Cytotoxic Killing of Viruses Flashcards

1
Q

What are the two typical stages of viral infections and how long do they usually last?

A

incubation period = 1 week

disease period 1-2 weeks

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2
Q

In a graph of virus/antibody titre against days after infection. What is represented by the fact that viral load starts to decline before neutralising antibodies appear?

A

the innate response controls and reduces the infection

the adaptive response is there is clean up and provide memory

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3
Q

What is the prodromal response?

Why is this?

A

first symptoms of infection
fever, ache, fever
indistinguishable ‘flu-like’ symptoms
This is because innate responses to viral infection involve a common cascade of INTERFERON induced responses

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4
Q

The innate responses mediates by PRR’s recognise a wide array of viral molecular patterns. but signal through a limited repertoire of intracellular molecules. Give some examples of these molecules?

A

MyD88, TRAM, TIRAP, TRIF

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5
Q

How have viruses evolved to be less visible to the immune system?

A

interfering with several stages in the immune response and switching them off

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6
Q

As the majority of viral infections signal through the ………… …… … pathway it is unsurprising that a significant apart of the adaptive immune response to viral infection is ………. … ………. mediated

A

endogenous MHC I

cytotoxic T cell

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7
Q

Describe the role of NK cells in viral infection

A

Many viruses have been shown to inhibit the presentation of peptides in the infected cell by down-modulting MHC I

  • MHC I acts as an inhibitory signal to inactivate NK cells
  • The lack MHC I activates NK cells
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8
Q

In what 3 ways can NK cells be activated and what is the repsonse?

A
  1. releasing IFNgamma - a potent inducer of ISGs which render the cells less susceptible to infection
  2. releasing cytolytic granules which directly target the MHC I null cell for destruction
  3. death by receptor mediated cytolysis of the target cell
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9
Q

Describe adaptive sensing and killing by CD8 T cells

A
  • MHC I loaded with viral peptide
  • recognised by TCR on CD8
  • releases cytotoxins including perforin, granzyme and granulysin
  • induces CD cell proliferation and ex[resison of FAS ligand (FAS-L)
  • binding of FAS-L to FAS present on target cell
  • induces a cascade of pro-apoptotic signals, target cell destruction
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10
Q

What is meant ADCC?

A

Antibody Directed Cell Cytotoxicity

  • cytotoxic pathway driven by antibodies
  • NK cells have Fc receptor (FcgammaIII) which binds to IgG antibodies that are bound to the surface of infected cells
  • activates NK cells
  • antibodies bound to virus can also induce classic complement cascade
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11
Q

What are the 4 mechanisms of action of directly neutralising antibodies?

A
  • block virus/receptor interaction
  • block endocytosis
  • block release into cytoplasm
  • aggregate virus
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12
Q

What happens when ADCC goes wrong?

A

Dengue uses FcgammaRIII as its entry receptor!
Primary infection gives neutralising antibodies to one serotype
On second exposure with a new serotype, NON neutralising antibodies bind Dengue and initiates ADDCC by NK cells by binding to FcyRIII
- Antibody dependent enhancement of infection

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