Microbio Week 11 - Coronavirus (Exam 3) Flashcards
Which viruses are the only +ssRNA virus with a helical capsid?
Coronaviruses
Describe coronaviruses
+ssRNA
Helical
Enveloped
What can coronaviruses do that is unlike other RNA viruses?
Proofread when copying their RNA
Lower mutation rate
Can coronaviruses change by antigenic drift?
Yes
What do coronaviruses use to make changes in their genome?
Recombination
T/F: Hand sanitizer does NOT work on coronaviruses
FALSE, hand sanitizer works on coronaviruses since it is an enveloped virus
What coronaviruses cause the common cold?
HCoV
What does HCoV stand for?
Human coronavirus
Are HCoV infections local or generalized? What is the incubation time?
Local infection; short incubation time of 2-4 days
What virus is 1st in causing the common cold? What virus is 2nd?
1st = rhinovirus
2nd = HCoV
T/F: Immunity to HCoV is not entirely protective (wanes after time) and reinfection is common.
True
T/F: HCoV has seasonality in the summer months
FALSE, HCoV has seasonality in the winter months
What does SARS-CoV stand for?
Severe acute respiratory syndrome coronavirus
There were almost no asymptomatic infections in which coronavirus?
SARS-CoV
The fatality rate was higher in which patients infected with SARS-CoV?
Older patients
How did SARS-CoV emerge?
Palm civet was infected with bat CoV in China
Why was the spread of SARS-CoV infection rapid and hard to control?
Super-spreaders
People able to infect a large number of people due to high virus loads and aerosolization of the virus
Super-spreaders
When were SARS-CoV and MERS-CoV better controlled?
Better diagnosis
Isolation of patient + their contacts
T/F: Asymptomatic or pre-symptomatic people did not spread SARS, which helped control its spread.
True
Which coronavirus has had multiple introductions to humans from camels, and infects some people every year in the Middle East?
MERS-CoV
What does MERS-CoV stand for?
Middle East respiratory syndrome coronavirus
T/F: Unlike SARS-CoV, MERS-CoV has mild and asymptomatic infections.
True
What does MERS-CoV infections cause?
Acute respiratory distress syndrome (ARDS)
Renal disease
How is MERS-CoV spread?
Respiratory
Hospital settings + household contact with infected people (most common)
T/F: Like SARS-CoV, there are super-spreaders that facilitate faster spread of MERS-CoV
True
The CFR for MERS-CoV is ______
high
What does SARS-CoV-2 resemble?
A bat coronavirus
What is the intermediate host for SARS-CoV-2?
Unknown
T/F: Unlike MERS-CoV, SARS-CoV-2 has sustained community spread
True
T/F: Unlike SARS-CoV, SARS-CoV-2 can spread from asymptomatic people before people show symptoms, making control of the outbreak much harder
True
Are there super-spreaders in SARS-CoV-2?
Yes!
This is true for SARS-CoV and MERS-CoV as well
In SARS-CoV-2, the CFR is ________ the older the infected and with the existence of
comorbidities. If hospitals are overrun, then CFR tends to go _________
higher; higher
What is the incubation time for SARS-CoV-2?
2-5 days, up to 12
Is SARS-CoV-2 systemic or local?
Both
T/F: Many people with post-COVID syndrome have lingering symptoms. For some, the symptoms get much better with time, while others seem to have symptoms lasting years
True
How many antivirals are used to treat SARS-CoV-2?
3
What else, besides antivirals, can be used to treat SARS-CoV-2?
Monoclonal ABs
What is Paxlovid used for?
Non-hospitalized SARS-CoV-2 infections
What is Remdesivir used for?
Mild to severe SARS-CoV-2 infections
Paxlovid is a combination pill with how many components?
2
What are the 2 components in Paxlovid?
Protease inhibitor + component that keeps the level of inhibitor more steady
What does the protease inhibitor in Paxlovid work against?
The main protease of SARS-CoV-2
What 2 ways is Remdesivir given to patients?
IV injection
In a nucleotide inhibitor of SARS-CoV-2’s RNA-dependent RNA polymerase
Which SARS-CoV-2 antiviral is given early to prevent hospitalization or upon hospitalization?
Remdesivir
How are monoclonal antibodies given to patients?
IV injection
Do monoclonal antibodies work on the current SARS-CoV-2 variants?
NO
How many SARS-CoV-2 vaccines are available in the US?
3
(2 mRNA vaccines, 1 subunit vaccine)
What do the mRNA vaccines for SARS-CoV-2 encode?
Spike protein
Receptor-binding protein on the viral surface of SARS-CoV-2
Spike protein
What happens when the SARS-CoV-2 mRNA enters a cell?
Spike protein is made
What is the RNA encoded inside of in mRNA SARS-CoV-2 vaccines?
Lipid or nanoparticle
What can some lipids and the RNA itself act as in mRNA SARS-CoV-2 vaccines?
Act as an adjuvant
The mRNA SARS-CoV-2 vaccines give what response with 2 doses?
Neutralizing AB response
Is a regular booster needed with the mRNA SARS-CoV-2 vaccines?
Yes
T/F: It is recommended that people get the vaccine even if they have previously had SARS-
CoV-2 because It will boost their neutralizing antibodies/help protect against the changing
strain of SARS-CoV-2
True
What is the newest SARS-CoV-2 vaccine?
A subunit vaccine from Novoxax
What does the subunit SARS-CoV-2 vaccine contain in addition to the spike protein?
An adjuvant
What is the only SARS-CoV-2 variant detected in the world right now?
Omicron
T/F: However, subvariants of omicron occur fairly regularly, supplanting the old omicron subvariants
True