Immuno - Diagnostic Virology Flashcards
What does HTLV-I stand for?
Human T-cell leukaemia virus type I
What family is the virus part of?
Delta retrovirus family
What is HTLV-I the causative agent of?
Tropical Spastic Paraparesis (TSP)
HTLV-I associated myelopathy (HAM)
adult T-cell leukaemia/lymphoma (ATLL)
other inflammatory diseases such as:
- HTLV-I associated infectious dermatitis
- HTLV-I-associated uveitis (HAU)
What kind of gene does the virus not harbour?
a viral homologue of a cellular proto-oncogene
What protein is the transforming entity ascribed to?
Viral Tax protein
What is the Tax protein and what does it affect?
It is a nuclear phosphoprotein and it can affect cell-cycle progression, cyclic AMP and nuclear factor kB (NF-kB)
Modes of Infection with HTLV-I virus
Cell to cell contact primarily:
- Mother-infant (mainly through breast feeding)
- Sexual contact
- Parenteral transmission (other than the digestive system)
What is the dominant contributor to increase in number of HTLV-I?
Not de novo infection of cells but rather clonal proliferation
Describe the HTLV-I genetic material?
Monopartite, linear, dimeric, ssRNA(+) with a 5’-cap and a poly-A tail
Function of the 5’ cap
Added to the first nucleotide during transcription and it’s a modified Guanine nucleotide. It protects the transcript from being broken down and it also facilitates the attachment of the mRNA to the ribosome.
Role of the poly-A tail
A chain of adenine nucleotides added to mRNA in order to increase its stability and prevent it from being broken down.
What sample is needed for the detection of HTLV-I in patients?
Blood from which peripheral blood mononuclear cells (PBMCs) are isolated using Ficoll gradient centrifugation.
What is the first step of the PCR
Primers are designed to amplify the pol or tax gene of HTLV-I
What does a PCR tube contain?
DNA template containing target, primers, free deoxynucleotides and DNA polymerase
Describe the steps of heating and cooling of the mixture
- Heated to 95 degrees to separate the DNA strands
- Cooled to 55 degrees so primers anneal to ssDNA
- Heated back up to 72 degrees so DNA polymerase starts to synthesise new strands of DNA starting from primers
what are the Tax and Rex proteins in HTLV-I used for?
Rex - positive post-transcriptional regulation
Tax - Viral transcription and oncogenesis
What does the number of infected cells correlate to?
Disease severity
Likelihood of transmission