Parvo Virus, PaPoVa Virus, and Adenovirus Flashcards
these three are considered DNA viruses
- Parvo
- PaPoVa
- Adeno
what does PaPoVa mean
- Papilloma
- Polyoma
- Vacuolating
characteristics of Parvo virus
- single stranded
- naked
- icosahedral
- linear
T or F:
Parvo virus is the only single stranded DNA virus
true
characteristics of PaPoVa virus
- double stranded
- naked
- icosahedral
- circular
characteristics of Adenovirus
- double stranded
- naked
- icosahedral
- linear
this is what makes the PaPoVa virus and Adenovirus different
main difference
shape - PaPoVa is circular; Adeno is linear
who discovered the Parvo virus?
Yvonne Cossart
in the 1970s
this is a Latin word from which Parvo virus originated from; it means small
parvum
this is the smallest animal virus
Parvo virus
this is the only known human parvo virus
Parvo virus B-19
Parvo Virus
steps in the viral replication of Parvo virus
- virion attaches to a host cell
- virion penetrates cell and its DNA is uncoated
- once uncoated, mRNA undergoes early transcription and translation - enzymes are synthesized
- late transcription - DNA is replicated
- late translation - capsid porteins are synthesized
- virions mature
- virions are released (in the circulation for viral multiplication and infection)
it is the causative agent of fifth disease
Parvo virus
other term for Fifth disease
erythema infectiosum
characteristics of the Fifth disease
- slapped cheeks
- blotchy rashes
cells affected in erythema infectiosum
endothelial cells
this is when the blood picture exhibit normocytic and normochromic but the RBC precursors develops sickle cell anemia or undergo sickling and hemolytic anemia or the RBCs start to hemolyze
the RBC does not reach its 120 days life span
caused by Fifth disease
aplastic crisis
it is a complication of the Fifth disease: hemolytic disease of newborns
hydrops fetalis
this is fatal and can lead to miscarriage (during first trimester)
T or F:
in Fifth disease, 50% of childbearing age are susceptible
true
mode of transmission of Fifth disease
- respiratory route (close contact)
- blood products
- factor VIII and IX concentrates
- transplacental/vertical transmission (from mother to baby)
Parvovirus Pathogenesis
where does Parvo virus enter
respiratory tract
Parvovirus Pathogenesis
2 kinds of replication that can occur
local and viral replication
Parvovirus Pathogenesis
if the virus takes the local replication route and enters the blood, what does it result to
- rash
- arthralgia (muscle pain)
it may also undergo viral replication in the upper respiratory tract
this is manifested by cough, difficulty in breathing, cold, and fever
Parvovirus Pathogenesis
what happens if the virus takes the viral replication route in the erythroid precursor cells in the bone marrow
it may go to either a normal host or an immunocompromised host
the lifespan of RBCs is also decreased
Parvovirus Pathogenesis
what happens if the virus affects a normal host
it would result to slight drop on the hemoglobin level or slight anemia
does not need any intervention
Parvovirus Pathogenesis
what happens if the virus affects an immunocompromised host
a host with chronic hemolytic anemia
it would lead to a life threathening aplastic crisis
it would affect the internal organs or result to chronic anemia
Clinical Picture of Parvo Virus
the start of erythema infectiosum - aplastic crisis may coincide with this symptom on the 8th day
malaise
body weakness
Clinical Picture of Parvo Virus
during this day, there are no signs and symptoms
0th-6th day
Clinical Picture of Parvo Virus
this is the days when the symptoms start to show
2nd-4th day
Clinical Picture of Parvo Virus
this is the day when the increase of virus in the blood starts (viremia)
6th day
Clinical Picture of Parvo Virus
this is when the viremia starts to drop down
10th-12th day
Clinical Picture of Parvo Virus
this is after antigen initiation, where antibodies will now increase and plateau
16th day
describe the rashes on Fifth disease patients
blotchy or raised red rash
diagnostic tests done for Parvo virus
- serologic and DNA tests
- presence of IgM
- PCR or viral DNA from blood sample and amniotic fluid (for fetus)
this is first defined for PaPoVa viruses
transcriptional enhancers
this is a virus that uses host cell DNA polymerase to replicate genome
PaPoVa virus
viruses under PaPoVa
- HPV - human papilloma virus
- Polyoma
- JCV
- BKV
this is a double stranded DNA, icosahedral, naked virus that has 72 capsomers and 2 capsid proteins, 1 major L1 gene and 1 minor L2 gene
Papilloma virus
this virus undergoes tropism for squamous epithelial cells
Papilloma virus
manifestation of Papilloma virus
warts
on the fingers, sole, face, and other parts of the body
Papilloma virus
term for common warts
verrucae vulgaris
Papilloma virus
term for plantar warts
verrucae plantaris
Papilloma virus
term for flat warts
verrucae planta
it is an important virus in the new era of cancer causing diseases
Papilloma virus
cervical cancer is most commonly caused by what type of human papilloma virus
HPV 16 and 18
this is the most common type of cervical cancer
squamous cell cancer of the cervix
other types of cancer under papilloma virus
- vulvar cancer
- penile cancer
these are ano-genital warts
condylomata acuminata
most common HPV that causes warts in the genitals and anus
HPV 6 and 11
mode of transmission of HPV
- direct contact
- sexual contact - for genital warts
site of latency
epithelial tissue
HPV types and disorders
this type of HPV causes plantar and common warts
HPV-1, -2, -4
HPV types and disorders
this type of HPV causes skin cancer
HPV-5 and -8
HPV types and disorders
this type of HPV causes genital warts and respiratory papilloma
HPV-6 and -11
HPV types and disorders
this type of HPV causes common warts
HPV-7
HPV types and disorders
this type of HPV causes anogenital malignancies
HPV-16, -18, -31, -33, -35, -45, -56
how are warts removed
electrocautery
diagnosis for HPV
- serology
- PCR - DNA
- biopsy
treatment for HPV
- surgery
- laser / electrocautery
- cryosurgery
- topical ointments (Podophyllin and Idoxuridine)
topical ointments are no longer common, electrocautery is most common
characteristics of Polyoma virus
- double stranded
- naked
- icosahedral
- virus
who isolated Murine polyomavirus in 1953
from leukemia in mice
Ludwig Gross
why is it name polyoma virus
caused solid tumors at multiple sites
viruses under Polyoma
- BK virus
- JC virus
this virus is isolated by Gardner et al from urine of patient after a kidney transplant
BK virus
BK virus is most common in what patients
immunosuppresed kidney transplant patients
what disease does BK virus cause
renal disease
in children, what disease does BK virus cause
mild respiratory disease
this virus is isolated by Padget et al in 1971 from the brain tissue
JC virus
what does the JC virus affect
central nervous system, specifically the brain
what disease does JC virus cause
progressive multifocal leukoencephalopathy
it is a rare disease involving plaques of demyelination or inflammation in the CNS
oligodendrocytes from these lesions are infected with JC virus
progressive multifocal leukoencephalopathy (PML)
Polyoma Virus Pathogenesis
manner of transmission
inhalation; inoculation into the respiratory tract
Polyoma Virus Pathogenesis
what happens when JCV or BKV affects an immunocompetent individual
the virus will be latent indefinitely in the kidney
the virus will just reside in the kidney and will not affect it
Polyoma Virus Pathogenesis
what happens when JCV or BKV affects an immunodeficient patient
there is a reactivation - it allows the virus to multiply
Polyoma Virus Pathogenesis
during reactivation in an immunodeficient patient, where does BKV mutiply
urinary tract
Polyoma Virus Pathogenesis
what disease does BKV cause
hemorrhagic cystitis
Polyoma Virus Pathogenesis
during reactivation in an immunodeficient patient, what does JCV affect
CNS
this is a virus that is ubiquitous in humans and not have been associated to disease
SV-40 virus - vacuolating virus
where does SV-40 virus reside
in the brain
associated with rare encephalopathy in immunocompromised indivs
it is isolated by Sweet and Hilleman in the 1960 in primary monkey kidney cell cultures being used to grow the Sabin OPV vaccine
SV-40 virus / vacuolating virus
the name of this virus originated from the Greek word ‘adenas’
Adenovirus
what does the Greek word ‘adenas’ mean
gland
this is the site from which the virus was initially isolated
this virus has fibers protruding from capsid which facilitate binding on to the host
Adenovirus
all human Adenoviruses share a common group-specific antigen called
Hexon
this is a cross-reactive protein
Adenoviruses were first isolated from what tissues
adenoid tissues
how many distinct antigen types have been isolated from humans and animals for Adenovirus
at least 49 types
Adenovirus causes latent infection in what areas
tonsils and adenoids
outbreak for Adenovirus usually occur here
military recruitment camps
Adenovirus Pathogenesis
how does Adenovirus spread
- direct contact
- respiratory droplets
- fecal oral
Adenovirus Pathogenesis
adenovirus infect and replicate in the epithelial cells of what areas?
- pharynx
- conjunctiva
- urinary bladder
- small intestine
Adenovirus Pathogenesis
T or F: adenovirus does not spread beyond the regional lymph nodes
true - unless host is immunocompromised
this virus has a tendency to become latent in lymphoid tissue but can be reactivated by immunosuppresion
Adenovirus
it is the #1 cause of viral conjunctivitis
adenovirus
serotype of adenovirus that causes acute respiratory disease (ARD)
serotypes 3, 4, 7, 21
serotype of adenovirus that causes epidemic keratoconjunctivitis
serotypes 8 and 19
serotype of adenovirus that causes hemorrhagic cystitis
serotypes 11 and 21
serotype of adenovirus that causes infantile gasteroenteritis
serotypes 40 and 41
laboratory diagnosis for adenovirus
direct detection methods
- virus particle by electromicroscopy - direct examination of fecal extracts
- adenovrial antigens by ELISA
- adenoviral NA by PCR
- cell culture
characteristic of adenovirus in cell culture
grape like cytopathic effect
media used for cell culture of adenovirus
- HEK
- PMKC
- Hep-2
- KB
- HeLa
Isolation
virus may be recovered from where
- throat
- conjunctival swabs
- urine
T or F:
isolation is much more difficult compared to the stool or rectal swabs
but is still possible
true