EXAM I Flashcards
Which of the following is NOT true about Innate immunity?
A. Provide critical first line of defense
B. Constant presence
C. Occurs immediately following infection
D. Innate immunity lasts for up to 12 hours.
E. Does not have antigen specificity or memory.
D. Innate immunity lasts for up to 12 hours.
Innate immunity lasts for a few days.
T/F. Primary physical and chemical defenses include skin, mucous membranes, GIT, respiratory tract, NK cells.
True.
T/F. NK cells have antigen specific receptors.
False. They are not antigen specific.
What are the two factors that are needed to activate NK cells?
Differential engagement of cell surface receptors + pro-inflammatory cytokines.
What is the correct statement about the reaction between NK cells and virus infected cells?
A. Decreased in Class I MHC molecule expression > inhibitory receptors are not engaged and ligands for activating receptors are expressed in virus infected cells > NK cells activated > APOPTOSIS
B. Decreased in Class I MHC molecule expression > inhibitory receptors are not engaged and ligands for activating receptors are expressed in healthy cells NK cells activated > APOPTOSIS
C. NK cells are usually attached to normal/healthy cells.
D. When both healthy cells and virus infected cells are recognized > APOPTOSIS
A. Decreased in Class I MHC molecule expression > inhibitory receptors are not engaged and ligands for activating receptors are expressed in virus infected cells > NK cells activated > APOPTOSIS
T/F. Pattern recognition receptors (PRR) recognize specific (PAMPs), which are present in viruses and host cells, such as Toll-Like Receptors (TLRs).
False. NOT ON HOST CELLS!
T/F. PRR are expressed endothelial cells and mucosal epithelial cells, as well as other phagocytic cells.
True.
Find the statement that is false.
A. Phagocytic cells and endothelial cells = increased production of inflammatory mediators and cell-surface expression of adhesion molecules.
B. Macrophages = initiate chemotaxis to bring neutrophils to site of action.
C. Adaptive immune response initiates expression of IFNs and inflammatory cytokines (TNF and IL1, 12).
C. Adaptive immune response initiates expression of IFNs and inflammatory cytokines (TNF and IL1, 12). INNATE IMMUNE!
T/F. Persistent activation of PPRs by viruses can cause continuous production of inflammatory mediators and chemotaxix > IMMUNOPATHOLOGY
TRUE
Find the incorrect statement about NK cells.
A. Important in localized infection.
B. Non-specific resistance against viral infections.
C. Eliminate infected cells by apoptosis.
D. Use perforin and granzymes, and release cytoplasmic granules.
E. Acquire cytokines from lymphocytes to proliferate.
F. The important function of interleukins is for growth and proliferation.
G. Produced within a few hours after viral invasion.
E. Acquire cytokines from lymphocytes to proliferate. They can synthesize and release their own cytokines to grow and proliferate!
What is the correct statement regarding Interferons?
A. A group of cytokines that are secreted by epithelial cels in response to infections.
B. Virus specificity.
C. RNA viruses are stronger inducers of interferon than DNA viruses.
D. Should be administered orally.
C. RNA viruses are stronger inducers of interferon than DNA viruses. A. secreted by somatic cells. B. NOT virus specific. D. IV!!
Describe components of Type I Interferon.
2 MAJOR TYPES
IFN-aa: Leukocyte interferon. Produced in large quantities by dendritic cells. Produced in small quantities by macrophages, lymphocytes, monocytes. Not host specific
IFN-bb: Fibroblast interferon Host specific
Describe components of Type II Interferon
IFN-gg: Immuno-regulatory, Produced by antigen-stimulated (T cells, NK cells), Labile at pH 2, Host specific
Describe components of Type III Interferon
IFN-II1, II2, II3: Immuno-regulatory, Recent Viral infections, activation of TLRs
Which of the following is not correct statement about roles of type-I IFNs?
A. Inhibit virus replication in host cells and activate NK cells.
B. Decrease expression of MHC-I molecules and antigen presentation.
C. Stimulate and maturation of macrophage release.
D. Stimulates memory T cell proliferation.
B. Decrease expression of MHC-I molecules and antigen presentation. INCREASE.
Matching game!
A. Latent ribonuclease (RNAse L. RNAse)
B. Synthesis of Mx proteins.
C. Synthesis of Protein Kinase R (PKR)
- bind and trap viral nucleocapsid and inhibit virus assembly.
- degrades viral RNA.
- prevents initiation of translation of viral RNA.
A - 2 B - 1 C - 3
What is NOT true about RNAi (Gene silencing)?
A. Small, interfering, RNA molecules.
B. regulating normal developmental and physiological processes and to interfere with virus replication.
C. Initiate formation of RNA-silencing complex.
D. Protease: degrades mRNAs that are complementar to RNAi
D. Protease: degrades mRNAs that are complementar to RNAi ENDONUCLEASE
KNOW THE GENERAL THINGS ABOUT ADAPTIVE IMMUNITY!
Humoral and cellular components. Cellular immunity: T lymphocytes, Antigen specific; response take a few days, mediated by lymphocytes that have surface receptors that are specific to each pathogen. Long term memory.
What is incorrect about granulocytosis?
A. due to increased number of granulocytes in peripheral blood.
B. Affected by viral infections.
C. cells that are involved are neutrophils, eosinophils, basophils, mast cells.
B. Affected by viral infections.
Viral infections DO NOT provoke granulocytosis.
T/F. Humoral immunity is involved in recognizing viral capsid and envelope, which are antigenic.
True.
T/F. Antibodies may be directed against viral proteins on free virions or against viral proteins expressed on surface of infected cells.
True.
What is the difference between virus neutralization and opsonization?
Virus neutralization: antibodies prevent virus attachment and entry into host cells (bind to capsid or envelope). Opsonization: coating of virions with antibodies > recognized and phagocytosed by macrophages and neutrophils.
What is not a component of activation of complement system?
A. Opsonization B. Chemotaxis C. Neutralization D. Lysis E. Agglutination
C. Neutralization
What is the process called when antibodies bind to viral antigens expressed on surface of host cells and the antigens are destroyed by phagocytes?
Antibody-Dependent Cell-mediated cytotoxicity (complement mediated cytolysis)
What is immuno-complex formation (antiviral effects of antibodies)?
Decreased number of viral particles available for cell invasion.
Which cells are involved in cell mediated immunity and what are their roles?
Helper T lymphocyte: activation of macrophages, inflammation, stimulation of B lymphocytes.
Cytotoxic T lymphocytes: killing of infected cell.
What are the roles of cytotoxic T lymphocytes? (choose all that apply)
A. Produced in the cytosol and transport to the ER where they associated with class I MHC molecules.
B. Recognized by Antigen-Specific Cytotoxic T lymphocytes.
C. Recognize MHC-I complexes by TCRs and CD8 molecules and kill the cells.
D. Release pore-forming proteins called perforins.
E. Granzymes and chemokines are proteolytic enzymes, which are involved in apoptosis.
ALL OF THEM!!
T/F. (Evasion of immune system) Antigenic plasticity is rapid changes in the structure of the viral antigen, which may be the result of mutation (drift), reassortment, (shift) or recombinaton. This will increase resistance.
TRUE
T/F. (Evasion of immune system) Antigenic multiplicity is antigenic variants with many or cross-reactivity (100 serotypes > antigenically different). Immunity against one serotype is not enough.
False. LITTLE OR NO CROSS-REACTIVITY.
Match the correct statement.
A. Risk Group I B. Risk Group 2 C. Risk Group 3 D. Risk Group 4
- Cause disease to animals and humans; unlikely to cause serious hazard; moderate individual risk; spread of infection is limited; Herpes virus, SLOW virus.
- Causes serious human and animals diseases; increased individual and community risk; can spread readily (indirect/direct); Foot and mouth disease.
- Unlikely to cause diseases; no individual/community risk; Adeno-associated virus.
- Cause serious human and animals diseases; increased individual risk; HIV, rabies.
A - 3 B - 1 C - 4 D - 2
What is incorrect about BSL-4 lab?
A. Maximum containment lab due to dangerous and exotic pathogens belonging to highest risk groups.
B. Wear negatively air-pressurized, HEPA filtered (incoming and outgoing air is filtered), supplied-air suit.
C. Negative air-pressure in the room.
D. Sterilization through double door autoclaving system and suit decontamination shower when leaving.
B. Wear negatively air-pressurized, HEPA filtered (incoming and outgoing air is filtered), supplied-air suit.
POSITIVELY air-pressurized. everything else is true.
Match the correct statement.
A. Biosafety cabinets (BSC) B. Biosecurity C. Biohazard D. Aerosol
- Biological substances that pose a threat to the health of living organisms, primarily that of humans.
- Protection, control and accountability for valuable biological materials (prevent their unauthorized access, loss, theft, misuse, diversion or intentional release).
- Small droplets of fluid that can spread via air.
- An enclosed, ventilated lab for safely working with materials contaminated with pathogens requiring a defined biosafety level.
A - 4 B - 2 C - 1 D - 3
Which is incorrect?
A. Systemic disease > blood, nasal and urogenital swab; feces > Blood sample, tissues from affected system.
B. Respiratory and; ocular disease > nasal and conjuctival swabs, blood > tissues from affected tissue and lymph nodes.
C. Gastroenteritis > feces, blood > intestinal contents, lymph nodes, tissues from affected system.
D. Central nervous system disease > blood, CSF, urogenital swabs > tissues from affected system and lymph nodes.
E. Disease of urinary tract > urogenital swab, urine, blood > tissues from affected system, lymph nodes.
F. Abortion > blood from dam, vaginal mucus > tissues from placenta and fetus, blood from fetal heart, intestinal contents.
A. Systemic disease > blood, nasal, and urogenital swab; feces > Blood sample, tissues from affected system.
DON’T NEED A BLOOD SAMPLE.
Choose 3 potential hazards associated with transportation of pathogens.
A. Breakage of containers results in spilage.
B. Exposure to possible infection due to breakage.
C. Not sealing the sample 2 times.
D. A delay in package delivery > serious during outbreak situation.
A, B, D
YOU WANT TO USE TRIPLE PACKAGING SYSTEM for transportation
Choose all that apply. Successful detection of viruses from a sample depends upon:
A. Collection of the sample from the right site, right time, appropriate animal.
B. Proper transport and storage.
C. Performing correct diagnostic test and interpretation of results.
D. Temperature of the site and the animal.
A, B, D.
What are 3 factors that diagnostic lab require data on?
Epidemiological data, histories, clinical signs.
T/F. Virus specimens should be collected during the first three days after onset (maximum titers).
True.
When are 2 blood specimens collected for serological tests? What kind of diagnostic is used for the sample?
Acute phase and Convalescence period (10-14 days after 1st sample or even more); Molecular diagnostic (PCR: during acute period).
What is incorrect about transportation and storage of samples?
A. delivered to the lab as soon after collection as possible.
B. should be kept cold and moist.
C. virus samples must be frozen and avoid refrigeration due to temperature.
D. histopath specimens should never be frozen.
E. fix in 10% buffered formalin.
C. virus samples must be frozen and avoid refrigeration due to temperature.
Refrigerate (2-8C) or place them on wet ice or cold pack; if need to freeze > -20 to -70C.
What are essential in viral transport medium (VTM)?
Buffered salt solution (added protein, antimicrobials) -> helps to maintain viability and retards growth of microbial contaminants.
What are the five factors that are helpful for diagnosis of viral infections?
Clinical signs, necropsy, histopathology, Cultivation/Isolation (tissue culture/inoculation of eggs), Electron microscopy.
What are the three ways to process samples?
A. Tissue homogenization: Rinse and mesh
B. Feces: liquefy the fecal > vortexed and centrifuged.
C. Swabs: Twirl the swab and vortex.
D. Blood: Hemottiglutinzation
A, B, C
How does Negative-stain electron microscopy work?
Solution of heavy metal salt that is highly opaque to electrons (sodium phosphotungstate, uranyl acetate) > spread on a thin layer (Carbon-cated copper grid) >bombardment with an electron beam > stain absorbs e-> increased amount than the sample
Viral particles not penetrated: electron-lucent (low affinity, less e- density). Opaque background (high affinity, electron-dense).
What is incorrect about TEM?
A. Transmitted electrons (inside or beyond the surface).
B. Produce higher magnification and Greater resolution.
C. 2-D images.
D. SEM is preferred over TEM because SEM portrays 3-D images.
D. SEM is preferred over TEM because SEM portrays 3-D images. SEM lacks magnification and resolution.
What color tube do you use for a serum sample? How about for a plasma sample?
Serum: Red top Plasma: Lavender top
What is the difference between serum and plasma?
Plasma - clotting factors = serum
Find the mismatched one regarding ELISA.
A. Direct ELISA - Antigens are immobilized and use of primary antibodies to detect antigen concentration; specificity of the primary antibody is important.
B. In-Direct ELISA - Primary antibodies are labeled and therefore, antigens are detected with primary antibodies.
C. Sandwich ELISA - antigen is present between two antibodies (AB’s must be chosen that do not cross-react or competitively bind).
D. Competitive ELISA - More antigens present in the well represents more Ab-Ag reaction, therefore, weaker signal indicates presence of antigens in sample.
B. In-Direct ELISA - Primary antibodies are labeled and therefore, antigens are detected with primary antibodies. Secondary antibodies are labeled and therefore, antigens are detected with secondary antibodies.
What do you see in fluorescence antibody test (FAT)? What are the two subtypes of FAT? (be able to explain each)
AB’s are labeled with fluorescent dye; visible fluorescence appears when there is Ag-Ab reactions.
Direct FAT: One type of AB’s is labeled. Indirect FAT: secondary AB is labeled recognizes primary AB.
What is immunohistochemistry? What are the two subtypes?
Antibody is tagged with enzyme (HORSERADISH PEROXIDASE) > enzyme reacts with substrate > colored product > light microscope
Direct assay: primary AB that binds to Ag > color product. Indirect assay: secondary AB that is specific against primary AB.
What is immunochromatography (lateral flow devices)? What test is used for this?
does not require specialized equipment (Easy) POINT OF CARE (POC): test near the site of care; liquid sample dropped on the sample pad > Ag reacts with Ab that has been labeled with colloidal gold > contact with Ab immobilized on the membrane > immuno-complex > red purple line (positive result)
What is the agglutination test?
Specific AB’s bind to many Ag’s > single clumps, forming large complexes. Precipitation can be mascroscopically or microscopically visible.
What is hemagglutination and hemagglutination inhibition test?
Relies on the property of some pathogens to non-specifically agglutinate erythrocytes > no clumps > button-like formation (presence of AB’s). Avian infleunza, Peste Des Petits Ruminants
What is Agar Gel Immunodiffusion Test?
Ag and Ab placed in separate wells > diffuse toward each other > a thin white line is formed (Ag-Ab complex) Avian influenza, Equine infectious Anaemia (Coggins Test) and Enzootic Bovine Leukosis
What is Complement Fixation Test?
Serum sample from viral infection > treat with regimen antigen > Ag+Ab complex > add complement > utilize all complement > add sheep RBC’s > No Ab’s then cannot destroy sheep RBC’s > settle down like a button reaction. Hemolysis if complement is available.
What is Immunoblotting? what is Hemadsorption?
Ag samples > nitrocellulose sheet (blot) > labeled Ab’s with fluorescent dye > Ag+Ab > autoradiography > Ag bands visualized.
The adherence of an agent or substance to the surface of a red blood cell (glycoproteins are inserted into host cell membrane at sites of budding of enveloped viruses).
What is hemadsorption-Inhibition Assay?
Same as Hemaglutination and Hemagglutination inhibition test.
What is Neutralization Assay?
Loss of infectivity through reaction of the virus with specific AB. Virus + serum (AB’s) are mixed > inoculated into cell culture, eggs or animals > Ag-Ab reaction > no desired effect
What is IgM Class-Specific Antibody Assay?
Indicative of recent infection (usually drop within 1-2 months and disappear within 3 months)
Match the following.
A. Cell transformation B. Neoplasia C. Oncology D. Benign Neoplasm E. Malignant Neoplasm/Metastasis F. Oncogenic viruses G. Neoplasms
- Abnormal tissue overgrowth that may be either localized or disseminated (Syn. carcinogenesis)
- Growth produced by abnormal cell proliferation that remains localized and does not invade adjacent tissue.
- Viruses that cause of give rise to tumors.
- A consequence of the dysregulated growth of cells derived from a single, genetically altered progenitor cell.
- Study of neoplasia and neoplasms.
- Changing of a normal cell into a cancer cell.
- Locally invasive and may also be spread to other parts of the body by bloodstream or lymph system.
A - 6 B - 1 C - 5 D - 2 E - 7 F - 3 G - 4
Match the following.
A. Proto-onco genes B. Oncogenes C. Tumor Suppressor gene
- Involve in growth signaling and anti-apoptotic pathways. Encodes growth factor proteins, growth factor receptors, transcription factors, intracellular signaling proteins, signal transducers.
- Mutated forms of Proto-Oncogenes or abberantly expressed proto-oncogenes. Encode proteins that somewhat resemble product of proto-oncogenes but differ.
- Keep cell division in check. Encodes proteins that regulate and inhibit uncontrolled growth.
A - 1 B - 2 C - 3
What is signal transduction cascade?
Carefully regulated event where mitosis (cell division) is regulated by activating one protein to activate another. Controlled by Proto-Onco Genes
Which of the following is NOT a regulation by Oncogenes?
A. Synthesis of aberrant growth factors, growth factor receptors, which trigger uncontrolled growth.
B. Failure to undergo Apoptosis.
C. Minimizing protein synthesis to inhibit the viral attachment.
D. Defective differentiation of cells.
C. Minimizing protein synthesis to inhibit the viral attachment. I don’t even know what this is saying.
T/F. Proto-onco genes and oncogenes require regulatory step of ligand binding to be active.
FALSE. Oncogenes DO NOT required ligand binding.
What is the correct statement about Tumor Suppressor Genes?
A. Promotes the expression of genes that are essential for the continuing of the cell cycle.
B. Repair and apoptosis if repair fails.
C. Adhesion proteins, Metastasis suppressors, induce spread of cancer cells or metastasis.
B. Repair and apoptosis if repair fails.
A. Inhibits C. Prevent spread
Match three important proteins involved in tumor suppressor genes with their functions. A. Retinoblastoma protein (Rb) B. P16 C. P53
- Blocks Cdk so Cdk cannot phosphorylate Rb. This binds to E2F so cell division does not occur.
- Blocks G1->S when it’s unphosphorylated. Loss of control when lose this.
- Activates the DNA repair system and stops the cell cycle at the G1 checkpoint (before DNA replication).
A - 2 B - 1 C- 3
T/F. A loss of control when loss of Rb function.
True
Choose all that apply. What is the correct statement about oncogenic viruses?
A. Oncogenic viruses have a DNA genome or generate a DNA provirus after infection.
B. Cells transformed by oncogenic viruses have viral DNA integrated into host genome, which is a part of viral genome.
C. Viral genome may remain Episomal, replicating each step with host cell chromosome.
D. Viral genome that never gets integrated into host genomes will fail.
A, B, C.
D. the genome may have an autonomous replicating system.
What is induce transformation?
The process where DNA oncogenes that alter patterns of gene expression and regulation of cell growth.
What is the MOST important oncogenic viruses in animals? A. Papilomaviruses B. Retroviruses C. Polyomaviruses D. Herpesviruses
B. Retroviruses
T/F. Oncogenes of DNA viruses have homologue or direct ancestors (c-onc genes) among cellular genes of the host.
False. NO homologue or direct ancestors.
What are the two ways DNA tumor viruses interact with cells?
- Productive infection in permissive cell (virus completes its replication cycle). 2. Non-productive infection in non-permissive cells (virus transforms the cell without completing its replication cycle).
How does non-productive infection occur?
Viral genome or truncated version of viral genome is integrate into the cellular DNA > complete genome persists as an autonomously replicating plasmid (episome).
Explain how papillomaviruses can cause cervical carcinoma in woman.
Produce papillomas (warts) on the skin and mucous membranes > these benign neoplasms are hyperplastic epithelial outgrowths that can regress spontaneously > however, occasionally, may progress to malignancy (a property of specific virus strains).
T/F. Papillomaviruses: Benign warts DNA is episomal and not integrated into the host-cell DNA and persists as an autonomously replicating episome. Induced malignant cancers the viral DNA is integrated into host.
TRUE
T/F. Integration of viral DNA into host DNA disrupts one of the Early Genes, E2, which is a viral suppressor. When viral oncogenes (E6 and E7) remain intact and cause malignant transformation.
True.
What are the two ways oncogenic RNA viruses can infect host cells?
- Mutation: proto-oncogenes become oncogenes.
- Recombination: between provirus and proto-onco genes
T/F. All RNA Tumor viruses belong to the family REOVIRUS.
FALSE. Retrovirus.
Which statement is incorrect about acutely transforming retroviruses (oncogenic RNA viruses)?
A. Retroviruses are directly oncogenic by carrying an additional viral oncogene, V-onc.
B. Retroviral V-onc is encoded from itself and inserted into the virus genome by recombination events between provirus DNA and host DNA.
C. V-Onc genes are separated from the cellular machinery that normally controls gene expression (lacks introns) as they have power of unregulated expression.
D. C-onc/Proto-oncogene mutates accentuating its transformation activity.
E. V-onc genes are under the control of the Viral Ltrs, which are strong promoters.
B. Retroviral V-onc is encoded from itself and inserted into the virus genome by recombination events between provirus DNA and host DNA.
Originates from a shot C-onc gene/proto-oncogene
What are two genes involved in chronic transforming retrovirus and what are their functions?
Promoter: DNA sequence at which DNA-dep RNA polymerase binds to initiate transcription. Enhancer: a transcription regulatory sequence located some distance from the promoter (increases the rate of initiation of transcription).
What is the outcome of chronic transforming retrovirus?
Malignant transformation of cell > neoplastic ells (loss of contact inhibition and cells are more spindle-shaped).
What is incorrect about chronic transforming retrovirus?
A. Virus genes DO NOT contain V-onc gene.
B. The integration of Retroviral genes into host can occur at promoter or enhancer sites that increase in proto-oncogene/c-onc gene expression, results in malignant transformation of the cell.
C. This can be an irreversible change, where NK cells attack neoplastic cells.
C. This can be an irreversible change, where NK cells attack neoplastic cells. Made this up.
What are tumor antigens? Who are they products of? What is the outcome?
New antigens appear on the surface of tumor cells that may provoke an immune response; mutated oncogenes, tumor suppressor genes, other mutated genes; abnormal molecules are not appropriately present to cells of immune system (cytotoxic T cells)
What are the 5 types of classifications of tumor antigens?
Differentiation antigens, Excessive amount of normal proteins, Mutated proteins, Viral coded proteins, Cancer/testis antigens.
What are the routes of entry of viruses into host?
Mucous membrane, Respiratory Tract Defenses, Cut or Breach/trans-cutaneous injection (skin), GIT
Describe respiratory tract defenses.
Muco-ciliary blanket, BALT (bronchus associated lymphoid tissue), Temperature gradient (nasal: 33C, alveoli: 37C).
What are the ways that a virus can spread in a host?
- Local spread in epithelial surfaces. 2. Sub-epithelial invasion and lymphatic spread. 3. Spread via blood stream. 4. Spread via nerves.
How does virus spread in epithelial surface?
Replicate in epithelial cels at the site > local spread infecting contagious cells > produce localized infections (SHEDDING) > may or may not proceed to adjacent sub epithelial tissue.
What is incorrect about sub-epithelial invasion and lymphatic spread?
A. Facilitated by inflammatory response in epithelium or destruction of epithelium (exposure of virus) or transcytosis.
B. Viruses should overcome local host defenses.
C. Viruses can go into lymphatics, phagocytes, and tissue fluids and go back to sub-epithelial tissues, which will increase chances of infection.
C. Viruses can go into lymphatics, phagocytes, and tissue fluids and go back to sub-epithelial tissues, which will increase chances of infection. Virus does not go back to sub-epithelial tissues.
What is the difference between disseminated infection and systemic infection during sub-epithelial invasion/lymphatic spread?
Disseminated infection: spread beyond the primary site of infection. Systemic infection: number of organs or tissues are infected.
There are apical release and basolateral release as a part of directional shedding. What do they mean? Also, what is directional shedding?
Directional shedding: viruses from the infected epithelium is critical to sub-epithelial spread. Apical release: facilitates virus dispersal. Basal release: provides access to underlying tissues, facilitating systemic spread.
After viruses are spread to lymphatics, how do they enter bloodstream? Choose the incorrect statement.
A. Migration and replication within phagocytic leukocytes (dendritic cells, macrophages, lymphocytes).
B. Synthesize proteins in order to use extravastation.
C. Pass straight through lymph nodes and enter bloodstream.
D. Go directly into blood through bites, syringes.
B. Synthesize proteins in order to use extravastation.
Matching. A. Viremia B. Primary viremia C. Secondary viremia D. Passive viremia E. Active viremia
- virus has replicated in major organs and once more entered the circulation.
- presence of virus in the blood (free in blood or in lymphocytes).
- Initial entry of virus into the blood after infection.
- Direct inoculation of virus in the blood (arthropod or syringe) NO INITIAL REPLICATION
- Viremia following initial virus replication in host LYMPHATICS or EPITHELIUM OF INTESTINES
A - 2 B - 3 C - 1 D - 4 E - 5
T/F. viruses can be free in plasma (short duration) or multiply in monocytes or lymphocytes (prolonged)
True.
Which is incorrect about virus interaction with macrophages?
A. Macrophages fail to phagocytose host (prolong viremia).
B. Virions may be phogocytosed and destroyed.
C. Phagocytosed and transferred passively to adjacent cells.
D. Virions synthesize proteins to break down engulf macrophages.
E. Tissue invasion (macrophages emigrate through walls of blood vessels) Trojan Horse
F. Virions may be phagocytosed and may replicate in them.
D. Virions synthesize proteins to break down engulf macrophages. I don’t even know if this EVER happens.
What are the three ways to clear virus from blood stream?
Mononuclear phagocytes in spleen, liver, and bone marrow; Antibodies; complement-mediated clearance.
Match. A. Neurotropic virus B. Neuroinvasive virus C. Neurovirulent virus
- Viruses that cause disease of the nervous tissue; neurological symptoms and death may occur.
- Viruses that aggressively can infect neural cells; infection occurs by neural or hematogenous spread.
- Enter the CNS after infection of a peripheral site.
A - 2 B - 3 C - 1
Match. A. Herpes Simplex Virus B. Mumps Virus C. Rabies Virus
- Neuroinvasive, not neurovirulent, most infections lead to CNS invasion, doesn’t cause severe damage to CNS.
- Neuroinvasive, neurovirulent, infects peripheral nervous system, spreads to CNS and 100%.
- low neuroinvasive, high neurovirulent, enters peripheral nervous system, rarely enters CNS (if does, fatal).
A - 3 B - 1 C - 2
What is the difference between retrograde and anterograde spread?
Retrograde: travel opposite direction of nerve impulse flow. Axons -> dendritic cell body > crosses synapse > axon terminal Anterograde: travel IN direction of nerve impulse flow. Dendrites or cell bodies > spread by axon terminal > crosses synapse > next neuron
What are two ways that viruses spread through CNS?
- Olfactory routes (anterograde) 2. Blood Brain Barrier
Explain the methods when viruses go through BBB.
- Increase permeability of endothelial cells through secretion of TNF. 2. Breakdown of cell junctions through Matrix metalloproteinase. 3. Trojan Horse (trafficked by monocytes).
Match. A. Localized acute infections. B. Systemic acute infections.
- Site of pathology: portal of entry, incubation period: short, No viremia, Duration: variable (can be short), Secretory IgA: VIMP
- Site of pathology: distant sites, incubation period: long, Presence of viremia, Duration: lifelong
A - 1 B - 2
What is incorrect about virus shedding?
A. Crucial to maintain infection in population.
B. Acute infection and persistent infection are involved.
C. Viruses shed at different sites.
D. Virus shedding is important for living in the host.
D. Virus shedding is important for living in the host. Important for disease transmission.
What are determinants of viral tropism?
Receptors of host cells, viral attachment proteins, viral enhancers, protease, temperature, acid lability and protease digestion, transcription control, anatomic barriers.
What is viral tropism? what are pantropic viruses?
Viral tropism: specificity/affinity of a virus for a particular host tissue (Enteric virus, Respiratory virus). Pantropic viruses: replicate in more than one host organ/tissue.
Match. Injuries to SKIN
A. Rash B. Vesicles C. Ulcer D. Nodule/Tumor E. Warts F. Papules G. Erythema
- Opening in the skin caused by sloughing of necrotic tissue (extending past epidermis)
- Skin growths that appear when a virus infects the top layer of the skin (Cauliflower like)
- Reddening of skin (systemic viral infections: endothelial injury in blood vessels).
- Solid elevations without fluid (sharp borders).
- Temporary eruption on the skin; shade of red; Lyme disease; varies with disease in question.
- Palpable, solid, elevated mass, distinct borders, extending deep into dermis.
- Small distinct elevation with fluid.
A - 5 B - 7 C - 1 D - 6 E - 2 F - 4 G - 3
What is the common way to injure GIT by viruses?
Destruction of enterocytes due to viral replication > hypersecretion > GIT disease, mal absorption, diarrhea > dehydration > acidosis > hemoconcentration. Enterotoxin: nonstructural protein made by viruses can increase peristalsis and diarrhea.
What is Viral-Bacterial synergism?
Secondary bacterial infections, due to viral infections, will increase mortality rate significantly and more rapidly.
What are the organs that are injured by viruses?
Skin, GIT, respiratory tract, CNS
Which of the following statement is incorrect about injury to CNS caused by viruses?
A. Leads to encephalitis or encephalomyelitis
B. Neural necrosis can occur.
C. Phagocytosis of neurons (neuronphagia)
D. Perivascular infiltrations of inflammatory cells (perivascular cuffing).
E. The statement is false; they are all true.
E. The statement is false; they are all true.
What are 4 outcomes that is caused by viral infection of hematopoietic system?
- Petechial and ecchymatic hemorrhages. 2. DIC 3. Edema 4. Infarction (ischemic necrosis)
Which statement is incorrect about disseminated intra-vascular coagulation?
A. Clotting cascade that results in blood clots in small blood vessels throughout the body.
B. Clots can cut off blood supply (liver, brain, kidneys)
C. Result: ischemia or necrosis
D. Clotting proteins will accumulate, helping blood flow to important organs.
D. Clotting proteins will accumulate, helping blood organ to important organs. Clotting proteins are used up > severe bleeding from various sites.
What is teratogenesis?
Abnormal development or arrests in development of the embryo/fetus > death/malformation during antenal period.
Which of the following are the outcomes of teratogenesis or viral infection of fetus?
A. Cerebellar hypoplasia
B. Porencephaly
C. Arthrogryposis
D. Congenital Hydranencephaly
E. All of the above
E. All of the above
Match. When the virus infects pregnant cow during:
A. Month 1 B. Month 2-4 C. Month 5-9
- Persistent infection (immuno-tolerance calves)
- Embryo death
- Abortion/deformities or normal calves.
A - 2 B - 1 C - 3
How does mucosal disease develop from persistent infection in CALVES?
Calf recognizes virus as self (no immune response against the virus) > virus mutates and become cytopathic > systemic disease > mucosal disease > secondary infection (pneumonia)
Which of the following is incorrect about virus-induced immuno-pathology?
A. Tissue injury mediated by viruses.
B. Depends on balance between protective and destructive effects of the host immune response to virus.
C. Caused by viruses that are non-cytolytic and persistent.
D. Infected cells are not immediately destroyed and immune response becomes chronic.
E. No permanent damage if immune response clears a small number of infected cells.
F. Immune mediated destruction can cause fatal pathological consequences if not infected cells are not cleared.
A. Tissue injury mediated by viruses. Mediated by host immune response TO virus infection.
What is NOT related to immuno-pathology?
A. The premise is false. Everything is related to immuno-pathology.
B. Tissue damage mediated by Hypersensitivity RXN’s.
C. Inflammation mediated tissue damage (fibrosis).
D. Immunodeficiency disorders.
E. Auto-immune diseases.
A. The premise is false. Everything is related to immuno-pathology.
What mechanism is NOT involved in virus-induced immuno-pathology?
A. Role of T cells.
B. Role of NK cells.
C. Role of toxicity from antibody response.
D. Infection and damage to mononuclear phagocytes.
B. Role of NK cells.
T/F. T cells can directly destroy virus-infected cells or release cytokines (TNF).
True.
T/F. Cytotoxic cell mediated lysis/killing of infected host cells with non-cytopathic virus infections such as HCV and HBV.
True.
What is the main cause of liver damage during cytotoxic cell mediated lysis/killing of infected cells?
CD8+ effector T cells.
T/F. Cytokines never become chronic against persistent virus infections.
False. It DOES become chronic.
What is incorrect about cytokines?
A. The premise is false. Everything is true.
B. Small proteins that are important in cell signaling.
C. Mediators and regulators that can cause inflammation.
D. Can directly destroy virus infected cells.
E. Include monokines, lymphokines, interleukines.
D. Can directly destroy virus infected cells.
T/F. Innate immunity: invading viruses and replicative intermediate can be recognized by several innate immune receptors expressed only on the host cell (TLRs).
False. OR within cells.