Exam IV: How to be a Virologist Flashcards
(49 cards)
What is the structure of HCMV? Enveloped? Diameter? Shape?
Enveloped
150-200 nm in diameter
Iscoaherdral
What is the genome of HCMV? how long is it?
linear dsDNA
200kb
What family does HCMV belong to?
Herpesvirus
What is the mode of transmission of HCMV?
Direct contact with bodily fluids
What is the R0 of HCMV?
1.7 (1 person will infect ~2 others)
What is the host of HCMV?
Humans
What is the tropism of HCMV? (4)
- Epithelial cells
- Endothelial cells
- Fibroblasts
- Leukocytes
What is the mechanism of penetration of HCMV?
glycoprotein H (gH), gL, gO from a trimer compelx on the envelope and bind to gH/gL receptors
What is the life cycle of HCMV?
Entry > nuclear por > vDNA release into nucleus > trancription and translation > DNA replication via rolling cirlce mechanism > linear concatemer > cleaved into single copies > assembly in nucleus > buds otu of golgi
What are 2 unique features of HCMV?
- UL42 protein inhibits cGAS/STING pathway (delays recognition)
- HCMV goes latent in myeloid cells by incorporating into host genome
What disease does HCVM cause (2)? Symptoms?
Mild illness: fever, sore throat, fatigue, swollen glands
Can cause mononucleosis and hepatitis
What is the most common patient outcome with HCVM?
HCVM will go latent with occasional reactivation
__% of the population is infected with HCVM in developed countries. About __% in undeveloped countries.
60% developed
90% undeveloped
What is the epidemiology (geographic distribution) of HCMV?
Rocky mountians, midwest, northern-most northeast
What is the seroprevalence of HCMV?
60% of US population
What is the likelihood of reinfection of HCMV?
Reinfection rate ~10%
What is the treatment for HCMV?
Not generally needed
If you are immunocompromised: antivirals
What are preventative measures against HCMV?
Avoid contact with another person’s bodily fluids (don’t share drinks, wear a condom, etc)
Where does HCMV do latent?
Goes latent in Myeloid (monocyte) progenitors
Is the tissue HCMV goes latent in different from the tissue it infects?
It can be??
Are enzymes brought in with the capsid of HCMV?
Yes (pp65m, pUL47, pp150, pp28, pp71)
Direct things toward nuclear complexes
What are the diagnostic tools for HCMV?
Detect antibodies using ELISA assay
If less than 1 year old: PCR of saliva with urine sample for confirmation
What are the public health concerns for HCMV?
1/200 people is born with congenital HCMV
Long term health problems include hearing loss, developmental/motor delay, vision loss, microcephaly, seizures
What are medically related complications to HCMV?
Retinitis (inflammation of the retina), colitis, esophagitis, hepatitis, encephalitis, pneumonia