Viruses Flashcards

1
Q

Incubation period

A

Period between start of infection and onset of symptoms

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2
Q

Basic reproduction number (R0)

  • Definition
  • Rates: avian flu, plague, ebola, influenza, SARS, Measles
A

The transmission rate of a disease, from one case.

  • The number of new infections that arise from one person their infective period.
  • Affected by type of infection, mode of transmission and location
Avian flu- 0.7
Plague- 1.3
Ebola=
Influenza= 1-3
SARS- 3
Measles= 16
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3
Q

Size of viruses

A

20-400nm

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4
Q

Structure of virus

A

Genetic material
- Nucleic acid= DNA or RNA

Protein coat

Envelope/ undeveloped

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5
Q

Viral pathogenesis journey

A
  1. Encounter
    - Virus encounters the host
  2. Entry
  3. Mulitplication
  4. Spread
  5. Damage
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6
Q

Viral entry into the body

A

Skin

  • Abrasions
  • Bites
  • Needle punctures

Alimentary tract
- Movement of GIT facilitates entry

Urogenital tract
- Abrasions facilitate entry

Eye

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7
Q

Baltimore system for viral classification 1-7

  • Definition
  • Types
A

Classification of viruses based on the type of genome and method of replication.

1- dsDNA

2- ssDNA

3- dsRNA

4- positive ssRNA

5- negative ssRNA

6- positive RNA with DNA intermediate

7- gapped dsDNA

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8
Q

Type 1 virus examples

A

dsDNA

  • Adenovirus
  • Herpes simplex virus
  • PoxVirus
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9
Q

Type 2 virus examples

A

ssDNA

- Parvovirus

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10
Q

Type 3 virus examples

A

dsRNA

- Reovirus

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11
Q

Type 4 virus examples

A

positive ssRNA

- Poliovirus

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12
Q

Type 5 virus examples

A

negative ssRNA

- Influenza virus (orthomyoxvirus), rhabdoviruses

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13
Q

Type 6 virus examples

A

positive RNA with DNA intermediate

- Retrovirus (HIV)

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14
Q

Type 7 virus examples

A

Gapped dsDNA

- Hep B virus (Hepadnavirus)

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15
Q

Viral spread and release mechanisms

A

Localised replication
- Within epithelium/ system

Dissemination/ systemic infection

  • Haematogenous
  • Neurological

Viral release

  • Apical (i.e flu)
  • Basolateral (i.e rabies), csn invade underlying spread.
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16
Q

Haematogenous spread

- Entry into blood

A

Entry via

  • Capillaries
  • Endothelial replication
  • Vector bite
  • Lymphatic capillaries
17
Q

Viraemia

  • Defintion
  • Passive/ active
  • Primary/ secondary
A

Presence of virus in blood

  • Can be calculated as %
  • Measures viral replication

Passive vs active

  • Passive= introduction of virus into the blood stream
  • Active= replication of virus in blood stream

Primary
- Spread to blood from primary site of infection

Secondary
- Further infection of other tissues from primary site of infection, via bloodstream

18
Q

CNS infection of virus

  • Neurotrophic
  • Neuroinvasive
  • Neurovirulent
A

Neurotropic
- Infection of neural cells

Neuroinvasive
- Viral infection of CNS from peripheral site

Neurovirulent
- Virus that can cause disease of nervous tissue

19
Q

Determinants of viral tissue tropism

A

Presence of cell receptors on hosts/ virus allowing entry
- e.g HIV/ CD4

Cell proteases

Cellular proteins that regulate viral transcription

20
Q

Viral virulence

A

Determined by genes

  • Ability to replicate
  • Modification of host’s defence mechanisms (virokines/ viroceptors)
  • Ability to spread
  • Mechanisms to kill cells
21
Q

Viral mechanism of cell injury

A

Cytolytic
- Inhibit host protein/RNA synthesis= loss of membrane integrity= syncytium= apoptosis

Non cytolytic

  • Lymphocyte mediated (CD4, CD8, B)
  • Free radicals
22
Q

Examples of acute viral infections

A

Acute infection
- Non equilibrium between virus and host response

Rhinovirus

Rotavirus

Influenza virus

23
Q

Examples of persistent viral infections

A

Lymphocytic choriomeningitis virus

24
Q

Examples of latent, reactivating viral infections

A

Herpes simplex

25
Examples of slow viral infections
Measles virus SSPE HIV
26
Latent infections
Seen in DNA or retroviruses Viral genome is replicated along with host cell chromosome in cell growth Examples - HSV: fever, blisters, cold-sores - Retrovirus: transformation into cancer
27
Mechanisms of viruses evade the immune system (5)
Antigenic variation - Influenza: can change its surface antigens (neuraminidase, hemagglutinin) - HIV - Rhinovirus Inhibition of antigen processing - Block transported associated with antigen processing: HSV - Removed MCH-1 from endoplasmic reticulum: CMV Production of cytokine receptor homologues - IL-1, IFN-G: poxvirus - Chemokine: CMV Production of immunosuppressive cytokines - IL-10: EBV Infection of immunocompetent cells - HIV