Immunity to Viruses Flashcards

1
Q

Virus composition

A
  • obligate intracellular parasites
  • composed of:
    • DNA - dsDNA
    • RNA - ssRNA or dsRNA
  • can be 10 genes (poliovirus) up to 200 genes (herpes)
  • contains protein coat (capsid) - protects NA
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2
Q

Virus entry into body

A
  • via mucosal surfaces
  • viral primary infections - epi cells
  • viremia via bloodstream - leads to some secondary infections at distant sites (e.g poliovirus)
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3
Q

EBV

A
  • member of herpesvirus family
  • causes infections mononucleosis (glandular fever)
  • elevated WBC count (B-cells)
  • can establish lifelong dormant infection
    • Burkitt’s lymohoma
    • Nasopahryngeal carcinoma
    • MS
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4
Q

Example of virus, its receptor and cell type infected

A
  • most viruses can only infect a specific cell type if it is receptor positive
  • HIV - CD4r - Th cells
  • SARS COVID-19 - ACE2- lungs, heart, kidney, GIT
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5
Q

Types of acute viral infection

A
  • acute recovery & elimination of virus (influenza)
  • acute latency - on reactivation new virus shed (herpes)
  • acute persistence - continuance or intermittent shedding (EBV)
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6
Q

Early stages of infection

A

TLRs

  • TLR 3 - detects dsRNA (rotavirus) and ssRNA (influenza)
  • TLR 7 - detects ssRNA (norovirus)
  • TLR 9 - detects CpG dsDNA (herpes)
  • TLR trigger leads to IFN and cytokine production

IFN - 𝛼, β, y

  • by plasmacytoid DCs (pDCs)
  • by virus-infected cells

IFNs activate anti-viral response in neighbouring cells

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7
Q

Main IFN-producing cells in the body

A

Plasmacytoid dendritic cells (pDCs)

  • rare DC
  • upon stimulation and activation via TLR7 and TLR9 - large amounts of type 1 IFN produced (IFN𝛼, IFNβ)
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8
Q

Downstream signalling of IFN𝛼 and IFNβ

A
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9
Q

Antiviral effects of ab

A
  • virus carried by lymphatic fluid to nearest lymph node
  • virus recognised by subset of B cell - differentiate into ab-producing plasma cell
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10
Q

Neutralizing Ab examples

A
  • rhinovirus - blocks attachment to cells
  • poliovirus - blocks virus inciting of capsid
  • influenza A - abs enter cell with virus and prevent replication
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11
Q

How are virus-infected cells recognised and killed?

A
  • ab binding triggers ADCC via Fc-r
  • CTL - recognition of virus peptides bound to MHC Class I on surface of infected cell
  • NK - recognition of loss of MHC Class I on surface on infected cell

*all 3 mechanisms result in apoptosis and removal of apoptotic bodies carried out by macrophages

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12
Q

2 main cells involved in killing viral and cancer cells

A
  • CTL
  • NK
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13
Q

Recognition of target cells by CTL and NK cells

A
  • all cells express MHC class I
    • MHC I and foreign antigen - killed by CTL cell
    • No MHC I - killed by NK cell

*viruses associated with persistent infection and cancer cells - downregulat MHC I on their surface - prevents detection and destruction by CTLs

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14
Q

How are apoptotic bodies removed?

A
  • apoptotic bodies are recognised via exposed phosphatidylserine residues
  • these residues are normally expressed on inner plasma membrane
  • redistributed to the outer surface of apoptotic bodies
  • phagocytes have phosphatidylserine receptors - allows them to bind, engulf and destroy apoptotic bodies and the virus within them
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15
Q

Cell mediated pore formation on target cells

A
  • Degranulation of CTL/NK cell granules content onto surface of target cell (virus or cancer cell)
  • Perforin - a granule protein
    • Polymerises to generate trans-membrane pores on target cell surface
  • this allows further granule contents to enter target cell
  • Engagement of Fas on target cell by Fas ligand (FasL) - expressed on activated CTL - triggered apoptosis
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16
Q

Granule examples

A
  • Granzyme B - activates apoptosis by activating caspase-3
    • cleaves substrates …. including
  • DNAse leading to degradation of cells DNA
17
Q

Methods by which immune evasion occurs by viruses

A
  • alteration of surface antigens - avoids existing memory immunity (e.g. Variants)
    • no pre-existing ab and T cell memory response - protein coat of virus has changed
  • production of protein that inhibits stages (e.g. antigen processing)
  • blockade of TAP transporter - removal of MHC I molecules from ER
  • acquired homologs of cytokines or cytokine receptors - limits how recognition (IL-10 with immunosuppressive properties)