Gram-Negative Bacteria: Structure, Examples & Antibiotic Resistance (original) (raw)

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These are bacteria that define the opposite of the gram-positive bacteria in relation to the differential staining technique. During gram staining, the gram-negative bacteria will lose the crystal violet dye color after a wash with alcohol and take up the pink/red color of the counterstain, safranin.

The two classes of bacteria are differentiated through gram staining, because of their cell wall composition i.e Gram-positive bacteria have a large layer of peptidoglycan and a thin layer of the lipid layer, and unlike the Gram-negative bacteria which have a thick layer of lipids and they lack the peptidoglycan layer or some have a very thin layer of the peptidoglycan layer. The absence of peptidoglycan makes their cell-wall less strong, and hence the primary stain is easily washed off by alcohol and water.

Gram-negative bacteria are found in a wide range of environments especially those that have life, ranging from normal flora such as Escherichia coli to pathogenic bacteria such as Klebsiella pneumoniae, Chlamydia trichomatis.

Gram-negative bacteria

Gram-negative bacteria

Characteristics of Gram-negative bacteria

Characterization of Gram-negative bacteria shapes

Microscopic observation of Gram-negative bacteria cells ranges from rods to bacillus, to cocci to spiral shapes which are the most commonly known shapes. However some exhibit special shapes such as coccobacillus, tetrads, palisades, trichomes, etc.

For example:

Gram-negative bacteria cell wall

The Cell wall of the Gram-Negative Bacteria is very complex as compared to that of Gram-Positive Bacteria. Combined with the major role of the outer membrane of the cell, with a layer of peptidoglycan, its functional properties are complex, and here is a description of the cell wall and its functional parts.

The Periplasmic space

Peptidoglycan

The Outer Membrane and the Lipopolysaccharides

Gram-negative bacteria list and their pathologies and clinical significance

Gram-negative bacteria are known to be normal flora apart from some which cause severe human infections which range from community-acquired infections to nosocomial (Hospital-acquired) Infections. They cause severe infections some of which cause death if not detected and treated on time. The table below gives examples of some of the Gram-negative bacteria and the clinical features they exhibit upon causing diseases and infections in the human host.

Gram-negative bacteria Pathologies: Clinical feature
Neisseria gonorrhoea Genitourinary tract infections for both male (urethra) and female (vagina and endocervix), associated with purulent urethral discharge and painful urination. The infection may progress to the uterus, causing salpingitis (inflammation of the fallopian tubes), pelvic inflammatory disease (PID), and fibrosis.Infertility may occur for women with salpingitis.Renal infection for men associated with constipation, painful defecation and purulent discharge.Pharyngitis if purulent pharyngeal exudation occurs.Ophthalmia neonatorum in newborns acquired during birth through the cervix.Disseminated infection associated with fever; painful, purulent arthritis; and small, single, scattered pustules on the skin, with an erythematous (red) base due to dilation or congestion of capillaries.Necrosis may develop.
Neisseria meningitidis Meningitis can rapidly spread causing meningococcemia if the bacteria invades the bloodstream, associated with a high fever. It can also spread and invade the brain barrier causing purulent meningitis with fever and severe headaches, joint aches and a petechial and/or purpuric rash.Septicemia occurs within the first 12 hours of infection which can progress to fulminant septicemia and shock especially in children known as Waterhouse-Friderichsen syndrome)
Escherichia coli Intestinal diseases include; enterotoxigenic (ETEC), enteropathogenic (EPEC), enterohemorrhagic (EHEC), enteroinvasive (EIEC), and enteroaggregative (EAEC). They are all associate with diarrhea (watery or/and bloody).Extraintestinal diseases such as Urinary tract infection including cystitis and pyelonephritis, neonatal meningitis and nosocomial-acquired infections such as sepsis/bacteremia, endotoxic shock, and pneumonia.
Salmonella spp Enteric and Typhoid fever characterized by fever, abdominal pain, and severe symptoms include chills, sweats, headache, anorexia, weakness, sore throat, cough, myalgia, and either diarrhea or constipation.Gastroenteritis (salmonellosis) characterized by nausea, vomiting, and non-bloody diarrhea.Bacteremia associated with abdominal infections (of the hepatobiliary tract and spleen); osteomyelitis; septic arthritis
Campylobacter jejuni It causes intestinal and extraintestinal disease with systemic associated with fever, headache, myalgia, and abdominal cramping and diarrhea, which may or may not be bloody.It commonly causes traveler’s diarrhea and pseudoappendicitis with symptoms simulating appendicitis without inflammation of the appendix).Bacteremia (often transient) may occur, most often in infants and older adults.
Salmonella dysenterae Shigellosis (bacillary dysentery) characterized by diarrhea with blood, mucus in stool, and painful abdominal cramping.
Vibrio cholerae Cholera associated with profuse watery diarrhea massive loss of fluid and electrolytes from the body
Helicobacter pylori Acute gastritis with diarrheaSuperficial gastritis associated with epigastric discomfort causing both duodenal ulcers and gastric ulcers.Persistent ulceration may lead to mucosa associated-lymphoid tumors.
Klebsiella pneumoniae It causes UTI and nosocomial acquired bacteremia.
Pseudomonas aeruginosa It causes opportunistic nosocomial infections of wounded patients from surgeries, invading the body through catheters and respirators.Keratitis and endophthalmitis after an injury that formed a wound, associated with necrotic otitis.Skin wound infections.Respiratory tract infections characterized by pneumonia symptoms.Gastrointestinal infections with diarrhea.Necrotic enterocolitis in infants.Systemic infections associated with septicemia, pneumonia, bone and joint infections, Infection of the central nervous system (CNS) and soft tissue infections in hospitalized patients.

Gram-negative bacteria antimicrobial agents

Antimicrobial agents against Bacteria causative agents are known as antibiotics. These antibiotics against the mechanisms of the bacterial cell blocking or inhibiting certain mechanisms from being initiated to induce bacterial cell multiplication and replication. Examples of antibiotics used against gram-negative bacteria are listed in the table below.

Antibiotic Mode of action Bacterial agent
Cephalosporin: ceftriaxone Disruption of the cell by binding to the penicillin-binding proteins and enzymes responsible for the synthesis of peptidoglycan Neisseria gonorrhea Neisseria meningitidesPseudomonas aeruginosa
Tetracycline: Doxycycline Inhibit protein synthesis by preventing the elongation of polypeptides at 30s ribosomes Neisseria gonorrheae
Streptogramins Inhibition of protein synthesis by preventing polypeptide elongation of 50s ribosomes Neisseria gonorrheae
Β -lactam: Penicillin G Inhibition of cell synthesis by disrupting the penicillin-binding proteins and enzymes used for peptidoglycan synthesis Neisseria meningitidis Pseudomonas aureginosa
Rifampin: Rifamycin Inhibition of nucleic acid synthesis by preventing transcription of binding DNA-dependent RNA polymerase Neisseria meningitides Escherichia coli
Macrolide: Erythromycin, Azithromycin, Clarithromycin Inhibition of bacterial protein synthesis by preventing the elongation of polypeptides of 50s ribosomes Neisseria gonorrhea Campylobacter jejuniShigella dysenteraeHelicobacter pyloriPseudomonas aeruginosa
Tetracycline: Doxycycline Inhibition of protein synthesis by preventing the polypeptide elongation of 30s ribosomes Neisseria gonorrheae Vibrio cholerae
Quinolones: Fluoroquinolones, Ciprofloxacin Inhibition of nucleic acid synthesis by binding to the alpha-subunit of DNA gyrase Eschericia coli Salmonella typhi/paratyphi (enteric and typhoid fever)Campylobacter jujeniShigella dysenteraePseudomonas aureginosa
Aminoglycosides They inhibit protein synthesis by prematurely producing aberrant peptide chains from 30s ribosomes Escherichia coli (localized and systemic infections**)**
Sulfonamides: sulfamethoxazole They are antimetabolites that inhibit dihydropteroate synthase and distract folic acid synthesis _Eschericia coli (_UTIs and systemic diseases)
Trimethoprim They are antimetabolites that inhibit the action of dihydrofolate reductase and disrupts the folic acid synthesis Escherichia coli(UTIs)

References

  1. Jawertz M., Aldenberg., Medical Microbiology: 28th Edition
  2. Lippincott in Illustrations Reviews Microbiology 3rd Edition
  3. Prescott M. L., Microbiology 5th Edition

Sources

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Dr. Faith Mokobi

Dr. Faith Mokobi is a passionate scientist and completed her Ph.D. in Nanoengineering (Synthetic Biology specialization) from Joint School of Nanoscience and Nanoengineering, North Carolina A and T State University, North Carolina, USA in 2025. She has a background in Immunology and Microbiology (MSc./BSc.). With extensive higher education teaching and research experience in Biomedical studies, metagenomic studies, and drug resistance, Faith is currently integrating her Biomedical experience in nanotechnology and cancer theranostics.