RNA Virus 2 Flashcards

1
Q

What are the basic characteristics of Rotavirus?

A

reovirus, dsRNA, segmented, naked icosahedron

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2
Q

What are the basic characteristics of influenza virus?

A

orthomyxovirus, (-) ssRNA, segmented, enveloped

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3
Q

What are the basic characteristics of HIV?

A

retrovirus, (+) ssRNA, 2 copies, enveloped

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4
Q

What is the presentation of rotavirus?

A

Causes severe gastroenteritis–>profuse watery diarrhea, dehydration, maladsorption

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5
Q

Who does rotavirus typically affect? When is it’s peak incidence?

A

infants, and children, though adults are ususally asymptomatic but can be affected as well

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6
Q

How many deaths are casued by rotavirus?

A

more than 600k per year, mostly in developing countries

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7
Q

Don’t forget to study the image of rotavirus life cycle

A

=-)

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8
Q

What are the key features of the rotavirus life cycle?

A

genome is segmented, one gene each
RDRP in the virion first transcribes mRNA
are viral proteins translated, new virions and genome segments are synthesized in the cytoplasm
virions assemble then bud into rough EE
Egress is via exocytosis or by cell lysis
Virions mature in gut lumen, then infect more enterocytes or are shed in profuse diarrhea

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9
Q

how is rotavirus diagnosed, treated, and prevented?

A

diagnosis: not required in most cases
treatment: oral rehydration solutions
prevented: live-attenuated vaccines

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10
Q

What are the rotavirus vaccines?

A

rotatrix and rotateq

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11
Q

What is influenza?

A

Acute respiratory illness, mainly during the winter

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12
Q

Describe the difference between complicated and uncomplicated flu virus.

A

Uncomplicated: upper and lower respiratory tract involvement, feverr headache myalgia and weakness

Complicated: pneumonia caused by influenza or bacterial pneumonia; you can have mixed viral and bacterial pneumonia; can have muscle involvement: myositis (pain) and rhabdomyelitis (muscle breakdown)

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13
Q

What are the key features of influenza virus replication

A
  1. genome is segmented, (-) ssRNA
  2. genome segments traffic into the nucleus for transcription and replication by RDRP
  3. viral proteins and genome segments accumulate at the plasma membrane
  4. virions assemble and egress by budding
  5. neuraminidase (N antigen) releases virions from sialic acid on cell surface
  6. virions shed by respiratory droplets
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14
Q

What are the major flu treatments?

A

Antiviral drugs: oseltamivir (Influenza A and B), zanamivir (influenza A and B)

amantadine and rimantadine: Influenza A only

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15
Q

Describe the Vaccines for flu.

A

Fluzone and many others, trivalent inactivated vaccine

FluMist live attentuated vaccines

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16
Q

what is a trivalent vaccine?

A

Vaccine that has 3 different flu strains in it

17
Q

Describe the trends of HIV infections and AIDS related deaths?

A

both have been slowly declining after they peaked

18
Q

What are the stages of HIV infection?

A
exposure to virus (transmission)
primary HIV infection
seroconversion
latent period
early symptomatic HIV infection
AIDS (CD4 count under 200/mm^3)
Advanced HIV infection (CD4 count under 50/ mm^3)
19
Q

What is HIV cell tropism?

A

Only humans can be infected, virus binds to CD4 and chemokine receptors on T cells and macrophages
depletion of these cells and chronic immune activation cause immunodeficiency

20
Q

What are the top 10 AIDS defining conditions?

A
  1. P. carinii pneumonia
  2. esophageal candidiasis
  3. wasting
  4. kaposi’s sarcoma
  5. diseeminated M. avium infection
  6. tuberculosis
  7. cytomegalovirus
  8. HIV-associated dementia
  9. recurrent bacterial pneumonia
  10. Toxoplasmosis
21
Q

What are the key features of the HIV life cycle?

A

after the virion fuses with the plasma membrane, the RT enzyme converts the (+) ssRNA to dsDNA

dsDNA genomes integrate into the host chromosome for life

Host RNA Pol II transcribes the mRNA from the integrated genome, serves as the genome that is packaged into new virions

viral proteins and 2 genomes but from the plasma membrane

virion maturaturation occurs outside the cell when the viral protease cleaves the capsid proteins, forming the final trapezoid shape

22
Q

How is HIV diagnosed?

A

Serologic assays for antibodies, nucleic acid assays for viral load, and CD4 T cell count

23
Q

What is HIV prevention?

A

risk avoidance, community awareness, public health measures, antivirals drugs (chemoprophylaxis)

24
Q

How is HIV treated?

A

ART (antiretroviral therapy)

must combine a bunch of drugs to avoid resistance

25
How are new formulations for HIV being handled?
reduce pills and doses to increase compliance
26
What are the types of HIV treatments?
nucleoside reverse transcriptase inhibitors non-nucleoside reverse transcriptase inhibitors protease inhibitors integrase strand transfer inhibitors CCR5 antagonists
27
What are the goals HIV treatment?
``` durable suppression of HIV viral load restoration of immune function prevention of HIV transmission prevention of drug resstance improvement of quality of life? ```
28
Is there hope for an HIV vaccine?
more is known about HIV than about any other virus; must determine what the goal of HIV vaccine would be