Enteroviruses Flashcards
(41 cards)
What are the most common enteroviruses?
Poliovirus and Rhinovirus
What are picornaviruses?
Family: Picornavirdae
Order: Picornavirales
Realm: Riboviria
Examples genera Enterovirus
Rhinoviruses: VIrus
> A, B, and C
(more than 150 genotypes)
Rhinoviruses: Disease
Respiratory infections, common cold
Dangerous in young and old patients and asthmatic patients.
No vaccine against them!
Rhinoviruses: Epidemiology
Transmission:
> Aerosols and droplet
> Contact with contaminated hands
Distribution:
> Worldwide
> Disease most common in early autumn, late spring
At risk or risk factors:
> Pre-existing respiratory conditions
> No vaccines available
> No licensed antiviral drugs
What are enteroviruses with few or no gut disease manifestations?
Examples: picornaviruses
(poliovirus, coxsackievirus, enterovirus 71, enterovirus D68, hepatitis A virus)
Enteroviruses associated with gastroenteritis
Examples: rotaviruses, caliciviruses, noroviruses, (Norwalk virus) Often cause disease on cruise ships
Non-polio enteroviruses cause ___ ____ infections and tens of thousands of hospitalizations in the US each year
10-15 million
What are enteroviruses?
+ single-stranded RNA viruses associated with several human and mammalian diseases.
Named by transmission route through the intestine
Members of the picornavirus family a large and diverse group of small RNA viruses characterized by a single positive strand genomic RNA.
All enteroviruses contain a genome of about 7,500 bases and are known to have a high mutation rate due to low-fidelity replication and frequent recombination.
Enterovirus vs. Coronavirus?
Enterovirus:
Viron Size = small 30 nm
Genome size = 7-7.5 kB
Structure = non-enveloped
Infection route = fecal oral and respiratory route
Coronaviruses
Viron Size = large, 120-160 nm
Genome Size = 30 kB
Structure = enveloped
Infection Route = Respiratory route
What is the incubation period of poliomyelitis?
5-20 days (hard to track down exposure site).
Describe the effects of poliomyelitis
1/200 are paralyzed
Death of anterior horn cell can kill muscles of limbs and torso (can kill right leg).
1) Humoral Antibodies (In bloodstream)
2) Produce mucosal antibodies.
Not stopping infection = paralysis because it reaches the nervous system
What can cause polio?
3 strains of polio virus
Consuming contaminated water.
Passed through orally through respiratory droplets as well but feco-oral route is more common.
What are two things that can happen with a natural infection?
1) Develop Humoral Antibodies that float in the bloodstream. If the virus gets in the bloodstream, these antibodies can attack and eject the virus.
2) Producing mucosal antibodies that are secreted in the gut to make sure it doesn’t; reproduce.
How does paralysis occur?
This is because the polio virus enters the anterior horn cell and kills it leading to the connection between the brain and muscles (limbs, torso, and ribs) etc)
How long does paralysis take?
It can occur within a day!
What was the most feared disease of the 40s and 50s?
Polio
Describe the Salk Polio Virus Vaccine
Uses a killed strain of the virus.
Produces humoral antibodies that lower the chance of the virus entering the spine and thus help prevent paralysis.
Why isn’t IPV not as effective n tropical countries?
Due to poor sanitation.
Also IPV does not produce mucosal antibodies so the virus can reproduce in the gut and thus enter the sewage systems again leading to further infection
What is the Sabin vaccine?
Oral vaccine
Uses a live-attenuated strain
Produces both humoral and mucosal antibodies which reduce the amount of viruses passed down from feces.
Describe impact of OPVs
They were used to wipe away polio in the Americas, Europe, and Eastern Asia
What are the 3 countries that still deal with poliovirus?
Afghanistan,Pakistan, Nigeria
Polio Natural Modes of Infection
Humans are the only known reservoir of poliovirus which is transmitted most frequently by persons with inapparent infections.
Occupational Polio Infections
In April 2017, a spill of WPV2 in a production facility in the Netherlands infected 1 operator whose stool tested positive for polio. This highlights the risk of containment breach and emphasizes the need for the appropriate incident response planning and government oversight.