diagnostic Virology Flashcards

1
Q
  • How is HTLV-1 transmitted?

- What type of genome is HTLV-1?

A

Mother to infant (breast feeding/during birth)

Sexual contact 

Blood (e.g. blood transfusion/sharing needles)

ssRNA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • Is HTLV-1 enveloped?

- What does reverse transcriptase do?

A

Yes

Converts RNA to DNA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • What does HTLV-1 have instead of a viral homologue of a proto-oncogene?
  • What is the function of this protein?
A

Viral Tax protein

Important function in viral transcription process as well as several other different activities in the host cells

It can affect cell-cycle progression and signalling processes in cells which can lead to oncogenesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • Outline the replication cycle of HTLV-1?
A

HTLV-1 enters T cell

ssRNA released into host cell cytosol 

ssRNA reverse transcribed (RT-enzyme) to ssDNA 

ssDNA converted to dsDNA 

dsDNA enters the nucleus and integrate into host genome 

viral genome can replicate as part of the host chromosome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • What type of cells do HTLV-1 preferentially infect?

- What does the number of T-cells containing HTLV-1 DNA correlate with?

A

T cells

Disease severity
Likelihood of transmitting the virus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • What is taken from patients to detect whether they are infected or not?
  • What can the Western-blot method be used for?
A

Blood sample

Used to assess if patients have antibodies specific to HTLV-1 proteins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • What is the 3rd step of the Western-blot method and outline the process?
A

Staining:

1. Incubate membrane with human serum (primary AB)
2. Wash membrane 
3. Incubate membrane with secondary AB linked to enzyme 
4. Wash membrane 
5. Add substrate for enzyme linked to secondary AB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • What are the antibodies produced against when there is a positive result for HTLV-1 protein detection by western-blot?
A

Synthetic peptide: MTA-1

Viral Core Proteins: p53

p24

p19

Recombinant glycoprotein:

gd21
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • What is the aim of PCR?

- What does DNA polymerase need to act on, on a strand of DNA?

A

To amplify a specific piece of DNA

A primer with a free 3' hydroxyl group
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • Outline the steps of PCR (include temperatures)
A

Denaturing dsDNA (94 degrees C)

Primer annealing (54 degrees C) allowing primers to anneal to single strands

Extending DNA strands at optimal temperature (72 degrees C) for thermostable DNA polymerase to extend DNA and produce second strand
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • What is the typical number of repeat cycles for the three steps in a PCR reaction?
  • For standard PCR what are the different primers required?
A

30-40 times

Forward primer, Reverse primer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • How does the size of the fragment affect the extension time?
A

Larger fragment = longer extension time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  • What direction are these primers written in?
A

5’ to 3’

Forward already written like this

Reverse has to be written backwards as originally it is 3' to 5'
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  • What are the 5 components of a PCR?
A

DNA template

Primers

DNA polymerase

dNTPs - building blocks of DNA and needed for polymerase to copy DNA strands

Reaction buffers - provides appropriate salt and pH environment for polymerase enzyme to function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  • How are the sample results analysed?
A

DNA Gel electrophoresis

DNA is -vely charged and migrates towards positive anode

Smaller fragments migrate faster

Visualise DNA with intercalating DNA stain (Ethidium bromide - UV light)

Add loading dye

Add DNA marker - estimates size of fragment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • What is the purpose of the DNA loading dye?
A

Increase density/weight of the sample to allow the samples to sink into wells

See which wells contain a sample

Indicate how far DNA fragments have migrated during run
17
Q
  • What type of genetic material can by amplified by a standard PCR?
A

dsDNA

ssDNA
18
Q
  • What are each of the layers of the centrifuged sample show from top to bottom?
A

Plasma

PBMC

Separation medium

granulocytes

RBCs
19
Q
  • How is a sample prepared for PCR to detect HTLV-1 Tax gene?
A

Take blood - peripheral blood to get Peripheral Blood Mononuclear Cells (PBMCs) which are a mix of lymphocytes and monocytes

Isolate PBMCs - blood layered on separation medium with a specific density and tube is subject to centrifugation step. Blood will be separated into PBMC and plasma to isolate the PBMCs

Isolate DNA - Cell lysis and degradation of sample → Capture and cleaning of DNA → elution of DNA
20
Q
  • What information does qRT-PCR provide us with and how can we use it?
A

Amount of viral DNA present in sample

Helps to predict severity of disease

Will help to predict transmission likelihood
21
Q
  • What are the 2 common methods of qRT-PCR?

- What is added in qRT-PCR TaqMan method that is not added in normal PCR?

A

Fluorescent dye-based method (SYBR Green dye method)
DNA probe-based method (TaqMan method)

Oligo probe with a fluorophore attached on 5' end and a quencher attached on the 3' end
22
Q
  • Why is no fluorescence detected at the start of qRT-PCR?
A

Because the quencher quenches the fluorescence so no fluorescence can be detected

23
Q
  • Explain the TaqMan method of qRT-PCR
A

Polymerisation & Strand Displacement - Oligo TaqMan probe binds to DNA template strand in a region between the forward and reverse primer

Probe Cleavage - As the DNA polymerase acts on the DNA strand it displaces the TaqMan probe which leads to the fluorophore breaking off from the probe, giving off fluorescence as the quencher and fluorophore are no longer in close proximity

Completion of Polymerisation - The DNA polymerase acts further which also displaces the rest of the oligo probe and quencher
24
Q
  • What is the problem with qRT-PCR?

- What does CT value mean in qRT-PCR?

A

It is very expensive

Threshold value is cycle number at which fluorescence generated within a reaction crosses the fluorescence threshold (signal above background fluorescence)
25
Q
  • How can you identify a high number of viral DNA?
A

By looking at the amount of fluorescence detected

e.g Low CT value = High HTLV-1 load
26
Q
  • If you have viral RNA and you want to detect it, what process would you use?
A

RT-qRT-PCR (Reverse Transcription Quantitative Real Time PCR)