2/7 Nguyen Other DNA Viruses Flashcards
Adenovirus family
Adenoviridae
Adenovirus structure
- Naked
- Icosahedral
- dsDNA
What are the subgroups of Adenovirus?
A-F (A, B1, B2, C, D, E, F)
Each subgroup of Adenovirus has different _____
Tropisms
Adenovirus B1 tropism
Respiratory
Adenovirus B2 tropism
Renal
Adenovirus C tropism
Respiratory
Adenovirus D tropism
Ocular and other
Adenovirus E tropism
Respiratory
Adenovirus F tropism
Intestinal
Adenovirus capsule contains ____ which binds to ____ on host cell membranes to gain entry into the cell
Penton base; CAR (Coxsackiecirus and adenovirus receptor)
Adenovirus is a great _____
Vector for vaccines and gene therapy
Adenovirus was used as a vector in which well known vaccine?
Janssen (COVID) vaccine
contains DNA encoding spike protein
Adenovirus common clinical presentations
- Respiratory
- Conjunctivitis
- Gastroenteritis
Adenovirus respiratory clinical presentation
Colds
Adenovirus ____ can cause conjunctivitis
Group D (ocular mucosa, highly contagious)
Adenovirus ____ can cause gastroenteritis/diarrhea
Group F (serotypes 40-42)
Adenovirus mode of spread
Person to person; coughing or sneezing (spreads like the common cold)
Adenovirus can produce severe complications in ____, such as ____
Immunocompromised patients; viremia
can spread to skin and multiple organs
Poxviridae contains what viruses?
- Smallpox
- Cowpox
- Vaccinia
- Monkeypox
- Molluscum contagiosum
What are the two smallpox variants?
- Variola major (more severe)
- Variola minor (less severe)
Of the two smallpox variants, ____ is more severe and has a 30-50% mortality
Variola major
What strains are used to make smallpox vaccines?
- Cowpox (originally used)
- Vaccinia (currently used)
What pox viruses are related to smallpox?
- Monkeypox
- Molluscum contagiosum (MCV)
Poxviruses are the _____ of dsDNA viruses. They have _____ replication
Largest; atypical
Do poxviruses need host DNA-dependent RNA polymerase?
No - they encode their own viral DNA dependent RNA polymerase in the host cell cytoplasm (don’t need to get into the nucleus)
Poxviruses transcribe viral DNA in the:
Cytoplasm (not in the nucleus)
Poxviruses can be ID’d in the lab via:
Guarnieri bodies
Guarnieri bodies are found in _____
All poxvirus infections
Guarnieri bodies are known as _____
B-type inclusions (cytoplasmic inclusions in epithelial cells)
Smallpox transmission
Inhalation of airborne variola virus
Smallpox clinical course
- Incubation 10-12 days; infection of mouth and nose mucosa; spread by coughing and sneezing
- Migration to lymph nodes, access to bloodstream and organs
- Symptoms appear (fever, rash)
Smallpox: fever appears ____ after inoculation
2-4 days
Describe smallpox rash development (timeline)
- Rash appears day 10-12 (mouth)
- Skin rash appears 2-4 days later (forehead, face, then limbs - macules)
The prodrome of smallpox occurs between __-__ days. Why is this important?
0-12 days; already infectious but don’t have the pox yet
Smallpox lesions (pocks) are all in the:
Same stage of development
Smallpox lesions most dense on:
Face, arms and palms, legs and soles
Smallpox was ____ in 1980
Eradicated
How was smallpox eradicated?
- Vaccine (half life 92 years)
- No animal vectors
True or false: population is now susceptible to smallpox
True
Smallpox is a potential ______
Bioterrorism agent (most infectious before pox appear)
How was the cowpox vaccine initially developed?
- Edward Jenner infected a boy with cowpox
- Later inoculated the same boy with smallpox
- Immunized boy was not infected with smallpox
Vaccinia makes a highly effective:
Smallpox vaccine
____ is not the same as cowpox
Vaccinia
True or false: it is of unknown origin how Vaccinia became the smallpox vaccine
True
____ is directly responsible for smallpox eradication
Vaccinia (smallpox vaccine)
Smallpox vaccine (Vaccinia) is a ____
Live vaccine
Vaccinia may cause adverse events after vaccination. The smallpox vaccine is not recommended for:
- AIDS patients (Vaccinia necrosum)
- Eczema, atopic dermatitis (Eczema vaccinatum)
- Chemotherapy cancer patients
- Organ transplant patients
- Pregnant women (Congenital vaccinia)
Monkeypox had a ____ outbreak in 2022-2023
Worldwide
Monkeypox transmission
Viral zoonotic disease (infects people, small animals, rodents)
Monkeypox resembles ____ clinically
Smallpox
You can use ____ to vaccinate against Monkeypox
Smallpox vaccine (provides protection)
_____ causes epidermal tumors
Molluscum contagiosum (MCV)
MCV causes what kind of lesions?
Doughnut shaped; Umbilication
MCV causes disfiguring disease in ____ patients
HIV/AIDS
Parvovirus ____ infects humans
B19
Parvovirus contains what genetic material?
ssDNA
Parvovirus is associated with ____ disease
“Fifth”
Parvovirus B19 targets:
Precursors of red blood cells in bone marrow
Parvovirus B19 causes what symptoms?
- Erythema infectiosum (infectious rash)
- “Fifth” disease (exanthematous rashes)
- “Slapped cheek syndrome”
Slapped cheek syndrome rash looks like:
Lace-like, follows face rash on trunk and/or extremities
Parvovirus B19 complications most severe in:
- Pregnant women (if it crosses placenta)
- Other blood disease patients (chronic anemia, sickle cell)
What can happen if Parvovirus B19 crosses the placenta?
- fetus can develop severe anemia
- lyse RBC and affect RBC precursors in fetus
- Hydrops fetalis (fetus can die in utero)
Parvovirus B19 infection in sickle cell patients can cause:
- Aplastic crisis (stops blood cell production)
- Reticulocytopenia (decreases RBC production)