Hepatitis B Flashcards

1
Q

Hepatitis B was discovered before?

A

Hepatitis C

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2
Q

Hepatitis B is more likely to cause chronic infection in?

A

Younger individuals

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3
Q

Family?

A

Hepadnaviridae

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4
Q

Genus?

A

Orthohepadnavirus

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5
Q

Genome?

A

dsDNA-RT
RC-DNA= Relaxed circular DNA
Partially dsDNA

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6
Q

RC-DNA stands for?

A

Relaxed circular DNA

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7
Q

Baltimore classification?

A

VII

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8
Q

100 times more infectious than?

A

HIV

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9
Q

Does integration into the host genome occur?

A

No

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10
Q

Replication occurs where?

A

Cytoplasm within the nucleocapsid

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11
Q

Stages of HBV infection?

A

Immune tolerant
Immune active
Inactive

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12
Q

What is associated with the immune tolerant stage?

A

Immune system not yet active
High levels of viral replication- active infection
High levels of HBeAg present in the blood

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13
Q

A person can remain in the immune tolerant stage for?

A

Decades

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14
Q

Immune active stage is usually entered in?

A

When children who were infected reach their thirties

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15
Q

Immune tolerant stage is associated with?

A

Inflammation, liver damage

Anti HBeAg antibody presence

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16
Q

Immune inactive stage is associated with?

A

Anti HBeAg

The infection can re-activate

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17
Q

Why is there less genome diversity in HBV?

A

Overlapping genomes
There are 4 ORFs which are overlapping
Each nucleotide is coding, sometimes for multiple proteins. Therefore mutations are rare as it is highly likely a mutation will lead to a dysfunctional protein

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18
Q

What antigens are associated with HBV?

A

HBsAg
HBcAg
HBeAg

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19
Q

The e in HBeAg stands for?

A

Early

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20
Q

High levels of HBeAg are indicative of?

A

Active infection

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21
Q

HBcAg?

A

This is not secreted
It is at the surface of the nucleocapsid
Remains associated with the viral particle at all times

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22
Q

HBsAg?

A

This is the surface antigen

Also known as the Australia antigen

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23
Q

Infectious HBV particle is called what and is what size?

A

Dane particle 42nm

24
Q

HBsAg can form non-infectious particles known as?

A

Subviral particles

25
What types of subviral particles are there?
Filamentous and spheres
26
What size are subviral particles?
22nm
27
Describe the virion structure?
Envelope made up of HBsAg | Icosahedral capsid
28
What is the purpose of subviral particles?
May be to sequester antibodies to allow the infectious Dane particles to go undetected
29
Why are subviral particles non-infectious?
Made up of solely HBsAg | Contain no nucleocapsid/core, no genome and no P protein
30
P protein functions?
RT- RNA dependent DNA polymerase DNA dependent DNA polymerase function Ribonuclease H- RNase H activity
31
How large is the viral genome?
3.2kb
32
HBV genome is very?
Small, one of the smallest viral genomes
33
What DNA is found in the virion?
RC-DNA
34
RC-DNA structure?
Relaxed circular DNA Incomplete +ssDNA P protein attached to -ssDNA
35
The RC-DNA enters the nucleus and is rapidly repaired to form?
cccDNA
36
cccDNA?
Covalently closed DNA
37
How is cccDNA formed?
Repair of RC-DNA Covalent ligation Required the removal of P protein, ssDNA flap and RNA
38
Does cccDNA integrate?
No
39
cccDNA is transcribed by?
RNA pol-II
40
cccDNA is transcribed into?
Long and short RNAs
41
Long RNAs include?
pre-core RNA | pre-genomic pgRNA
42
pre-core RNA encodes?
HBeAg
43
pgRNA is used for?
Replication
44
pgRNA encodes?
P protein | HBcAg
45
Subgenomic RNAs encode?
HBsAg | HBX
46
How many proteins are encoded by HBV?
7 proteins
47
Which 7 proteins are encoded by HBV?
``` HBsAg= small, medium and large HBcAg HBeAg HBX P protein ```
48
cccDNA is present as what in the nucleus?
Minichromosome
49
How does the minichromosome form?
Due to histone and non-histone proteins
50
What allows the expression of the cccDNA genes?
HBX
51
Without HBX?
cccDNA is rapidly silenced
52
What triggers encapsidation?
Binding of P protein to the 5' RNA structural element epsilon of pgRNA
53
Reverse transcription is triggered by?
Encapsidation
54
Priming for reverse transcription in HIV is mediated by?
Cell derived tRNA
55
Priming for reverse transcription in HBV is mediated by?
Novel protein priming mechanism
56
Why is the +ssDNA of RC-DNA incomplete?
Due to the limited dNTP pool present in the nucleocapsid
57
How is exit mediated?
Budding of the nucleocapsid through the ER and golgi