Evolution and emergence of new viruses Flashcards

1
Q

Virus evolution

A

viral polymerases make a lot of errors, so each copy of genome may contain errors and be different to others

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2
Q

Quasispecies

A

virus doesn’t exist in host as constant, homogenous species, and drug/environmental effects will exert selective pressures to influence alleles present

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3
Q

When may viruses face a bottleneck?

A

At transmission or during replication under limiting conditions
Those with advantageous mutations survive

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4
Q

Antiviral drug resistance

A

High mutation rate, large progeny numbers and short replication time make viral evolution in response to selective pressure very fast.

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5
Q

How does Anti Retroviral Therapy avoid resistance?

A

ART targets many HIV genes at many different points in replication cycle.
>1 drug targeting each point with different approach, so mutation doesn’t effect efficacy of all drugs

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6
Q

Why should a patient not be treated with a single drug?

A

Resistance is more likely to develop

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7
Q

Why is combination therapy essential?

E.g. HAART for HIV

A

As long as there’s drugs that target different genes in virus, if 1 virus gets a resistant mutation in 1 place, it is still susceptible to drugs targeting other genes.

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8
Q

Antibody selective pressure applied by neutralising antibodies

A

Can prevent viruses entering cells

But also select for those in the quasispecies that have antigen mutations unsusceptible to antibodies

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9
Q

Antigenic drift

A

gradual evolution of virus driven by antibody selective pressure

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10
Q

What does antigenic drift necessitate?

A

Yearly update to vaccine

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11
Q

What does antigenic drift allow?

A

Re-emergence of virus

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12
Q

Zoonosis

A

Virus emerges from animals, crosses into humans

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13
Q

Example of zoonotic virus

A

Ebola

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14
Q

How do new viruses emerge?

A
Zoonosis
Genetic variation (Antigenic drift)
Increased exposure- travel or world population
Increased exposure- spread of vector
New discoveries
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15
Q

Host range

A

Range of cells that can act as a host to a virus or bacteriophage

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16
Q

Examples of ‘New’ viruses that have only recently been discovered or detected

A

‘Non A non B’ hepatitis caused by hepatitis C virus
HPV 16 and 18 as cause of cervical cancer
HHV8 as cause of Kaposi’s Sarcoma noticed during AIDS pandemic
Merkel cell polyoma virus identified in tumours as non-human sequence

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17
Q

Global influences on emerging infections

A
Environmental modification
World population
Climate change
Travel
Farming practises; monocultures
Immunosuppressed humans
Medical progress
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18
Q

Arboviruses

A

Transmitted by insects

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19
Q

5 Examples of arboviruses

A
Yellow fever
Dengue
West Nile
Zika
Chikingunya
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20
Q

What type of viruses are arboviruses?

A

Flaviviruses

Alphaviruses

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21
Q

What kind of genome do arboviruses have?

A

Positive sense RNA genome

22
Q

Why is there an increasing prevalence of arboviruses?

A
Global warming
Decrease in mosquito control
Imports
Stagnant water in large cities
Dams
23
Q

What is the vector for west nile virus?

A

Mosquito (Culex tarsalis)

24
Q

What are dead end hosts for west nile virus?

A

Humans

Horses

25
What type of virus is west nile virus?
Flavavirus
26
What does Dengue Haemorrhagic fever result from?
2nd exposure to different serotype of Dengue
27
How many types of cross reactivity are there in dengue virus?
4
28
Risk factors for dengue haemorrhagic fever
``` Virus strain Pre-existing anti-dengue antibody Previous infection Maternal antibodies in infants Age ```
29
Dengue antibodies can either
neutralise infection or enhance infection
30
What would happen if you had antibodies against Dengue Type 1 But now being infected with Type 2
Type 1 antibody binds to Type 2 virus By Fc portion of antibody, virus gets taken into cells e.g. Macrophage Kicks off immune response: Macrophage creates cytokine storm causing endothelial leakage and haemorrhage
31
What type of virus is Chikingunya?
Alphavirus
32
What symptoms are associated with Chikingunya?
Arthralgia: Rashes Headaches Joint pain
33
What is the vector for Dengue, Zika and Chikingunya?
Mosquito
34
What symptoms are associated with Zika?
``` Headache Pale skin, rash Fever Muscle pain Diarrhoea Red eyes ```
35
Which human viruses recently emerged from animal sources?
``` SARS-CoV (Bats) HIV (Chimpanzees) Ebola Hendra Nipah ```
36
Where did SARS emerge and where has it crossed to?
Emerged from bats | Crossed to humans
37
Severe acute respiratory syndrome (SARS) virus
Large (30kb) Positive sense RNA genome. Envelope spike protein. Receptor is human ACE-2 protein.
38
What type of virus is SARS?
Coronavirus
39
What allows SARS to overcome host range barriers?
S protein is highly plastic and can adapt to different receptors
40
How was the outbreak of SARS controlled?
By isolation | After discovery that patients only contagious when symptomatic
41
What can SARS lead to?
Destruction of lung tissue from overexuberant immune response
42
What type of virus is MERS?
Coronavirus
43
How did MERS emerge?
It is a zoonosis from camels
44
Recombination of 2 or more viruses
Gives rise to a new virus with new properties
45
Pandemic
worldwide spread of a new disease
46
Could MERS be the next pandemic?
Limited transmission Diverse clinical signs No vaccine, no antiviral
47
Could H7N9 be the next pandemic?
Limited transmission No vaccine but technology to make one is known Antivirals but resistance tolerated.
48
What caused MERS to be spread beyond the Middle East?
Health tourism and business travel
49
What amplified the spread of SARS in hospitals?
Use of nebulizers
50
Give 2 examples where man’s intervention has been the cause of emerging viruses
Myxoma Virus released for rabbit control is Australia | GM created a transmissible H5N1 influenza virus