Module 4 - Virology Flashcards

1
Q

What is a virus?

A

A structure that has evolved to transfer nucleic
acid (genetic element) from one cell to another.
Genetic element that cannot replicate independently of a living (host) cell.
Outside a living cell a virus is an inert macromolecule
Viruses are very small:
*20 to 350nm (mimivirus ~ 700 nm)
*Only poxviruses and mimiviruses are visible
(just!) by light microscopy
*Bacteria >1um
*Pandora virus (~1um)

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2
Q

What are the characteristics of a virus?

A

Intracellular parasite
– Cannot replicate outside living cell
– Large inert macromolecules

Possess only one kind of nucleic acid
– DNA or RNA - not both

Limited amount of genetic material
– 3 genes in simple viruses
– 200 genes in complex virus
– (bacteria >500 genes)

Viruses - not enough genetic information to code for energy production of high potential;

do not possess ribosomes;

do not grow from the integrated sum of their constituents – they replicate;

Viral nucleic acid and viral protein synthesis occur separately - come together during maturation.

RNA viruses are only organisms to use RNA as genetic material;

Lipid and carbohydrate are acquired from the host cell (not coded for by viral genome)

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3
Q

What is the composition of a virus?

A

All viruses contain a nucleic acid genome (RNA or DNA)
and protein
Protein usually coded for by viral genome
– (some protein acquired from host during replication)
Structural proteins – part of the virus particle (virion).
– cell attachment and penetration
– Virus assembly and release
– Protection of nucleic acid and (replication enzymes in some viruses)
Non-structural proteins – most not found in virion
– replication (polymerases, helicases)
– virus assembly and release (proteases)

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4
Q

What is the nucleocapsid?

A

The viral genome is surrounded by a protein shell (Capsid) composed of many subunits of one or more structural proteins (capsomers)
The capsid together with the genome form the nucleocapsid.
Capsomers are arranged either in icosahedral or helical symmetry.

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5
Q

What are icosahedral viruses/nucleocapsid?

A

– the capsomers are arranged to form equilateral
triangular faces
– may appear spherical

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6
Q

What are helical nucleocapsids?

A

Helical symmetry - capsomers are arranged in helical pattern around a central core
Helical nucleocapsids tend to be rod-shaped rather then
spherical.
Helical Nucleocapsids – flexible virion structure
– can be spherical, pleomorphic (eg influenza virus), filamentous

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7
Q

What are naked and enveloped viruses?

A

Viruses composed only of nucleic acid and
protein are called naked viruses
- Naked Viruses often very stable in the environment
- nucleic acid “encased” in protein eg. FMDV

Viruses that acquire an outer layer of membrane
from the host during replication are called
enveloped viruses
– Enveloped virus generally more fragile
* more susceptible to inactivation
– because of lipid content eg. HIV

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8
Q

Explain the structure of an enveloped virus.

A

Enveloped viruses may have icosahedral or helical
nucleocapsid
– all helical viruses of animals are enveloped
– naked helical viruses only found amongst plant and
bacterial viruses

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9
Q

List some examples of enveloped viruses with helical nucleocaspids.

A

Orthomyxoviruses (eg. influenza)
Paramyxoviruses (eg. measles, mumps, Hendra)
Filoviruses (eg. Marburg, Ebola)

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10
Q

List some examples of enveloped viruses with icosahedral nucleocaspids.

A

-Togaviruses
-Ross River
-Rubella
-Flaviviruses
-dengue
-yellow fever
-Herpesviruses
-Herpes simplex
-chicken pox

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11
Q

What type of shapes can enveloped viruses take on.

A

Spherical/Icosahedral, bullet, Bacilform/rod-shaped, Pleomorphic.

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12
Q

What are complex viruses?

A

Neither helical nor icosahedral
Large viruses with complex structure
– Poxviruses

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13
Q

What are the characteristics of the complex virus, T- even Bacteriophage?

A
  • Icosahedral head
  • Contractile tail/sheath
  • Base plate
  • Tail fibres/legs!
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14
Q

What is a mimivirus?

A

A giant DNA virus (i.e. “girus”) infecting species of the genus Acanthamoeba, was first identified in 2003. With a particle size of 0.7microm in diameter, and a genome size
of 1.2Mb encoding more than 900 proteins, it is the most
complex virus described to date.

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15
Q

What is the structure of viruses determined by?

A

Size and coding capacity of the genome:
- Genome has to fit into nucleocapsid
- Number of structural proteins available
- Most economic nucleocapsid symmetry

Functional requirements also important:
- Protection of genome from environment
- Mode of cell attachment and entry
- Mode of replication
- Mode of virion assembly and release

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16
Q

What is a capsid?

A

Protein shell that encloses the nucleic acid

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17
Q

What are capsomers?

A

Individual units that make up capsid

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18
Q

What is an envelope and how is acquired?

A

Lipid membrane aquired by nucleocapsid as it
buds from cells. The envelope is acquired by the virus as it matures and buds through the cell membrane

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19
Q

What is a virion?

A

The VIRION is the complete infective virus particle.

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20
Q

What are the major differences between bacteria and viruses?

A

Visibility: Viruses are not usually visible by light microscopy, whereas bacteria are visible.
Growth/Replication: Viruses replicate within host cells, while bacteria grow independently.
Genetic Material: Viruses do not code for energy production; bacteria have genetic material that codes for energy production.
DNA/RNA Content: Viruses contain either DNA or RNA, while bacteria contain both.
Replication: Viruses cannot replicate outside a living cell; bacteria usually can.
Ribosomes: Viruses do not have ribosomes; bacteria contain ribosomes for protein synthesis.

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21
Q

What are the mechanisms of virus attachment to host cells?

A

Brownian Motion: Allows random collisions of viruses with cell receptors.

Virus Attachment Sites:
- Enveloped viruses use spikes/peplomers.
- Naked viruses attach anywhere on the virus surface (capsid).

Cell Receptors: Surface molecules on the host cell, e.g., CD4 and CCR5 for HIV.

Attachment Mechanism:
- Involves physical complementarity between the virus and the receptor.
- Specific interaction leads to host and tissue specificity, meaning most viruses can only infect certain cell types.

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22
Q

How do viruses penetrate host cells?

A

Viruses penetrate host cells through several mechanisms:

  1. Endocytosis: The virus is engulfed into a cytoplasmic vacuole.
  2. Membrane Fusion (for enveloped viruses): The viral envelope fuses with the host’s cytoplasmic membrane, allowing only the nucleocapsid to enter the cell.
  3. Direct Entry (for some naked viruses): The virus shell (capsid) undergoes molecular rearrangement, enabling either the whole virus or just the viral genome to enter the host cell.
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23
Q

What are the two primary mechanisms for the entry of naked viruses into host cells?

A

Naked viruses can enter host cells through:

Direct Entry: The nucleocapsid undergoes molecular rearrangement, allowing the viral genome to directly enter the cell.
Exosomes: Naked viruses are excreted from infected cells in exosomes and subsequently enter new cells within membrane-bound particles.

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24
Q

What occurs during the initiation of viral replication?

A

The initiation of viral replication begins with uncoating, which allows the viral genome to be released into the cytoplasm, often spontaneously or facilitated by host cell or viral enzymes. Some viruses may inhibit the host cell’s macromolecular synthesis early in replication to prevent competition, directing the cell to synthesize only viral proteins. Additionally, certain enveloped viruses rely on healthy host cells to synthesize cellular proteins and membranes necessary for their replication.

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25
Q

Where do DNA and RNA viruses replicate, and how do they utilize host cellular machinery?

A

DNA viruses typically replicate in the cell nucleus, where all necessary replicative enzymes are found (except for poxviruses). In contrast, RNA viruses generally replicate in the cytoplasm, although some, like retroviruses and influenza, have exceptions. Host RNA is not replicated during this process. RNA viruses code for their own replicative enzymes but rely on host cell ribosomes (specifically polyribosomes) to translate these enzymes from mRNA. Importantly, many enzymes required for viral replication are not coded by the virus itself, necessitating the use of host cell enzymes.

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26
Q

) Briefly describe the replication strategy of :
a) A positive strand RNA virus
b) A negative strand RNA viruses
Give two examples of each

A

a) Positive Strand RNA Virus Replication Strategy
Positive strand RNA viruses, such as Dengue virus and Hepatitis C virus, have their genomic RNA that can function directly as mRNA. Upon entering the host cell, the viral RNA is translated by host ribosomes to produce viral proteins. The viral RNA-dependent RNA polymerase synthesizes a complementary negative strand RNA, which then serves as a template to produce more positive strand RNA genomes for new virions. The new virions assemble and bud off from the host cell, taking a portion of the host membrane as their envelope.

b) Negative Strand RNA Virus Replication Strategy
Negative strand RNA viruses, such as Respiratory Syncytial Virus (RSV) and Influenza virus, require the viral RNA polymerase to transcribe their genomic RNA into positive strand mRNA upon entry into the host cell. The negative strand RNA serves as a template for synthesizing complementary positive strand RNA, which can then be translated into viral proteins. After translation and the replication of genomic RNA, the new negative strand RNA genomes are assembled into new virions, which then bud off from the host cell membrane.

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27
Q

How do viruses mature and release from host cells?

A

After viral nucleic acid and protein synthesis, assembly occurs.

Simple viruses often undergo self-assembly.

More complex viruses may require multiple assembly stages.

Naked viruses accumulate in the host cell:
- Burst open for sudden and complete release of progeny viruses.
- May also be secreted gradually in exosomes.

Enveloped viruses bud through the cell membrane for gradual release.

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28
Q

What are the key targets for antiviral agents and how do viruses utilize host cell machinery?

A

Viral Utilization of Host Machinery:
- Protein Synthesis: Viruses rely on the host’s translation system and enzymes for protein processing.
- DNA Replication: For DNA viruses, they utilize cellular enzymes.
- Energy Requirements: Viruses depend on cellular energy to drive synthesis and enzyme reactions.

Challenges in Antiviral Treatment:
- Interfering with viral replication can also harm host cells.
- Antiviral agents typically target viral-specific enzymes or nucleic acids to minimize toxicity to host cells.

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29
Q

What is Acyclovir, how does it work, and why is it not toxic to host cells?

A

Acyclovir is a nucleoside analogue used to treat Herpes simplex virus (HSV) through topical, oral, or IV administration. It functions by incorporating into viral DNA, terminating viral replication. It is not toxic to host cells because it is only activated by a viral enzyme present in infected cells.

30
Q

What are the types of viral disease syndromes?

A

Fever
Rash/Lesion
Hepatitis
Haemorrhagic fever
Gastroenteritis
Respiratory Disease
Disease of CNS
Oncogenic Disease
Immunodeficiency

31
Q

What Causes Symptoms in Viral Infections?

A
  1. Damage to cells due to virus replication:
    - Cell death by rupture during virus release (necrosis).
    - Apoptosis: cell commits suicide in response to infection.
    - Infected cells lose function (e.g., cytokine production).
    - Transformation of infected cells by the virus (tumors).
  2. Damage due to the host response:
    - Immunopathology: antibodies and immune cells destroy infected cells, causing tissue damage.
    - Fever: elevated temperature stimulates the immune response and inhibits virus replication (most viruses are temperature sensitive).
    - Inflammation: symptoms arise from immune cells infiltrating the infection area (swelling, rash, pneumonia, etc.).
32
Q

What host factor related to age affects viral pathogenesis?

A

Viral infections may vary in severity across different age groups.
COVID-19, measles, chickenpox, and dengue are relatively mild in children.
COVID-19, West Nile virus, and influenza are usually more severe in the elderly.

33
Q

How does host factor related to genetics influence viral pathogenesis, specifically in relation to HIV?

A

HIV targets CD4 and CCR5 receptors.
Individuals with two copies of a mutant CCR5 have reduced susceptibility to HIV-1.
However, those with CCR5 mutation may be more susceptible to West Nile disease.

34
Q

What the host factor metabolic state can affect susceptibility to viral infections?

A

Generalized malnutrition or Vitamin A deficiency increases susceptibility and severity of viral infections, e.g., measles.
Pregnancy can alter susceptibility to certain viruses due to hormonal changes.

35
Q

What are the effects of host factors altered immune responses on viral pathogenesis?

A

Altered immune responses can be:
- Impaired:
- Genetically determined (e.g., agammaglobulinemia).
- Acquired through infections (e.g., HIV).
- Iatrogenically acquired (e.g., after transplant).
- Enhanced:
- Can lead to autoimmunity, increasing susceptibility to
- viral infections.

36
Q

What are the routes of entry for viruses?

A

Skin
Respiratory Tract
Gastrointestinal Tract
Genitourinary Tract
Conjunctiva

37
Q

How do viruses penetrate the skin?

A

Mechanical Trauma:
- Caused by injury or abrasions (e.g., HPV, HIV, HSV, HBV, poxvirus).
Injection:
- Direct injection into the bloodstream (e.g., HBV, HIV).

Insect Bites:
- Bite from infected mosquitoes (arboviruses) can introduce the virus.

Animal Bites:
- Bite from an infected animal (e.g., rabies).

Post-penetration:
- Viruses typically do not multiply locally; instead, they are transported through the bloodstream or migrate along nerves to reach other parts of the body.

38
Q

How do viruses penetrate the genitourinary tract?

A

Mechanism of Entry:
- Tears or abrasions in the mucosal lining allow viral entry.

Common Sexually Transmitted Viruses:
- HIV
- Herpes Simplex Virus (mostly HSV II)
- Papillomaviruses (causing genital warts)
- Hepatitis B Virus

Host Defence Factors:
- The nature of cervical mucus
- pH of vaginal secretions
- Chemical composition of urine

39
Q

How do viruses penetrate the respiratory tract?

A

Major Route of Invasion:
- For local respiratory infections:
- Viruses: SARS-CoV-2, influenza, respiratory syncytial virus (RSV), rhinoviruses.
- For viruses causing asymptomatic initial infection followed by generalized spread:
- Viruses: Measles, mumps, chickenpox.

Transmission:
- Usually occurs by droplet infection in aerosols.

40
Q

How do viruses penetrate the gastrointestinal tract?

A

Entry via GI Tract:
- Local Infection:
- Viruses: Rotavirus, Norovirus, Adenovirus.
- Invasion of Host:
- Viruses: Poliovirus, Hepatitis A.
- Occurs due to invasion of tissues underlying the mucosal layer.

Virus Survival Depends On:
- Acid stability.
- Resistance to bile salts.
- Inactivation by proteolytic enzymes (in some cases, this is a requirement).

Notable Characteristics:
- Most gastrointestinal viruses are non-enveloped.

41
Q

What is the formula for calculating the Basic Reproduction Number (R0)?

A

The formula is R0 = AttackRate × Contacts.

42
Q

What are the key points regarding the localization and spread of viral infections?

A

Many viruses multiply in epithelial cells at the site of entry.

They produce a spreading infection and are then shed directly to the exterior.

Examples of infections:
- Respiratory infections: SARS-CoV-2, influenza, rhinoviruses, RSV
- Gastrointestinal infections: Rotaviruses
- Dermatologic infections: Papillomaviruses

Polarized infection of epithelial cells can define the subsequent spread:
- Targeting of viral budding to apical or basal surfaces of polarized cells.
- Invasion of deeper tissues occurs in some viruses, like herpes simplex virus.

Viral glycoproteins may carry signals for targeting during spread.

43
Q

What are the different types of viral infections?

A

Acute Infections:
- Rapid development of symptoms.
- Usually results in complete recovery or death.
- Examples: Yellow fever, flu, colds.

Chronic or Persistent Infections:
- Long, slow infections (e.g., HIV, HCV).
- May have insidious onset (no symptoms initially).
- Symptoms may be present most of the time.
- Sometimes lead to continued symptoms for life or complete recovery.

Recurrent or Latent Infections:
- Re-occurrence of symptoms from a virus that has been latently present.
- Example: Herpes simplex virus.

44
Q

What is the structure of plant viruses?

A

Symmetry:
- Icosahedral or helical symmetry.
- Most are naked; only a few are enveloped.

Genomes:
- Most plant viruses have positive strand RNA genomes.
- Smaller genomes facilitate cell-to-cell spread in plants.
- Some plant viruses have DNA genomes:
- Double-stranded DNA (dsDNA) circular genomes.
- Single-stranded DNA (ssDNA) circular genomes.

45
Q

What are multipartite plant viruses?

A

Some plant viruses are multipartite, meaning:
- They have segmented genomes with different genomic sections in different virus particles.

Example:
- Genomes contain all genomic segments in a single virus particle (e.g., influenza virus).

46
Q

What is the Tobacco Mosaic Virus (TMV)?

A

Discovery: First virus discovered in the 1890s.
Type: Positive strand RNA virus.
Structure: Naked helical virus.
Hosts: Infects tobacco and tomato plants.
Symptoms:
- Causes a mottled appearance on leaves.
- Leads to localized leaf lesions.

47
Q

What is the structure of plant viruses?

A

Symmetry:
- Icosahedral or helical symmetry.
- Most are naked; only a few are enveloped.

Genomes:
- Most plant viruses have positive strand RNA genomes.
- Smaller genomes facilitate cell-to-cell spread in plants.
Some plant viruses have DNA genomes:
- Double-stranded DNA (dsDNA) circular genomes.
- Single-stranded DNA (ssDNA) circular genomes.

48
Q

What are multipartite plant viruses?

A

Some plant viruses are multipartite, meaning:
They have segmented genomes with different genomic sections in different virus particles.

Example:
Genomes contain all genomic segments in a single virus particle (e.g., influenza virus).

49
Q

How do viruses spread systemically and from cell to cell in plants?

A

After introduction by a vector:
- Systemic infection occurs via the phloem.

Bypassing cell wall barriers:
- Viruses must overcome rigid cell wall barriers to spread between cells.
- Thin trans-wall channels connect plant cells:
- Plasmodesmata facilitate intercellular communication.

Role of movement proteins:
- Plant viruses code for movement proteins that aid in the movement of viruses through plasmodesmata.

50
Q

How are plant viruses classified and named?

A

Virus Families:
- Many virus families include both plant and animal viruses (e.g., Rhabdoviridae, Reoviridae, Bunyaviridae).
- Some families include only plant viruses (e.g., Tobamoviridae, Gemini-viridae, Potyviridae).

Naming Conventions:
- Most plant viruses are named after the disease symptoms they cause in the host, such as:
- Banana bunchy top virus
- Broad bean wilt virus
- Barley yellow dwarf virus
- Tobacco mosaic virus

51
Q

What are the characteristics and structure of bacterial viruses (bacteriophages)?

A

Known as: Bacteriophage or phage.

Structure:
- Most phages are naked, consisting of only protein and nucleic acid.
- Genomes are mostly dsDNA; some can be ssDNA, ssRNA, or dsRNA.
- They exhibit simple structures, either icosahedral or helical, or can be complex.

52
Q

What are the characteristics of complex phages (e.g., T4 phage)?

A

Complexity: Most complex and largest of bacteriophages.

Structure:
- Icosahedral head containing the viral genome.
- Collar or neck connecting the head and tail.
- Sheath/tail structure that is helical.
- Base plate (endplate) at the tail end.
- Tail pins and fibers for attachment to host cells.

Genome:
- Large dsDNA genome, which can be either linear or circular.

53
Q

How do phages attach to bacterial cells?

A

Mechanism:
- Brownian motion of phage particles leads to random collisions, resulting in occasional attachment.
- Complex phages attach via tail fibers/base plate.
- Simple phages attach via capsid.

Attachment Methods:
- Directly to the cell wall of the bacteria.
- Via the sex pili of the bacterial cell.

54
Q

Briefly describe the lytic and lysogenic cycles of bacteriophage.

A

Lytic Cycle:
1. Attachment: The bacteriophage attaches to the host bacterium.
2. Injection: The phage injects its viral DNA into the host cell.
3. Replication: The viral DNA replicates independently within the host.
4. Assembly: Coat proteins are synthesized, and new phage particles are assembled.
5. Lysis: The host cell lyses (breaks apart), releasing new phage particles to infect other cells.

Lysogenic Cycle:
1. Attachment: The bacteriophage attaches and injects its DNA into the host.
2. Integration: The viral DNA integrates into the host’s DNA, forming a prophage.
3. Cell Division: The lysogenized cell divides, replicating the prophage along with its own DNA.
4. Induction: Under certain conditions (e.g., stress), the prophage may be induced to exit the host DNA and enter the lytic cycle.

55
Q

What is the significance of prophage gene expression in temperate phages, and how does it affect bacterial virulence?

A

Prophage genes can be expressed in host bacteria.

Phage repressor protein:
- Prevents the phage from entering the lytic cycle (virulent replication).
- Provides immunity to the infected cell against further phage infections.

Expression of prophage genes can enhance bacterial virulence:
- Enables bacteria to produce toxins.

Medically significant examples:
- Diphtheria: Toxin produced by bacteria with prophage genes.
- Botulism: Linked to toxins from bacteria carrying specific prophage genes.
- Scarlet Fever: Caused by infections where bacteriophages contribute to toxin production.

56
Q

Compare bacteria and phage.

A

Restriction Endonucleases:
- Many bacteria possess restriction enzymes that serve as a defense mechanism against foreign DNA, such as that from bacteriophages.
- These enzymes cut up phage DNA upon entry into the bacterial cell, preventing viral replication.

Modification of Host DNA:
The bacterial host’s own DNA is chemically modified to be resistant to these restriction enzymes, ensuring the bacteria can protect its genetic material while eliminating the invading phage DNA.

Bacteriophage T4:
T4 phage employs a novel strategy to survive the bacterial defenses, which may involve modifying its own DNA or using other tactics to evade the restriction systems.

57
Q

How are plant viruses and phages used in biotechnology?

A

Plant Viruses:
- Expression of Foreign Genes:
- Plant viruses can be engineered to express foreign proteins in infected plant tissues.
- Applications:
- Insecticides: Development of plants with enhanced
resistance to pests.
- Immunogenic Proteins: Production of edible vaccines
that elicit immune responses in humans or animals.

Phage Display:
- Overview:
- Phage display technology involves engineering bacteriophages to present foreign proteins on their surfaces.
- Applications:
- This technique serves as a useful expression vector for various proteins, facilitating:
- The production of synthetic antibodies, which can be utilized in research, diagnostics, and therapeutics.

58
Q

How are phages used as a tool in health and hygiene?

A
  1. Phage Typing of Bacterial Pathogens:
    - Definition: A method used to classify bacterial pathogens based on their susceptibility to different bacteriophages.
    - Significance: This technique is highly host-specific and helps identify and differentiate between bacterial strains.
  2. Use as Antibacterial Agents:
    Potential Applications: Bacteriophages may serve as antibacterial agents to target and eliminate specific bacterial infections without harming beneficial bacteria.
  3. Use as Preservatives:
    - FDA Approval:
    - Bacteriophages have been approved as a food additive.
    - Application: They can be sprayed on the surface of
    processed meat and poultry products to effectively kill
    Listeria bacteria.
59
Q

What are the uses of phages in medical antimicrobials, compare the advantages and disadvantages?

A

Advantages:
- Specificity: Phages specifically target harmful bacteria without affecting humans or beneficial bacteria, minimizing side effects like diarrhea.
- Intelligent Drug: Phages replicate at the infection site, multiplying until the bacterial target is eliminated.
- Evolution: Phages evolve and are naturally abundant, making it easy to find new phages for therapeutic use.
- Effectiveness Against Resistant Bacteria: They are effective against bacteria that have developed resistance to antibiotics.
- Genetic Modification: Phages can be genetically engineered to overcome some of their inherent limitations.

Disadvantages:
- Lack of Research: Few internationally recognized studies validate the efficacy of phages in human applications.
- Specificity Issues: The specific targeting of phages can be problematic when the exact species of the infecting bacteria is unknown.
- Resistance Development: Bacteria can develop resistance to phages.
- Size Limitations: Phages are relatively large, which can hinder access to certain sites in the body (e.g., inside cells or cysts).
- Immune Response: Intravenous administration of phages may trigger antibody production against the phages, limiting their use.
- Gene Transfer Risk: Phages have the potential to transfer toxin genes between bacteria.
- Administration Difficulty: Phages can be more challenging to administer than conventional antibiotics.

60
Q

What is a vaccine, and what are its key characteristics?

A

A vaccine is a preparation derived from a pathogen.
When administered to the host, it does not cause disease but induces protective immunity against the pathogen.
The vaccine primes the adaptive immune response to the antigens of the pathogen.
A first infection after vaccination induces a secondary immune response.
Ideal vaccines should be:
- Effective
- Safe
- Stable
- Low cost

61
Q

What are the different types of vaccines?

A

Live Attenuated Vaccines:
- Description: Contain live viruses that have been weakened so they cannot cause disease.
- Production: Produced by culturing the virus in an unusual environment or through genetic engineering to reduce virulence.
- Examples: Measles, mumps, polio (Sabin), yellow fever.

Killed (Inactivated) Whole Virus Vaccines:
- Description: Consist of viruses that have been killed or inactivated so they can’t replicate.
- Production: Produced by using heat or chemicals to kill the virus.
- Examples: Polio (Salk), Japanese encephalitis virus, rabies vaccine.

Killed (Inactivated) Sub-unit Virus Vaccines:
- Description: Contain only parts (subunits) of the virus, such as proteins or sugars, rather than the whole virus.
- Production: Produced by purifying the specific proteins or sugars from the virus.
- Example: Split vaccine for influenza.

Recombinant Vaccines:
- Subunit Vaccines:
- Description: Contain only specific pieces of the virus (subunits).
- Production: Produced by inserting viral genes into yeast or bacteria, which then produce the viral proteins.
- Example: Hepatitis B vaccine.
- Live, Recombinant (Chimeric) Vaccines:
- Description: Combine genes from a virus that causes disease with genes from a harmless virus to create a new, harmless virus.
- Examples: DEN, JEV, and WNV.

DNA Vaccines:
- Description: Contain plasmid DNA that encodes antigens from the virus.
- Production: Produced by inserting the gene for a viral antigen into a plasmid and then delivering it into the host.
- Example: West Nile Virus (WNV).

62
Q

What are the different types of viral vaccines – briefly describe each type, how they are
produced and give examples?

A

Definition: Naked DNA vaccines consist of plasmid DNA that encodes specific proteins from a pathogen, usually a virus.

How They Work:
Once administered, the plasmid DNA enters host cells, where it is transcribed and translated into the pathogen’s protein.
The immune system recognizes this protein as foreign, triggering an immune response.
This response prepares the immune system to recognize and combat the actual pathogen if encountered in the future.

Properties:
- Stability: Naked DNA is relatively stable and does not require refrigeration.
- Safety: Because they do not use live pathogens, they cannot cause disease.
- Efficiency: They can induce both humoral (antibody-mediated) and cell-mediated immune responses.
- Adaptability: Easily modified to encode different antigens from various pathogens, enabling rapid responses to emerging diseases.

63
Q

What are adjuvants, and what are some examples used in vaccines?

A

Definition: Adjuvants enhance the magnitude, breadth, and durability of the immune response to vaccines.
Examples:
- Alum Salts: Licensed in 1920; used in vaccines for hepatitis B, diphtheria, tetanus, and pertussis.
- MF59: An oil-in-water emulsion; licensed in 1990 for Fluad (for older adults).
- Adjuvant System (AS): Developed by GSK to improve immune response.
- CpG 1018: Used in Heplisav-B vaccine, mimicking bacterial DNA to stimulate a strong immune response.

64
Q

Describe direct and indirect fluorescent assays.

A

Direct fluorescent assays involve the use of fluorescently labeled antibodies that bind directly to specific antigens on the pathogen. This method allows for the visualization of the pathogen in patient samples through fluorescence microscopy, providing a rapid and specific diagnosis.

Indirect fluorescent assays use a two-step process. First, an unlabeled primary antibody binds to the target antigen. Then, a fluorescently labeled secondary antibody, which binds to the primary antibody, is applied. This amplifies the signal and allows for the detection of the target antigen, making it a highly sensitive diagnostic tool.

65
Q

What does the presence of influenza-specific IgM indicate in a patient’s sera?

A

The presence of influenza-specific IgM antibodies in a patient’s serum indicates a current or recent infection. IgM is the first antibody produced by the immune system in response to a new infection and typically appears 3-5 days post-exposure.

66
Q

What does the presence of both IgM and IgG indicate in patient sera?

A

The presence of both IgM and IgG antibodies suggests that the patient is likely experiencing a secondary infection or has had a previous exposure to the influenza virus. IgG antibodies indicate past infection or immunity, while IgM indicates the ongoing immune response to a current infection.

67
Q

What factors influence the choice of test for viral diagnosis?

A

The specific virus suspected.
The type of sample available (blood, saliva, etc.).
The required specificity and sensitivity of the test.

68
Q

What types of laboratory tests are available?

A

Virus Isolation:
Description: Considered the gold standard diagnostic test for many viruses. Involves infecting cells with patient samples collected early during the acute phase of infection.
Methodology:
- The presence of antibodies in the serum can interfere with isolation.
- Virus growth is monitored by observing changes in cellular morphology and cytopathic effects.
- Isolates can be further characterized through additional testing.

Nucleic Acid Detection:
Description: Utilizes PCR-based techniques to detect and amplify viral RNA or DNA.
Methodology:
- Reverse Transcription (RT) is used for RNA viruses, allowing the detection of viral genetic material.
- Enables testing for multiple agents in a single assay (multiplex).
- Provides rapid results with high sensitivity and specificity.

Serological Tests:
Description: Detects pathogen-specific antibodies in patient sera.
Types:
- IgM Testing: Indicates a recent or current infection, as IgM is typically the first antibody to appear 3-5 days post-exposure.
- IgG Testing: Indicates past infection or a secondary immune response; IgG antibodies appear approximately 7 days after infection.
Methodology: Commonly performed using ELISA (Enzyme-Linked Immunosorbent Assay) techniques to quantify antibodies.

Immunofluorescence Assays:
Description: Methods used to detect viral antigens in infected tissues or cells.
Types:
- Direct Immunofluorescence: A fluorescently labeled antibody binds directly to viral antigens.
- Indirect Immunofluorescence: Involves an unlabeled primary antibody followed by a fluorescently labeled secondary antibody.
Applications: Useful for rapid diagnosis of viral infections and requires a fluorescence microscope for visualization.

Antigen Detection:
Description: Measures secreted viral proteins as surrogate markers of infection.
Advantages:
- Fast and easy to perform with reproducible results.
- Can be quantitative, allowing for the assessment of viral load.

Point-of-Care Diagnostics:
Description: Rapid tests performed at the point of care (e.g., doctor’s office).
Characteristics:
- Minimal sample processing required (can use whole blood).
- Results can be read visually, usually within 15-20 minutes.
- Qualitative results indicating positive or negative samples.

69
Q

Why use laboratory diagnostic tests?

A

Laboratory diagnostic tests are essential for:
- Providing conclusive results quickly (hours to days).
- Facilitating effective patient management (e.g., timely antiviral treatment).
- Ensuring high specificity and sensitivity to minimize false results.

70
Q

How are tests performed?

A

Tests are performed through:
- Sample Collection: Blood, saliva, or other bodily fluids.
- Processing: Depending on the type of test, samples may be cultured, analyzed for viral nucleic acids, or tested for specific antibodies using various assays.
- Result Interpretation: Analyzing the presence of viral particles, antibodies, or other biomarkers to make a diagnosis.