Flaviviruses Flashcards

1
Q

Where did faviviridae get its name from

A

flavus: Latin for yellow (cuz it causes yellow fever)

Dengue Hemorrhagic fever, tick borne encephalitis, West Nile virus, HCV, Zika virus
(animal swine fever and bovine viral diarrhea)

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2
Q

3 genera

A
  1. flavivirus: infects humans monkeys bats and birds
  2. pesstivirus: infects pigs, cattle ruminants (plauge)
  3. hepacivirus: infects humans (HCV) liver
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3
Q

Characteristics of Flaviviruses (5)

A
  1. mosquito/tick transmitted
  2. major envelope protein parallel to lipid membrane
  3. proteins synthesized as single poly protein
  4. pestivirus and hepacivirus have internal ribosomal entry site to begin protein synthesis
  5. assembles by budding fromER and released by exocytosis
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4
Q

Flaviviruses genome and structure

A
  1. Spherical nucleocapsid
  2. Enveloped
  3. Envelope glycoproteins have icosahedral symmetry
  4. Linear +ve sense ssRNA
  5. 5’ cap
  6. NO Poly A tail
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5
Q

Flaviviruses receptor preference

A
  • interacts with many cell surface particles depending on host (only few receptors have been characterized )
  • Antibody enhancement: non-neutralizing antibodies facilitate virus entry
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6
Q

How does Flaviviruses enter and fuse with the host

A

1- virus internalized via clathrin-coated pits
2- trafficked to pre-lysosomal endocytic compartment with low pH (inducing factor)
3- virus fuses with host membrane and nucleocapsid is released
** efficiency depends on the lipid composition of the membrane **
more cholesterol = more fusion

viral genome directly assembles for translation upon entry into host

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7
Q

Flaviviruses genes and proteins

A

genome translated as a single polyprotein (with 10 proteins) that then undergoes proteolytic cleavage
1 capsid proteins
2 envelope proteins
7 NS proteins (non-structural)

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8
Q

what is primary determinant of Flaviviruses infectivity?

A

efficiency of genome translation
- viral genome translates directly (+ve)
- single long ORF and single polyprotien
- cleaved into individual proteins by viral protease

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9
Q

Flaviviruses RNA replication

A
  • semi-conservative
  • occurs on cytoplasmic membranous web
  • makes -ve sense RNA strand which acts as template for new +ve strand which then gets packaged
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10
Q

Flaviviruses assembly and release

A
  • assembly and RNA replication are coupled
  • core protiens interact with viral genome and make nucleocapsid precoursor
  • gets envelope by budding from ER (fully formed virions in ER with rapid assembly)
    -passes through secretory pathway and gets released from cell surface (buds from host cell? or lytic?)
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11
Q

Yellow fever (signs and symptoms)

A

initially asymptomatic but then fever, muscle and back and head pain, loss of appetite and nausea

  • some people enter 2nd stage after 24hr after recovering from initial stage and then leads to liver and kidney failure (dark urine) and then jaundice and then 50% die after 7-10 days
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12
Q

primary reservoir for yellow fever

A

non-human primates
(human to human or primate to human transmission through intermediate mosquito vector)

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13
Q

Yellow fever treatment

A

early supportive care:
- treatment of dehydration
- treatment of co-occuring bacterial infection
- no specific antiviral

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14
Q

yellow fever prevention

A
  1. vaccination (single dose = life long immunity, cheap, oldest live attenuated virus)
  2. vector control (control mosquito population and personal protection)
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15
Q

Dengue Virus (the hemorrhagic flavivirus) transmission

A

monkeys are reservoir host
mosquitos transmit it (AGAIN)

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16
Q

Dengue Virus symptoms

A

sudden onset of generalized symptoms: skin rash, high fever, headache, retroocular pain, back pain, flushing

increase in severity overtime, can get second phase (hemorrhagic stage shock syndrome)

17
Q

Dengue hemorrhagic stage/shock syndrome

A

increase in initial stage symptoms :
anorexia, weakness, decreased pulse, respiratory problems, rash spread to limbs, less WBC and platelet count

hemorrhagic: intestinal bleeding, vascular leaking, ogham failure (death 8-24hrs)

18
Q

Dengue virus immunity

A

there are many serotypes

if you get one, ur protected against it for life, but u have INCREASED RISK of other serotypes

Antibody-dependant enhancement: memory B cells and T cells can bind to other serotypes and help them get into cells

19
Q

Dengue virus treatment

A
  • no antiviral :(
  • management of symptoms (but not NSAID cuz it can increase bleeding)
20
Q

Dengue virus prevention

A
  1. vector control (control of mosquitos and personal protection)
  2. vaccine?? can make it worse? but Dengvaxia
21
Q

Dengvaxia

A

only given if you had confirmed prior infection (to prevent vaccine from making it worse)
approved by WHO for ppl 9-16 years in endemic regions

22
Q

Neurotrophic Falviviruses :

A

Japanese Encephalitis Virus
West Nile Virus
Zika Virus

23
Q

Symptoms of Japanese Encephalitis and West Nile Virus

A

most asymptomatic
both: headache vomiting seizures, stiff neck, confusion (JEV:fever, WNV:rash)
JEV: 30% fatality
WNV: 10% fatality

24
Q

JEV has many reservoirs and can undergo amplification in

25
WNV mostly carried in
Birds ( cuz its asymptomatic can be carried in organs and blood given to immunosuppressed people and killing them, was not screened for like HIV is now)
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Treatment of Japanese Encephalitis and West Nile Virus
no treatment supportive care if hospitalized
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Prevention Japanese Encephalitis and West Nile Virus
JEV: vaccine 90% effective WNV: none for humans (only for horses)
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Zika Virus: where?
the new and shiny flavivirus 2016 - Brazil outbreak
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what cells does Zika virus effect?
dermal fibroblasts (by mosquito bite) epidermal keratinocuyes immature dendritic cells can be taken by lymph and cause symptomatic
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Zika virus symptoms
Not abrupt, generalized symptoms (headache, fever, rash, arthritis, fatigue)
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Zika virus complication 1:
Guillian-Barre Syndrome: - autoimmune: body's immune system starts attacking neuron's - pin and needle sensations, weakness, unsteady walking, eye facial difficulty, bladder control, bowel function, breathing
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Zika virus complication 2:
Microcephaly: head smaller than expected due to improper brain development in utero - seizures, intellectual disabilities, balance issues, swallowing issues, heading and vision loss
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Zika transmission
- mosquito transmission - can be transmitted sexually or from mom to baby through placenta or breast milk
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Zika treatment
- no antivirals :( - vaccine IN PROGRESS - management of symptoms (pain meds, antihistamine for rash, and fluid intake)
35
Hepatitis C virus fun facts:
- one of the first viruses to be discovered using modern tech (cDNA cloning of viral genome) - used to be called non A non B hepatitis
36
Hepatitis C Virus (HCV) symptom
- causes acute/chronic hepatitis (could also cause hepatocellular carcinoma HCC) - there is curative drugs!* *inhibits the enzymes that the virus codes for - can develop into chronic hepatitis if left untreated (but its RNA so it doesn't integrate, but the viral genome just gets maintained) - transmitted by blood transfusion, needles, drug abuse nasal inhalation and possibly sexual contact (NOT MOSQUITOS unlike others) - no vaccine available
37
Why is HCV vaccine so difficult
1. money 2. virus diversity (high mutation rate, immune system can't clear it on its own so hard with vaccine) 3.lack of a good animal model (can't use chimpanzees anymore)
38