L7 - Mechanism of Viral Infection and Pathogenesis Flashcards

1
Q

What is Acute viral infection and describe its pattern of infection?

A

acute infection is something that has a limited lifespan

Usually virus load and disease symptoms peak at one point and then drop

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2
Q

What are some Acute viral infections?

A

common cold
measles
ebola
small pox

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3
Q

What is Latent reactivating infection and describe its pattern of infection?

A

It is a chronic infection

Virus load may increase and with treatment decrease, however it still comes back throughout life, sometimes presenting disease symptoms, and sometimes not.

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4
Q

What are some Latent reactivating infections?

A
Herpes simplex virus type 1
Herpes simplex virus type 2
Epstein Barr virus
Varicella zoster
Human Herpes virus 6
Human Herpes virus 7
Human Herpes virus 8
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5
Q

What are some disease symptoms of Herpes simplex Virus?

A

Early life = Primary Gingivostotamitis

Later life = cold sore

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6
Q

What are some disease symptoms of Chicken pox/Varicella zoster virus?

A

early life = pox marks

later life = shingles

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7
Q

What is Persistant infection and describe its pattern of infection?

A

Persistance of a virus in the presence of an active immune response.
Viral levels are constantly controlled by active host immunity

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8
Q

What are some Persistant infections?

A

HIV - retrovirus
HCV - flavivirus
Measles
Congenital Rubella (not controlled by immune system)

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9
Q

Describe Congenital Rubella as a Persistant infection?

A

Congenital Rubella; if infected in utero, virus is seen as self, baby is born immunotolerant and virus continues to replicate (and cause damage) in neonatal tissues

Rubella virus viremia can infect the placenta of pregnant women, and viral replication can infect all foetal organs. Causes huge amount of tissue damage

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10
Q

Why is it advantageous for a virus to be asymptomatic?

A

If the host becomes ill, there is a lower chance that the virus will be able to spread and replicate in another host.

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11
Q

How does virus infection of a host lead to disease?

A

Pathogenesis results from cell and tissue damage caused by the viral infection. On most occasions the damage is limited by the host’s immune system

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12
Q

What is meant by a non-cytopathic infection?

A

One that does not cause pathological or structural changes in the host cell.

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13
Q

Give an example of a Cytopathic Infection?

A

Ebola

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14
Q

Describe Ebola as a Cytopathic viral infection?

A

Causes massive Haemorrhagic fever and targets vascular endothelial cells, and destroys them.
The endothelia rupture and release their contents which is usually fatal.

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15
Q

Describe Influenza A virus as a Cytopathic viral infection?

A

Targets lung epithelia.
Influenza A destroys the ability of the cilia on the epithelial cells, so they cannot beat away debris and mucus from the lungs anymore.

As a result the lung tissues become flooded, leading to viral pneumonia

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16
Q

What are immunpathological infections?

A

When the relative limited damage caused by the virus is made even worse or even caused by the host’s immune system

17
Q

Describe Hepatitis C as an immunopathological infection?

A

Hep C virus is non-cytopathic, and does not cause any changes in cells of the liver.
However, the virus is recognised by the competant immune system, the host’s leukocytes actually kill the infected cells.
Thus tissue damage in Hep C is done by the immune system

18
Q

What does enhanced pathogenicity mean for a virus?

A

it can enhance its properties of causing disease:

change of surface proteins H and N, and there is no widespread immunity to it

19
Q

What does the outcome of an infection depend on?

A

The outcome of an infection depends on what you are you infected by, whether you’ve seen it (or anything like it) before, and the state of your immune system