Lesson 2 Flashcards
the production of disease as a result of viral infection, is concerned with the cellular events and pathological mechanisms that connect the
virus to cell/tissue/organ damage and the resulting clinical signs.
Viral pathogenesis
refers to the relative ability of viruses to produce disease in a host, dependent on the attributes of both the virus and its host, and is influenced by
factors such as the dose and route of entry of the virus and the species, age and
immune status of the host.
Virulence
Routes of infection:
Skin: Breaks in skin epithelia
Respiratory tract: Mucous membranes
Alimentary tract: through ingestion, some resp. viruses enter the oral cavity by
ciliated epithelium
Genital tract: abrasion in urethral, anal or vaginal mucosa (venereal tumors)
In utero (congenital diseases)
Stages of viral infection
- Initiation of Infection at Primary Site (Infection of the Target Tissue)
- Replication of Virus and Spread to Secondary Site
- Manifestations of the viral diseases
many viruses cause infection in the oral mucosa or upper respiratory tract. Replication of viruses at the primary sites may be accompanied by clinical symptoms.
Initiation of Infection at Primary Site (Infection of the Target Tissue
many viruses cause infection in the oral mucosa or upper respiratory tract. Replication of viruses at the primary sites may be accompanied by clinical
symptoms.
Initiation of Infection at Primary Site (Infection of the Target Tissue
Some viruses may disseminate to other tissues through blood stream, lymphatic system, and
neurons (secondary sites) and cause a systemic infection. Transport of virus in the blood is known as viremia. Primary viremia is when the virus enters the blood stream after multiplication in the lymph nodes. In the blood stream, the
virus may exist either free in the plasma or it may be ingested by the lymphocytes or macrophages. When virus replicate in the macrophages, in the endothelial lining of blood vessels, or in the spleen and liver it will result in
20 massive production of viruses causing secondary viremia signaling the onset of
clinical signs, after which the virus will be carried to the target organs to further replicate and produce characteristic distinctive lesions.
Replication of Virus and Spread to Secondary Site
Some viruses may disseminate to other tissues through blood stream, lymphatic system, and
neurons (secondary sites) and cause a systemic infection. Transport of virus in the blood is known as viremia. Primary viremia is when the virus enters the blood stream after multiplication in the lymph nodes. In the blood stream, the
virus may exist either free in the plasma or it may be ingested by the lymphocytes or macrophages. When virus replicate in the macrophages, in the endothelial lining of blood vessels, or in the spleen and liver it will result in
20 massive production of viruses causing secondary viremia signaling the onset of
clinical signs, after which the virus will be carried to the target organs to further replicate and produce characteristic distinctive lesions.
Replication of Virus and Spread to Secondary Site
___________________ Manifestations of the viral diseases: dependent on the virulence of the virus
and host factors:
Manifestations of the viral diseases
a) Age, general health and immune status of the host
b) Dose of infective virus
c) Genetics of host and the virus.
Incubation period: is the time taken by the virus to spread from the site
of entry to the organs of viral replication and then to the target organs for
production of lesions. In local infections, incubation period may be short
(1-3 days) because site of entry of the virus and lesions are the same, however systemic infections may have longer incubation periods (usually
10-20 days) because lesions are produced far from the site of entry
Severity of viral infections:
inapparent infection: causes;
(a) the infection is controlled before the virus reaches the target tissues,
(b) the infected tissue is not damaged,
(c) the tissue is damaged but it is rapidly repaired, or
(d) the severity of damage is below a functional threshold for the particular disorder
: occurs when immune system acts rapidly to
control the infection
acute infection
when the immune system fails to act effectively or slowly, it may result in chronic viral disease or 21 persistent viral infection in the case of slow viruses that takes years before progressing to manifestation of the disease.
chronic or persistent infection
Incubation period
Types of host cell in terms of virus-host interaction
- Permissive cell
- Nonpermissive cell
- Semipermissive cell
Types of virus infection at cellular level:
- Abortive infection
- Lytic infection
- Persistent viral infection
failed infection
Abortive infection
results to cell death
Lytic infection
infection without cell death
Persistent viral infection
- Persistent viral infection: infection without cell death
a) nonlytic and productive (chronic),
b) latent, limited production of viral macromolecules in the absence of
synthesis of virus
c) recurrent
d) transforming
Mechanisms used by virus to cause cell death
- Inhibition of cellular protein synthesis
- Cell fusion
- Transformation
- Cytopathic effect
during replication produce proteins that inhibit synthesis of cellular DNA and/or RNA.
Inhibition of cellular protein synthesis: (ex: HSV, poliovirus, togaviruses, and poxviruses)
Inhibition of cellular protein synthesis example:
ex: HSV, poliovirus, togaviruses, and
poxviruses
: Infections of cells with certain viruses results in the expression of glycoproteins on the cell surface causing the cells to fuse, g in the production of giant multinucleated cells called syncytia (ex: paramyxoviruses, herpes viruses, and retroviruses)
Cell fusion