MATLOOB'S MODULE Flashcards
what are the factors driving viral emergence?
ecological changes
human demographics
international travel and trade
virus change and adaption
what drives virus change adaption?
a molecular change in virus-host interactions
this can be caused by genetic changes in virus (genetic drift), a virus circulating in multiple hosts or a virus adapting to multiply in a new host
what is genetic drift?
changes in the genetic structure of a virus
caused by mutations and happen during replication
what are the factors causing genetic drift?
lack of 3’-5’ proofreading capability in RNA-dependent RNA polymerase (RdRp) and reverse transcriptase
pressure from host immune system
rapid replication for many progeny; viral RNA polymerases exchange accuracy for efficiency and on average each progeny ends up with at least one point mutation
when does genetic drift occur?
all the time in the virus lifecycle
what is antigenic Drift?
a genetic drift that decreases the antigenicity of a viral protein
allows it to escape the existing antibody-mediated immunity thus problematic for host (no antibodies for it)
maintains the viral fitness (ability to infect and multiply in new cell as good as previous generation)
can increase viral fitness via epistatic mutations, if one aspect of viral fitness compromised this will improve another aspect to maintain it (I think)
examples of this = HA or NA of influenza virus or spike protein of SARS-CoV-2
how does a virus circulating in multiple hosts contribute to virus change and adaption?
generation of a new virus through antigenic Shift where genetic material exchanged between two viruses resulting in shift in antigenicity (common in viruses with segmented RNA genome e.g. pigs infected with avian and human influenza A viruses)
generation of new virus through genetic recombination where an exchange of genetic material occurs between two viruses (common in positive-sense RNA viruses e.g. bats harbouring multiple coronaviruses)
what is zoonosis in viruses?
a virus adapting to multiply in a new host
caused by point mutations in viral proteins (RBPs) and RdRp (RBP has to mutate as must be able to bind receptor in new host)
examples include avian influenza A viruses H5N1, H7N3, H7N7, H7N9
describe influenza virus?
enveloped 80-120nm diameter vision
segmented, -ssRNA genome, ~14kb
8 RNA genes segments encoding 17 proteins
what are the major proteins in influenza virus and their function?
HA - receptor binding
NA - release
M1 - virion shape
M2 - entry
NP - RNA binding
PA/PB1/PB2 - RdRp
NS1 - host antagonism
influenza virus utilises all components of the host cell during life cycle
what are the four types of influenza virus, what do they infect, and how do they transmit among their hosts?
influenza A viruses infect variety of mammal and avian hosts, awaiting bird as reservoir host
influenza B and C mainly infect humans
influenza D infects cattle and pigs
transmission via:
aerosols for humans
faecal-oral route for birds
contact for cattle
how is influenza A subtyped and which subtypes cause human infection?
based on HA and NA proteins
16 HA and 9 NA subtypes known - all found in aquatic birds (reservoir)
some found in bats
H1, H2, H3, H5, H7 and H9 subtypes can cause infection in humans
what are the drivers of emergence of influenza virus variants?
antigenic drift
antigenic shift
zoonosis
outline antigenic Drift in influenza virus?
occurs in both HA and NA genes of type A and B influenza viruses
main reason for recurring seasonal flu epidemics
main reason for the requirement of annual flu vaccination (gives you updated HA and NA antibodies which neutralises updated virus)
outline antigenic Shift in influenza viruses?
also known as genetic reassortment and only seen in type A influenza viruses
occurs when two influenza A subtypes (e.g. avian and human subtype) infect same cell in something like a pig; segmented genome means novel subtype can have combination of those segments; may lead to new HA etc which then will probably cause a pandemic
this is how the influenza pandemic was caused
what are the three properties a virus must acquire to cause a pandemic?
bear a receptor-binding protein to which there is little or no pre-existing immunity in humans
able to cause disease in humans
capable of sustained human-to-human transmission (critical)
many get one or two cause genetic drift happens all the time but third much more rare (thank fuck)
what influenza subtypes have acquired the three essential properties for pandemic formation?
H1N1, H2N2 and H3N2
have all caused pandemics in the past and are all type A
what was the 1918 Spanish flu pandemic?
originated in USA, approx 50 million deaths
caused by H1N1 subtype
two theories of origin:
- avian H1N1 virus adapted to humans through mutations
- a human H1Nx virus reasserted with avian HxN1 virus
what was the 1957 asian flu pandemic?
originated in China, approx 2 million deaths
caused by H2N2 subtype, a lineal descendant of 1918 H1N1 subtype reasserted with an avian subtype
acquired three novel genes HA, NA and PB1
what was the 1968 Hong Kong flu pandemic?
originated in Hong Kong, approx 1 million deaths
caused by H3N2 subtype which was was an H2N2 subtype reassorted with an avian subtype
acquired two novel gene segments HA and PB1
thought to be milder than 1957, possibly cause N2 antibodies remain in population
what was the 2009 swine flu pandemic?
originated in Mexico, approx 200,000 deaths
caused by H1N1 subtype, generated by two-step genetic assortment between two unrelated swine subtypes
80% deaths younger than 65 (prob cause older people were around when OG H1N1 pandemic happened)
what are the zoonotic influenza viruses?
avian influenza A viruses H5N1, H7N7, H7N9 and H9N2
swine influenza A virus H3N2
case fatality rate 30-60%!
what is avian influenza A virus H5N1?
originated in HK 1997
first time an avian influenza A virus subtype was discovered to infect humans
remains endemic in poultry and causing sporadic infections in humans (mortality rate >50%)
sparked lots of fear of an impending bird flu pandemic
what is avian influenza A virus H7N9?
originated in China 2013
a novel avian influenza A virus
generated by a two-step reassortment between H7Nx, HxN9 and H9N2 avian influenza virus
caused infections in several waves due to closing/re-opening of live bird markets
mortality rate >35%
what is coronavirus?
enveloped, 100-160nm diameter virion
linear, +ssRNA genome, ~30kb
4 structural proteins: S (pike), E, M, N
16 non-structural proteins (nsp 1-16)
what are the functions of the proteins in the coronavirus?
Spike (S) - receptor binding
E - assembly, release
M - virion shape
N - RNA binding
Nsp 1-16 (RdRp, viral protease, host antagonism)
purely cytoplasmic (all its processes occur in cytoplasm)
what are some coronavirus hosts?
people
bats
cattle
cats and dogs
pigs
rodents
what are the driving factors of the emergence of coronaviruses?
genetic recombination
zoonosis
drift (genetic & antigenic)
what are the two proposed mechanisms of coronavirus genetic recombination?
replicative
non-replicative
what is replicative genetic recombination in coronavirus?
linear RNA genome so one cell being infected by two or more coronavirus which replicate at same time and RNA polymerase can then SWITCH TEMPLATE so replicates genome from other virus
forms hybrid RNA cause two sets recombine to form progeny genome
called template switching and is common
what is non-replicative genetic recombination in coronavirus?
during replication one genome breaks into two and recombines and ligates with the other one
called breaking and joining and not common
what is SARS coronavirus?
emerged in 2003, Hanoi, man died from it
emerged through sequential recombination events between coronaviruses in bats and then jumped from bats to civet cats
approx 8000 cases 770 deaths
wasn’t very transmissible so easy to control
what is MERS coronavirus?
emerged in 2012 in man in Saudia Arabia who died
emerged through sequential recombination events in bats then from bats to camels
chilled in camels for at least 30 years before jumping to humans in 2012
approx 2,500 cases, 900 deaths, 27 countries
what is SARS coronavirus 2?
emerged Dec 2019 in China in a woman and two men
one man died, others recovered
> 85% genome identity with 2003 SARS coronavirus
emerged from recombination event between a bat coronavirus and a pangolin coronavirus
> 768 million cases and >6.9 million deaths currently
outline drift in SARS-CoV-2?
numerous mutations in the original virus
several antigenic variants (delta, omicron) (this caused by antigenic drift)
antigenic drift is prolific in this one and current covid vax is bivalent
potential to become endemic in nature
what are the three key determinants/factors of viral pathogenesis?
- epidemiological factors e.g. population status (certain populations more susceptible e.g. old cunts, people without immunity)
- host factors e.g. receptor, proteases, antiviral proteins, genetic polymorphisms (in some antiviral proteins hence why some people more susceptible than others)
- viral factors e.g. RBP, polymerase, virulence proteins (some viruses have more effective/stronger binding ones of these)
what does viral antagonism refer to?
ability of virus to subvert host innate viral defence
viral pathogenesis is multi-stage and multi-genic; what does this mean?
it involves multiple stages and multiple genes
what does infectivity mean?
ability to infect host cell
outline the infectivity of influenza virus?
HA::receptor (HA is the receptor binding protein)
influenza A virus HA exhibits receptor tropism
influenza A virus exhibits tissue tropism
what is receptor tropism in influenza A?
HA of different influenza A subtypes binds different receptors
receptor in humans is alpha-2, 6 sialic acids
receptor in avian hosts is alpha-2, 3 sialic acids
receptor in bats is MHC class II
note that humans still have all three receptors
how does influenza A exhibit tissue tropism in human hosts?
tissue tropism refers to what tissues the virus infects
alpha-2, 6 sialic acid (SA) is predominantly found in the upper respiratory tract
alpha-2, 3 sialic acid (SA) is more abundant in lower respiratory tract
and why avian flu fucks up that part of your lungs
why are pigs a mixing vessel for influenza A virus and what does this mean for the virus?
both a-2, 6 SA and a-2, 3 SA are present in upper respiratory tract of swine hosts
this means antigenic shift is easier in pig cells cause both viruses infect the same area
why is temperature important for influenza A infections?
can determine how efficient RNA polymerase (viral replication) functions
different sites of infection in different hosts are different temperatures
outline the site of infection for influenza A in avian hosts?
a-2, 3 SA is present in both respiratory tract and gastrointestinal tract
this means transmission can occur via feral oral route as well
outline the structure of influenza virus HA?
globular head connected to fibrous stem by hinge domain
within globular head is receptor binding domain which binds SA (so has to be exposed on surface)
within fibrous stem is fusion domain/peptide which is located close to hinge domain
also a stop domain buried inside envelope
all these structures are important for HA function
how do specific amino acids in the HA receptor binding domain determine receptor tropism?
HA receptor binding domain is where all the action happens like antigenic shift
certain amino acids in the RBD effect the strength of the interaction between HA and SA - which amino acids these are changes between influenza subtypes
these amino acids are especially important as most pandemic viruses had L226 amino acid (which entails strong binding to alpha-2, 6 SA)
main point is single amino acids can determine the strength of binding between RBD and receptor
(IS THIS DUE TO CLEAVAGE MOTIF)
outline influenza A membrane fusion?
HA binds receptor for entry but has to cleave (mediated by a protease) to bind and enter as this exposes fusion peptide
M2 protein creates proton channel for proteins to enter viral envelope
proton shakes shit up causing virus ribo nuclear proteins (VRNPs) (these are the gene segments) to come out of cytoplasm and uncoating takes place
gene segments go in host nucleus and start replication process
what is the HA cleavage motif in human and low-pathogenic avian influenza A subtypes?
human and low-pathogenic avian influenza A subtypes HA contain single basic amino acid at cleavage site
trypsin-like proteases localised mainly to respiratory or intestinal tract recognise this motif/sequence
localisation of trypsin-like proteases restricts virus infection locally
cleavage motif in HA is critical for influenza A pathogenesis
what is the HA cleavage motif in high-pathogenic avian influenza A subtypes like H5N1 and H7N7?
HA in high-pathogenic avian subtypes contains multiple basic amino acids at cleavage site
proteases which recognise these (such as furin) are ubiquitously present in host body which can allow systematic infection and increased pathogenicity
what is the main difference between the HA cleavage motif in human/low-pathogenic avian subtypes of influenza A and high-pathogenic avian subtypes?
only a single basic amino acid in low-pathogenic cleavage site recognised by localised trypsin-like proteases keeping infection local
multiple basic amino acids in high-pathogenic cleavage site recognised by ubiquitously-present proteases allowing systematic infection
outline replication by influenza A?
replication determined by RNA dependant RNA polymerase which is a complex made up of the proteins PA, PB1 and PB2
this controls the level of viral RNA replication and transcription
what does the E627K mutation in PB2 of the influenza A RNA pol complex do?
is critical for adaption and virulence of avian influenza to transfer to mammals as it changes PB2 structure so it can function efficiently at lower temperature in the human upper respiratory tract (33 degs)
all pandemic, seasonal and zoonotic avian influenza A (H5N1, H7N7 and H7N9) subtypes contain this mutation
H1N1 2009 pandemic virus was only one without this mutation and this prob why it wasn’t so virulent
what does the D701N mutation in PB2 of influenza A RNA pol complex do?
critical for pathogenesis in zoonotic avian influenza A subtypes
associated with increased virulence in mammals
promotes nuclear localisation of PB2 by increasing its binding to nuclear import protein importin-alpha (RNA pol has to go in nucleus for transcription and replication so this mutation makes that import in efficient as)
what are the two mutations in PB2 that are critical for zoonotic avian influenza A pathogenesis?
E627K
D701N
outline how NA effects transmissibility of influenza A?
NA is a sialidase which cleaves surface sialic acid leading to release of viral progeny
if NA is low activity there is virion aggregation on surface meaning less release and less spread
NA is high activity in pandemic viruses
outline the infectivity of coronavirus (CoV)?
spike::receptor
coronaviruses exhibit some receptor tropism
the receptor for SARS-CoV-2 is ACE2
what is ACE2?
angiotensin-converting enzyme 2
a transmembrane protease which is important in regulating blood pressure and fluid balance
processes angiotensin II into angiotensin 1-7 resulting in vasodilation
is also an interferon-stimulated gene so there is increased ACE2 expression after viral infection (that’s fucked)
ACE2 is highly conserved in mammals and exhibits no tissue tropism. It is expressed in multiple organs including lungs, heart and kidney and so SARS-CoV-2 can infect all of these
part of the reason cunts can get real severe covid
outline the structure of the CoV spike?
two parts S1 (receptor-binding domain) and S2 (membrane-binding domain)
what component of the CoV spike is responsible for most of the evolution and adaption of the virus between hosts?
S1 (receptor binding domain)
outline the evolution and adaption of the SARS-CoV-1 spike?
two critical positions in S1 RBD (479 and 487) where evolution of amino acids occurred
began as bat virus (479Arg and 487Ala) then to civet virus (479Lys and 487Ser) then to human virus (479Asn and 487Thr)
so civet was the intermediate host
basically changed strength of spike binding ACE2 in respective hosts
outline the evolution and adaption of the SARS-CoV-2 spike?
S1 RBP positions 479 and 487 changed to 493 and 501
bat virus evolved to pangolin virus which then adapted to human virus with 493Gln and 501Asn
outline the evolution and adaptation of the MERS-CoV spike (in terms of host)?
bat virus evolved to camel virus which then adapted to infect humans
outline CoV spike cleavage?
two cleavage sites in the spike - one in S1 and one in S2 (not like influenza A HA)
cleavage at these sites exposes fusion peptide and occurs by host proteases (like influenza A HA)
how has the SARS-CoV-2 spike evolved to allow for more cleavage and what does this mean for the disease it causes?
it has evolved to contain multiple basic amino acids in its motif (so motif getting bigger) at the cleavage site allowing it to be recognised by multiple proteases e.g. Furin, cathepsin etc.
since ACE2 present in multiple organs and cleavage site accessible to proteases in multiple organs it means SARS-CoV-2 can cause quite severe disease
cleavage site the same as in MERS-CoV and SARS-CoV but motif is bigger in SARS-CoV-2
what are the mutations in SARS-CoV-2 spike affecting binding affinity to ACE2?
Asn501Tyr in S1 receptor domain (Omicron)
Pro681Arg in S1 cleavage site (Delta)
fuck rewatch this