Herpes Family Flashcards

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1
Q

What are the members of the Herpesviridae family?

A

Herpes Simplex, Varicella-Zoster, Epstein-Barr, and Cytomegalovirus

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2
Q

Describe Herpes virus structure.

A

Icosahedral capsid with envelope

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3
Q

How does Herpes enter the cell?

A

Nucleocapsid enters cytoplasm via fusion or receptor mediated endocytosis.

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4
Q

Where are nucleocapsids targeted to ?

A

Nuclear pores

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5
Q

Discuss Herpes virus gene expression.

A
  1. Gene expression using host RNA polymerase and transcription factors including its own VP16.
  2. IE gene producs activate early genes which code for enzymes needed for viral DNA replication
  3. Replication begins
  4. Late genes encode structural proteins of virus.
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6
Q

Where does herpes like to have latent infections?

A

Neurons

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7
Q

How is HSV-1 and HSV-2 transmitted?

A

HSV-1 is orally transmitted; HSV-2 is sexually transmitted

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8
Q

How is HSV diagnosed in the laboratory?

A

Ballooning of cells; Multinucleated giant cells

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9
Q

How is HSV treated?

A

Acyclovir is selective against HSV and VZV; Chain terminator

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10
Q

How is VZV spread?

A

Respiratory droplets or direct contact

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11
Q

Discuss the pathogenesis of VZV

A
  1. Enters and replicates in the respiratory tract.
  2. Spreads to lymphoid cells
  3. Causes skin rash
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12
Q

What are the complications of VZV

A
  1. Hemorrhagic Chickenpox
  2. Viral pneumonia
  3. Encephalitis
  4. Congenital varicella
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13
Q

Which cells are infected by Epstein-Barr virus?

A

B cells; Uses complement receptor CR2 and CD21

  1. Lytic and Latent in B cells.
  2. Lytic in epithelial cells
  3. Immortalization of B cells and stimulation of proliferation.
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14
Q

What is the role of the 3 Epstein Barr Nuclear Antigens?

A

EBNA 1: maintains presence of viral genome
EBNA 2: Stimulate B cell proliferation of genes.
EBNA 3: Inactivats Rb, stimulates cell gene expression

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15
Q

How is EBV diagnosed?

A
  1. CBC with differential

2. EBV specific antibodies

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16
Q

Describe Burkitt Lymphoma and Nasopharyngeal carcinoma.

A

Burkitt Lymphoma: Tumor of the jaw and face

Nasopharyngeal Carcinoma: Tumors of upper respiratory tract

17
Q

Which virus is the most common cause of congenital disease?

A

Cytomegalovirus

18
Q

How is CMV treated?

A

Ganciclovir, a synthetic analogue of guanosine; Inhibits viral DNA polymerase

19
Q

What are the symptoms of HHV 6 and 7? Transmission?

A

Rash on chest, back and abdomen. Infects lymphocytes and monocytes. Transmitted by breast feeding, aerosol, and saliva