DNA and Viruses Pt2 Flashcards
what morphologic forms of HBV is the most abundant form and contains HBsAg?
Spherical particle
spherical particle size?
22nm
what morphologic forms of HBV is long due to the overproduction of HBsAg?
Filamentous/Tubular form
what morphologic forms of HBV least common and infectious form of HBV?
DANE particle
filamentous/tubular form size?
22nm
DANE particle size?
42nm
3 enveloped DNA viruses?
Pox, Herpes, Hepadnaviruses
classified as hepadnavirus and establishes chronic infections especially in those infected as infants; it is a major factor in the eventual development of liver disease and hepatocellular carcinoma in those individuals
Hepatitis B virus
lipoprotein envelope and surrounds an inner nucleocapsid core particle HBcAg?
HBsAg
not detectable in the serum and contains dsDNA?
HBcAg
seals the gap
DNA polymerase
site of replication of HBV?
Nucleus
viral polymerase synthesizes by ? a negative strand DNA copy
Reverse transcriptase
template for all viral transcripts?
cccDNA
cccDNA meaning
Covalently Closed Circular double stranded DNA
becomes encapsidated with newly synthesized HBcAg?
Pregenome RNA
Most commonly utilized lab tests for HBV before
ELISA
Most commonly utilized lab tests for HBV today
Chemiluminescence
utilizes this principle; signal to cut-off ratio chemiluminescence
Abott-Architect
Number of viral particles
Viral load
research blood for hepatitis
Lamivudine
Reactive >6 months
Carrier
Fatty liver and alcoholism can lead to
Cirrhosis
If not alcoholic, the patient is
Non-alcoholic Steatorrheic Hepatitis (NASH)
Scarring of the liver, The liver gets small, Blood cannot penetrate the liver tissue
Cirrhosis
nutrients are travelling via ? towards the liver for metabolism
Portal Vein
remedy for cirrhosis or when blood cannot penetrate the liver tissue?
Liver transplant
first marker that can be detected for HBV, 1 week after infection and is used as an indicator of disease progression?
HBV DNA
detected in the bloodstream soon after initial infection (1 week)
HBV DNA Polymerase
not detectable in the bloodstream, uses liver cells as sample and encapsulates HBV DNA and DNA polymerase
HBcAg
HBcAg encapsulates?
HBV DNA and DNA polymerase
Produced in large quantities, Appears 1 to 6 weeks before symptoms (late incubation period)
HBsAg
if HBsAg is + what does it indicate?
Indicate current infection of HBV
if HBsAg is + for more than 6 months what does it indicate?
chronic infection
has no chronicity?
Hepa A
can we have hepa A and hepa B at the same time? yes or no?
Yes
detectable in the bloodstream and HBV is actively reproducing, Appears shortly after the appearance of HBsAg, Disappears before HBsAg disappears
HBeAg
what is the first antibody to appear?
IgM
IgM, Appears shortly before the onset of S/SXs, Does not neutralize the virus
Anti-HBc Total
if Anti-HBc Total is + what does it indicate?
used to detect previous exposure to live virus
initial response, Detectable for 4 to 6 months
Anti HBc IgM
Anti HBc IgM is detectable for?
4 to 6 months