26. Viral evasion of the adaptive immune response Flashcards

1
Q

what are 4 things to remember about viruses and immunity interacting?

A
  1. every virus has a range of evasion mechanisms and they are all different
  2. host-virus balance can range from latency and non-cytopathic infection to cytopathic infection
  3. host responses need to be kept at bay long enough to allow the virus to replicate and infect another host
  4. a virus is inside the cell most of the time
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2
Q

what is the main viral defence?

A

the destruction of virally infected cells by CD8+ cells

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3
Q

what are the 4 ways viruses evade adaptive immunity?

A
  1. evasion of antibodies
  2. interference in antigen presentation
  3. infection of immune system cells
  4. latency
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4
Q

how do viruses enter host cells?

A

by binding to a receptor and either receptor mediated endocytosis or membrane fusion

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5
Q

how can antibodies prevent viral entry/infection?

A
  1. block the virus from interacting with the receptor - neutralising antibodies
  2. Prevention of conformational rearrangement once virus is bound
  3. interference with viral/host membrane fusion by locking virus structure in place
  4. blocking endocytosis
  5. prevention of capsule degradation
  6. antibodies taken up into cells to block other stages of the viral lifecycle
  7. Aggregation of viruses in the extracellular environment
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6
Q

how can viruses evade the antibody responses?

A

antigenic variation
steric inaccessibility of the receptor binding site

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7
Q

what 2 ways can the receptor binding site be blocked?

A

buried sites
glycan shields

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8
Q

how does antigenic variation occur in RNA viruses?

A
  1. RNA polymerase/reverse transcriptase has a very high error frequency
  2. no/limited proofreading ability
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9
Q

how is having no proofreading ability an advantage to the virus?

A

forms a cloud of quasispecies that allow different viruses within the infection to survive as they are better adapted

antigenic drift in both B and T cells

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10
Q

what happens in viral infection with non-neutralising antibodies?

A
  • leads to virus entry in large amounts for some viruses
  • viral advantage
  • no selection pressure for the viral so viral proteins don’t need to change
  • viral persistence
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11
Q

what could happen in viral infection with neutralising antibodies?

A
  • selection pressure for mutants that can escape antibodies
  • infection persistence
  • reinfection of acute infection as acquired immunity diminished
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12
Q

what happens in viral infection with T cell recognition with intact epitope?

A

stays effective if the epitope doesn’t change
clearance of the virus
selection for escape mutants

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13
Q

what makes a T cell escape mutant?

A

Causes:
impaired processing for MHC presentation
decreases MHC binding
Reduced TCR binding

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14
Q

how can MHC expression be blocked?

A

if the peptide changes the MHC binding is impaired so antigen presentation is effected and impaired TCR recognition

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15
Q

what could happen if the T cell epitope doesn’t change?

A

over stimulation and exhaustion of the immune response
- up regulation of certain T cells and function is impaired
- persistent infection or cancer

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16
Q

what determines a viruses ability to evade vaccines and antibodies?

A

its plasticity

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17
Q

what viruses are not very effective at evading vaccines and antibodies?

A

not very plastic viruses like measles
means vaccines can last a long time

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18
Q

what causes plasticity?

A

we don’t know

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19
Q

what does a virus being very plastic mean?

A

they can change their protein/antigen structure fairly easily

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20
Q

what happens with antigenic variation at a genetic level?

A

some conserved regions which stay the same
hypervariable regions that are always mutating and changing
hypervariable genetic regions are often at antibody epitopes to make them ineffective

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21
Q

what is antigenic drift?

A

small mutations changing over time
existing immunity can continue working just not as well

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22
Q

what is antigenic shift?

A

a large dramatic shift that subverts all previous immunity

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23
Q

what regions tend to be conserved?

A

receptor binding domains
if these change binding will be affected

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24
Q

what can the mutations in the antigens be?

A

beneficial or deterimental
some changes can not benefit the virus but help it evade immunity

25
Q

what is steric inaccessibility?

A

rest of the protein changes to block antibody engagement but the binding sites don’t change

26
Q

what is the glycan shield hypothesis?

A

glycosylation levels change to prevent binding of neutralising antibodies but not receptor binding

27
Q

how do levels of glycosylation change in the glycan shield hypothesis?

A

the mutations don’t change the structure but the pattern of glycosylation on the receptor

change the amino acid sequence changes the glycans present
constantly active and changes

28
Q

what other receptor is heavily glycosylated?

A

SARS-CoV-2 spike protein

29
Q

why are glycans not shown in diagrams?

A

because they are difficult to map and changes often

30
Q

why is glycosylation not used as a therapeutic target?

A

even if the correct amino acids are present they may not always be glycosylated

31
Q

what makes SARS-CoV-2 different from other coronaviruses?

A

the spike protein receptor is quite plastic and can change easily

32
Q

what makes the SARS-CoV-2 spike protein plastic?

A

hypervariable receptor binding domain
ability to stabilise mutations which decrease receptor binding with complementary mutations that allow efficient binding again

these make it more transmissible

33
Q

what do mutations in the N-terminal domain of the SARS-CoV-2 spike protein result in?

A

change how antibodies interact with the spike
changes elsewhere in the molecule to change the overall movement/fluidity of the molecule

34
Q

how can viruses escape from T cells?

A
  1. infected cells present epitopes on MHC1
  2. antigenic shift stops peptide binding to MHC so no presentation
  3. OR antigenic drift means the peptide is still recognised but not a proper response is caused
  4. aberrant T cell response as the protein is not recognised correctly. incorrect cytokines secretion to make infection worse
  5. interference with the processing and presentation of peptides
35
Q

how can viruses escape from NK cells?

A
  1. viruses downregulate MHC1 molecules
  2. some viruses with large genomes can encode their own decoy MHC1 to keep the inhibitory signal and prevent NK activation
  3. some viruses especially persistent viruses can affect or downregulate activating receptors
36
Q

what is the normal MHC1 antigen presentation pathway?

A
  1. a cell infected with a virus making viral proteins and the proteasome degrades the proteins into peptides
  2. MHC are made and folded in the ER lumen
  3. viral peptides are taken into ER lumen by Tap 1 and Tap 2
  4. MHC interacts with Tap1/2 to pick up a viral peptide
  5. transported through the cell by the secretory system and inserted into the host cell membrane
37
Q

how can MHC signalling be blocked?

A
  1. prevent proteins being degraded by the proteasome
  2. prevent peptide transport to the ER
  3. block transport of MHC mRNA out of the nucleus
  4. causes misfolding of proteins like MHC
  5. cause host proteins to be degraded by the endosome
  6. Down regulation
38
Q

what proteins do MHC1 present?

A

any cytosolic protein

39
Q

what proteins do MHC2 present ?

A

extracellular proteins processed by endocytic vesicles

40
Q

what is the normal MHC2 presentation pathway?

A
  1. extracellular protein taken up into the endosome
  2. acidified endosome degrades protein into peptides
  3. MHC2 made in the ER membrane
  4. fusion vesicle of the MHC2 secretory vesicle and the vesicle with the viral peptides
  5. MHC2 picks up the viral peptide
  6. MHC2 present the antigen to activate other immune cells
41
Q

what part of the MHC2 pathway does BPV-E5 block?

A

the acidification of the endosome so no activation of the proteases

42
Q

what part of the MHC2 pathway does CMV US2 block?

A

block MHC2 transport from the ER

43
Q

what part of the MHC2 pathway does EBV IL-10 block?

A

down regulate expression of MHC2 on the surface

44
Q

what part of the MHC2 pathway does BPV E6 and HIV nef block?

A

prevents MHC2 peptide complexes from reaching the membrane and leaving the vesicle

45
Q

what are some viral effects that interfere with MHC1 antigen presentation?

A
  1. MHC1 retained by ER
  2. MHC1 degraded by the proteasome
  3. viral peptides fail to enter the ER as Tap1/2 are blocked
  4. viral peptide block MHC1 in the ER
46
Q

what are some viral effects that interfere with MHC2 antigen presentation?

A
  1. viral proteins resistant to proteasome degradation due to unusual sequences or phosphorylation
  2. MHC2 down regulated by viral IL-10 analogues
  3. MHC2 peptides not generated because endosome is not acidified
47
Q

Human cytomegalovirus and immune evasion

A

large DNA virus with lots of mechanisms to avoid the immune system
- immune cell evasion
- cytokine homologues
- inhibit apoptosis
- up and down regulation

48
Q

what viruses can infect the immune system?

A

HIV infects T cells and dendritic cells
Measles infects T and B cells and can wipe out your entire immune memory
Epstein-Barr virus infects B cells

49
Q

what is Epstein Barr virus?

A

persistent viral infection
can cause other acute infections while infected like glandular fever
can cause B cell and epithelial cancers depending on genetics

50
Q

what is the Epstein Barr virus pathway of infection?

A
  1. transmitted in saliva
  2. the virus probably infects epithelial cells
  3. then infects resting B cells in close contact with the epithelium
  4. large number of B cells get infected as the virus is very active
51
Q

what kills EBV infected B cells?

A

CD8 T cells and NK cells

52
Q

how common is latency in EBV?

A

1 in 100,000 B cells enters the latent state

53
Q

what do latent EBV infected B cells do?

A

circulate in blood for years
express a very small number of proteins mostly for maintaining genomes
once the B cell is infected it becomes immortal

54
Q

what is a use of EBV infected B cells?

A

they are immortal so they can be used in labs to study B cells and other B cell diseases

55
Q

how do latent EBV infected cells become active?

A

unknown but possibly epithelial contact or immunosuppression

56
Q

how can EBV lead to cancer?

A

by transforming epithelial cells

57
Q

what does acute EBV infection lead to?

A

strong immune response
strong cytokine response
result in death of most infected B cells

58
Q

what is the difference between EBV latency classes?

A

different latencies have different levels of gene expression and causes different types of cancers