anti vira ange Flashcards

1
Q

What is a virus?

A

infectious obligate intracellular parasite.

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2
Q

What do viruses rely on?

A
  • host - relient on the machinery of the host cell to carry out of replicatoin
  • Genome = DNA or RNA [both can be single or double]. Always have a nucleic based genome
  • Genome into a cell —> replicated. Produce viral particles with protein capsid allowing them to move.
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3
Q

How would we view a virus?

A

electron microgram

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4
Q

What are typical viruses

A
  1. Rhabdovirus
  2. Bullet shape virus
  3. Rotavirus
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5
Q

What are the typical morphology categories of a virus?

A
  1. Symmetrical (?)
  2. Non-enveloped - outcase pure protein (?)
  3. Enveloped - membrane is derived from lipid membrane
  4. Pleomorphic - distinguished shaped.
  5. Capsid surrounded by a tegument - a bunch of protein in coat encapsulated within an envelope.
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6
Q

In what 2 ways do viruses carry and use their genetic information?

A
  1. Some viruses use genomes of RNA and never had DNA at all in their replicaiton cycle
  2. Genomes of RNA that they carry around as their coding potential which they convert back to DNA inside the capsid of the virus or inside the host cell using a virally encoded enzyme which is completely unique to viruses called reverse transcriptase.
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7
Q

What is negative sense?

A
  • Some viruses carry their RNA
  • if they do that, they need to copy the RNA into complementary mRNA (so it can attach onto the ribosome) then they can make it into their genome —> protein
  • mRNA translated by ribosome
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8
Q

What is the positive sense?

A
  • mRNA sense

- attaches into the ribosome

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9
Q

What are the consequences of RNA viral genome type?

A
  • RNA viruses uses own polymerase to replicate. Theses do not have proof reading capacity.
    • Results in high incident of mutations accumulating = rapid evolution
  • RNA is is inherently biochemically less stable than DNA. Limit to the size of RNA Genome. Largest = coronaviruses [30 kilobases long]
  • Can use complex coding strategies to make more proteins. Overlapping reading frames which means single a single stretch of nucleic acid could encode different proteins if the ribosome translate in the different reading frames.
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10
Q

What are the consequences of DNA viral genome type?

A

More stable and big = plenty room for acquiring extra genes - accessory genes

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11
Q

What are segmented genomes?

A
  • Segmented genomes. where 23 chromosomes where it is physically discrete pieces of nucleic acids are encoding different genes of the virus
  • allow recombination (reassortment) where different genes of different species virus mix.
  • if they co-infect the same cells, they can mix themselves and creates new combination …. antigenic variability [influenza]
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12
Q

What is the generic viral replication cycle?

A
  • virus begins outside with the nucleic genetic information inside the capsid.
    • the capside can be pure protein or may have an envelope coat and lipid envelope.
  • virus attaches to cell surface membrane glycoprotein/protein ie: virus receptor
  • Attaches to the virus receptor and enters the cell
  • Once inside, the capside falls away exposing the viral genome to the machinery of the cell
  • Then the viral genome might be directly converted to mRNA, or mRNA (itself) turned into protein.
  • It can use its own polymerase or the cellular polymerase to replicate itself and make all the different genome.
  • New viral particles assemble.
  • Cell they leave die = pathways would have recognise it is infected.
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13
Q

What is the replication cycle of HIV - 1?

A
  • HIV viron with spike protein Gp120 binds to the cell receptor CD4 (on Th cells)
  • Virus is brought closer to the cell surface where it engage with the second co-receptor CCR5 and/or CXCR4 (depending macrophage or Tcell)
  • virus membrane and host membrane fuse and release viral particle which then undergoes reverse transcription.
  • Produces DNA
  • The Viral enzyme integrase is integrated/spliced into the host own DNA. This causes the viral genome to look like the host DNA
  • This is transcribed by host into RNA form template
  • Assemble a new virus particles and budded out of the cell.
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14
Q

What is the replication cycle of the Influenza viral replication cycle?

A
  • influenza latches onto glycoproteins and glycolipids on the surface of the cell
  • Causes the cell to take in particle: endocytosis
  • Fuse its contents with the endosomal lipids
  • Releases 8 genomic segments of the RNA
  • Those RNA segments enter the nucleus where RNA dependent RNA polymerase copy —> mRNA and replicate into new genomes
  • Leave nucleus, binds to ribosomes.
  • Made into proteins and new genomes move to cell surface alongside proteins. Bud and leave the cell
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15
Q

Endosome

A

intracellular sorting organelles in eukaryotic cells. These are acidic cells

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16
Q

What is meant by the cytopathic effect?

A
  • death of the cell due to the virus. Usually as a result of the virus lysing the cell
  • this could be due to shut down of host protein synthesis or accumulation of proteins
  • Cell triggered apoptosis and dies as a result
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17
Q

What is a plaque

A
  • when cell die form a “bacterial colony”
  • each dot, each plaque, is the result of a single cell originally being infected by a singla virus particle
  • as virus replicated, it killed the cells and left a hole which is stained as clear hole, admist the rest of the cells stined with stain
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18
Q

What can we use the plaque assay to do?

A
  • quantify how many virus particles infected in a particlular preparation of virus.
  • each plaque is part of the number of cells being infected by a single virus particle
  • you make a dilution and putting them on monolayers of cells. After 2/3 days you count number of plaque that are formed
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19
Q

What happens if they don’t form plaque, what do they form?

A
  • Syncitium assay
    • fuse all the cells together around them
    • Virus with surface protein that can fuse at neutrol pH often fuse cells together
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20
Q

How do you detect viruses in the lab and clinic?

A

viral genome , antigen, particels

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21
Q

SERIOLOGY

A

detection of immune response to the virus

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22
Q

In a person, when can we pick up the virus?

A
  • 2-3 weeks later
  • when that person seroconverts. ie: make an immune response
  • detected by taking blood, looking in serum for present of antibodies for that virus.
  • SERIOLOGY = detection of immune response to the virus.
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23
Q

Why is serology useful?

A
  • counting how many people have been infected during an outbreak
  • how many people may have some level of immunity
24
Q

What is reverse genetics?

A

The creation of viruses at will with engineered mutations in their genomes

  • Since Viruses are so small they can be made.
  • introduce synthetic DNA/RNA into a cell.
  • Now the cell will think it has been infected and will be driven to replicate copies
25
Q

All human viruses

A

replicate inside humans

26
Q

What makes a good antiviral?

A
  • be effective against a range of virus types and strains [ie influenza]
  • Easy to administer even to sick patient
  • few side effects
27
Q

Why are viruses difficult to control?

A
  • much of what they do is completely dependent on host cell enzymes.
  • if we targeted them = harm.
  • Virus use own self machinery and hose csm
  • Therapeutic index is difficult to achieve
28
Q

What are the 2 methods you can use to improve effectivity of antivirals?

A

improve selectivity and specificity in which the host cell doesn’t do

29
Q

What do antivirals target?

A
  • rational drug design

- nucleoside analogues.

30
Q

What are nucleoside analogues?

A
  • viruses are made nucleotides and require them to replicate
  • if we give a chemical altered version of a nucleoside that that can be incorporated in the genome
  • this may inhibit or interfere with the viruses own nucleic acid replication
31
Q

Why might nucleoside analogues be dangerous?

A
  • DNA is made out nucleotides

- This effects host cell

32
Q

What are rational drug design?

A
  • antiviral drugs target viral enzymes. You require understanding of structure of viral components and enzymes for this to work
  • require diagnostics to know what particular virus a person is infected with [in order to complete this]
  • drugs target specific factors in virus ie enzymes
33
Q

What is acyclovir?

A
  • nucleoside analogues
  • Looks like guanosine but the whole bottom half is missing. So the 3’ OH group which is normally the way that these bases would be added on the growing nucleotide chain
  • CALLED: chain terminator
34
Q

How does Acyclovir work

A
  • modified nucleotide is incorporated into the DNA.

- The lack of 3’ OH prevents the phosphodiest bond being formed - which is needed to grow the chain.

35
Q

Why is a great ant-viral?

A
  • given to people as a pro drug in the unphosphorylated form
  • All nucleosides need to be triphosphorylated in order to be incorporated into the grow chain
  • First addition of first phosphate to the Acyclovir —> Acyclovir mono- phosphate is carried out as it happens by a kinase enzyme
  • ONCE monophosphate is on cellular enzymes, kinase enzyme, kinase enzymes phosphorylate and make the triphosphate and that gets incorportated into the growing chain of viral DNA
36
Q

What is a property of acyclovir?

A

What is a property of acyclovir?

37
Q

What is a property of acyclovir?

A
  • if the thymidine kinase mutates in such a way that no longer phosphorylates acyclovir
  • drug will remain
  • virus will not be affected by the drug
38
Q

What is Remdesivir?

A
  • nucleoside analogue that was developed in the first place to trate Hepatitis C
  • Similar/Analogue of adenosine causes chain termination 3 nucleotides down of incorporation.
  • This is because it twist the shape of the molecule so nucleotides downstream cannot be added
39
Q

How are antivirals used in influenza?

A

Amantidine/Rimantadine

40
Q

What is the role of M2 ion channels in the inflenza virus?

A
  1. Virus contains the M2 ion channel which side alongside haemagglutin and neuaminase [spike proteins]
  2. When virus is endocytosised into the cell, it is put inside the endosome
  3. Since the endosome is acidic. The M2 ion channel allows transport of H+ from endosome into the core of the virus particle.
  4. This disrupt the interaction between the matrix protein and the nucleus protein which hold virus together.
  5. Allowing the release the virus and content into the cell where those viral ribonuclear proteins
41
Q

What is Amantidine?

A
  • Cyclic amine with cagelike structures
  • by products of petroleum refinement
  • activate against influenza A
42
Q

How does Amantidine work on the influenza

A
  • if amantidine molecule is sitting in M2 channel
  • prevents H+ entering the particle
  • and initiation of the infection if blocked
  • This virus is locked in the initiation stage
43
Q

How might resistance occur to Amantidine?

A
  • single change in the sequence of the M2 ion channel for amantadine (so it no longer binds)
  • This point mutation = no cost. Virus will reamin virulent and transmissible
  • this is why most viruses in the world are resistant.
44
Q

Why is neuraminidase important?

A
  • cleaves sialic acid from the surface of the infected cells and enable new particle to infect other cells
  • without it virus would be stuck to the
45
Q

What are neuraminidase inhibitors

A
  • Produces a substrate binding pocket
  • Substate analogues = which lock into the binding pockets by modification.
    tetrameric protein
46
Q

Why might these be important?

A

prevents that from happening and newly formed virus particles stuck onto the surface of the old cell halting viral cells

47
Q

What are the con’s of neuraminidase inhibitors?

A
  • given to people with seasonal flu
  • illness shorten by about 1 day
  • associated nausea and vomiting
48
Q

What is Hepatitis C Virus

A
  • Hepatotropic flavivirus that spread widely in blood products [before screening]
  • Leads to carcinoma’s of their liver.
  • This is caused by infection
49
Q

What are the antiviral therapy for hepatitis C virus?

A
  • inject with interferon (not effect)
  • Now have many drugs frm protease inhibitors to unque protein of Hep C called NS5A, which are part of the replicaiton complex polymerase inhibitors.
50
Q

What are the antiviral therapy for HIV virus?

A
  • stop attaching to CD4
  • inhibit fusion with host membrane
  • target reverse transcriptase
  • target proteases
  • target integrase.
51
Q

Why will antiviral lead to no cure?

A
  • HIV integrates its RNA (DNA) into the DNA of host

- Always reservoir cells in, HIV is integrated in the cells

52
Q

vWhat are the only way to cure HIV?

A
  • horrible ill required a bone marrow transplant
  • transplant bone marrow cells through those resistant to HIV - due to mutation in CCR5 receptor gene. Leads to no expression of CCR5 = HIV can’t enter cells.
53
Q

What are biologicals?

A
  • antibodies derived from recovered individuals produced from the lab from B cells
  • passive immunotherapy
  • Palivizumab = targets RSV Virus. Leads to a 55% hospitalisation
54
Q

What is Palivizumab?

A
  • monoclonal antibody
  • made from mice with human immune system genes (thus makes human antibodies straight away)
  • Generate biologicals from mice.
55
Q

What is the future for antiviral therapy?

A
  • new antiviral therapies that target host
  • combination of drugs with different target
  • broad acting antivirals
  • delivery system suitable for target population
  • diagnostics to justidy antiviral
56
Q

What are the other nucleoside analogues?

A

Zidovudine AZT - anti HIV