DNA Virus Replication Herpes Varicella Zoster Flashcards

1
Q

Herpetoviridae (4):

A
  • DS DNA wound around a protein core.
  • 4 configurations of DNA.
  • Icosahedral capsid.
  • Envelope with glycoprotein spikes.
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2
Q

HSV-1 virus entry (4):

A
  • Virus particle attaches to a receptor on surface of permissive cell.
  • Virus envelope fuses with cell membrane.
  • Capsid containing DNA moves to nucleus of cell.
  • Genome is released into the nucleus (site of viral replication).
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3
Q

HSV-1 DNA replication (3):

A
  • Linear genomic DNA circularizes.
  • Concatemer formation by rolling circle mechanisms.
  • Specific cleavage of concatemer into unit size DNAs with reorientation.
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4
Q

Three types of mRNA:

A
  1. Immediate early - alpha.
  2. Early - beta.
  3. Late - gamma.
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5
Q

Alpha proteins:

A

Regulatory.

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6
Q

Beta proteins:

A

Enzymatic, required for DNA replication.

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7
Q

Gamma proteins:

A

Structural, used to form progeny virus.

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8
Q

HSV-1 assembly (3):

A
  • Nucleocapsid formation in nucleus.
  • Capsid passes through nuclear membrane site.
  • Acquires envelope from modified membranes of cytoplasmic vesicles that have viral glycoproteins.
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9
Q

Two serological types of HSV:

A

HSV-1: Oral

HSV-2: Genital

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10
Q

HSV CNS infection:

A

Adult (HSV-1):
- Spread along olfactory nerve to temporal lobe.
Neonate (HSV-2):
- Infected birth canal leads to viremia and spread to the brain.

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11
Q

HSV latent state:

A

After primary infection HSV transported up nerves to ganglia:

  • HSV-1: trigeminal.
  • HSV-2: sacral.
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12
Q

Laboratory diagnosis of HSV (3):

A
  • Tzanck smear - cells from base of lesion.
  • Virus isolation in cell culture.
  • Serological - fluorescent antibody attached to viral proteins.
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13
Q

Varicella infection (3):

A
  • Respiratory route.
  • Two week incubation period.
  • Successive crops of rash, fever with each crop.
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14
Q

Varicella complications:

A

Adult:
- Pneumonitis: x-ray shows calcified nodules.
Children:
- Encephalitis: males 2x females.

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15
Q

Reyes syndrome:

A

Aspirin related hepatic failure, encephalopathy.

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16
Q

Zoster (2):

A
  • Latency in dorsal root ganglia.

- Macular rash –> papule –> vesicle (–> pustule) –> crust.

17
Q

Zoster tx:

A

Zoster immune globulins.

18
Q

Zoster vaccine:

A

Attenuated live vaccine.