B5: influenza Flashcards

1
Q

What is influenza?

A

An acute contagious disease of the upper and lower respiratory tracts caused by negative-strand, segmented RNA viruses of the family Orthomyxoviridae.

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2
Q

Where does the name ‘influenza’ come from?

A

The Italian phrase “un’influenza di freddo,” meaning “influence of the cold.”

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3
Q

Why is influenza responsible for seasonal epidemics and major pandemics?

A

Due to antigenic drift and antigenic shift, which allow the virus to evade immunity and cause new outbreaks.

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4
Q

How is influenza transmitted?

A

Through respiratory droplets, direct contact with infected secretions, and contaminated surfaces.

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5
Q

What are the primary symptoms of influenza?

A

Sudden onset of high fever, muscle/joint aches, exhaustion, headache, and malaise.

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6
Q

When do influenza infections peak?

A

Most common between November and February.

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7
Q

What factors influence an individual’s susceptibility to influenza?

A

Age, immune status, underlying conditions, and prior exposure to influenza viruses.

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8
Q

What are potential complications of influenza?

A

Pneumonia (primary viral or secondary bacterial), Reye’s syndrome, and multi-organ failure in severe cases.

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9
Q

What is Reye’s syndrome, and how is it linked to influenza?

A

A rare but serious condition causing encephalitis, hepatic and renal failure, often associated with aspirin use in children with influenza B.

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10
Q

Rank the severity of different influenza viruses in humans.

A

Influenza A > Influenza B > Influenza C/D.

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11
Q

Which family do influenza viruses belong to?

A

Orthomyxoviridae.

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12
Q

What are the four types of influenza viruses?

A

Influenza A, B, C, and D.

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13
Q

What is the basic structure of the influenza A virion?

A

Enveloped virus with membrane proteins (HA, NA, M2), a matrix layer (M1), and an RNP complex containing 8 RNA segments.

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14
Q

What type of genome does influenza A have?

A

A negative-sense, segmented RNA genome (8 segments)

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15
Q
A
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16
Q

What are the major surface proteins of influenza A?

A

Hemagglutinin (HA), Neuraminidase (NA), and M2 ion channel.

17
Q

What is the function of HA in influenza?

A

HA binds to sialic acid on host cells, mediating viral entry.

18
Q

What does NA do in influenza virus replication?

A

Cleaves sialic acid residues, allowing viral release from the host cell.

19
Q

How many genome segments does influenza A have?

A

8 RNA segments coding for at least 17 proteins.

20
Q

What does the M2 ion channel do?

A

Regulates pH inside the virion, aiding uncoating during entry.

21
Q

How does influenza enter host cells?

A

Via endocytosis, mediated by HA binding to sialic acid receptors.

22
Q

Why is endosomal acidification important for influenza infection?

A

It triggers HA conformational changes, leading to membrane fusion and RNP release.

23
Q

Where does influenza genome replication occur?

A

In the nucleus, unlike most RNA viruses.

24
Q

How does influenza produce mRNA?

A

The viral polymerase “cap-snatches” host pre-mRNA caps to prime viral mRNA synthesis.

25
What are the three components of influenza’s polymerase?
PB1 (elongation), PB2 (cap-binding), and PA (endonuclease).
26
What are the key differences between influenza mRNA and antigenome?
mRNA has a 5’ cap and poly(A) tail but lacks UTRs, whereas the antigenome is a full-length RNA copy used for replication.
27
How does NS1 help influenza evade the immune system?
It inhibits interferon responses and prevents antiviral signalling.
28
How do newly replicated influenza RNPs exit the nucleus?
Via the nuclear export protein (NEP/NS2), which interacts with M1.
29
Where does influenza virion assembly occur?
At cholesterol-rich lipid rafts in the host cell membrane.
30
How does influenza exit the host cell?
By budding, with NA cleaving sialic acid to prevent reattachment.
31
What is antigenic drift in influenza?
Gradual accumulation of mutations in HA/NA, leading to immune escape.
32
32
What is antigenic shift, and why is it dangerous?
Reassortment of genome segments between different strains, potentially creating pandemic strains.
33
Name two neuraminidase inhibitors used to treat influenza.
Oseltamivir (Tamiflu) and Zanamivir (Relenza).
34
When are neuraminidase inhibitors most effective?
Within 48 hours of symptom onset, before extensive viral replication occurs.
35
What receptors does influenza bind to?
Sialic acid residues on host glycoproteins.
36
How does influenza counteract the interferon response?
The NS1 protein inhibits interferon production and signalling.
37
Why is Amantadine ineffective against influenza today?
Most circulating influenza A strains have M2 mutations conferring resistance.
38