Exam 3 Flashcards
(281 cards)
Viruses differ from bacteria in that viruses:
A. Do not have any nucleic acid
B. Are obligate intracellular parasites
C. Are filterable
D. Are not composed of cells
D. Are not composed of cells
How is a persistent viral infection different from a latent viral infection?
A. It remains in equilibrium with the host
B. It can be reactivated by immunosuppressive therapy
C. The infectious virus appears suddenly
D. The infectious virus gradually builds up over a long period of time
D. The infectious virus gradually builds up over a long period of time
What is the function of viral spikes?
Attachment; which contributes to specificity (tropism)
The envelope of viruses often serves as protection because it contains spikes that are antigenic. What does the envelope mean in terms of treating viruses?
Envelopes are often more susceptible to disinfectants, which may mean that enveloped viruses are easier to treat
What are the steps of viral replication?
Attachment, penetration, uncoating, biosynthesis, maturation and release
What are two ways for viruses to attach and penetrate the host cell?
Pinocytosis (after attaching with spikes)
Fusion (requires viral envelope)
What enzyme helps a retrovirus integrate into the host cell genome?
Integrase
Why is HIV an exception to viral maturation and release?
HIV does not mature until after budding has occurred. Maturation involves cleavage of protein units with proteases
What type of virus is described as remaining in asymptomatic host cell for long periods of time, such as cold sores or shingles?
Latent
What type of virus is described as a disease process occurring over a long period of time and is generally fatal such as measles?
Persistent (chronic)
How is HIV transmitted and how is its transmission unique?
HIV is transmitted when infected blood, semen, or vaginal secretions come in contact with broken skin or mucous membranes
Unique because sexual transmission is 100,000x more virulent than other transmission methods due to high number of dendritic cells in mucous membranes and dendritic cells have CCR5 receptors
What receptors are important for HIV attachment?
HIV has a Gp120 spike that attaches to CD4 cells and requires co-receptors CCR5 and CXCR-4
What phase of HIV begins 2-8 weeks after initial infection and patients experience brief flu-like illness followed by rapid multiplication and dissemination of virus throughout the body and stimulation of the immune response?
Acute phase
What phase of HIV may last from 6 months to 10 years, at which time levels of detectable HIV in blood decrease, although viral replication continues (particularly in lymphoid tissue)
Asymptomatic (latent)
What phase of HIV can last for months to years, at which time viral replication continues and numbers of CD4+ cells in blood significantly decrease (resulting in patients developing a variety of illnesses often caused by opportunistic pathogens and AIDS related cancers)
Chronic symptomatic
What stage of HIV is represented when the immune system is no longer able to defend against the virus
AIDS (fourth and final stage)
How is HIV diagnosed? (Most common way, and most sensitive way)
Most common: detection of specific anti-HIV antibodies in the blood by ELISA assay followed by confirmation with Western blot technique
Most sensitive: using polymerase chain reaction
The treatment of HIV/AIDS is directed at reducing the viral load, disease symptoms, and treating disease and malignancies. The most successful treatment involves a combination of what types of drugs?
Nucleoside RT inhibitors (AZT) Nonnucleoside RT inhibitors (delavirdine) Protease inhibitors (indinavir) Fusion inhibitors (enfuvirtide)
Why is HIV/AIDS treated with a combination of drugs?
Reverse transcriptase is very prone to errors due to poor proofreading mechanisms, this makes it very easy for HIV to develop resistance to treatment very quickly due to viral evolution
What is the biggest issue with trying to develop an HIV vaccine?
Envelope proteins of virus continually change their antigenic properties
What is the largest group of known viruses?
Double-stranded DNA viruses
Where is the herpesvirus virion envelope derived from?
The host’s golgi apparatus membrane
Where is the herpesvirus latent infection taking place if the viral protein VP16 and host cell factor (HCF) enter the nucleus with the viral genome?
epithelial cells
Where is the herpesvirus latent infection taking place if VP16 and HCF do not enter the nucleus, resulting in decreased early gene expression and microRNA production?
neurons