Diagnostic Virology Flashcards
What is HTLV-1?
Human T-Cell Leukaemia Virus type 1 Causes: adult T cell leukaemia (ATL) adult T cell leukaemia/lymphoma (ATLL) HTLV-1 associated myelopathy (HAM) Tropical spastic paraparesis (TSP) HTLV-1 associated infectious dermatitis HTLV-1 associated uveitis (HAU)
How is HTLV-1 transmitted?
Mother to infant (breastfeeding/ Birth)
Sexual contact
Blood
How is HTLV-1 structured?
single strand enveloped RNA virus
HTLV-1 genetic information presented as double stranded DNA during infection
Virus encodes reverse transcriptase
What is the tax gene?
Viral tax protein is a transactivator protein- induces transcription of viral mRNA and has a role in causing cancer
Found only in HTLV-1
Several PCR methods are designed to detect the tax gene of HTLV-1
What types of cells does HTLV-1 infect and how does it infect them?
Infects T cells/ T helper cells
Once its infected cells its ssRNA will reach the cytoplasm
There reverse transcriptase will convert ssRNA to ssDNA which in converted to dsDNA
dsDNA will enter nucleus and integrate into the host’s genome allowing cell to replicate the viral genome
What is the western blot method?
If someone has developed antibodies to HTLV-1 these can be detected using the western blot method
How is the western blot method carried out?
- Seperation
- different viral proteins derived from in vitro viral cultures will be separated based on their size using polyacrylamide gel electrophoresis
- smaller protein will migrate further - Transfer
- proteins transferred using electric transfer system onto PVDF membrane
- viral proteins stick to membrane
- different viral proteins present on distinct bands on the membrane- bands aren’t visible - Staining
- membrane incubated with protein serum
- if antibodies recognise HTLV-1 protein they’ll bind to it
- membrane washed to get rid of unbound antibodies and incubated with secondary antibody (conjugated to enzyme) which recognises Fc region of antibody
- membrane washed again
- substrate which will be recognised by enzyme added, enzyme will react to give a signal once bound to substrate - Visualisation
- membrane observed
What does PCR stand for?
Polymerase chain reaction
Whats the aim of PCR?
To amplify a specific piece of DNA
How does PCR work?
- Denaturation
- sample is heated to 95 degrees C to denature double strand DNA to produce single strand DNA - Annealing
- sample is cooled to 50-60 degrees. This allows primmer to anneal to DNA with complimentary sequence
- For a standard PCR you need 2 primers- forward and reverse primer - Extension
- sample heated to 70-72 degrees- thermostable DNA polymerase extends DNA to produce second DNA strand
How many times os this PCR cycle repeated?
30-40 times- machine takes about 2 hours
The DNA produced is separated on an agarose gel and stained and visulaised
What primer is used to amplify the HTLV-1 tax gene?
HTLV-1 genome can be retrieved from data base
Forward primer is HL43 and has same sequence as top strand
Reverse primer is HL44 and has same sequence as bottom strand
The region amplifies is a 300bp region of the tax gene
Primers are written from 5’ to 3’
What are the components of PCR?
- DNA template
- Primers
- DNA polymerase
- dNTPs- building blocks of DNA
- Reaction buffer- appropriate salt and pH
How is a patient sample for PCR prepared?
Blood taken and peripheral blood mononuclear cells (PBMCs) are isolated:
PBMCs is mix of lymphocytes
Blood is layered on separation medium and tube is centrifuged
Blood separated into plasma and PBMC fraction
PBMC fraction is taken and DNA is extracted from cells
What other samples should be made alongside the patient sample?
Control positive: DNA sample with HTLV-1 virus
Control negative: DNA sample without HTLV-1 virus