Block 3 virology Q1 Flashcards

(91 cards)

1
Q

(+)ssRNA Replication process (Host whores) (+)—>(-)—>(+)

A

The virion translates its RNA into mRNA via the host’s RNA-dependent RNA polymerase —> It then uses a (+) sense template to make (-) sense intermediates via RDRP —> from the intermediate (-) sense it makes both (+) sense & mRNA, which it translates to make proteins —> the proteins, mRNA, & (+) sense RNA are them assembled into mature viruses

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2
Q

(-)ssRNA Replication process (Build-a-bitch) (-)–>(+)—>(-)

A

The virion uses the RDRP in its cores cytoplasm for primary transcription of (-)sense RNA to make mRNA, (+)sense RNA, & the replicative complex —> It translates its mRNAs to accumulate products (virion proteins etc) —> the virion proteins interact with the replicative complex to cause it to make more full-length (+)sense RNA intermediates (therefore more genomic/parental (-)sense RNA) —> Secondary transcription happens with the progeny (-)sense RNA (then translation and accumulation of products i.e structural proteins)—-> Finally the nucleocapsid is assembled and matured, as it buds through the host cell’s membrane it will acquire its viral envelope

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3
Q

viroids
“VaNS”

A

unencapsulated (Naked) ssRNA viruses (these replicate and usually only cause plant diseases (except Hep D)

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4
Q

Icosahedral vs. Helical shaped viruses

A

Icos= Can either be naked or enveloped (easy to kill)

Heli = Always enveloped

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5
Q

Prion viruses

A

Only made of infectious proteins, these cause slow diseases, transmissible spongiform (CJD) encephalopathies

Susceptible = UV light, NaOH, Autoclaving, Hypochlorite

Resistant = Formaldehyde & nucleases

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6
Q

DNA vs RNA viruses

A

It’s either one or the other, not both!

DNA = has an Owls eye appearance (intranuclear inclusions) & they’re usually dsDNA

RNA= has cytoplasmic inclusions & are usually ssRNA (except retroviruses)

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7
Q

Steps of the typical infectious cycle
“Apply Pressure Under The Right ARmpit”

A

Attachment
Penetration
Uncoating
Transcription (-ssRNA) &/or Translation ((+/-)ssRNA)
Replication
Assembly
Release

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8
Q

Eclipse (prep-load) vs Exponential growth period (fire)

A

Eclipse= ~1-20hrs; it’s from when the virus attaches a host cell and can’t infect other cells (viral load appears to be 0 on a chart)
- Initial entry + disassembly of the parental virus —> assembly of the first progeny active synthesis ( aka from Attachment —> Assembly)

EXP= ~8-72 hrs. This is when the number of assembled progeny viruses increases exponentially over a period of time & then reaches a plateau (with no other increase in viral load)(can give 100-10,000 virions per cell!!!

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9
Q

Viral receptors on host cells & their viruses

“I Pee CHAtteRing with EVery CREep in the HoTtub”

ICAM

CD4

Ach

EGF

CR2/CD21

HVEM

Sialic acid

A

ICAM = intracellular adhesion i.e polio

CD4 = lymphocyte marker (helper) i.e HIV

Ach = neurotransmitter i.e rabies

EGF = growth factor i.e vaccina

CR2/CD1 = complement factor i.e Epstein-Barr

HVEM = TNF-family i.e herpes

Sialic acid = a part of the extracellular glycoproteins i.e Influenza, corona, & reovirus

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10
Q

Reveptor-mediated fusion of an enveloped virus: envelope fusion vs endocytotic entry

A

Envelope fusion:
The virion attaches to the host cell via its receptors, then the viral and host cell’s envelopes fuse to bring in the nucleocapsid, and the viral envelope forms a patch on the host’s membrane

Endocytotic entry:
The virion attaches to the host cell and forms a clathrin-coated endocytotic vesicle via virion-receptor interactions, it’s amplified, and the nucleocapsid is released inside the host cell

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11
Q

Forming a viral envelope (Budding)

A

Glycoproteins are made in the ER and glycosylation begins—>

The glycoproteins are moved in a vesicle to the golgi to continue glycosylation until the viral glycoproteins are moved in a vesicle to the host’s cell membrane —->

From there, the viral glycoproteins bind to the host’s membrane and form a patch to wait until a nucleocapsid migrates to it to bud outside the host cell to be released as a free virion

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12
Q

Methods of transmission:

Respiratory “AIR”

Fecal-oral “FOE”

Blood-borne “HIgH”

Sexy times “Hump”

Animal or bugs “Rabid”

A

Resp = Influenza A & rhinovirus via aerosols, sensitive to drying, & closer contact means more infectiousness

F&O = Enteroviruses (i.e polio) they replicate in the gut

Blood-Borne = Hep B & HIV, via sharing needles (IV drug abuse)

Sex = HIV

Animals/bugs = rabies

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13
Q

Egg inoculation:

Chorioallantoic membrane innoculation “CHoPpeR”

Amniotic inoculation “AIM”

Yolk sac inoculation “YeaH”

Allantoic inoculation “All Her gAINs”

A

CMI = Herpes, Poxvirus, & Rous Sarcoma

AI = Mumps & Influenza

YSI = Herpes

AI = HIV, Avian Adenovirus, Influenza & Newcastle disease

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14
Q

Poliovirus
“polio ENTeRs FrOm the gut”

Properties (type, genome, transmission)

Disease

A

An Enterovirus with RNA genome that’s transmitted via the fecal-oral route

It infects the gut and can be excreted in poop & also enter the blood (viraemia). From there, it infects both non & neuronal tissues (paralysis)

It causes poliomyelitis (iron lung patients) & gastro illness

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15
Q

Influenza A virus

Properties (type, genome, transmission)

Disease

A

An Myxovirus that’s enveloped with a segmented RNA genome

Its got a wide infectious range from people to animals because of its extensive antigenic variation

It causes respiratory infections

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16
Q

Tumour causing viruses

Epstein-Barr “Eat BLeuberries”

HPV (Human papillomavirus) “HP the Basilisk’s Chamber”

HTLV-1 (Human T-cell leukemia virus)

Hep C “Hard Cider & Liquor”

A

EB = Burkitts Lymphoma

HPV = Benign warts & Cervical carcinoma

HTLV-1 = Leukemia

Hep C = Liver carcinoma

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17
Q

Tumour-causing virus infectious pathways

General

Exceptions

A

The virus infects a cell and integrates its own nucleic acid & DNA into the host’s genome. This way it can alter gene expression by either activating certain host genes or activating its own genes to promote uncontrolled replication and delay cell growth (aka tumour making 101)

Exceptions include:

Herpes = causes latent infection, but its own nucleic acid stays separate from the hosts’ genome

Retroviruses = have an RNA genome so they need to make a DNA copy of their genome to replicate

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18
Q

Treating & preventing viral infections

A

Antivirals, vaccines, & immunization

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19
Q

Adenoviruses

Properties (shape, genome, effects)

Types A-G
A
B “BARs are PerFeCt for Cold Henesy”
C “5 CARs CLATter”
D “DESK”
E “ Krusty Fucking EyEs”
F & G “Fucking GAG”

Testing for Adenoviruses

Using them as therapeutics

A

Shape = icosahedral, NAKED, dsDNA its capsid has:

Fibre + penton –> These are host protein receptors that determine the virus’s tissue infectivity

Hexon –> This is the most abundant capsid protein, which is a target for the immune system

Genome = It has a big dsDNA (35kbp), and it encodes its own DNA pol and regulator factors so it can replicate in the nucleus (no lysing + immunity is long-lasting)

Causes =
- Hemagglutination (via the fibre capsid protein), so you can use the hemagglutination inhibition test

  • It infects quiescent cells (non-dividing) to make them divide & its expressed proteins block the host’s immune system/ blocks cytokines (TNFa & interferons), and increases the viruses’ replication/transcription/& translation

Types:

A = Animals only

B = Acute respiratory disease, pharyngeal-conjunctival fever, & hemorrhagic cystitis

C = 5% of acute respiratory infections in children, which can persist as latent infections in the adenoids and tonsils

D = Episodic and sporadic kerato-conjunctivitis (pink eye)

E = Epidemic keratoconjunctivitis and fever

F & G = Acute gastroenteritis

Testing for adenoviruses:

Assessing high levels of neutralizing antibody titer
&
ELISA (poop analysis)

Adenoviruses as therapeutic agents:
- Used as antigen vectors (aka a gene delivery system via replacing deficient genes (Feline immunodeficiency virus), promoting cytotoxicity & amelioration of the disease (reducing its severity i.e. pseudorabies virus)

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20
Q

Parvovirus B19
“parvovirus is INSiDe Dusty ACs & EIther Enters From HarmFul air”

Properties (shape, genome, transmission, & effects)

Associated conditions

treat

A

An Icosahedral shaped naked virus that has ssDNA and infects humans

Trans = via airborne droplets to close contacts

Infects = It establishes infection in erythroid cells (adults’ bone marrow & Infants’ liver)

Causes =
- Febrile illness (in blood recipients)
- Aplastic crisis (patients with hemolytic anemia)
- Erythema infectiosum (aka 5th disease in healthy people)
- Hydrops fetalis (congenital infection)

Ass. with conditions =
- Encephalitis
- Neuropathies
- Myocarditis
- Nephritis
- SLE (sys. Lupus erythematosus)
- Henoch-Schonlein purpura (purpura, arthritis, & abdominal pain)
- Rheumatoid arthritis

Treatment =
- *Mainly supportive care
- fever use acetaminophen or ibuprofen
- Itching use a topical anesthetic or antihistamine
- Chronic parvovirus infection, use IV Immunoglobulins (IVIG)
- Aplastic crisis use packed RBC transfusions

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21
Q

Erythema Infectiosum aka 5th virus (inf agent is the Parvovirus B19)

Features (IP, Phases)

A

IP ~ 7-10 days

Phase 1 (peak virus levels and RBC destruction)
- Fever, malaise, myalgia, chills, & bright red rashes (raised slapped cheek app)

Phase 2 (Rash & arthralgia)
- Virus disappears (not infectious anymore)
- Erythematous maculopapular rash on the arms and trunk (lace-like app) due to the immune complexes in the capillaries of the skin

Phase 3
- Frequent reoccurrence & clearance, triggered via exercise, irritation, heat, & Sun)

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22
Q

Aplastic crisis (inf agent is the Parvovirus B19)

Effects on anemic, healthy, & thrombocytopenic patients

A

anemic patients = causes symptoms by destroying RBCs (pallor, fatigue, reduced hemoglobin)

Thrombocytopenic patients = Bruising & hydrops fetalis

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23
Q

Hydropis fetalis

Associated virus

Treatment/prophylaxis

Test

A

Ass. virus = associated with a maternal or fetal infection of the B19 parvovirus

Treat/pro = Preggos exposed to B19 should get IgG & M serology done (then repeated in 3 weeks)

Test = If IgMs develop, then there’s an acute infection

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24
Q

Polyomavirus-papovaridae

Human infections

JCV
“Dumb JOCK Missed the Pass”

BKV
“Bad Kidneys don’t Vent Harsh Chemicals”

MCV

Epi/Pathogenesis

Lab diagnosis & treatment

A

JCV = associated with progressive multifocal leuko-encephalopathy, a rare & fatal disease that causes demyelination. It usually impacts AIDs patients

Features= JCV reactivates & infects the CNS (via the blood), causing cytocidal infection in oligodendrocytes leading to demyelination

Sympt progression =
- Early: impaired speech & mental capacity
- Later (fast): Paralysis & lost motor capacity
- Death: 3-6 months after symptom onset

BKV = Hemorrhagic cystitis in AIDs & nephropathic patients

Features = Urine shedding is super prevalent (more than viremia, it’s 10 times higher than shedding is serum)

Tests=
- Serology (seroprevalence is nearly ubiquitous)
- Infected renal tubular cells (decoy cells) deteriorate too fast (urine microscopy is limited)

Test = Steroids don’t work; use antivirals (cidofovir)

MCV = Associated with Merkle cell carcinoma, a rare & aggressive form of skin cancer

Epi/Patho =

JCV & BKV: transmitted via droplets via the resp or urine. Patients are typically infected in childhood, and normally, antibodies are made.
&
The infection spreads from resp + urine to the kidneys, where they can lay dormant in the tubular epi of healthy people

Lab Diag & Treat =

BKV: DNA hybridization in urine
JCV: In PM, lesions in brain tissue

No antiviral treatment or vaccines (cause it’s generally asymptomatic)

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25
HPV (Human papilloma virus) "HPV DOEsn't ChAnGE a Patient's Wacky BP" Properties (genome, transmission, & effects) Pathogenesis Other strains Lab diagnosis treat
HPV is a DNA virus that establishes infection in the e keratinocytes (skin) and mucus membrane Normally it's subclinical But if its clinical symptoms include = Benign papilloma, warts (verrucae) or squamous cell papilloma Patho= - Transmitted via abrasions; the virus initially attaches to integrin and laminin receptors ---> The virus is then endocytosed, and its genome is incorporated into the host DNA ---> The infection is limited to the basal cells of the striated epithelium (cells can differentiate in the upper layers) & the virus only infects epithelial cells (NOT LIVE TISSUE!)---> Non-cytolytic inf (virus particles are released after they degrade, desquamating cells Lab Diagnosis: - Papanicolaou staining (shows koilocytes aka cells with many structural changes i.e nuclear enlargement, irregular nuclear membrane, hyperchromasia (darker stain), & perinuclear halo) - Viral oncogenes/oncoproteins E6 & E7 inactivate tumor suppressor genes p-53 & pRb Other strains= - HPV 16&18: Cancer (cervix, vulva, vagina, penis, anus, & oropharynx - Sexually transmitted strains= condylomata, acuminate, &/or venereal warts Treat/prevent= vaccines - Gardasil (Merck) - Cervarix (GlaxoSmithkline) Both protect against initial infection of HPV 16 & 18
26
Crops of vesicles in diff stages of development VS Crops of vesicles in the same stage
Chicken Pox & Small pox
27
Direction examination (lab diagnostics) Antigen detection Electron microscopy Light microscopy Viral genome detection
Ag = Immunofluorescence & ELISA EM = Shows viral particle morphology LM = Shows histological appearance of inclusion bodies VGD = Hybridization & PCR (specific nucleic probes)
28
Indirect Examination (Lab techniques) Cell culture "CHIC" Eggs Animals "DAD"
CC= Cytopathic effect (CPR), Haemabsorption, & immunofluorescence Egg= Pocks on CAM, Haemagglutination, & Inclusion bodies Animals = Disease or death
29
CMV retinitis AIDs
severely immunocompromised
30
Serology
detect rising titers of antibodies between the acute & convalescent stages of infection OR detecting IgM in the primary infection
31
Virus Isolation (lab diagnostics) cell cultures used Primary cells Semi-continuous cells Continuous cells
P = Monkey kidney SC = Human embryonic kidney & skin fibroblasts C = - A549 (Human lung cancer cell for respiratory viruses) - HeLa (epithelial cell from cervical cancer cell line) - HL-60 (Human leukemia cell line)
32
ID viruses cell Cell cultures Neutralization test
CC = - cytopathic effect (Ballooning cells or syncytia formation can be specific or non-specific) - Haemadsorption (cells get the ability to stick to mammalian RBCs) Neutralization= lowering virus infectivity by mixing it with specific antibodies
33
Electron microscopy (Lab diagnostics) "CANARy poop" "VHV" "SCHMuk"
Need 10^6 virus particles to visualize species poop = Rotavirus, adenovirus, Norwalk-like viruses, astrovirus, & calicivirus Vesicle fluid = HSV & VZV Skin = Papillomavirus, orf Molluscum contagiosum
34
Serology (Lab Diagnostics) Criteria for diagnosing a primary infection Criteria for diagnosing reinfection
Criteria for primary infection: - A 4-fold or more increase in IgG titre OR the total antibody count between acute & convalescent sera - IgMs present - Seroconversion, A single high titre of IgG (or the total antibody) this is VERY UNRELIABLE Criteria for reoccurring infections; - A fold or more increase in IgG titre (or total antibody count between acute and convalescent sera) - The absence or slight increase in IgM
35
Western blot (proteins) Lane 1 Lane 2 Sample A Sample B Sample C
L1 = + L2 = - A = - B = Intermediate C = +
36
Serology uses (Lab Diagnostics) HIV & Rabies Rubella & Hep A Resp & diarrheal disease
HIV/Rabies = serology isn't useful cause the symptoms can appear months-yrs after the seroconversion Rubella & Hep A = Serology IS USEFUL because the symptoms coincide with antibody production (more IgG&M = active disease) Resp/diarrheal disease= serology is retrospective & not useful because symptoms appear before antibodies are made
37
CSF use in diagnostics Main diseases it ID
CSF normally has little-to-no antibodies, but it's mainly used to diagnose HSV & VZV encephalitis If CSF titre/serum antibody titre is greater than 1/100 it means there's meningitis
38
Rapid diagnosis via viral antigens Nasopharyngeal aspirate Poop Skin Blood
NA = RSV, Influenza A & B, Parainfluenza, & Adenovirus Poop = Rotavirus, Adenovirus, & Astrovirus Skin = HSV & VZV Blood = CMV (pp65 antigenaemia test)
39
Negri bodies appear in which virus?
Rabies
40
Owl eye inclusion bodies indicate what infection in the lung
CMV infection
41
Molecular methods (aka detecting viral genome)
PCR = In vitro amplification of target DNA sequences via enzymatic reactions with synthetic oligonucleotides (primers for Taq polymerase) Denature the template DNA (heat) ---> anneal primers to their complementary sequences ---> extend the primer ---> Taq binds and produces a targetted fragment Further sensitivity and specificity via nested PCR + agarose gel electrophoresis, hybridization with a specific oligonucleotide probe, & restriction enzyme analysis OR DNA sequencing
42
Viral... Pathogenesis Virulence Disease
P= The viruses' way of causing infection V= The viruses' capacity to cause disease D= The effects of viral replication & direct cell damage (cytopathogenic effect) & the host's immune response (immunogenic effect)
43
Virulence/host factors
*Course of infection (primary rep where the virus first rep after entry, systemic spread via blood, secondary rep in susceptible organs/tissues after systemic spread) - Strain of the virus (virulence) *Cell/tissue dmg - Viral tropism (ability to inf & rep) - Cytopathic effect - Target tissue (viral & host receptors) * Host Immune response * Virus clearance or persistence
44
General patterns of infection Acute "AIRR" Persistent "PLC" Latent (reactivating) "LHS" Slow virus infection "My HIVe"
Acute = Rhinovirus, Rotavirus, & influenza Persistent = Lymphocytic choriomeningitis inf Latent = Herpes simplex virus Slow = Measles & HIV
45
Acute & DNA viruses "HAPPy" Latent & DNA viruses "HP" DNA & Oncogenic viruses "HOPE"
A/DNA = Adenovirus, Parvovirus, Poxvirus, & HHV6/7 L/DNA = HSV, VZV, CMV & Polyomavirus DNA/onco = EBV, HHV8, HBV, & Papillomavirus
46
RNA/Anthropod+zoonotic RNA/P2P RNA/Retroviruses
RNA/A+Z = Arenaviruses, Alphaviruses, Bunyaviruses, Flaviviruses, & Rhabdoviruses RNA/P2P: Resp = Picornaviruses, Caliciviruses, & GHCV Git = Orthomyxoviruses, Paramyxoviruses, & Filoviruses RNA/Retro = HIV I/II & HTLV I/II
47
Portals of entry for viruses Skin Conjunctiva/mucus membranes Resp Gi Wieners/Mr.poum-poum
Skin= breach in the skin it's common for viruses to use vectors (ticks, nasty ass bugs) CMM = Exposed and mostly unprotected Resp = Non-specific defence & natural barriers Gi = hostile environment (only specifically adapted viruses survive) W/MR.P = Less hostile but usually not as exposed to viruses (unless you're hoe)
48
Cell tropism (aka a viruses' affinity for specific host tissues) is determined by...
- Viral & host cell receptors - The host cell's transcription factors (these recognize viral promoters) - The host cell's ability to support viral replication - The host cell's homeostatic conditions (pH, temp, enzymes etc.) - Digestive enzymes & bile
49
Cell damage types Retroviruses Picornaviruses
Retro = Are released via budding and tend to cause persistent infections instead of cell death Picorn = replicate then lyse to release, causing cell death ex. Rhinovirus causes fever and mucus secretions ex. Poliovirus causes paralysis & death
50
Major Roles of Immunity in Viral Defence CMI vs. Humoral
CMI = Clearing the virus Humoral = Protects against reinfection
51
2 types of chronic persistent infections True latency & persistence
TL = The virus stays completely latent after the primary infection (HSV & VZV). Their genomes are either incorporated into the host's cell genomes or they stay as episomes P = The virus continuously replicates in the body at very low levels (HIV, HBV, CMV, & EBV)
52
Mechanisms of viral persistence "persist in AIR & Dust"
-Antigenic variation - Immune tolerance (causes a reduced response to antigens, maybe due to pre-natal inf, molecular mimicry, & genetic factors) - Restricted gene expression - Down-regulation of MHC I expression (can't recognize infected cells, i.e. adenoviruses) - Down-regulation of accessory molecules (less immune recognition, i.e LFA-3 & ICAM-1 receptors by EBV) - Infected immunoprivilaged sites (i.e HSV in sensory ganglia in the CNS, aka dermatomes) - Direct infection of cells and the immune system (i.e Herpes, Retroviruses like HIV these usually lead to AIDs)
53
Cytopathological effects (viral lytic infections)
These infections cause cytopathic effects (major structural changes) like inclusion bodies: - Virions in the nucleus (adenovirus) - Virions in the cytoplasm i.e. rhabdovirus, there are negri bodies = RABIES
54
Hemadsorption Infected cells with an enveloped virus containing hemagglutinin
The virus inserts hemagglutinins in the host's cell membrane, so when it absorbs RBCs in modified areas of the membrane, it fuels the maturation of progeny viruses Hemagglutinin tests will show RBCs specifically binding to the infected cells
55
Virus-induced tumours process Epstein-Barr "Eat BLeuberries" HPV (Human papillomavirus) "HP the Basilisk's Chamber" HTLV-1 (Human T-cell leukemia virus) Hep C "Hard Cider & Liquor"
The virus infects a cell & integrates its nucleic acid as DNA into the host's genome ---> this changes cellular gene expression, causing uncontrolled cell replication (TUMOURS) Epstein-Barr virus= Burkitts lymphoma HPV = Benign warts & cervical carcinoma HTLV-1 = Leukemia Hep C virus = Liver carcinoma
56
Tumour-causing cell process
The virus infects the host cell and integrates its nucleic acid as DNA into the host's genome ---> it causes changes in cell gene expression aka uncontrolled replication
57
Herpes viridiae "LIEDD" Features (shape, genome, strains, replication)
A large, enveloped, icosahedral-shaped virus with linear dsDNA that cause lifelong persistent infections Strains: - HSV 1 & 2 (similar homology) - VZV (varicella zooster virus) - EBV (Epstein-Barr virus) - CMV (Cytomegalovirus) - HMV 6,7,8 (Human herpes) Replication: It infects the cell & uncoats at the nuclear pore ---> viral DNA enters the nucleus, undergoes viral transcription and DNA replication ---> nucleocapsids are formed in the nucleus & then bud from the nuclear membrane to get their envelopes ---> viruses then lyse the cell to release (NOTE herpes encodes for a high # of enzymes for DNA synthesis i.e viral thymidine kinase or DNA pol)
58
HSV 1& 2 Features & pathogenesis & Clinical symtoms Primary, Systemic, & Latent
Both grow fast, are very cytolytic, & HAVE 8 glycoproteins: gD = potent antibody neutralizing inducer gG = discriminates type 1 vs 2 HSV Clinical symptoms = HSV-1: Gingivostomatis, herpes labialis, herpes, keratoconjunctivitis, herpes encephalitis, herpetic whitlow, herpes gladiatorum, & disseminated infection (esophagitis & pneumonia in AIDS) HSV-2 : Genital herpes, Neonatal herpes, & Aseptic herpes Patho = IP 2-7 days virus is transmitted via body fluid (broken skin or mucus membranes) - HSV-1: Oral inf via spit or droplets it invades local nerve ending & moves via retrograde axonal flow to stay latent in TRIGEMINAL nerve ganglia - HSV-2: Sexy times transmission, it invades a local nerve ending and moves via retrograde axonal flow, latent in SACRAL nerve ganglia Primary = asymptomatic/mild Systemic = Viremia in AIDS Latent = dormant in ganglia (Life-long) triggered via UV, stress, or suppressed immune system causing viral shedding
59
Genital Herpes (HSV-2) Features (symptoms &complications)
- Vesiculoulcerative genital lesions (PAINFUL!) - Fever - Malaise - Myalgia - Dysuria - Tender inguinal adenopathy Complications = aseptic meningitis (self-limiting) Recurrence is common & if person is immune to HSV-1, then disease is less severe, less shedding, & better healing
60
Neonatal Herpes (HSV-2) Features (transmission, symptoms) Prevent Lab diagnostics
Transmission= - If acquired in utero (HSV) - If acquired during birth (HSV-2) - If acquired after birth (HSV 1or 2) Symptoms (SEVERE!) - Generalized cutaneous lesions - Encephalitis & dissociated diseases Prevent= via C-section (NOTE if mom has Primary HSV infection, baby will have a more severe disease because there's more shedding!) Lab Diagnostics = - Isolate in tissue culture - Direct immunofluorescence Ab test - ELISA - PRC - **Tzank smear (scrape a Giamsa stained ulcer it shows multinucleated giant cells Cowdry type A) For HSV + ENCEPHALITIS USE PCR OF THE CSF!
61
Varicella Zooster virus (VZV) Features (primary vs recurrent, trans, patho) Complications Diagnosis & treatment
Primary disease = chicken pox recurrent infection = herpes zooster (aka shingles) Trans = via resp droplets into the mucosa of the upper resp tract Primary (chicken pox) Patho =IP 14-21 days - The virus infects URT and enters blood to multiply (viremia) ---> it'll localize in the skin & make vesicles Recurrent (herpes zooster/shingles) Patho = - VSV causes latent infection in the POSTERIOR ROOT GANGLION & Reactivation causes unilateral lesions at ONE dermatome (NOTE the virus can spread during active shingles infection to a non-immunized person causing them severe chicken-pox) IN AIDS, MULTIPLE DERMATOMES ARE AFFECTED (IN BOTH PRIMARY & RECURRENT) Comp = Herpetis neuralgia Lab diagnosis = isolate virus in cell culture Prevent = - Varicella Zooster immunoglobulins - Varicella Zooster vaccine - Herpes Zooster vaccine (shingles) Treat = - In neonates, AIDS, & some adults use ACYCLOVIR
62
Describe the right graph for proteins
63
Mechanism of action of ACYCLOVIR to treat Herpes
It acts against Thymidine-kinase (herpes uses it to replicate)
64
Cytomegalovirus (CMV) Features (family/genome, infections in healthy, AIDS, & congenital/perinatal) Main infection description
It's a ubiquitous herpes virus with the biggest genome out of the lot. Infections course= -Healthy person: usually subclinical, life-long, & latent - AIDS: causes serious diseases like **pneumonia (usually), retinitis, esophagitis, colitis, & hepatitis - Congenital/perinatal: is transmitted vertically via placental or directly via breastfeeding/birth canal *Main inf description* Infectious mononucleosis-like syndrome, which is heterophile NEGATIVE or monophosphone NEGATIVE (there's no agglutination on the sheep blood agar) & Causes hepatosplenomegaly in newborns Lab Diagnosis - Cell culture + fluorescent Ab test to ID - PCR - **Histological staining of Owl inclusion bodies in Giant cells in urine + tissue - Fluorescein shows defective pp65 in blood leukocytes within the nucleocaspids of CMV (aka positive means CMV antigenemia)
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ID Inclusion bodies Cowdry type A Negri bodies HP bodies Owl's eye inclusions
Cowdry A = Herpes (in giant cells) Negri = Rabies HP = HPV OWL = CMV
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Epstein-Barr (herpes family) Features (pathogenesis, infections, trans, & symptoms) Antigens Lab Diagnostics EBV specific infections
Patho = It infects B-cells via the C3 receptor site, immortalizing them Infections = mononucleosis (kissing disease) which is Heterophile POSITIVE or monopile POSITIVE (causes agglutination in the sheep blood) Trans= spit (active or latent inf) Symptoms = - Fever, headache, sore throat, & swollen lymph nodes (neck) Sometimes causes = Splenomegaly & exudative pharyngitis Important antigens = viral capsid antigen Other = Early antigen + nuclear antigen Lab Diagnostics - IgM against VCA means an acute infection - Ab against Early antigens + nuclear antigens is helpful to ID - non-specific heterophile antibodies are made too Specific infections: - Chinese dude = nasopharyngeal carcinoma - AIDS = lymphomas, oral-hairy leukoplakia (hairy ass tongue), & interstitial pneumonitis - Burkitts lymphoma = mass on jaw or abdominal disease in little Afro-American kids/young adults
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Additional herpes viruses HHV6 HHV7 HHV8
6 = 6th disease aka Roseola infabntum or Exanthem subitum) childhood disease with rash + fever 7 = really similar to 6th disease (idfk) 8 = Kaposis sarcoma
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Baltimore classification DNA viruses RNA viruses Reverse transcribing viruses
DNA = ds & ss (+/-) RNA = ds (+/-), ss(+), & ss(-) RTV = ssRNA(+) & ssRNA(-)
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Common treatments: Chlamydia Trachomatis
Chlamydia Trachomatis = Azithromycin or doxycycline (+ ceftriaxone for gonorrhea coinfection), oral erythromycin (chlamydial conjunctivitis)
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Common treatment Treponema pallidum
Treponema pallidum = Penicillin G
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Causes Bacterial ass. gastritis/peptic ulcers
Bacterial ass. gastritis = H. Pylori
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Common treatment Neisseria meningitis Neisseria gonorrhea
Neisseria meningitis = Penicillin/ceftriaxone, Rifampin/ciprofloxacin/ceftriaxone (prophylaxis) Neisseria gonorrhea = Ceftriaxone
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Common treatment Legionella pneumophila
Legionella pneumophila = Macrolides (azithromycin or fluoroquinolones)
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Common treatment Pseudomonas aeruginosa
Pseudomonas aeruginosa = Piperacillin-tazobactam, cephalosporins, monobactams, fluoroquinolones, carbapenems
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Common treatment CMV
CMV = Ganiclocir, foscarnet, & cidofovir
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Common treatment Mycobacterium TB
Mycobacterium Tuberculosis = "RIPE" Rifampin, Isoniazid, Pyrazinamide, & Ethambutol
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Common treatment Enterococci
Enterococci = Vancomycin, aminopenicillins/cephalosporins (If VRE use linezolid, daptomycin, tigecycline, & streptogramins)
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Rickettsia rickettsii
Rickettsia rickettsii = Doxycycline & Chloramphenicol
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Common treatments strep pyogenes strep pneumoniae staph aureus
Streptococcus pyogenes = Penicillin prophylaxis Streptococcus pneumoniae= Penicillin/cephalosporin (systemic inf) Vancomycin (meningitis) Staphylococcus aureus = MSSA nafcillin, oxacillin, dicloxacillin MRSA vancomycin, linezolid, daptomycin, ceftaroline
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Common treatment Streptococcus bovis
Streptococcus bovis = Penicillin prophylaxis
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Common treatment Haemophilus influenzae (B)
Haemophilus influenzae (B) = Amoxicillin +/- clavulanate (mucosal inf) Ceftriaxone (meningitis) Rifampin (prophylaxisxis)
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Common treatments C. difficile C. tetani C. botulinum
Clostridium difficile = Oral metronidazole Oral vancomycin (refractory case) Clostridium tetani = Antitoxin & wound debridement Clostridium botulinum = Human botulinum immunoglobulin
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Common treatment Hep B & C
Chronic Hep B or C = IFN-a (HBV & HCV) ribavirin, simeprevir, sofosbuvir (HCV)
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Common treatment Candida albicans Trichomonas vaginalis
Candida albicans = Fluconazole, nystatin, caspofungin Trichomonas vaginalis = Metronidazole
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Common treatment Cryptococcus neoformans
Cryptococcus neoformans = Amphotericin B & Flucytosine
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Common causes of... HLA-DR3 HLA-DR4 HLA-B27
Bacterial ass. gastritis = H. Pylori HLA-DR3 = Diabetes mellitus 1, SLE, Graves, Hashimoto thyroiditis, & Addison's HLA-DR4 = Diabetes mellitus 1, rheumatoid arthritis, & Addison's HLA-B27 = Psoriatic arthritis, ankylosing spondylitis, & reactive arthritis
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Common cause of.. Viral encephalitis affecting temporal lobe Infected via blood transfusion Hepatocellular carcinoma
Viral encephalitis affecting the temporal lobe = HSV-1 Infected via blood transfusion = Hep C Hepatocellular carcinoma = HBV (+/- cirrhosis)
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Common cause of... Osteomyelitis Osteomyelitis in sickle cell Osteomyelitis + IV drug use
Osteomyelitis = S. aureus Osteomyelitis in sickle cell = Salmonella typhi Osteomyelitis + IV drug use = S. aureus, Pseudomonas, & Candida
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Common cause of ... Nosocomial pneumonia
Nosocomial pneumonia = S. aureus, Pseudomonas, Klebsiella, & Acinetobacter
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Common cause of... UTI STD Pelvic inflammatory disease
UTI = E. coli & Staph Saprophyticus (young women) STD = C. trachomatis (usually co.inf N. gonorrhea) Pelvic inflammatory disease = C. trachomatis & N. gonorrhea
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Common cause of ... Food toxin (exotoxin med)
Food poisoning (exotoxin mediated) = S. aureus & B. cereus