exam 3 Flashcards
define emergence of a virus
viral infection whose incidence is humans has increased within the past two decades
list 5 emerging viral diseases
hiv, west nile, sars, monkey pox, ebola
Which of the following is (are) reasons why epidemics of infectious organisms continue to occur?
a. continuous evolution of new strains of an organism
b. continuous evolution of new organisms
c. Both a and b are correct.
d. Neither a nor b is correct.
c
how do arboviruses spread
bites from arthropods (insects)
what type of genome do arboviruses all have
rna
west nile virus and yellow fever are examples of what arbovirus
flavivirus
name 3 viruses that are classified as arboviruses
flavivirus, hantavirus, rift valley fever virus
what accounts for 40-50% of all chronic liver disease
hepatitis c virus
how is hcv transmitted
blood, needles, std
why is there concern that hcv will be reemerging
unknown transmission route, larger reservoir of chronic carriers, significant health risk
give examples of viral factors as an cdc enabling factor
evolution (antigenic drift, coinfection)
give examples of human factors as an cdc enabling factor
behavior, genetics, age
2 ways coinfection as a viral factor can drive emergence
recombination-two viruses infect the same cell and recombine into one (covid)
reassortment-two viruses infect the same host and combine part of each (flu)
list some examples of human factors as an enabling factor for spread of disease
human demographics, urbanization, human movement, global economy, occupation
why is close proximity of humans to animals a concern (like free range farming)
can lead to viruses crossing the species barrier, potentially leading to reassortment
how can agricultural practices likes deforestation and dam construction lead to emergence
exposes farmers to zoonotic diseases, displaced animals
what structural viruses are usually viral contaminant on food due to use of raw human sewage as fertilizer
non enveloped icosahedral viruses because they are more stable in the environment
examples of viruses that are viral contaminants on food
hep a, noro, enterovirus, rotavirus
list some examples of ecological factors as enabling factors
changes in agricultural practices, population movement into new arthropod habitats, travel, livestock transportation
Which of the following contributes to the emergence of new disease
A. rapid transportation systems and the mobility of the population
B. ecological disruption such as loss of predators and/or loss of habitat
C. increased drug usage and sexual promiscuity
D. All of the above can contribute to the emergence of new diseases.
D
why won’t some viruses be eliminated
-viruses that cause persistent infections, virus that weaken immune system, viruses that have a non human reservoir (like arboviruses)
theory for origin of hiv
siv infected chimp was killed for bushmeet, blood entered wounds of hunter, crossed species barrier
how many people has aids killed
> 25 million
where is aids most prevalent
sub-saharan africa
4 most common ways hiv is transmitted
sex, needles, blood transfusions, congenital aids
what happens to cd4 t lympocytes overtime in an hiv patient
drops immediately with primary infection, then decreases steadily as you progress towards aids
how does hiv destroy the immune system
kills off helper t cells
what is a long term non progressor
-infected with hiv but have stable cd4 cells with no symptoms
how can some people be exposed but not infected with hiv
mutant co receptor ccr5
what happens if you have a mutant homozygous ccr5
no hiv infection
what happens if you have a mutant heterozygous ccr5
progress to aids more slowly
what is the theory for where the mutant chemokine co receptor ccr5 originated from
mutant ccr5 led to increased survival during small pox outbreaks, and resulted from natural selection
Individuals of genotype CCR5-∆32/ CCR5-∆32 are
A. more susceptible to HIV infection
B. more common in people of European descent
C. more common in people of African descent
D. None of the above
B-small pox epidemic in europe in 14th century
why does variola have a secret
encodes a protein whose c terminal contains a smallpox virus encoded chemokine receptor
what does the secret domain on variola virus do
acts as a chemokine inhibitor, allowing the virus to evade the immune system
what happens if an individual has a defective chemokine receptor for the secret protein
resist HIV or variola from evading the immune response
how might a mutation in the chemokine receptor affect the secret domain of variola and viral infection
a mutation means that variola cannot bind to the chemokine, therefore not inhibiting it. this means that the immune response will block the infection
what enzyme is packed into retroviruses
reverse transcriptase
describe replication of retroviral genome
parental rna is reverse transcribed into cDNA, then it is integrated into dna where it uses the host machinery
how do retroviruses transcribe from dna back to rna
they bring their own promoters and enhancers
how does the integrated form of retroviruses have more information than genomic rna
long terminal repeats-rt starts at u3, transpose over to r, goes all the way down, then goes all the back to u5 (copy and transpose)
what is a provirus
integrated dna