Respiratory Viruses - Middleton Flashcards

1
Q

Influenza Family, Genome & Virion….

A
Family = Orthomyxoviridae 
Genome = Segmented (-)ssRNA
Virion = Enveloped
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2
Q

Adenovirus family, Genome & Virion…

A
Family = Adenoviridae 
Genome = dsDNA
Virion = Non-enveloped
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3
Q

Rhinovirus Family, Genome & Virion…

A
Family = Picornavirus 
Genome = (+)ssRNA 
Virion = Non-enveloped
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4
Q

Which type of influenza is most common and most severe?

A

Type A

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5
Q

Which type of Influenza has an animal reservoir?

A

Type A (Birds)

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6
Q

How many segments does the Genome of Type A, B & C influenza have?

A

a=8
b=8
c=7

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7
Q

How is influenza virus identified?

A

By surface antigens HA and NA.

* 16 HA stereotypes & 9 NA stereotypes

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8
Q

What is the major determinant for Avian vs Human strains of Type A influenza?

A

HA *HA is also the major determinant for human to human transmission.

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9
Q

_____ is critical to budding with influenza?

A

NA

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10
Q

Describe the process of infection with influenza…

A
  1. Exposure to aerosolized droplets.
  2. attachment
  3. Conformational change by pH change in the endosome.
  4. Membrane fusion
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11
Q

Where does transcription take place with influenza?

A

In the nucleus

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12
Q

Incubation time, Symptoms & Recovery for influenza?

A

Incubation time = 1-4 days (Contagious 1 day before symptoms to 5 days later, Children longer)

Symptoms = Fever, malaise sore throat (Lasts 3-7 days)

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13
Q

Current strains of influenza?

A

H3N2 & H1N1

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14
Q

What are some complications of the influenza virus?

A
  • viral Pneumonia
  • Bacterial Pneumonia
  • Reyes syndrome
  • Otitis Media
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15
Q

Prevention of influenza?

A

Live attenuated vaccine
* Virus may change every year so need yearly vaccine.

Antiviral treatment

  • Amantidine, Rimantidine
  • Blocks entry, inhibits M2 activity

Zanamivir or oseltamivir (Tamiflu)
- Blocks release of button virions.

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16
Q

H5 & H7 Strains can mutate into ________ strains.

17
Q

What are the 2 highly pathogenic Avian influenza strains?

18
Q

_______ strains have multi-basic residues at HA cleavage site allowing replication throughout the body.

A

HPAI (Causes skin lesions, necrotic & Swollen combs in chickens.)

19
Q

How are Adenoviruses characterized?

A

By their serotype

20
Q

3 Key proteins for Adenovirus?

A

Fiber: cell attachment
Penton base: Cell entry
Hexon: capsid

21
Q

How does Adenovirus enter cell?

A

Via coxsackie-adenovirus receptor (CAR)

  • pH triggered capsid disassembly
  • Moves to nucleus
22
Q

What are the 3 gene expression phases of Adenovirus?

A
  1. Immediate-early: E1A portion of genome
    - 2 transcriptional regulators (cell & Virus)
    - Necessary to reach early stage
  2. Early Phase: 5 genome sections (E1B E2, E3, E4 & L1)
    - DNA replication & Post transcriptional events.
  3. Late Phase: take over cellular mRNA synthesis
23
Q

_______ gene produces proteins important to immune evasion. What does the protein do?

A

E3

  • Blocks MHC
  • Blocks TNF induced apoptosis
  • Blocks IFN-alpha & beta keeping protein translation active.
24
Q

Describe the Genome replication process of Aden virus…

A
  • initiated on either end, identical end sequences
  • Replication in 5–>3 direction, one strand displaced
  • Displaced strand circularizes to allow template copy to be made.
  • Primed by the protein pTP, usual priming strategy.
25
Adenovirus: When does DNA replication occur?
During S phase
26
Adenovirus: E1A inactivates ____ leading to ______ phase gene expression.
pRb | S phase
27
Adenovirus: E1B inactivates____ leading to ___phase and preventing apoptosis.
p53 | S phase
28
Adenovirus: Disease &Symptoms
Respiratory infections very common - Typically same symptoms as common cold, nasal congestion, inflammation cough.... Acute respiratory disease (ARD) - severe pneumonia (seen in military recruits & crowded conditions) - Vaccine available to military
29
Reservoir for Rhinovirus?
Humans only!
30
Vaccines for rhinovirus?
No! there are over 100 serotypes which makes vaccine impractical.
31
True or false. Rhino virus is a frequent cause of mud upper respiratory infections.
True!
32
Symptoms & Prevention of Rhinovirus...
``` symptoms = red nose, nasal discharge, epithelial damage Prevention = No vaccines, No antivirals ```
33
Describe the infection process of Rhinovirus; Attachment, Incubation, recovery....
- attaches to ICAM-1 or the VLDL receptor - Incubation = 1-4 days - Duration 2-3 days with detectable virus shedding - Virus shedding can take up to 3 weeks.