Coronaviruses (Chapter 32) Flashcards

1
Q

Coronaviruses (Chapter 32)

A

+ strand Virus RNA
Enveloped
Sars CoV-2

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2
Q

Cause up to 30% of common colds

A

Corona Virus

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3
Q

Covid enveloped or no?

A

Yeah Bro!

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4
Q

SARS-CoV

SARS-CoV-2

A

Jumped from animals to humans

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5
Q

SARS outbreak

A

Resperatory Syndrom

2k2-2k3

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6
Q

MERS-CoV

Mortality Rate

A

Kinda New to Hue-mons. Middle eastern resperatory syndrome

30-40%

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7
Q

CoronaVirus life cycle Viral envelope acquisition?

A

Budding of nucleocapsid into ER

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8
Q

Clinical Presentation SaRsCoV2

Moderate

A

SPO2 saturation of >= 94%

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9
Q

Clinical Presentation SaRsCoV2

Severe

A

SPO2 Sat. <94%

<30b/m

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10
Q

Covid inters cell how?

A
  1. ACE 2 receptors in the presence of TMPRSS2
  2. Dysregulation of RAAS due to down regulation of ACe2 = decreased cleavage of Ang 1 and 2.
  3. Facks app endothelial cells and thromboinflammation
  4. Cytokine release syndrome. IL6, TNFalpha.
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11
Q

ACE2 activity effect on BP

A

Lowers BP

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12
Q

ACE2 –

A

angiotensin converting enzyme (cleaves angiotensin II (vasoconstrictor) to angiotensin 1-7 (vasodialator)

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13
Q

TMPRSS2

A

transmembrane protease, serine 2 (cleaves (“primes”) Spike protein)

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14
Q

RAAS

A

renin angiotensin aldosterone system (blood pressure regulation)

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15
Q

Extrapulmonary manifestations of COVID-19

A

Pretty much every other system. Facks App.

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16
Q

Picornaviruses (Chapter 32)

A

Picornaviruses (Chapter 32)
+ stranded RNA viruses
do not have envelope
enteroviruses

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17
Q

Picornaviruses (Chapter 32)

Sub types

A

Rhinovirus
Hepatovirus
enterovirus. Polio, Coxsakievirus
Parechovirus

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18
Q

Enteroviruses:
very stable in ___________ and ______
also stable at pH ______)

A

Enteroviruses:
very stable in food and water
also stable at pH 3 (stomach)

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19
Q

Rhinoviruses:
Sensitive to ______
Replicate poorly above _____

A

Rhinoviruses:
Sensitive to acidic pH
Replicate poorly above 33 C

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20
Q

Polio Virus

Three antigen types

A

Pv1, PV2, Pv3

Capsid Differances between types

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21
Q

Poliovirus Shape

A

icosahedral

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22
Q

Poliovirus Size

A

Small AF! 30nm

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23
Q

Polio Virus + strand

A

Polio Virus + strand 7500 nt in lenght

24
Q

Poliovirus replication

A

CD155 Polio virus receptor. PVR

25
lytic virus Polio Virus
``` destruction of host cells virus is shed into stool up to 10,000 virus per infected cell) even weeks to months after symptoms gone ```
26
Polio Virus transmission
transmission: fecal-oral
27
Polio Virus RNA properties
RNA alone can cause infection
28
Poliovirus IRES
Internal Ribosome Entry Site IRES serves as the “cap” of the viral RNA, promoting translation of viral RNA into viral proteins
29
Because of IRES, translation starts _____ from the 5' end of poliovirus RNA (normal mRNA translation starts ______ 5’ end)
``` Because of IRES, translation starts far from the 5􀀁 end of poliovirus RNA (normal mRNA translation starts near 5’ end) ```
30
IRES serves as the.......
IRES serves as the “cap” of the viral RNA, promoting translation of viral RNA into viral proteins
31
Pathogenesis of poliovirus
central nervous system disease flaccid paralysis results from destruction of anterior horn cells in spinal cord bulbar poliomyelitis most severe form respiratory muscle paralysis (medulla oblongata) ~25% mortality factors increasing severity of poliovirus infections physical exertion and trauma tonsillectomy
32
5% of polio infections
Multiplication in various organs | Major Viremia>>>>>>>>>>>peripheral nerve ganglia/CNS=paralytic disease=1% infections
33
Poliovirus vaccine
Live oral vaccine (Sabin) mimics the normal infection process of poliovirus Killed parenteral vaccine (Salk) only generates serum antibodies
34
group A coxsackieviruses | Type a16
``` aseptic meningitis herpangina sudden onset of fever vesicles/ulcers on tonsils and palate coxsackievirus type A16 hand, foot, and mouth disease blisters on hand, feet, and palate ```
35
group B coxsackieviruses
heart (myocarditis) respiratory tract (pleurodynia) mucous membranes of eye (hemorrhagic conjunctivitis
36
Rhinoviruses
~100 serotypes account for ~1/2 the cases of the common cold bind to respiratory epithelial cells ICAM-1 (most) or VLDL receptor (some) replication details very similar to poliovirus Acid sensitive and 33oC optimum for replication no tissue destruction
37
common cold | bind to respiratory epithelial cells
Icam mostly
38
Rhinoviruses Complications.
sometimes infection has complications sinusitis, otitis media worsening of asthma (assoc. with 50% of attacks) vaccine prospects poor (too many variants)
39
Arboviruses
(arthropod-borne viruses) (Chapter 33) viruses transmitted by arthropods multiply in tissues of vector, often without producing disease
40
For many arboviruses humans are ____________ hosts: viremia of short duration virus levels in blood are ___________
For many arboviruses humans are 􀀁dead-end􀀂 hosts: viremia of short duration virus levels in blood are low
41
Togaviruses | Enveloped or No
plus stranded RNA (single linear molecule) | enveloped
42
Togavirus | replication
2 phases of translation -first produce early proteins and then late proteins -like coronavirus
43
Toga Virus Replication: Ribosomes bind to the __________ RNA genome
Ribosomes bind to the positive-sense RNA genome early polyproteins are made
44
Toga Virus The polyproteins are cleaved to produce nonstructural proteins ___ to _____ (___ to ___), which include a polymerase to transcribe the genome into a ______ RNA template.
The polyproteins are cleaved to produce nonstructural proteins 1 to 4 (NSP1 to NSP4), which include a polymerase to transcribe the genome into a negative-sense RNA template.
45
Toga virus replication: 5, The template is used to | produce a full-length _____, ______-sense mRNA genome and a late ____ mRNA for the structural proteins.
5, The template is used to | produce a full-length 42S positive-sense mRNA genome and a late 26S mRNA for the structural proteins.
46
Toga Replication 9, _______ from the plasma membrane releases the virus.
9, Budding from the plasma membrane releases | the virus.
47
``` Rubella virus Member of Togavirus family Rubivirus genus but not ________-borne Rubella = _______ one of the 5 childhood exanthems (along with measles, roseola, chickenpox, and fifth disease) ```
``` Rubella virus Member of Togavirus family Rubivirus genus but not arthropod-borne Rubella = German measles one of the 5 childhood exanthems (along with measles, roseola, chickenpox, and fifth disease) ```
48
Flaviviruses _______ stranded RNA (single linear molecule) Enveloped or No?
Flaviviruses plus stranded RNA (single linear molecule) Enveloped Brah!
49
Disease syndromes of togaviruses and flaviviruses
Encephalatis yellow fever (heptitis) Hemorric fever DHF/DSS
50
Zika virus (a Flavivirus) mostly mild illness (Zika fever) except for _____________of fetus, which leads to__________ and other birth defects transmitted by _________from person to person (most common) Aedes aegypti mosquito (worldwide distribution of A. aegypti below)
mostly mild illness (Zika fever) except for congenital infection of fetus, which leads to microcephaly and other birth defects transmitted by mosquitos from person to person (most common) Aedes aegypti mosquito (worldwide distribution of A. aegypti below)
51
Zika Virus Transmission
also transmitted sexually | Person to person
52
Dengue fever (caused by a ______)
most prevalent disease caused by arboviruses does not cause significant mortality enerally not a zoonosis: transmitted by mosquitos from person to person when partial immunity exists due to prior infection dengue hemorrhagic shock (DHS) dengue shock syndrome (DSS) due to immune enhancement virus forms immune complex/readily enter macrophages increases viral load Activates memory T cells, which release cytokines and initiate hypersensitivity reactions. These reactions cause weakening and rupture of vasculature, internal bleeding, loss of plasma.
53
when partial ________ exists due to prior infection dengue hemorrhagic shock (DHS) dengue shock syndrome (DSS) due to __________ virus forms immune complex/readily enter macrophages increases viral load
when partial immunity exists due to prior infection dengue hemorrhagic shock (DHS) dengue shock syndrome (DSS) due to immune enhancement virus forms immune complex/readily enter macrophages increases viral load
54
Dengue Fever immune enhancement virus forms immune complex/readily enter macrophages increases viral load
Activates memory T cells, which release cytokines and initiate hypersensitivity reactions. These reactions cause weakening and rupture of vasculature, internal bleeding, loss of plasma
55
``` Yellow Fever (caused by a_______ • historical importance – first human disease found _________ – first viral disease confirmed to be spread by____ – Mosquito: ________ • spread by two methods (via mosquito) – ______ to human – _____ to human ```
``` Yellow Fever (caused by a Flavivirus) • historical importance – first human disease found to be caused by a virus – first viral disease confirmed to be spread by insect vector – Mosquito: Aedes aegypti • spread by two methods (via mosquito) – human to human – monkey to human ```
56
Yellow Fever Severe Controll
Jaundice lesions and hemorrhaging of infected organs attenuated live vaccine and insect control measures