EBV and CMV Flashcards

1
Q

acute lytic viral infection

A

virus expands in cell and leads to lysis of the cell

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2
Q

chronic lytic viral infection

A

productive viral infection in subset of cells..these cells can release the virus but will not lead to lysis

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3
Q

chronic lytic focal infection

A

carrier cells make virus…infect neighboring cells that start process over again

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4
Q

chronic lytic diffuse infection

A

infected cells and virus replicate together…cells are not lysed and will shed virus around

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5
Q

how is a latent and chronic viral infection different?

A

in chronic you are always making the infectious viral particles
in latent you do not make the infectious virus but just have the viral nucleic acids

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6
Q

how do herpes viruses maintain latency?

A

as an episome…or extrachromosomal DNA

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7
Q

EBV structure

A

dsDNA in isocahedral core

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8
Q

when does primary EBV infection become clinically apparent?

A

infection in older folk

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9
Q

what two cell types does EBV enter and replicate in?

A

endothelial and Cd21 B cells

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10
Q

how does EBV lead to some funky lymphocytes and what are thesE?

A

CD8 cells recognize the screwed up CD21 B cells and try to kill em…makes the CD8 cells look fluffy

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11
Q

two tests for EBV diagnosis

A

mono spot for heterophile antibodies…not great

EBV antibodies like for viral capsid antigen

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12
Q

How does EBV cause latent proliferation ?

A

the latently infected cells can produce more IL-10 which in this case leads to wild proliferation of B cells

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13
Q

what is the risk of this latent proliferation?

A

more divisions equals higher chance of mutation leading to cancerous state

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14
Q

ways to transmit CMV? (5)

A

saliva, transplacentally, genital secretions, transfusions/plants

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15
Q

what happens if pregnant mother has primary CMV infection?>

A

lots of organ defects in baby

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16
Q

what cells does CMV get latency in?

A

lots of cell types

17
Q

how does CMV stay latent?

A

unstable MHC 1 so CD8 do not recognize well

18
Q

what does CMV cause with AIDS patients?

A

diarrhea and retinitis

19
Q

what is important to do prior to a transplant?

A

make sure the serotypes match for CMV…dont want to give CMV negative person CMV positive transplant

20
Q

symptoms of CMV from transplant

A

pneumonia, esophagitis, hepatitis

21
Q

drug for CMV

A

ganciclovit

22
Q

what is the problem with heterophile antibody testing and EBV?

A

these can be causes by other diseases…so get false positives