MATLOOB'S MODULE Flashcards
what are the factors driving viral emergence?
ecological changes
human demographics
international travel and trade
virus change and adaption
what drives virus change adaption?
a molecular change in virus-host interactions
this can be caused by genetic changes in virus (genetic drift), a virus circulating in multiple hosts or a virus adapting to multiply in a new host
what is genetic drift?
changes in the genetic structure of a virus
caused by mutations and happen during replication
what are the factors causing genetic drift?
lack of 3’-5’ proofreading capability in RNA-dependent RNA polymerase (RdRp) and reverse transcriptase
pressure from host immune system
rapid replication for many progeny; viral RNA polymerases exchange accuracy for efficiency and on average each progeny ends up with at least one point mutation
when does genetic drift occur?
all the time in the virus lifecycle
what is antigenic Drift?
a genetic drift that decreases the antigenicity of a viral protein
allows it to escape the existing antibody-mediated immunity thus problematic for host (no antibodies for it)
maintains the viral fitness (ability to infect and multiply in new cell as good as previous generation)
can increase viral fitness via epistatic mutations, if one aspect of viral fitness compromised this will improve another aspect to maintain it (I think)
examples of this = HA or NA of influenza virus or spike protein of SARS-CoV-2
how does a virus circulating in multiple hosts contribute to virus change and adaption?
generation of a new virus through antigenic Shift where genetic material exchanged between two viruses resulting in shift in antigenicity (common in viruses with segmented RNA genome e.g. pigs infected with avian and human influenza A viruses)
generation of new virus through genetic recombination where an exchange of genetic material occurs between two viruses (common in positive-sense RNA viruses e.g. bats harbouring multiple coronaviruses)
what is zoonosis in viruses?
a virus adapting to multiply in a new host
caused by point mutations in viral proteins (RBPs) and RdRp (RBP has to mutate as must be able to bind receptor in new host)
examples include avian influenza A viruses H5N1, H7N3, H7N7, H7N9
describe influenza virus?
enveloped 80-120nm diameter vision
segmented, -ssRNA genome, ~14kb
8 RNA genes segments encoding 17 proteins
what are the major proteins in influenza virus and their function?
HA - receptor binding
NA - release
M1 - virion shape
M2 - entry
NP - RNA binding
PA/PB1/PB2 - RdRp
NS1 - host antagonism
influenza virus utilises all components of the host cell during life cycle
what are the four types of influenza virus, what do they infect, and how do they transmit among their hosts?
influenza A viruses infect variety of mammal and avian hosts, awaiting bird as reservoir host
influenza B and C mainly infect humans
influenza D infects cattle and pigs
transmission via:
aerosols for humans
faecal-oral route for birds
contact for cattle
how is influenza A subtyped and which subtypes cause human infection?
based on HA and NA proteins
16 HA and 9 NA subtypes known - all found in aquatic birds (reservoir)
some found in bats
H1, H2, H3, H5, H7 and H9 subtypes can cause infection in humans
what are the drivers of emergence of influenza virus variants?
antigenic drift
antigenic shift
zoonosis
outline antigenic Drift in influenza virus?
occurs in both HA and NA genes of type A and B influenza viruses
main reason for recurring seasonal flu epidemics
main reason for the requirement of annual flu vaccination (gives you updated HA and NA antibodies which neutralises updated virus)
outline antigenic Shift in influenza viruses?
also known as genetic reassortment and only seen in type A influenza viruses
occurs when two influenza A subtypes (e.g. avian and human subtype) infect same cell in something like a pig; segmented genome means novel subtype can have combination of those segments; may lead to new HA etc which then will probably cause a pandemic
this is how the influenza pandemic was caused
what are the three properties a virus must acquire to cause a pandemic?
bear a receptor-binding protein to which there is little or no pre-existing immunity in humans
able to cause disease in humans
capable of sustained human-to-human transmission (critical)
many get one or two cause genetic drift happens all the time but third much more rare (thank fuck)
what influenza subtypes have acquired the three essential properties for pandemic formation?
H1N1, H2N2 and H3N2
have all caused pandemics in the past and are all type A
what was the 1918 Spanish flu pandemic?
originated in USA, approx 50 million deaths
caused by H1N1 subtype
two theories of origin:
- avian H1N1 virus adapted to humans through mutations
- a human H1Nx virus reasserted with avian HxN1 virus
what was the 1957 asian flu pandemic?
originated in China, approx 2 million deaths
caused by H2N2 subtype, a lineal descendant of 1918 H1N1 subtype reasserted with an avian subtype
acquired three novel genes HA, NA and PB1
what was the 1968 Hong Kong flu pandemic?
originated in Hong Kong, approx 1 million deaths
caused by H3N2 subtype which was was an H2N2 subtype reassorted with an avian subtype
acquired two novel gene segments HA and PB1
thought to be milder than 1957, possibly cause N2 antibodies remain in population
what was the 2009 swine flu pandemic?
originated in Mexico, approx 200,000 deaths
caused by H1N1 subtype, generated by two-step genetic assortment between two unrelated swine subtypes
80% deaths younger than 65 (prob cause older people were around when OG H1N1 pandemic happened)
what are the zoonotic influenza viruses?
avian influenza A viruses H5N1, H7N7, H7N9 and H9N2
swine influenza A virus H3N2
case fatality rate 30-60%!
what is avian influenza A virus H5N1?
originated in HK 1997
first time an avian influenza A virus subtype was discovered to infect humans
remains endemic in poultry and causing sporadic infections in humans (mortality rate >50%)
sparked lots of fear of an impending bird flu pandemic
what is avian influenza A virus H7N9?
originated in China 2013
a novel avian influenza A virus
generated by a two-step reassortment between H7Nx, HxN9 and H9N2 avian influenza virus
caused infections in several waves due to closing/re-opening of live bird markets
mortality rate >35%