HPV Flashcards
What is the baltimore class of HPV
baltimore class 1:
non-enveloped, dsdna with an icosahedral capsid
What is the family of HPV
Papillomaviridae previously papovaviridae which was with the polyomaviruses
What do HPV infect?
it infects:
-Infect keratinocytes within differentiating epithelia
of the skin and mucosa.
-Viral life cycle depends on the differentiation program that keratinocytes undergo in these epithelia
-this is why it is hard to culture it in labs, gotta have differentiated cell lines
what can HPV cause?
-Cause hyper-proliferative benign and malignant lesions
of the skin and mucosa, notably cervical cancer in women
-most don’t cause cancer but warts
True or false: HPV has tropism for certain anatomical locations
true
-200 types each with a skin tropism
How did scientists discover that warts are cause by a virus?
o Induction of cutaneous warts in volunteers with extracts prepared from
common warts (Jadassohn, 1896)
o A cell-free filtrate of common warts can transfer infection (Ciuffo, 1907)
how did scientists discover that HPV could be an oncogenic agent?
-they looked at skin lesions on:
o Cottontail Rabbit Papillomavirus (Shope, 1933)
o Induction of epithelial malignancy in domestic
rabbits by CRPV (Rous, 1935)
who associated hpv with cancer
o Harald zur Hausen, 2008 Nobel prize
in physiology or medicine
-aka 16 and 18
-we kinda already knew that cancer could be cause by viruses, we just did not know which one
rue or false: HPV has been with us for a long ass time
true
what does the genus alpha of hpv infect?
-it infects cutaneous and mucosal tissues
-some mucosal alpha hpvs are oncogenic aka the high risk type
what are the other genus of HPVs
-genus beta: cutaneous
-genus beta: cutaneous
how are the HPV types defined?
HPV types are defined based on the nucleotide sequence of L1 ORF
-L1 is the major capsid protein
* Types: L1 ORF is >10% different than other known types
* Variant: L1 ORF is <10% different than other known types
what are the mucosal aka sexually transmitted disease you can get with hpv
HPV16, 18, other high-risk types
* Cervical and anogenital cancers
(anal, vulvar, vaginal, penile)
* Oropharyngeal cancers
that type of cancer is getting less popular from people who smoke and is more caused by sexually active people
HPV6, 11, other low-risk types
* Genital warts
* Laryngeal papillomas
what are the cutaneous stuff that you can get from HPV
-planter warts: hpv1
-common warts: hpv2,4,29
-flat warts: hpv3,10,28 and 49
what is EV?
-Epidermodysplasia verruciformis (EV)
* Very rare genetic disease characterized
by a higher risk of developing skin carcinoma on sun-exposed skin
* Abnormal susceptibility to HPV5 and HPV8,
and other EV types
* EV types are β-HPVs that are present in the skin
of most people without symptoms
* EV is caused by mutations in the EVER1, EVER2 and CIB1 genes.
* It was recently suggested that EVER1, EVER2 and CIB1 proteins form a
complex involved in keratinocyte-intrinsic immune response to β-HPVs
true or flase: the hpv vaccine protects and does not cure
true
HPV infections of the anogenital mucosa
-more alpha type
-One of the most common sexually transmitted infections
* Both men and woman can be infected
* 50% to 70 % of women are infected during their lifetime
* Average length of infection: 8 to 12 months
* Most infections are not diagnosed !
how can an infection of HPV persist
it is when your immune system is not able to clear the infection cuz it is too weak or smth then you could get cancer
what is the % of people before the vaccine that got cervical dysplasia
4%
4% Cervical dysplasia (HPV16, 18, 31, 33, 45, 52, 58)
what is the purpose of screening programs for HPV
The purpose of screening programs is to identify cervical
lesions that could progress or have progressed to cancer
pap test
- Dr. George Papanicolaou (1883-1962)
- Cytological test
- Detection of abnormal keratinocytes
-take cells from the cervix
Molecular detection of HPV:
-if you have a sus pap test
-you use PCR
-is there a high risk HPV?
* Viral nucleic acids (DNA/RNA)
* Primarily of high-risk (Hr) HPV types
* Can be performed on PAP sample
colposcopy
-if you have high risk HPV
-hpv lesions turn white when you add acid
* Direct visualization of lesions
* Biopsies for histology
* Often coupled with treatment
Treatment for HPV
- Physical ablation
- Cytotoxic agents
- Immunomodulation (Imiquimod; for genital warts)
it is a cream that you apply on the skin
-stimulates immune system to make for INF alpha
-antiviral drug not available
Prophylactic vaccines for HPV
- Virus-like particles (VLPs) made by expression of L1 in yeast or insect cells
L1 self assembles and the vaccine makes like a fake capsid=pseudo virus - Mixture of VLPs from prevalent HPV types
❑ Cervarix (HPV 16, 18)
❑ Gardasil (HPV 6, 11, 16, 18)
❑ Gardasil 9 (HPV 6, 11, 16, 18, 31, 33, 45, 52, 58) - Provide high levels of antibodies and protection against cervical cancer and
condylomas. Expected to protect against other HPV-associated cancers.
On what does the HPV cycle rely on?
It depends on the differentiation of keratinocytes in stratified epithelia
-the virus needs to infect undifferentiated cells because it needs the host machinery to replicate aka it loves basal cells
-differenciated cells loose their nucleus and organelles
true or false: virus infects undifferenciated cell but produce new virions in differentiated cells
true
-the infected basal cells will replicate and the infected daughter cell will start to go through some sort of differentiation program and move upward
-making more progeny virions in these upper “differentiated” cells is good because the immune system has a harder time to clear them
-it is also there that the genome implication occurs
how does the HPV virus infects the cells?
it infects through small cuts
-som,e places like the cervix have stratified epithelium is juxtaposed to a granular epithelium which is only a 1 cell layer epithesiul=easy access to basal cells
Infection of basal cells (HPV)
genome is established as an episome in the nucleus and replicated by E1 and E2 to 50=100 copies/nucleus
true or false: it is during the genome amplification that the viral capsid is expressed
true
oncogene-induced cell proliferation: HPV
-E7 forces differenciated cells to enter S phase by binding to lots of targets including pRb
-E6 prevents their death by apoptosis by degrading the p53
-cells express host DNA replication factors
Papillomavirus genome
- ~8 kbp double stranded DNA circle
- Encodes less than 10 proteins
- Three functional regions
o Early genes
o Late genes
o Regulatory region named LCR or URR
-where the ORF is situated
LCR = Long Control Region
URR = Upstream Regulatory Region - LCR/URR is the regulatory area for:
o Transcription
o DNA replication
o Segregation of the genome