Lecture 14 - Pathogenesis of Viral Infections III Flashcards
What is virulence?
The capacity of a virus to cause disease in a host
How can virulence be quantified?
1)
2)
3)
1) Mean time to death
2) Mean time to appearance of symptoms
3) Measurement of symptoms: fever, weight loss, pathological lesions (polio), CD4+ count (HIV), etc.
Example of a measurement of viral virulence
1)
2)
1) Monkeys inoculated intracerebrally with different viruses (Japanese encephalitis, yellow fever, West Nile, Langat, Dengue)
2) Lesions in the CNS scored (cerebrum, brain stem, spinal cord)
Why can’t virulence be compared between different viruses?
Because different viruses enter the body through different routes, are transmitted differently, infect different cells, etc
How can virulence genes be found?
Compare viruses that differ only in their virulence
Four general classes of viral virulence genes
1) Gene products that alter the ability of the virus to replicate
2) Gene products that modify host defence mechanisms
3) Genes that enable virus to spread in the host
4) Toxic viral proteins
Are toxic viral proteins common?
No. Very uncommon
Two types of gene products that alter the ability of a virus to replicate
1) Those necessary for the production of a large number of viral particles. When these are removed, virus can’t replicate properly in animal host or in cell culture.
2) Those that are essential for disease. When these are removed, virus can replicate in cell culture, but have impaired virulence in animal host
Example of non-coding genome effects on virulence
Sabin polio strain has a single nucleotide change (C to U) in the 5’ non-coding region.
This region normally folds into IRES domain 5. It is disrupted with this mutation, and results in reduced neurovirulence. LD50 is dramatically increased
Examples of gene products that modify host defence mechanisms
1) Virokines. Defective cytokines that act as cytokine receptor antagonists.
2) Viroceptors. Decoy receptors for cytokines.
Where are virokines and viroceptors normally found?
In the genomes of large DNA viruses
Examples of genes that enable spread in the host
1)
2)
3)
1) Reovirus type 1 in mice spreads to CNS via the blood.
2) Reovirus type 3 spreads to CNS via neural route.
3) Outer capsid protein σ1 is different between type 1 and type 3. Outer capsid protein σ1 determines which receptor the virus binds to.
How is the toxicity of a viral protein tested?
Adding pure sample of protein into a cell culture
Example of a viral toxin 1) 2) 3) 4)
1) Rotavirus NSP4.
2) A non-structural glycoprotein that participates in formation of transient rotavirus envelope when particles bud into ER.
3) Causes influx of Ca2+ into insect cells, leading to Er stress, mitochondrial defects.
4) When fed to young mice, leads to Cl- secretion potentiation, leading to diarrhoea.
What does NSP4 act as?
A viral enterotoxin by triggering a signal transduction pathway in the mucosa.
How does NSP4 lead to increased intracellular [Ca2+]?
By activating phospholipase C
Average error frequency of RDRP
1 in 10^4 - 10^5 nucleotides polymerised
Genome recombination
1)
2)
1) Occurs when RDRP is able to switch viral templates if two viruses have infected a cell
2) Generally occurs when sub-genomic mRNAs are produced, as RDRP can jump between subgenomic promotors of different viral genomes
How does genome recombination occur?
1)
2)
3)
1) RDRP replicates subgenomic RNA from template ((+) sense)
2) Subgenomic mRNA ((-) sense)from another virus binds to subgenomic mRNA.
3) RDRP makes genomic RNA with subgenomic RNA from other virus instead of original subgenomic mRNA
How do genome reassortment and genome recombination differ?
Genome reassortment is the reassortment of genome segments from different segmented-genome viruses.
Genome recombination is the recombination of genomes of viruses that make subgenomic mRNA making a chimaeric viral genome