Hepatitis Flashcards
______-a clinical syndrome characterized by inflammation of the liver
Hepatitis
______ cell death releases bilirubin, which causes jaundice (Hepatitis)
hepatocyte
______ is a biproduct of heme metabolism in the liver (where heme is detoxified)
bilirubin
_______ viruses have a strong tropism for the liver and preferentially replicate in the hepatocyte;
85% of liver cells are hepatocytes
Therefore these viruses primarily cause liver disease
Hepatitis
Hepatitis viruses have a strong tropism for the liver and preferentially replicate in the _______
hepatocyte
______ hepatitis (A and E)
Hit and run
Fecal-oral
Infectious hepatitis
Which forms of hepatitis are categorized as Infectious hepatitis?
A and E
Which forms of hepatitis are categorized as serum hepatitis?
B,C, and D
______ hepatitis (B,C, and D)
Hide and infiltrate
Blood & sexual fluids
Serum hepatitis
linear + ssRNA picornaviridae –icosahedral, naked capsid virus –positive strand linear RNA --spread by fecal-oral contamination of food, drink, or shellfish
Hep A
_____ virus is shed into bile ducts and into intestine and passes out of the body in the feces; directly kills hepatocytes
HAV, and HEV
•clinical manifestations of ____ virus:
–usually mild intestinal infection
–occasionally viremia occurs, leading to liver infection
•jaundice
Treated via vacc and post-exposure immune globulin
HAV
Which virus?
In highly endemic regions, almost all children become infected in first few years of life-most remain asymptomatic
-adults from nonendemic regions who become infected are more likely to display symptoms
HAV
nicked circular mostly dsDNA hepadnaviridae Enveloped Smallest viral genome: 3200 nucleotides •3 distinct viral particles
Hepatitis B
What are the 3 distinct viral particles of Hep B?
–22 nm particle
–Variable tubular/filamentous particle (22 nm diameter)
–42 nm Dane particle (infective form of virus)