Hepatitis Flashcards
immunity to Hep A
no chronic infection, infection confers lifelong immunity
tissue culture system for Hep B
none
virology Hep E
enteric virus
calicivirus family
+sense single strand RNA
icosahedral
chronic Hep C infection prone to hepatic carcinoma because
core protein interacts with p53, Rb tumor suppressors and pathways involved in proliferation
core protein induces steatosis
envelope protein inhbits natural NK cells
non-structural proteins can enhance cell growth
steatosis in Hep C
core protein induces lipid accumulation leading to fatty acid spiral > oxidative stress and cell Proliferation > accerated HCC
tissue culture system Hep A
none
entrance of Hep D (delta agent) increaes liklihood of
fulinant hepatitis
transmission Hep A
fecal oral
Hep B virions enveloped and released with
shedding of surface antigens
Hep A viral shedding occurs
before symptoms emerge
rare complcations, chronic sequelae Hep A
fulminant hepatitis, cholestatic hepatits, relaspsing hepatitis,
no chronic sequela
role in Hep B HCC “x protein”’
decreaes p53 guardian of genome activity
Hep B chronic infection occurs in
infants
Clinical presentations Hep B
Fever, rash arthritis
Jaundice
dark urine
Malaise, Anorexia, nausea, RUQ pain
serotypes Hep A
single serotype