Rhinoviruses: The common cold Flashcards

1) know relationship between genome structure, its replication strategy, and cytopathic effects on the host cell 2) Differentiate viruses that cause common-cold symptoms based on replication strategies 3) Know symptoms 4) Know why there isn't a rhinovirus vaccine

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1
Q

Classify rhinoviruses

A

Picornaviridae family:

1) Non-enveloped
2) + strand RNA
3) acid labile (i.e. cannot survive in low pH)

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2
Q

What is the significance of being non-enveloped?

A

1) It can persist for long periods of time on surfaces

2) Relatively resistant to desiccation

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3
Q

What 3 receptors are used to serotype rhinoviruses?

A

1) ICAM-1
2) LDL
3) Sialoprotein receptors

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4
Q

What does it mean for rhinoviruse to be +RNA stranded?

A

Upon entering the cell, the RNA can immediately be translated into viral polyproteins

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5
Q

What do rhinovirus viral proteases bind to and inactivate within the cell?

A

“cap-binding complex” that is required for translation initiation of host mRNA’s

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6
Q

How are viral proteins selectively translated?

A

5’ end of the RNA has a region called IRES, allowing it to bind inactivated host ribosomes and still be translated .

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7
Q

What contributes to the disease symptoms of the virus?

A

Inflammatory responses, NOT direct viral damage

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8
Q

Summarize the VF’s of rhinoviruses:

A

1) Viral protease + 5’ IRES allows selective viral translation
2) Over 100 serotypes = no complete immunity to it
3) Non-enveloped capsid = can last on materials in environment for a long time

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9
Q

How long does the virus incubate before symptoms present?

A

12-72 hours

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10
Q

If systemic symptoms such as fever and malaise present, what should you think?

A

Alternative diagnosis other than rhinovirus

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11
Q

Do you see pharyngitis with rhinovirus?

A

No. You should not see erythematous or exudative lesions with rhinovirus.

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12
Q

When do rhinovirus infections appear most often?

A

Fall and spring.

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13
Q

How is rhinovirus transmitted?

Which receptor is involved?

A

1) aerosolized droplets (coughing)
2) Fomites (contaminated surfaces)
3) Hand-to-hand contact

**ICAM-1 is involved in the virus getting into the cell

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14
Q

If you see conjunctivitis and nasal polyps in a person with cold symptoms, what should you think?

A

Adenovirus infection

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15
Q

Why can’t a vaccine be made for rhinovirus?

A

Too many serotypes

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16
Q

How should you treat a common cold?

A

1) Reassurance that they don’t need antibiotics
2) Comfortable surroundings and proper humidity
3) Nasal saline for congested infants
4) Decongestants (unless under 6; don’t use too frequently)
5) Proper sanitation measures