4: Viral Evasion of Host Immunity Flashcards

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1
Q

What is the overall mechanism how Viruses are identified by T-cells

A

Because viruses are intracellular:

T-cells sense Viral peptides on MHC class I (II) presented

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2
Q

Explain the process of normal MHC I presentation of Viral Proteins

A

Viral proteins differ less than surface antigens –> better immune target

  • Viral DNA is chopped up by a protease
  • transported into the Endoplasmatic Reticulum via TAP transporter
  • Protein segment is packed onto MHCI molecule
  • Complex is transported and expressed at the cell membrane
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3
Q

Explain how viruses can interfere with assemby of the MHC I/ Peptide complex and give examples

A
  • No cleaving of Antigens possible so no peptides for presentation available (e.g. Eppstein-Barr Virus form)
  • Herpes simplex virus produces additional peptide that blocks TAP function –> Viral peptide can’t be transported into the ER
  • Cytomegalovirus (CMV) stops ATP binding to TAP –> no transloacation

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4
Q

Explain the role of Tapasin in MHC presentation and how this might be used in viral immunity

A

Tapasin is needed in loading of the MHC molecule

  • CMV (Cytomegalovirus) inhibts Tapasin
    • no loading of MHC molecule
  • Adenovirus
    • prevents recruitment of TAP to tapasin and also retains MHC in the endoplasmic reticulum
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5
Q

Explain how viruses can interfere with MHC presentation at the cell surface and give examples

A

Viruses can cause MHC internilisation

  • E.g. Human Herpes Virus 8 (Kaposis Sarcome Herpis Virus (KSHV) produces a protein that causes internilisation + degradation of MHC moleucle

–> but: if no MHC presented at all: cell might also be killed by NK cells

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6
Q

Explain how HPV can evade host immunity

A

Produces Proteins that

  • stop IFN signaling of innate immune system (inhibit STING and STAT pathway (+Irf3))
  • Stops MHC I presentation by stopping MHC transport to cell membrane
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7
Q

What would happen if there is no presentation of MHC molecules on the surface of cells?

A

They would be killed by NK cells

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8
Q

How do viruses avoid NK killing by the missing self mechanism?

Name examples

A

Missing self mechanism= no presentation of MHC I on surface

  • But: viruses encode analogues for MHC molecules
  • upregulate MHC
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9
Q

What is antigenic drift?

Which viruses undergo antigenic drift?

A

Continued rapid evolution driven by antigenic pressure from host

  • e.g. annual influenza antigenic drift
  • HIV quasispecies –> many variations with many mutations of virus in one host
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10
Q

What is antigenic shift?

Name an example

A

Introduction of new subtypes from animal source

  • can also be seen in Influenza (or eg. Corona epidemic)
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11
Q

Next to evolving antigenic drifts and shift, how can there also be antigenic variation in viruses

A

There can be many different serotypes of viruses

  • e.g.

rhinovirus, 100s of serotypes

poliovirus, 3 serotypes

Dengue, 4 serotypes

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12
Q

Explain the consequence of the antigenic variability of influenza in the development of a vaccine

A

Influenza antigen: Haemagglutinin with spikes and variation

  • influenza vaccine for following year is developed based on prediction of previous feburary
  • but: might not be accurate and a differnet mutation might be prominent the following year–> no effective vaccine might be developmed because of fast antigenic variation
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13
Q

What is a broadly neutralising Antibody?

What is its clinical use/relevance?

A

Antibodies that not bind to the highly variable region of the Antigen (e.g. influenza spike) but to the stalk region –> less varation so suitable for more stratins

  • could be more effective vaccine but hard to develop and not yet there
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14
Q

Explain how HIV evades the Antibody immune response

A
  • HIV only expressed few antigen spikes
    • the distance between them is too large for 2 parts of Ab to bind to 2 Spikes
  • Extensive glycosylation masks antibody epitopes
  • Functionally important parts of the molecule are poorly accessible (e.g. CD4 binding site)
  • Hught variation of redundant AA that are accessible to B-cell –> not easy to design one vaccine/ antibody against all viruses
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15
Q

Explain the role and use of Antibodies in HIV treatment and prevention

A

bNAB (broadly neutralising) can controll viral load but mutats appear

  • also in people infected with HIV that can control antigen Load no bnabs are seen
  • can be used but then other mutant that does not react to it dominates after some time
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16
Q

Explain the diffuclties with developing a Vaccine agaisnt Human Rhinovirus

A

Ther are many serotypes with a lot of antigenic variation

  • over 120 different antigens
  • all of them co-circulate:
    • impossible to make a vaccine against all of them
    • Though immune system can fight it:no memory immune responst against all of them can be made (re infection with other serotype every year is possible)
17
Q

What is the diffculty with developing a polio vaccine?

A

There are 3 serotype and needs to be vaccinated against all 3

  • If all 3 are administered at once: might be that response and immunity against one serotype is good but other one is too weak to even infect the cells enough
  • But could be done by adjusting dosage
18
Q

What is antibody dependant enhancment?

Name an example

A

Non-neutralising binding of Antibodies to Virus enhanced the uptake into cells it would normally not infect

  • e.g. Dengue Haemorrhagic fever
19
Q

Explain what happens in a first and secound infection with (different) Dengue serotypes

A
  1. 1st infection: flue like symptoms
  2. infection with different serotype: dengue haemorrhagic fever due to ADE (antibody dependant enhancement)
    • antibodies from first serotype also bind to to other serotype
    • Causes internilisation into macrophages (gets into more cells than it normally does)
    • increased viral load in Antigen Presentign cells–> increaed intracellular PRR activation –> Cytokine storm due to higher IFN levels and response
20
Q

What is the problem with measels infection?

A

The disease itself but also:

  • a measels infection essentially reboots your immunity
    • measels erase memory lymphocytes
    • infection leads to a 2-3 year erase of immunulogical memory