L22 - Smallpox Flashcards

1
Q

how is smallpox spread

A

secretions from nose and mouth

= respiratory disease

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2
Q

how long after exposure do people develop symptoms

A

2 weeks

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3
Q

is smallpox related to chickenpox

A

No

= early rash is often confused with chickenpox

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4
Q

pathogen of smallpox

A

dsDNA virus = Variola

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5
Q

what is special about smallpox/variola

A

first disease to be controlled by vaccination

= completely removed from environment

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6
Q

progression of symtpoms for smallpox

A

Fever - 2 weeks after exposure

2-4 days after fever rash begins to develop

= rash devlops into smallpox

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7
Q

symtpoms - smallpox vs chicken pox

A

smallpox victims have pox on soles of feet and palms of hand

= very rare in chicken pox

pox is more in extremities and arms/legs than chicken

fever is BEFORE the rash in smallpox

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8
Q

name of family of viruses smallpox comes from

A

Poxviridae

= includes Vaccinia = the vaccine virus

also includes poxes for a range of animals:
- monkeypox
- camel pox
- cowpox

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9
Q

describe variolas structure

A

dsDNA virus

brick shaped with multiple lipid envelopes and a core

core holds linear DNA

lateral bodies outside of core
- hold viral proteins for infection

= virus structure is complex and poorly understood

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10
Q

replication cycle of smallpox

A
  1. Virus binds and invades into cytoplasm host
  2. uncoats outermembrane and inner core membrane surrounding genome
  3. production of early genes via pre-synthesied RNA polymerase

= DNA polymerase/replicative elements

  1. virus replicates at ‘Viral factories’ in cytoplasm
  2. once replicated late genes are expressed and new viral molecules formed
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11
Q

what is unique as a DNA virus about smallpox

A

rreplicates entirely in cytoplasm

= viral factories

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12
Q

describe the variolas genome

A

linear dsDNA genome

ends of nucletides contain inverted terminal repeat sequences

= tandem repeats and palindromic sequnces

Hairpin loops at very end of DNA formed by palindromic sequnces folding back on themselves

= covalent bonds
= protect from nucleases

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13
Q

what does variola carry with it for ‘early’ gene expression and what is amde in early gene expression for ‘late’ proteins

A

pre-synthesised RNA polmerase

= genome also holds genes for DNA polymerases

= substitute for host cells

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14
Q

what is variolation - before vaccination

A

deliberatley infecting sombody with parts of infected people

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15
Q

brief history of smallpox vaccination

A

Chinese and Indian cultures used variolation for a long time

Lady montague introduced variolation to UK in 1720s

Edward jenner began infecting ppl with cowpox

= found that they didnt get smallpox

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16
Q

roles of cell-mediated and humoral immunity in fighting smallpox

A

cell mediated:
clearing the infection and survival

humoral:
long term protection from reinfection

17
Q

why was smallpox a good candidate for worldwide eradication

A

Humans are the only host - no animal resevoir

= once eradicated from us its gone completely

virus is a single stable serotype

= no antigenic shift or adaptations = no new vaccine needed

symtpoms were easily observable = receive treatment quickly

18
Q

history of worldwide eradication of smallpox

A

1960s the WHO begain worldwide programme of vaccination

accidental infectioon in birmingham killing 2 ppl

1980 = declared smallpox free

19
Q

how many labs in the world hold a strain of variola/smallpox

A

2

= there are only 2 places in the UK with high enough safety measures to contain it
= none in UK currently

20
Q

pros and cons of destroying the last stocks of variolka virus

A

+ risk of bioterrorism and a largely unvaccinated population

  • Pathogenisis of virus still not undertsood - could learn more

knowledge could be helpful IF bioterrorism was used

21
Q

describe how the Modified Vaccinia Ankara (MVA) vaccine was developed

A

VAccinia strain was passaged into chicken cells over and over

over time virus lost 10% of genome

= affected virus ability to infect mammilian cells

the vaccine still produces strong immune response for protection BUT limited replication

22
Q
A