Influenza and Corona Viruses Flashcards

1
Q

Non-human animal surveillance

A

surveillance for viruses that could threaten wildlife, livestock & domesticated animals

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2
Q

In silico prediction developmet

A

development of computational methods for predicting emergence risk of zoonotic viruses identified from animal surveillance

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3
Q

Guided surveillance of samples from human illness

A

surveillance systems for early detection of spillover and emergence of novel human infections

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4
Q

Where does COVID-19 fall interms of transmission & mortality?

A

less of fatality rate but the transmissibility rate is higher

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5
Q

Overview of Influenza viruses

A

family Orthomyxoviridae
- (-)-sense, segmented, single stranded RNA viruses
- 4 genera: A, B, C, D

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6
Q

Which influenzavirus genera are associated as seasonal influenza viruses?

A

A, B and C

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7
Q

Influenza A and B can be associated with…

A

pigs

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8
Q

Influenzavirus A hosts:

A

wild aquatic birds, mammals, humans

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9
Q

Influenzavirus B hosts:

A

humans, seals, ferrets

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10
Q

Influenzavirus C hosts:

A

humans, dogs, pigs

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11
Q

Influenzavirus D hosts:

A

cattle

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12
Q

What is the relationship like for influenza (i.e. the pathway)?

A

NOT a direct linear relationship like ebola is
- most start with wild birds & then can take diff areas

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13
Q

What is the virology of Influenza A?

A
  • cirnodal
  • (-) RNA
  • enveloped
  • influenza virus genome is segmented (8 diff.) –> allow for influenza viruses to mix/match their segments, which increase complexity of influenza viruses (can increase virulence/pathogenicity)
  • viral RNA-dependent RNA polymerase - have to carry their own RNA polymerase
  • HA and NA proteins (guide the cells that the virus can attach too & also guide the antigens that we have to produce vaccines against)
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14
Q

Where do influenza A viruses circulate in?

A

humans, domestic animals, pigs, horses, poultry & migratory birds

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15
Q

What is the virology of influenza a?

A
  • 16 diff HA subtypes identified
  • 9 NA subtypes
  • HA & NA are most antigenically variable (able to swap out & change)
  • bat influenza A-like viruses increase this to 18 & 11, but cannot reassort with IAVs (monitor what they can do but haven’t seen it yet)
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16
Q

Influenza __ viruses are NOT divided into diff subtypes

A

B

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17
Q

Which viruses were seen to show reassortment?

A

1918 “Spanish influenza”

1857 “Asian influenza”

1968 “Hong Kong influenza”

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18
Q

Antigenic drift…

A

results in progressive changes of HA & NA antigenicity through mutations (re: seasonal flue)
- RNA can mutate (inability to proof read)

19
Q

Antigenic shift…

A

results from genetic reassortment through RNA segment changes b/t different strains (re: pandemic flu)
- can produce drastic changes

20
Q

What is the main take-away from the timeline of influenza pandemics?

A

everytime we have a pandemic virus that emerges, that pandemic virus becomes the new seasonal virus until it itself is replaces (either through another pandemic or through another large scale transmission event)

21
Q

What happens when we get infected by influenza virus?

A
  • binding & entry mediated by HA - sialic acids
  • mediated by HA & MA (pH-dependent steps)
  • pH shift (& virulent opens up)
22
Q

Purpose of HA?

A

helps guide interaction b/t virus & host cell for uptake

23
Q

Purpose of NA?

A

helps facilitate the release of new virulent copies

24
Q

What is the influenza virus epidemiology?

A
  • seasonal influenza outbreaks typ. occur in winter months
  • symptoms: onset ~1-4 d post-exposure (quick)
  • ~3-5 million cases of severe ILI globally each year
  • transmission: presymp. phase (-1 d) to 5-7 d post-symp. onset
  • transmission primarily in children
  • droplets, aerosols & fomites
25
What are influenza virus therapeutics?
- M2 inhibitors (adamantanes) eliminated as clinical therapy due to resistance - best clinical results of NA inhibitors found within 2 days of symptom onset
26
Influenza vaccines include:
live-attenuated, recombinant, & inactivated vaccine
27
Live-attenuated:
- recommended for ppl 2-49 years of age - contraindicated for ppl w/ weakened immune system, pregnant women, or certain chronic diseases
28
Recombinant:
- eliminates antigenic mutations from cell or egg-based replication - >18 years of age
29
Inactivated:
- comprised of killed influenza viruses - >6 months & older, including pregnant women & people with chronic medical conditions
30
Coronaviruses:
- family: Coronaviridae - RNA viruses with large genomes ((+)-sense, single-stranded RNA genome - 4 genera: alpha, beta, gamma & delta
31
____coronaviruses & ____coronaviruses ONLY infect mammals
alpha beta - usually cause respiratory illness in humans & gastroenteritis in animals - can have large impacts on livestock
32
What is a difference b/t influenza & coronavirus?
influenza is (-)-sense & coronavirus is (+)-sense
33
What does coronaviruses look like?
- enveloped - non-segmented - spikes!
34
Spike proteins:
dictates which types of cells it can interact with (coronavirus is ACE-2)
35
4 ________ usually cause mild upper respiratory disease in humans
human coronaviruses (HCoVs)
36
3 _________ cause severe respiratory disease
highly pathogenic HCoVs
37
Does coronaviruses all originate from same animals?
NO - bats or rodents usually
38
What is the SARS-COV-2 emergence?
atypical pneumonia cases in Hubei Province, China - initial reports of a "SARS-like" illness in China - late December - potential link to Huanan Seafood Wholesale Market
39
How does COVID-19 pathogenesis differ from influenza with the onset?
5 days onset where they can transmit to community (greater than the 1 day in influenza)
40
What is the COVID-19 therapeutic development?
drugs that attack 2 primarily points in replication cycle: 1. Paxlovid - inhibit proteolysis step (which converts polyproteins --> dependent RNA transcriptase complex) 2. Molnupiravir & Remdesivir - inhibit RNA replication
41
Emerging infections diseases have disportionate effects on vulnerable communities, for ex:
2009 Influenza Pandemic - First Nations members: - were 6.5X higher likelihood of ICU admission - 8X higher for hospitalizations - ~7-10% of all hospitalization, ICU admissions & deaths
42
Traditional development vs. SARS-COV-2 vaccine development
15 years or longer vs. 10 months to 1.5 years total
43
What is unique about SARS-COV-2 opposed to SARS-COV?
zoonoses - NOT unique to humans (can move from humans --> animals & then back to humans)