Respiratory Pathogens: Example 1 - influenza A Flashcards

1
Q

what are 3 features of Influenza A virus itself

A
  • enveloped
  • spherical
  • 90-100nm diameter
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2
Q

what are the different types of influenza named based on?

A

named based on their spike proteins

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3
Q

what are the 2 spike proteins found on influenza A

A

haemagglutinin (HA) + neuraminidase (NA)

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4
Q

what does positive and negative sense mean in genetics

A

the sense means the direction in which the transcription is read

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5
Q

how many segments exist in the genome on influenza A and how many proteins do these segments enode for?

A
  • genome has 8 segments
  • these 8 segments can code for 10-14 proteins
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6
Q

what is the baltimore system

A

the way to classify viruses

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7
Q

what does monocistronic mean

A

when genome segments encode for a single protein each and are translated into peptides directly from that genome.

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8
Q

what features make genome sections in influenza A monocistronic?

A

they are monocistronic because the genome segments:

  • are single stranded
  • because of their genetic sense
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9
Q

what does PB2, PB1 and PA enzyme proteins allow for influenza A to do?

A

allows influenza A to transcribe without using the host cell’s machinery

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10
Q

outline the ** lifecycle of influenza A

A
  1. influenza A virus present near host cell
  2. Influenza A adheres to the host cell via spike proteins attachment to alveolar sialic receptors
  3. This leads to a conformational change and the virus is taken into an endosome via endocytosis
  4. Influenza A will then uncoat its own envelope and release its genetic information
  5. the viral RNA released can be copied into a complementary strand using the virus’ own polymerase enzyme, or the viral RNA can go directly to a ribosome and undergo protein synthesis and produce its own proteins
  6. these proteins will eventually make up a new virion (encapsulated virus particle) through assembly of different parts
  7. the virion matures and then can go on to infect another host cell, which is called dissemination, or it can infect another individual, which is called transmission.
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11
Q

what is the natural reservoir for Influenza A

A

birds

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12
Q

what type of virus is influenza A in terms of Spread?

A

zoonotic virus

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13
Q

how is influenza A transmitted mainly

A

inhalation

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14
Q

what are the 2 major components to symptoms caused by infection of Influenza A virus

A
  • respiratory tract symptoms
  • systemic symptoms
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15
Q

what are 3 examples of respiratory tract symptoms caused by Influenza A infection

A
  • rhinitis (sneezing, itchy nose, runny nose, congestion)
  • cough
  • shortness of breath
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16
Q

what are 3 examples of systemic symptoms caused by influenza A infection

A
  • fever
  • headahcer
  • myalgia
17
Q

what cytokine released by alveolar macrophages causes increased body temperature?

18
Q

what cytokine released by alveolar macrophages cause headaches and general myalgia?

19
Q

what cytokine released by alveolar macrophages causes the liver to release acute phase proteins?

20
Q

what is a pneumotropic virus (influenza A)

A

a virus that infects cells lining the respiratory tract, down to the alveoli

21
Q

what is a cytolytic infection (influenza A)

A

when the infection strips the surface respiratory epithelium

22
Q

what 2 innate defence mechanisms does influenza A remove by stripping surface respiratory epithelium

A
  • mucous secreting cells
  • cilia
23
Q

what are interferons in defence to?

A

antiviral defence

24
Q

what 3 ways are interferons antivirals?

A

infected cells give off interferons to signal to the neighbouring cells to:
- switch them off and make them dormant and not undergo protein synthesis
- schedule programmed cell death (apoptosis)
- cause neighbouring cells to produce more interleukins

25
what is the main complication of **influenza A** infection and what are the 2 types
**main complication:** Pneumonia **two types:** - **primary influenza** pneumonia - **secondary bacterial** pneumonia
26
what type of infiltration occurs in **primary influenza pneumonia** vs **secondary bacterial pneumonia?**
**primary influenza pneumonia:** - alveolar **lymphocyte/mononuclear cell** infiltration **secondary bacterial pneumonia:** - alveolar **macrophage/polymorphonuclear cell** inflitration
27
what is a **cytokine storm**
a cytokine storm is when there is an excess of uncontrolled inflammatory cytokine signals being produced
28
what 3 things can cytokine storm lead to
lead to: - excessive inflammation elsewhere in the body - healthy tissue being damaged and scarred all over the body - **sepsis**
29
what is antigenic drift
series of spontaneous point mutations occuring over long periods of time
30
what are the 2 mechanisms that give rise to antigen variation?
- antigenic drift - antigenic shift
31
what do the small variations associated with antigenic drift cause
causes the seasonal flu epidemics
32
what is antigenic shift
sudden dramatic change resuling in a new subtype of pathogen
33
what is one situation where antigenic shift can occur?
co-infection of host cell with two different viruses which causes reassortment of viral RNA strands resulting in a new subtype consisting of a mixture of RNA strands from each virus
34
what 2 ways we prevent **influenza A**
- infection monitoring - vaccination
35
what are the **3** types of vaccination
- inactivated - recombinant - live attenuated
36
what are **4** ways to treat **influenza A**
- oxygen therapy - anti-viral drugs - antibiotics - Intensive Treatment unit (ITU/**intensive care**) support