CNS Viruses -- Flaviviruses Flashcards

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1
Q

What is the structure of the flaviviridae?

A

Small, enveloped, nonsegmented, + strand RNA virus

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2
Q

What are the three flaviviruses you need to know?

A

St. Louis, West Nile, Japanese

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3
Q

How do flaviviruses enter a cell?

A

Receptor-mediated endocytosis

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4
Q

Is the nucleocapsid delivery of flaviviruses into the cytoplasm preceded by a pH-dependent fusion event?

A

Yes

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5
Q

What does the translated RNA genome of flaviviruses form? How does it differ from picornaviruses?

A

single polyprotein; contains 5’-cap

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6
Q

T/F – flaviviruses get their genomic RNA replicated by host polymerase

A

False – viral polymerase

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7
Q

How do flaviviruses get out of a cell?

A

Budding into ER or Golgi and enveloped virus released during transport at cell surface

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8
Q

Transmission of flaviviruses?

A

Insect vectors

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9
Q

Where do flaviviruses initially replicate?

A

Endothelial/epithelial cells of site of inoculation

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10
Q

What happens after flaviviruses establish initial replication?

A

Transient primary viremia –> replicate in macrophages, spleen or lymph nodes 3-7 days post exposure

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11
Q

Do flaviviruses progress beyond replication in RES?

A

No

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12
Q

What three clinical syndromes occur with St. Louis virus?

A

Febrile headache, aseptic meningitis, encephalitis

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13
Q

What’s the incubation of St. Louis?

A

4-21 days

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14
Q

Is there a vaccine or antiviral for St. Louis?

A

No – control with mosquito vector protection

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15
Q

What mosquito genus is involved with spread of West Nile? Are we the main host?

A

Culex; no – incidental, birds main

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16
Q

Main 4 sx of majority of West Nile infections?

A

Febrile headache, myalgia, skin rash, swollen lymph glands

17
Q

Is there a vaccine for West Nile?

A

No – supportive Rx

18
Q

When is vaccine for Japanese flavivirus indicated?

A

Travelling to East >1 month