Major DNA Viruses Flashcards
SsDNA naked, icosahedral
Parvovirus
Determinant for B19 tropism
Erythrocyte P antigen
acts as a receptor
____ a type of glycoshpingolipid on RBC
Globoside
When does parvovirus replicate
When host cell is in S phase
Why does B19 not attack RBC
Because they don’t have a nucleus
So they attach erythroblasts
B19 arthritis is from
Immune complex mediated
Most common age group fro 5th disease
5-14
Phases of erythema infectious
Phase 1 = infectious stage
Mild fever, sore throat, runny nose
Phase 2 = virus cleared
slapped cheek rash
lacy rash on trunk, arms, legs
Slapped cheek rash is ______
Immune complex mediated
B19 can cross
Placenta
B19 during 1st trimester =
Death
B19 during 2nd =
Hydrops fetalis —-> death
B19 during 3rd trimester
No apparent clinical symptoms
B19 treatment
No treatment unless immunocompromised
if so, maybe transfusion
Leading cause of pharyngitis
Adenovirus
Why does it make sense that adenovirus can have outbreaks in pools
It’s naked and can survive the chlorine in pools
Adenovirus types 4, 7, 14 are associated with
Severe lower resp tract infections
Adenovirus types 40 + 41 associated with
Gastroenteritis; transmitted fecal/orally
Adenovirus types 11 + 21 are associated with
Hemorrhagic cystitis
How would you diagnose adenovirus
Look for increase in antibody titer
PCR for viral sequences
How do you treat adenovirus
Self resolves, you treat the symptoms
Live vax for military recruits
________ for immunocomprimised people with severe adenovirus infection
Cidofovir
Tropism for papilloma
Epithelial cells of skin and mucosa
Papilloma is _____ infection on _____ cells
Lytic
Permissive
Papilloma is _____ infecticions in ______
Transforming
Non permissive
How do you transmit papilloma
Direct contact
Exposure during birth
Sex
Papilloma route of transmission depends on
Serotype
HPV infects _____ cells
Basal
HPV, viral DNA induces cell proliferation and thickening in
Basal layer
Stratum spinous
Stratum granulosum
HPV, mature virion is only on _____ layers of skin
Outermost
How does HPV move on in association with skin
As our skin shed the viral particles get spread
HPV latent vs transforming infections
L = viral DNA is not integrated
T = viral DNA is integrated
E5 = ( of HPV)
Activates EGF, epithelial growth factor
E6 =
Binds and targets p53 for degration
E7 =
Binds and inactivates RB
Verruca vulgaris
Common wart
Where are verruca vulgaris usually
Hands and knees
Verruca plana
Flat warts on hands, face, shins
Plantar warts
Grow into soles of feet
Condyloma acuminata aka
Genital warts
Infected epithelial cells have a clear halo around a shrunken nucleus
Koilocytes
Managing HPV
Could resolve spontaneously
Freeze
Surgically remove
Etc
Preventing HPV
Vax!
Gardasil 9
covers 9 subtypes
6,11,16,18,31,33,45,52,58
When should someone get gardasil
Before they’re sexually active
Starting at 11 years old
___ cells express a capsid protein called ___
Yeast
L1
Polyomaviridae is ____ in immunocompetent people
Asymptomatic
Transmission of polyomavirus
Inhalation
Fecal/oral
Kidneys are a big site of _____ with polyoma virus
Latency
Latent infection of the kidneys =
BK
Latent infection in kidneys, B cells, monocyte lineage cells
JC
Why would polyoma get reactivated
Someone become immunocompromised
Early genes of polyoma virus
T (transformation) antigens