Infectious Disease & Pathogenicity 2: Viruses Flashcards

1
Q

Structure of viruses?

A

-GM - DNA/RNA
-Protein coat - capsid (ALL)
–> making them - helical/icosahedral…
-Lipid memb - envelope (ALL)

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2
Q

HIV structure?

A

-Retrovirus
-Enveloped (from host cell)
-ssRNA
-Nucleocapsid
-Capsid
-Matrix
-Recs (host derived) –> gp41 & gp120

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3
Q

What is sense of RNA?

A

+ve = the strand of RNA can be directly converted to protein (prot biosyn)
-ve = must convert to +ve before get prot biosyn

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4
Q

What is a bacteriophage?

A

Viruses that infect bacteria - spread pathogenicity genes

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5
Q

How do viruses replicate?

A

-Infect cell - enter cell, colonise…
-Early enzymes - already in virus - in cell = uncoats virus & involved in early genome rep
-Nucleic acid - prot biosyn (make coat & more) & genome replicates (have many gens)
-Self-assembly = prots adhere (have adhesion points) - will trap nuc acids - euk DNA in some of virus when assembled
-Released = as new virus formed
-Latent period = no viral produced/released
-Then - rapid production/release of virus - all cells infected are at point for this to occur
-Levels off again
–> continual
-Viral rep = step wise process
-Up to 1000 viruses released per infected cell

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6
Q

What are the 3 phases in viral replication?

A

-Absorption phase (binding & internalisation of virus)
-Eclipse phase (process nuc acids & prot biosyn, genome being replicated)
-Maturation phase (virus formed & released)

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7
Q

DNA based virus replication.

A

-Recognition, absorption, penetration
-DNA of virus released via uncoating (by early enzymes)
-DNA incorporated into host DNA
-Latent period - rep delay
-DNA replicated - some converted to RNA (RNA polymerase)
-Translation of RNA = proteins for viral formation
-Synthesise viral subunits
-Protease action on polypeptides (proteins)
-Assemble viruses
-Lysis of host cell
-Virus released
-Virus goes to infect more cells

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8
Q

Outcome of viral infection of host cells?

A

-Release of virus = host cell damage/death
–> via lysis
-Viruses incorporate their genome into host genome –> can become silent (dormant form) for some time
–> stress = re-starts replication

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9
Q

What is viral pathogenesis?

A

-Process that viral infection leads to disease
-No use to virus
–> virus doesn’t ‘aim’ to kill host

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10
Q

Outcomes of viral infection?

A

-Acute infection - clearance
-Chronic infection - persistence

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11
Q

What is an acute infection caused by virus?

A

-Recover w/ no remaining side-effects - or some (neurological deficits)
-Death
-Rapid infection process but will disappear - period of time pre-infection (no symptoms) symptoms for few days then recover
-Can lead to chronic infection
-Are 2 extremes - based on virus

VIRUS WILL CLEAR

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12
Q

What is a chronic infection caused by virus?

A

-Subclinical infection - low level of viral rep - no real symptoms
-Long dormant phase - once genome of virus incorporated into host genome
–> can be reactivated = acute disease
–> i.e., have relapses & excerbations
-Cancers

VIRUS PERSISTS

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13
Q

Factors - i.e., process of viral pathogenesis (viral infection leading to disease)?

A

-Viral infection effects cells
-Enters host
-Course of infection - primary rep, systemic spread to other sites of body (MAYBE), secondary rep (dormancy - reactivated - stress = new virus)
-Target specific cell types (a virus’s tropism)
-Cause damage to cells
-Get a host imm resp (unless virus targets imm cells)
-Virus cleared (self-clear due to imm resp) or persists (virus always present where host imm system can’t access)

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14
Q

How do cells respond to viral infection - cellular pathogenesis?

A

-No change - often latent period - no obvious impact on cell but later could be
-Death - most common - some cell damage
-Transformation

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15
Q

Why do cells die/are damaged by viral infection - DIRECTLY?

A

–> as virus infects & hijacks cellular machinery

-Divert cell’s energy - to rep viral nuc acids & prots - apoptosis when cell energy levels not at constant level
-Stops cell’s macromolecule syn - viruses divert macromolecule syn from cell prolif (stops cell div) - use cell’s rep (DNA/RNA) machinery for self rep
-Competition of viral mRNA for ribosomes - outcompetes host - so no prots - so damage to remaining prots = induces cell death (apoptosis)
-Competition of viral promoters and transcriptional enhancers for cellular transcriptional factors e.g., as RNA polymerases, and inhibition of the interferon defence mechanisms.

–> makes cell stress - more at risk of lytic death (extreme stress - env of virus lipid from memb - not make enough lipid to maintain - incomplete memb = lysis) & apoptosis

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16
Q

Why do cells die/are damaged by viral infection - INDIRECTLY?

A

-Integrate viral genome
-Induce mutations in host genome - increased muts in hots genome as rep process taken over by virus - (may reduce proofreading)
-Inflamm - due to lysis/apoptosis of cells & due to PAMPs - virus RNA/DNA
-Host imm resp

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17
Q

What is cell tropism?

A

-Ability to access specific recs on host that virus binds to - does virus bind effectively to cell?
-Can virus access specific cell - & can it access in a form that is still viable
-Can virus enter host & replicate once in

= viral affinity for body tissues

18
Q

What determines cell tropism?

A

-Cell recs for virus.
-Cell TFs that recognize viral promoters & enhancer sequences.
-Cell supporting viral rep (cell may be in cell cycle phase where are metabolically less active - may not support viral rep well)
-Physical barriers - stops viral interaction w/ recs (stops certain tissues being infected)
-Local temps, pH, & O2 tension enzymes & non-specific factors in body secretions
-Digestive enzymes & bile in GI tract - can inactivate viruses

19
Q

What causes cell damage due to virus, & when may a virus not cause damage & why?

A

-Lysis & death (apoptosis) in host = picornaviruses: fever, inc mucus - rhinoviruses: paralysis, death
-BUT –> retroviruses - little cell death - as bud from cell (= persistent infection) - NOT released by lysis

-Functionality of tissue = lowered due to damage
-Persistent/prolonged infection (chronic) = tissue structure can change - can = damage

20
Q

Does the immune response always clear viruses (infection outcome)?

A

-It usually will - as imm resp has greatest effect on outcome
-If not - virus will persist - chronic infection

21
Q

Which part of the immune response impacts most greatly on viruses?

A

Cellular immunity
(humoral protects from reinfection - i.e., memory cells)

22
Q

What are the 2 types of chronic persistent infections (i.e., if clearance doesn’t occur)?

A

-True latency
-Persistence

23
Q

What is true latency (type of chronic persistent infection)?

A

-Virus remains fully latent after primary infection
-May integrate its genome into cellular genome OR exists as episomes
(e.g., HSV, VZV)
—> this is where you get dormancy of virus - reactivated to replicate by stress

24
Q

What is persistence (type of chronic persistent infection)?

A

-Virus replicates continuously in body at very low level
(e.g., HIV, HBV, CMV, EBV)

25
Q

What are the stages/mechanism of viral persistence?

A

-Antigenic variation
-Immune tolerance (not killed by imm system) - causes reduced resp to an antigen - (may be due to genetic factors, pre-natal infection, molecular mimicry)
-Restricted gene expression
-Down-regulation of MHC I expression = lack of recognition of infected cells (e.g. Adenoviruses)
-Down-regulation of accessory molecules involved in imm recognition e.g. LFA-3 and ICAM-1 by EBV.
-Infection of immunopriviliged sites (less subject to imm responses) in body (e.g. HSV in sensory ganglia in the CNS)
-Direct infection of cells of the imm system itself (infect imm cells) (e.g. Herpes viruses, Retroviruses (HIV) - often resulting in immunosuppression)

26
Q

Hepatitis B virus (HBV) structure?

A

-Partially ds, relaxed circular DNA (rcDNA)
-Will convert its DNA to covalently closed, circular = cccDNA - fully ds
~3200bps in genome
-DNA is covalently linked to HBV polymerase
-Capsid
-Lipid envelope
(Damages particular cells - liver = tropism)

DNA VIRUS

27
Q

Process of HBV infection?

A

-HBV binds to NTCP rec - is internalised into hepatocyte host (liver) cell - endocytosis
-Virus forms vesicle - interacts w/ lysosomes
-HBV uncoated - then capsid digested by proteases = releases rcDNA
-rcDNA moved to nucleus
-Ligation converts rcDNA into covalently closed circular DNA (cccDNA)
—> gives stable form of HBV so can be persistent
-Can be transmitted to progeny cells (daughter cells from hepatocyte dividing)
-Convert cccDNA into mRNA - transcription (RNA polymerase)
-mRNA into proteins (translation) - prots for capsid, & replicating genome (forms viral/HBV polymerase)
-Reverse transcription - RNA converted to DNA - (genome can come from RNA - more likely to accumulate muts - error prone)
-ve sense DNA syn from RNA (by polymerase activity)
+ve sense DNA syn (from -ve)
2 parts of DNA join = get incomplete ds DNA (not fully match - gap between -ve strand & +ve strand)
-Encapsulate proteins (for capsid or rep of genome)
-Prots for viral env incorporated into viral env in ER - virus buds off from ER
-Virus formed - externalised by ER - viral env made by ER & outer memb
(exocytosis)

28
Q

What is the spectrum of outcomes from HBV infection?

A

-Chronic Persistent Hepatitis - asymptomatic
-Chronic Active Hepatitis - symptomatic exacerbations of hepatitis (see typical symptoms e.g., yellow skin)
-Cirrhosis of Liver - chronic infections can lead to = signif liver tissue damage in = cirrhotic regions (regions of dead tissue) - severe damaged liver - become fibrotic & less functional
-Hepatocellular Carcinoma (cancer of liver)

29
Q

Influenza virus structure?

A

-ssRNA
-10 genes on 8 RNA segments
-3 virus types = A B C
-A = cause of most infections
-Attaches to, replicates in cells of upper resp tract (ciliated epithelial cells) - will bud off once complete
-Memb AROUND capsid - contains hemagglutinin & neuraminidase glycoprotein spike
H = 15 subtypes - most imp virulence factor binds to host cells
N = enzyme - 9 subtypes - hydrolyses mucus & assists viral budding & release
–> genetic changes to spikes = regular - so host imm syst not as effective

RNA VIRUS

30
Q

Name of mutations that occur to influenza A spikes?

A

-Antigenic drift = constant muts - gradually changes AAs
-Antigenic shift = 1 gene/RNA strand substituted w/ gene/strand from another influ virus (from diff animal host)

31
Q

General virus disease progression?

A

-Latency = period between your infection & when you become infectious
-Incubation period = period between are infected & when are symptomatic - so don’t show symptoms yet BUT are infectious!
-Infectiousness = between when start being infectious & when stop (included asymptomatic & symptomatic part)
-Recovery period = live/recover or die

32
Q

Facts about influenza A?

A

-Acute
-v. contagious
-Resp illness
-Seasonal pandemics
-Resp transmission

33
Q

How does influenza A cause damage to host cells?

A

-Binds to ciliated cells of upper resp tract
= rapid shedding of cells
= strips ep
= severe inflamm

34
Q

Influenza A symptoms?

A

-Fever
-Headache
-Myalgia = muscle pain
-Pharyngeal pain (pharynx)
-Shortness of breath
-Coughing

35
Q

How can influenza A lead to pneumonia?

A

-As weakens host defences = predisposed to 2ndary bact infect
-Virally infected tissue - damaged = predisposition (more likely if are immunocompromised) –> imm resp weakened
(bact pneumonia)

36
Q

Process of influenza A replication?

A

-Binds to resp ep cell recs
-Absorbed to resp ep cell - by hemagglutinin spikes
-Fuses w/ memb
-Endocytosis of virus into a vacuole
-Uncoated = releases 8 RNA segments into cytoplasm
-RNA (nucleocapsids) moved to nucleus
-ve sense strand = transcribed to +ve sense strand (uses viral RNA polymerase)
+ve sense strand = translated = viral prots (for capsid & spikes)
+ve sense strand = for glycoprot syn - inserts into memb of host - env forms
+ve sense strand used to syn -ve sense strand
-ve sense strand assembled - put into (nucleo)capsid
-Move (nucleo)capsid to memb (from nuc)
-Mature virus released - exocytosis - buds off - env forms containing spikes (as previously glycoprot spikes inserted into host memb)

37
Q

-ve sense RNA?

A

Can’t directly convert to proteins - won’t be read - must convert to +ve sense - to form prots (by ribosomes)

38
Q

How is influenza virus different to HBV?

A

Inf = RNA virus
HBV = DNA virus
Inf = no ER involved - so virus buds off memb to form envelope (as glycoprots inserted into host memb prior)
HBV = ER involved - so NO budding off - envelope formed in ER

39
Q

Why does influenza cause seasonal pandemics?

A

As undergoes constant antigenic shift & drift of spike - once previously been infected - host imm cells not recognise new spikes
-So we must make new antibodies against new spikes (as slow changing H & N spikes)
-Memory cells not bind as well to new form
-So have annual flu vacc changes

40
Q

Process of COVID replication?

A

-Binds to ACE2 rec (on MANY cell types - not just resp! - but does have tropism)
-Cleavage of S glycoprot between S1 & S2 (by TMPRSS2)
-Cathepsin route –> cathepsin prots bind to virus = internalises (as cathepsin prots enables memb fusion & release)
—> releases RNA & RNA associated proteins

This is either done by:
1 = pore made in virus - RNA/RNA-assoc prots move into cytoplasm
2 = virus internalised (endocytosis), uncoated due to acidic lysosome env, ssRNA released into cytosol

Replication of genome & translation:
-ve sense RNA converted to +ve (viral polymerase used)
+ve sense RNA translated = viral prots (uses host machinery)
+ve sense used to syn new -ve sense - put into nucleocapsids

-Env glycoprots made (above) - processed in golgi
-Exocytosis after further viral particle assembling

41
Q

What are the 2 outcomes of COVID?

A

-Penetrate into alveoli (often viruses can’t)
-Infects tissues here
-Get tissue damage leads to inflamm
-Clotting - inc platelets in blood around alveoli
-Chronic illness - as binds to lots of cell types - low level viral interaction w/ tissues = chronic inflamm = changes

42
Q

Differences between HBV, influenza, COVID?

A

COVID = highest mut rate (genomic drift) - vaccines less effective over time
COVID = can infect MANY cell types (unlike HBV = liver cell - hepatocytes & influenza = ciliated upper resp tract cells)