Ebola hemorrhagic Flashcards

1
Q

Ebola hemorrhagic

A

First discovered in ebola river, Republic of Congo

2014 Africa outbreak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ebola Virus (5)

A

Virus family: Filoviridae (thread like appearance)

Large outbreaks

Bundibugyo ebolavirus
Sudan ebolavirus
Zaire ebolavirus

Tai
Reston

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ebola transmission

A
  • origin unknown but fruit bats are likely hosts, (Pteropodidae)
  • spread through feces, get on fruits n food etc
  • 2014 mostly due to human transmission
  • direct contact through broken skin or infected surfaces
  • bodily fluids contact
    -sexual transmission
    maternal transmission
    -not contagious during incubation
    -symptoms occur 2-21 days usually 8-10
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1st stage

A

7-9 days

  • flu symptoms
  • muscle soreness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

2nd stage

A

10th day

  • vomiting blood
  • extreme fatigue
  • diarrhea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3rd stage

A

11th day

  • brain damage
  • bleeding from anus, nose, mouth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

4th stage

A

12th day

  • coma
  • organ failure
  • internal bleeding
  • death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Diagnosis

A
  • low WBCS due to infected DC cells, less t and b cell activation
  • abnormalities in blood clotting
    macrophages ingest virus and release inflammatory signals that causes blood cells to leak
  • elevated liver enzyme levels
    liver cells are destroyed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

4 scientific methods to confirm diagnosis

A
  • isolate blood and look at cell culture and WBC count
  • PCR to detect RNA strains and see if sequence matches
  • detect proteins (ELISA)
  • detect antibodies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ebola virus structure

A
  • single linear ssRNA genome
  • whole length of virus is 80nm vs 800nm
  • center helical ssRNA wrapped about nucleoproteins VP 30 and 35 that help organize genome
  • glycoproteins wrap around whole virus and help it anchor themselves to cells
  • other viral proteins which are what macrophages and DC cells mainly detect
  • Envelope gp proteins
    GP1: helps anchor
    GP2: drives membrane fusion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

immune system invasion experiment

A

Method:

  • infected 293 embryonic kidney cells with zaire virus
  • in presence or absence of anti-glycoprotein mouse antibody
  • use anti VP40 antibody to detect infected cells with immunofluoresence analysis

green: where virus infection occurs

results: enhanced virus in presence of anti GP (especially phagocytes)
- takes advantage of our bodies ability to recognize pathogens and antibodies
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Phagocytosis process

A

Recognition: neutrophils like macrophages or DC cells recognize foreign particles on antigens
Engulfment: phagocyte extends its plasma membrane and engulfs cell/particle
Digestion: Fusion with lysosomes for digestion and destruction
- respiratory burst: sometimes occurs triggers, generates reactive oxygen species that damages pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Complementary Proteins

A

proteins that recognize these particles
igG protein: bottom Y part (FC) binds to antibody receptor
- top (fab) portion binds to binds to epitopes

c3b proteins can also attach to antigens to phagocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

5 step complement activation targets for phagocytosisor lysis

A

1) anitbody binds to bacterium
2) antibody coated bacterium binds to FC receptors on cell surface
3) macrophage membrane surrounds bacterium
4) membrane fuses, creates phagosome: membrane bounded vesicle
5) lysosome fuses with phagosome, creates phagolysosome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

antibody dependent viral infection

A
  • ebola virus binds to specific receptors on cell surface
  • igG proteins bind to glycoprotein epitopes on virus
  • FC region binds to cell component 1 (C1) proteins on cell surface
  • This interaction stabilizes interaction between virus and cell surface, increases likelihood of viral attachment to target cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pathogenesis

A

infection of monocytes and macrophages

  • hemorrhages occur due to macrophages releasing cytokines leading to inflammation and damage endothelial cells that line blood vessels
  • liver cell damage and coagulation, thrombosis
17
Q

how vaccines work

A
  • inject antigen with same epitopes but no disease causing ability
  • helper t cells encounter and send signals to memory b cells killer t cells memory t cells
  • when real antigen comes memory t cells send signals to killer t and memory b