuses on

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8184-472: The Gram stain , a long-standing test for the classification of bacterial species. Gram-positive bacteria possess a thick cell wall containing many layers of peptidoglycan and teichoic acids . In contrast, Gram-negative bacteria have a relatively thin cell wall consisting of a few layers of peptidoglycan surrounded by a second lipid membrane containing lipopolysaccharides and lipoproteins . Most bacteria have

8316-624: The fixation of nitrogen from the atmosphere . The nutrient cycle includes the decomposition of dead bodies ; bacteria are responsible for the putrefaction stage in this process. In the biological communities surrounding hydrothermal vents and cold seeps , extremophile bacteria provide the nutrients needed to sustain life by converting dissolved compounds, such as hydrogen sulphide and methane , to energy. Bacteria also live in mutualistic , commensal and parasitic relationships with plants and animals. Most bacteria have not been characterised and there are many species that cannot be grown in

8448-644: The horticulture of species that are of high importance to the human diet or other human utility. Pathogenesis In pathology , pathogenesis is the process by which a disease or disorder develops. It can include factors which contribute not only to the onset of the disease or disorder, but also to its progression and maintenance. The word comes from Ancient Greek πάθος (pathos)  'suffering, disease' and γένεσις (genesis)  'creation'. Types of pathogenesis include microbial infection , inflammation , malignancy and tissue breakdown . For example, bacterial pathogenesis

8580-581: The interdisciplinary field of molecular pathological epidemiology . Molecular pathological epidemiology can help to assess pathogenesis and causality by means of linking a potential risk factor to molecular pathologic signatures of a disease. Thus, the molecular pathological epidemiology paradigm can advance the area of causal inference . Bacteria See § Phyla Bacteria ( / b æ k ˈ t ɪər i ə / ; sg. : bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell . They constitute

8712-409: The kidneys . In a medical setting, renal pathologists work closely with nephrologists and transplant surgeons , who typically obtain diagnostic specimens via percutaneous renal biopsy. The renal pathologist must synthesize findings from traditional microscope histology, electron microscopy , and immunofluorescence to obtain a definitive diagnosis. Medical renal diseases may affect the glomerulus ,

8844-415: The lungs and thoracic pleura . Diagnostic specimens are often obtained via bronchoscopic transbronchial biopsy, CT -guided percutaneous biopsy, or video-assisted thoracic surgery . These tests can be necessary to diagnose between infection, inflammation , or fibrotic conditions. Renal pathology is a subspecialty of anatomic pathology that deals with the diagnosis and characterization of disease of

8976-488: The lymph nodes , thymus , spleen , and other lymphoid tissues. In the United States, hematopathology is a board certified subspecialty (licensed under the American Board of Pathology) practiced by those physicians who have completed a general pathology residency (anatomic, clinical, or combined) and an additional year of fellowship training in hematology. The hematopathologist reviews biopsies of lymph nodes, bone marrows and other tissues involved by an infiltrate of cells of

9108-444: The spirochaetes , are found between two membranes in the periplasmic space. They have a distinctive helical body that twists about as it moves. Two other types of bacterial motion are called twitching motility that relies on a structure called the type IV pilus , and gliding motility , that uses other mechanisms. In twitching motility, the rod-like pilus extends out from the cell, binds some substrate, and then retracts, pulling

9240-475: The tubules and interstitium , the vessels, or a combination of these compartments. Surgical pathology is one of the primary areas of practice for most anatomical pathologists. Surgical pathology involves the gross and microscopic examination of surgical specimens, as well as biopsies submitted by surgeons and non-surgeons such as general internists , medical subspecialists , dermatologists , and interventional radiologists . Often an excised tissue sample

9372-551: The vacuum and radiation of outer space , leading to the possibility that bacteria could be distributed throughout the Universe by space dust , meteoroids , asteroids , comets , planetoids , or directed panspermia . Endospore-forming bacteria can cause disease; for example, anthrax can be contracted by the inhalation of Bacillus anthracis endospores, and contamination of deep puncture wounds with Clostridium tetani endospores causes tetanus , which, like botulism ,

9504-487: The 17th century, the study of rudimentary microscopy was underway and examination of tissues had led British Royal Society member Robert Hooke to coin the word " cell ", setting the stage for later germ theory . Modern pathology began to develop as a distinct field of inquiry during the 19th Century through natural philosophers and physicians that studied disease and the informal study of what they termed "pathological anatomy" or "morbid anatomy". However, pathology as

9636-533: The American Board of Pathology: [anatomical pathology and clinical pathology, each of which requires separate board certification. The American Osteopathic Board of Pathology also recognizes four primary specialties: anatomic pathology, dermatopathology, forensic pathology, and laboratory medicine . Pathologists may pursue specialised fellowship training within one or more subspecialties of either anatomical or clinical pathology. Some of these subspecialties permit additional board certification, while others do not. In

9768-793: The Gram-negative cell wall, and only members of the Bacillota group and actinomycetota (previously known as the low G+C and high G+C Gram-positive bacteria, respectively) have the alternative Gram-positive arrangement. These differences in structure can produce differences in antibiotic susceptibility; for instance, vancomycin can kill only Gram-positive bacteria and is ineffective against Gram-negative pathogens , such as Haemophilus influenzae or Pseudomonas aeruginosa . Some bacteria have cell wall structures that are neither classically Gram-positive or Gram-negative. This includes clinically important bacteria such as mycobacteria which have

9900-486: The US, either a general pathologist or a dermatologist can undergo a 1 to 2 year fellowship in the field of dermatopathology. The completion of this fellowship allows one to take a subspecialty board examination, and becomes a board certified dermatopathologist. Dermatologists are able to recognize most skin diseases based on their appearances, anatomic distributions, and behavior. Sometimes, however, those criteria do not lead to

10032-696: The United Kingdom, pathologists are physicians licensed by the UK General Medical Council . The training to become a pathologist is under the oversight of the Royal College of Pathologists . After four to six years of undergraduate medical study, trainees proceed to a two-year foundation program. Full-time training in histopathology currently lasts between five and five and a half years and includes specialist training in surgical pathology, cytopathology, and autopsy pathology. It

10164-429: The accuracy with which early or fine-detail abnormalities are detected. These diagnostic techniques are often performed in combination with general pathology procedures and are themselves often essential to developing new understanding of the pathogenesis of a given disease and tracking the progress of disease in specific medical cases. Examples of important subdivisions in medical imaging include radiology (which uses

10296-429: The activity of specific molecular pathways in the tumor. Surgical resection specimens are obtained by the therapeutic surgical removal of an entire diseased area or organ (and occasionally multiple organs). These procedures are often intended as definitive surgical treatment of a disease in which the diagnosis is already known or strongly suspected, but pathological analysis of these specimens remains important in confirming

10428-425: The archaeal/eukaryotic lineage. The most recent common ancestor (MRCA) of bacteria and archaea was probably a hyperthermophile that lived about 2.5 billion–3.2 billion years ago. The earliest life on land may have been bacteria some 3.22 billion years ago. Bacteria were also involved in the second great evolutionary divergence, that of the archaea and eukaryotes. Here, eukaryotes resulted from

10560-455: The atmosphere and one cubic metre of air holds around one hundred million bacterial cells. The oceans and seas harbour around 3 x 10 bacteria which provide up to 50% of the oxygen humans breathe. Only around 2% of bacterial species have been fully studied. Size . Bacteria display a wide diversity of shapes and sizes. Bacterial cells are about one-tenth the size of eukaryotic cells and are typically 0.5–5.0  micrometres in length. However,

10692-520: The bacteria have come into contact with in the past, which allows them to block virus replication through a form of RNA interference . Third, bacteria can transfer genetic material through direct cell contact via conjugation . In ordinary circumstances, transduction, conjugation, and transformation involve transfer of DNA between individual bacteria of the same species, but occasionally transfer may occur between individuals of different bacterial species, and this may have significant consequences, such as

10824-444: The bacteria perform separate tasks; for example, about one in ten cells migrate to the top of a fruiting body and differentiate into a specialised dormant state called a myxospore, which is more resistant to drying and other adverse environmental conditions. Biofilms . Bacteria often attach to surfaces and form dense aggregations called biofilms and larger formations known as microbial mats . These biofilms and mats can range from

10956-401: The bacteria run out of nutrients and die. Most bacteria have a single circular chromosome that can range in size from only 160,000 base pairs in the endosymbiotic bacteria Carsonella ruddii , to 12,200,000 base pairs (12.2 Mbp) in the soil-dwelling bacteria Sorangium cellulosum . There are many exceptions to this; for example, some Streptomyces and Borrelia species contain

11088-412: The bacterial chromosome, introducing foreign DNA in a process known as transduction . Many types of bacteriophage exist; some infect and lyse their host bacteria, while others insert into the bacterial chromosome. Bacteria resist phage infection through restriction modification systems that degrade foreign DNA and a system that uses CRISPR sequences to retain fragments of the genomes of phage that

11220-620: The body, including dissection and inquiry into specific maladies, dates back to antiquity. Rudimentary understanding of many conditions was present in most early societies and is attested to in the records of the earliest historical societies , including those of the Middle East , India , and China . By the Hellenic period of ancient Greece , a concerted causal study of disease was underway (see Medicine in ancient Greece ), with many notable early physicians (such as Hippocrates , for whom

11352-502: The breakdown of oil spills , the production of cheese and yogurt through fermentation , the recovery of gold, palladium , copper and other metals in the mining sector ( biomining , bioleaching ), as well as in biotechnology , and the manufacture of antibiotics and other chemicals. Once regarded as plants constituting the class Schizomycetes ("fission fungi"), bacteria are now classified as prokaryotes . Unlike cells of animals and other eukaryotes , bacterial cells do not contain

11484-437: The cell forward. Motile bacteria are attracted or repelled by certain stimuli in behaviours called taxes : these include chemotaxis , phototaxis , energy taxis , and magnetotaxis . In one peculiar group, the myxobacteria, individual bacteria move together to form waves of cells that then differentiate to form fruiting bodies containing spores. The myxobacteria move only when on solid surfaces, unlike E. coli , which

11616-629: The cytoplasm of the cell; generally, a single endospore develops in each cell. Each endospore contains a core of DNA and ribosomes surrounded by a cortex layer and protected by a multilayer rigid coat composed of peptidoglycan and a variety of proteins. Endospores show no detectable metabolism and can survive extreme physical and chemical stresses, such as high levels of UV light , gamma radiation , detergents , disinfectants , heat, freezing, pressure, and desiccation . In this dormant state, these organisms may remain viable for millions of years. Endospores even allow bacteria to survive exposure to

11748-419: The cytoplasm which compartmentalise aspects of bacterial metabolism, such as the carboxysome . Additionally, bacteria have a multi-component cytoskeleton to control the localisation of proteins and nucleic acids within the cell, and to manage the process of cell division . Many important biochemical reactions, such as energy generation, occur due to concentration gradients across membranes, creating

11880-525: The diagnosis, clinical management and investigation of diseases that affect the oral cavity and surrounding maxillofacial structures including but not limited to odontogenic , infectious, epithelial , salivary gland , bone and soft tissue pathologies. It also significantly intersects with the field of dental pathology . Although concerned with a broad variety of diseases of the oral cavity, they have roles distinct from otorhinolaryngologists ("ear, nose, and throat" specialists), and speech pathologists ,

12012-440: The disciplines, but they can not practice anatomical pathology, nor can anatomical pathology residents practice clinical pathology. Though separate fields in terms of medical practice, a number of areas of inquiry in medicine and medical science either overlap greatly with general pathology, work in tandem with it, or contribute significantly to the understanding of the pathology of a given disease or its course in an individual. As

12144-411: The dominant forms of life. Although bacterial fossils exist, such as stromatolites , their lack of distinctive morphology prevents them from being used to examine the history of bacterial evolution, or to date the time of origin of a particular bacterial species. However, gene sequences can be used to reconstruct the bacterial phylogeny , and these studies indicate that bacteria diverged first from

12276-526: The elongated filaments of Actinomycetota species, the aggregates of Myxobacteria species, and the complex hyphae of Streptomyces species. These multicellular structures are often only seen in certain conditions. For example, when starved of amino acids, myxobacteria detect surrounding cells in a process known as quorum sensing , migrate towards each other, and aggregate to form fruiting bodies up to 500 micrometres long and containing approximately 100,000 bacterial cells. In these fruiting bodies,

12408-501: The energy released by the transfer of ions down an electrochemical gradient across the cell membrane. Fimbriae (sometimes called " attachment pili ") are fine filaments of protein, usually 2–10 nanometres in diameter and up to several micrometres in length. They are distributed over the surface of the cell, and resemble fine hairs when seen under the electron microscope . Fimbriae are believed to be involved in attachment to solid surfaces or to other cells, and are essential for

12540-602: The entering of ancient bacteria into endosymbiotic associations with the ancestors of eukaryotic cells, which were themselves possibly related to the Archaea. This involved the engulfment by proto-eukaryotic cells of alphaproteobacterial symbionts to form either mitochondria or hydrogenosomes , which are still found in all known Eukarya (sometimes in highly reduced form , e.g. in ancient "amitochondrial" protozoa). Later, some eukaryotes that already contained mitochondria also engulfed cyanobacteria -like organisms, leading to

12672-641: The evolution of different growth strategies (see r/K selection theory ). Some organisms can grow extremely rapidly when nutrients become available, such as the formation of algal and cyanobacterial blooms that often occur in lakes during the summer. Other organisms have adaptations to harsh environments, such as the production of multiple antibiotics by Streptomyces that inhibit the growth of competing microorganisms. In nature, many organisms live in communities (e.g., biofilms ) that may allow for increased supply of nutrients and protection from environmental stresses. These relationships can be essential for growth of

12804-419: The examination of a biopsy or surgical specimen by a pathologist, after the specimen has been processed and histological sections have been placed onto glass slides. This contrasts with the methods of cytopathology, which uses free cells or tissue fragments. Histopathological examination of tissues starts with surgery , biopsy , or autopsy. The tissue is removed from the body of an organism and then placed in

12936-570: The formation of chloroplasts in algae and plants. This is known as primary endosymbiosis . Bacteria are ubiquitous, living in every possible habitat on the planet including soil, underwater, deep in Earth's crust and even such extreme environments as acidic hot springs and radioactive waste. There are thought to be approximately 2×10 bacteria on Earth, forming a biomass that is only exceeded by plants. They are abundant in lakes and oceans, in arctic ice, and geothermal springs where they provide

13068-453: The gut. However, several species of bacteria are pathogenic and cause infectious diseases , including cholera , syphilis , anthrax , leprosy , tuberculosis , tetanus and bubonic plague . The most common fatal bacterial diseases are respiratory infections . Antibiotics are used to treat bacterial infections and are also used in farming, making antibiotic resistance a growing problem. Bacteria are important in sewage treatment and

13200-502: The hematopoietic system. In addition, the hematopathologist may be in charge of flow cytometric and/or molecular hematopathology studies. Molecular pathology is focused upon the study and diagnosis of disease through the examination of molecules within organs, tissues or bodily fluids . Molecular pathology is multidisciplinary by nature and shares some aspects of practice with both anatomic pathology and clinical pathology, molecular biology , biochemistry , proteomics and genetics . It

13332-423: The human host. To determine causes of diseases, medical experts used the most common and widely accepted assumptions or symptoms of their times, a general principle of approach that persists in modern medicine. Modern medicine was particularly advanced by further developments of the microscope to analyze tissues, to which Rudolf Virchow gave a significant contribution, leading to a slew of research developments. By

13464-430: The identity of a corpse. The requirements for becoming a licensed practitioner of forensic pathology varies from country to country (and even within a given nation) but typically a minimal requirement is a medical doctorate with a specialty in general or anatomical pathology with subsequent study in forensic medicine. The methods forensic scientists use to determine death include examination of tissue specimens to identify

13596-490: The imaging technologies of X-ray radiography ) magnetic resonance imaging , medical ultrasonography (or ultrasound), endoscopy , elastography , tactile imaging , thermography , medical photography , nuclear medicine and functional imaging techniques such as positron emission tomography . Though they do not strictly relay images, readings from diagnostics tests involving electroencephalography , magnetoencephalography , and electrocardiography often give hints as to

13728-409: The laboratory. The study of bacteria is known as bacteriology , a branch of microbiology . Like all animals, humans carry vast numbers (approximately 10 to 10 ) of bacteria. Most are in the gut , though there are many on the skin. Most of the bacteria in and on the body are harmless or rendered so by the protective effects of the immune system , and many are beneficial , particularly the ones in

13860-627: The largest viruses . Some bacteria may be even smaller, but these ultramicrobacteria are not well-studied. Shape . Most bacterial species are either spherical, called cocci ( singular coccus , from Greek kókkos , grain, seed), or rod-shaped, called bacilli ( sing . bacillus, from Latin baculus , stick). Some bacteria, called vibrio , are shaped like slightly curved rods or comma-shaped; others can be spiral-shaped, called spirilla , or tightly coiled, called spirochaetes . A small number of other unusual shapes have been described, such as star-shaped bacteria. This wide variety of shapes

13992-434: The largest body of research in veterinary pathology. Animal testing remains a controversial practice, even in cases where it is used to research treatment for human disease. As in human medical pathology, the practice of veterinary pathology is customarily divided into the two main fields of anatomical and clinical pathology. Although the pathogens and their mechanics differ greatly from those of animals, plants are subject to

14124-429: The late 1920s to early 1930s pathology was deemed a medical specialty. Combined with developments in the understanding of general physiology , by the beginning of the 20th century, the study of pathology had begun to split into a number of distinct fields, resulting in the development of a large number of modern specialties within pathology and related disciplines of diagnostic medicine . The modern practice of pathology

14256-434: The latter of which helps diagnose many neurological or neuromuscular conditions relevant to speech phonology or swallowing . Owing to the availability of the oral cavity to non-invasive examination, many conditions in the study of oral disease can be diagnosed, or at least suspected, from gross examination, but biopsies, cell smears, and other tissue analysis remain important diagnostic tools in oral pathology. Becoming

14388-716: The light probably serves to attract fish or other large animals. Bacteria often function as multicellular aggregates known as biofilms , exchanging a variety of molecular signals for intercell communication and engaging in coordinated multicellular behaviour. The communal benefits of multicellular cooperation include a cellular division of labour , accessing resources that cannot effectively be used by single cells, collectively defending against antagonists, and optimising population survival by differentiating into distinct cell types. For example, bacteria in biofilms can have more than five hundred times increased resistance to antibacterial agents than individual "planktonic" bacteria of

14520-447: The mechanisms of action for these pathogens in non-human hosts is essential to the understanding and application of epidemiology and 2) those animals that share physiological and genetic traits with humans can be used as surrogates for the study of the disease and potential treatments as well as the effects of various synthetic products. For this reason, as well as their roles as livestock and companion animals , mammals generally have

14652-550: The medieval era of Islam (see Medicine in medieval Islam ), during which numerous texts of complex pathologies were developed, also based on the Greek tradition. Even so, growth in complex understanding of disease mostly languished until knowledge and experimentation again began to proliferate in the Renaissance , Enlightenment , and Baroque eras, following the resurgence of the empirical method at new centers of scholarship. By

14784-625: The modern Hippocratic Oath is named) having developed methods of diagnosis and prognosis for a number of diseases. The medical practices of the Romans and those of the Byzantines continued from these Greek roots, but, as with many areas of scientific inquiry, growth in understanding of medicine stagnated somewhat after the Classical Era , but continued to slowly develop throughout numerous cultures. Notably, many advances were made in

14916-417: The newly formed daughter cells. Examples include fruiting body formation by myxobacteria and aerial hyphae formation by Streptomyces species, or budding. Budding involves a cell forming a protrusion that breaks away and produces a daughter cell. In the laboratory, bacteria are usually grown using solid or liquid media. Solid growth media , such as agar plates , are used to isolate pure cultures of

15048-473: The nutrients needed to sustain life by converting dissolved compounds, such as hydrogen sulphide and methane , to energy. They live on and in plants and animals. Most do not cause diseases, are beneficial to their environments, and are essential for life. The soil is a rich source of bacteria and a few grams contain around a thousand million of them. They are all essential to soil ecology, breaking down toxic waste and recycling nutrients. They are even found in

15180-475: The outside of the cell membrane is the cell wall . Bacterial cell walls are made of peptidoglycan (also called murein), which is made from polysaccharide chains cross-linked by peptides containing D- amino acids . Bacterial cell walls are different from the cell walls of plants and fungi , which are made of cellulose and chitin , respectively. The cell wall of bacteria is also distinct from that of achaea, which do not contain peptidoglycan. The cell wall

15312-517: The presence or absence of natural disease and other microscopic findings, interpretations of toxicology on body tissues and fluids to determine the chemical cause of overdoses, poisonings or other cases involving toxic agents, and examinations of physical trauma . Forensic pathology is a major component in the trans-disciplinary field of forensic science . Histopathology refers to the microscopic examination of various forms of human tissue . Specifically, in clinical medicine, histopathology refers to

15444-477: The previous 1,500 years in European medicine. With the new understanding of causative agents, physicians began to compare the characteristics of one germ's symptoms as they developed within an affected individual to another germ's characteristics and symptoms. This approach led to the foundational understanding that diseases are able to replicate themselves, and that they can have many profound and varied effects on

15576-484: The previous diagnosis. Clinical pathology is a medical specialty that is concerned with the diagnosis of disease based on the laboratory analysis of bodily fluids such as blood and urine , as well as tissues, using the tools of chemistry , clinical microbiology , hematology and molecular pathology. Clinical pathologists work in close collaboration with medical technologists , hospital administrations, and referring physicians. Clinical pathologists learn to administer

15708-612: The production of the highly toxic forms of mercury ( methyl- and dimethylmercury ) in the environment. Nonrespiratory anaerobes use fermentation to generate energy and reducing power, secreting metabolic by-products (such as ethanol in brewing) as waste. Facultative anaerobes can switch between fermentation and different terminal electron acceptors depending on the environmental conditions in which they find themselves. Unlike in multicellular organisms, increases in cell size ( cell growth ) and reproduction by cell division are tightly linked in unicellular organisms. Bacteria grow to

15840-560: The replication of DNA or from exposure to mutagens . Mutation rates vary widely among different species of bacteria and even among different clones of a single species of bacteria. Genetic changes in bacterial genomes emerge from either random mutation during replication or "stress-directed mutation", where genes involved in a particular growth-limiting process have an increased mutation rate. Some bacteria transfer genetic material between cells. This can occur in three main ways. First, bacteria can take up exogenous DNA from their environment in

15972-508: The resulting pathology report describes the histological findings and the opinion of the pathologist. In the case of cancer, this represents the tissue diagnosis required for most treatment protocols. Neuropathology is the study of disease of nervous system tissue, usually in the form of either surgical biopsies or sometimes whole brains in the case of autopsy. Neuropathology is a subspecialty of anatomic pathology, neurology , and neurosurgery . In many English-speaking countries, neuropathology

16104-530: The same species. One type of intercellular communication by a molecular signal is called quorum sensing , which serves the purpose of determining whether the local population density is sufficient to support investment in processes that are only successful if large numbers of similar organisms behave similarly, such as excreting digestive enzymes or emitting light. Quorum sensing enables bacteria to coordinate gene expression and to produce, release, and detect autoinducers or pheromones that accumulate with

16236-606: The skin exist, including cutaneous eruptions (" rashes ") and neoplasms . Therefore, dermatopathologists must maintain a broad base of knowledge in clinical dermatology, and be familiar with several other specialty areas in Medicine. Forensic pathology focuses on determining the cause of death by post-mortem examination of a corpse or partial remains. An autopsy is typically performed by a coroner or medical examiner, often during criminal investigations; in this role, coroners and medical examiners are also frequently asked to confirm

16368-517: The state and function of certain tissues in the brain and heart respectively. Pathology informatics is a subfield of health informatics . It is the use of information technology in pathology. It encompasses pathology laboratory operations, data analysis, and the interpretation of pathology-related information. Key aspects of pathology informatics include: Psychopathology is the study of mental illness , particularly of severe disorders. Informed heavily by both psychology and neurology , its purpose

16500-474: The study of disease is divided into many different fields that study or diagnose markers for disease using methods and technologies particular to specific scales, organs , and tissue types. Anatomical pathology ( Commonwealth ) or anatomic pathology ( United States ) is a medical specialty that is concerned with the diagnosis of disease based on the gross , microscopic , chemical, immunologic and molecular examination of organs, tissues, and whole bodies (as in

16632-412: The surfaces of plants, the majority of bacteria are bound to surfaces in biofilms. Biofilms are also important in medicine, as these structures are often present during chronic bacterial infections or in infections of implanted medical devices , and bacteria protected within biofilms are much harder to kill than individual isolated bacteria. The bacterial cell is surrounded by a cell membrane , which

16764-457: The terminal electron acceptor, while anaerobic organisms use other compounds such as nitrate , sulfate , or carbon dioxide. Many bacteria, called heterotrophs , derive their carbon from other organic carbon . Others, such as cyanobacteria and some purple bacteria , are autotrophic , meaning they obtain cellular carbon by fixing carbon dioxide . In unusual circumstances, the gas methane can be used by methanotrophic bacteria as both

16896-451: The tissue and blood analysis techniques of general pathology are of central significance to the investigation of serious infectious disease and as such inform significantly upon the fields of epidemiology , etiology , immunology , and parasitology . General pathology methods are of great importance to biomedical research into disease, wherein they are sometimes referred to as "experimental" or "investigative" pathology . Medical imaging

17028-447: The transfer of antibiotic resistance. In such cases, gene acquisition from other bacteria or the environment is called horizontal gene transfer and may be common under natural conditions. Many bacteria are motile (able to move themselves) and do so using a variety of mechanisms. The best studied of these are flagella , long filaments that are turned by a motor at the base to generate propeller-like movement. The bacterial flagellum

17160-460: The upper respiratory tract and begins to multiply. The pathogenic mechanisms of a disease (or condition) are set in motion by the underlying causes, which if controlled would allow the disease to be prevented . Often, a potential cause is identified by epidemiological observations before a pathological link can be drawn between the cause and the disease. The pathological perspective can be directly integrated into an epidemiological approach in

17292-474: The vast majority of lab work and research in pathology concerns the development of disease in humans, pathology is of significance throughout the biological sciences. Two main catch-all fields exist to represent most complex organisms capable of serving as host to a pathogen or other form of disease: veterinary pathology (concerned with all non-human species of kingdom of Animalia ) and phytopathology , which studies disease in plants. Veterinary pathology covers

17424-495: The virulence of some bacterial pathogens. Pili ( sing . pilus) are cellular appendages, slightly larger than fimbriae, that can transfer genetic material between bacterial cells in a process called conjugation where they are called conjugation pili or sex pili (see bacterial genetics, below). They can also generate movement where they are called type IV pili . Glycocalyx is produced by many bacteria to surround their cells, and varies in structural complexity: ranging from

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