Exam 3 Lecture 17: Viral Immunity Flashcards

1
Q

What is a virus

A

Infectious agent that lacks the ability to replicate outside of a host cell: typically consists of nucleic acid in a protein coat, comes in many different shapes and size

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2
Q

What are the major steps in the viral lifecycle?

A
  1. Viral adherence to host cell
  2. Cell entry
  3. Uncoating: shedding envelope and capsid
  4. Replication of genetic material: forcing host cell to make viral proteins and glycoproteins
  5. Assembly of new viral particles
  6. Viral egress: through lysis or budding
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3
Q

What are the 4 major components of antiviral immunity?

A
  1. Production of pro-inflammatory cytokines (esp. type 1 interferons)
  2. NK cell mediated killing
  3. T cell mediated killing and activation
  4. Antibodies
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4
Q

What is the purpose of Type I interferon (IFN⍺/β) production?

A

Activates and induces proliferation in NK cells

Activates macrophages and dendritic cells to produce Interferon Stimulated Genes (ISGs) with antiviral properties

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5
Q

How do NK cells and T cells contribute to antiviral immunity?

A

NK cells: kill infected cells through release of lytic granules

CD8: kill virus infected cells through kiss of death

Th1: help macrophages to suppress intracellular infections

Tfh: Help B cells activate, switch isotype, increase antibody affinity

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6
Q

Which antibody classes are effective against viruses?

A

Dimeric IgA: neutralization/blocking viral entry, esp. at mucosal surfaces
(IgG, IgM to lesser extent)

IgG: enhance phagocytosis of viral particles through Fc gamma receptors (opsonization)

IgM: enhance agglutination of viral particles

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7
Q

What is antigen drift

A

Error-prone RNA polymerase leads to accumulation of small mutations over each replication cycle > some of these mutations alter epitopes that are targeted by the immune system > these strains will cause greater disease because individuals will not carry antibodies to these new epitopes > mild outbreaks

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8
Q

How does influenza evade host immunity?

A

Antigen Shift:
Influenza genomes are made up of 8 ssRNA segments.
The segmented genome allows for genomic mixing following co-infection of two different strains within 1 host
Genetic reassortment leads to new strains carrying entirely new proteins that no one has immunity against -> can cause a big epidemic or a pandemic

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9
Q

What is viral latency

A

A form of dormancy or non-replication

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10
Q

How does herpesvirus evade host immunity?

A

Following primary infection, herpesvirus stops being lytic and becomes dormant in the presence of immune pressure
The virus only reactivates if the host becomes immunocompromised (stress, aging, immunosuppressive drugs)

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11
Q

How is SARS-CoV-2 transmitted? What cells does it infect?

A

Spread by aerosol, droplet formation, and droplet contamination of surfaces (fomites)

Transmitted by respiratory route and infects ACE-positive cells: nasal mucosa, lungs, small intestine, secretory goblet cells, type II pneumocytes, absorptive enterocytes

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12
Q

What immune features distinguish mild from severe disease?

A

Speed and efficacy of the 3 different immune arms: innate immunity, T cells, and antibodies
Generic disease: fast innate response followed by T cells and antibody production
Average Covid-19: small innate response followed by T cells and antibody production
Severe Covid-19: delayed early response and a paradoxical hyper-inflammatory late response

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13
Q

What are strategies for SARS-CoV-2 immune evasion?

A

Inhibits initial interferon production > associated with severe and critical disease as well as an overexuberant pro-inflammatory (IL-6, TNFa) response that leads to tissue pathology

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14
Q

How do viral mutations evade immunity?

A
  1. Mutations alter the epitopes recognized by antibodies and prevent antibody binding and neutralization
  2. Mutations could also change the peptides recognized by T cells
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15
Q

How do COVID-19 vaccines elicit protection?

A

Vaccines generate spike-specific effector T cells, memory T cells, memory B cells, and plasma cells

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