DNA viruses Flashcards
What type of shape are herpesviruses?
enveloped icosahedral viruses
What are the 9 different Herpesviruses?
alpha family: Herpes Simple virus type 1/2, varicella zoster (VZV)
beta and gamma: Human cytomegalovirus (HCMV), Epstein Barr virus (EBV), Human herpes virus 6/7/8 (HHV-6/7/8) and B virus
What are herpes simplex virus?
first infection can cause herpes gingivostomatitis
following primary infection a latent state persist in trigeminal ganglia (reactivated by trauma, fatigue, sunlight, emotional stress)
HSV can also cause encephalitis
What is Herpes simplex virus type 1?
“Herpes labialis” = cold sore
Herpetic whitlow is HSV infection of fingers and thumbs
Is caused by autoinoculation secondary to genital herpes and health care workers exposed to HSV lesions
What is Herpes simplex virus type 2?
associated with genital herpes
infects epithelial cells of external genitalia, urethra, cervix, rectum and adjacent skin
neonatal herpes can occur
can result in blindness and neurological diseases in babies
What are the phases of HSV transmission, infection, latency and reactivation?
transmission = enters skin or mucous during sexual contact
latency = after primary, virus remains in sacral plexus of spinal cord
virus do not replicate and genes are not expressed
reactivation = can occur without symptoms and host is infectious
What is the Varicella Zoster Virus (VZV)?
2 main syndromes = varicella and zoster
targets receptor = mannose-6-phosphate
VZV is acquired by the respiratory route
dissemination of virus = rash
viruses can remain dormant in dorsal root ganglion (can affect sensory nerve)
reactivation = shingles (usually once only)
What are some anti-herpesvirus agents for HSV and VZV?
oral agents = acyclovir
ophthalmic = trifluridine
topical agents = acyclovir
How does the Human cytomegalovirus infect human cells?
initiated through a non-specific interaction with heparan sulfate proteoglycans
Where does the HCMV persist after infection?
in host and is shed for years in saliva, urine, semen, breastmilk and cervical secretions
What does the HMCV interfere with in the host?
immune functions including antigen presentation, cytokine production and NK cell activity
What groups are the most at risk of HMCV?
organ transplant recipients, immunocompromised individuals and newborn
What does Epstein Barr virus (EBV) cause?
infectious mononucleosis (glandular fever or kissing disease)
How is EBV spread?
oropharyngeal secretions - mouth-to-mouth contact or shared drinking glasses
What does the EBV infect specifically in hosts?
epithelial cells in throat and memory B cells after replication