RNA Viruses Flashcards

1
Q

why is the next supervirus expected to be an RNA virus?

A

because they have high mutation rates that cause antiviral resistance and barrier to vaccines

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2
Q

what are some common features of RNA viruses

A

RNA is genetic material and template for protein synthesis, dual purpose of replication to copy genome and make mRNA

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3
Q

what is the difference between transcription and replication in RNA viruses?

A

transcription is mRNA synthesis, replication is RNA genome synthesis

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4
Q

what are the types of genomes and what do they mean?

A

dsRNA, + ssRNA and -ssRNA
positive strand is the sense strand and the same as mRNA
negative strand is the nonsense strand and the mRNA template

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5
Q

what is the extra step of + ssRNA replication and why does it occur?

A

a negative strand (template strand) must be made to amplify the genome and mRNA

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6
Q

what is RDRP and whose genome does it come from?

A

it is a RNA dependant RNA polymerase that comes from the viral genome (humans cannot perform this function)

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7
Q

where in the cell does RDRP act and why?

A

in the cytoplasm on cell membranes to concentrate components and increase efficiency

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8
Q

why are there more mutations in RNA viruses compared to DNA viruses and how does this change the intracellular environment?

A

RDRP does not proofread so there is a high error rate. this means a single cell has a mixture of wild types and mutants

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9
Q

what is recombination in viruses and what is the product?

A

similar to human recombination with large segment exchange, creates hybrid viruses that may have new features

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10
Q

what is reassortment in respect to RNA viruses?

A

segmented RNA viruses can mix their segments when infected with multiple strains. leads to new variants

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11
Q

what is a quasispecies?

A

a “sort of species” with a large amount of diversity among each type of virus

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12
Q

what type of genome does Poliovirus have?

A

+ ssRNA

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13
Q

what does poliovirus infect and how does it spread?

A

infects GI tract first and may spread to muscles and neurons by acquiring mutations

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14
Q

what is the reservoir and transmission of poliovirus?

A

persists in water and infects humans by fecal-oral rout

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15
Q

do all people who contract poliovirus have infection of motor neurons?

A

95% of people only have GI symptoms. Neurons involved with 1% of the 5% of people who have disseminated diesase

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16
Q

when does RNA synthesis switch from mRNA synthesis to genome synthesis in Poliovirus?

A

when capsid proteins accumulate

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17
Q

why is there little collision between RDRP and ribosomes in Poliovirus?

A

because translation happens first (RDRP scarce) and then - RNA synthesis occurs later

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18
Q

what type of vaccine is there for poliovirus?

A

live attenuated vaccine or killed virus

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19
Q

how does poliovirus enter the cell?

A

it interacts with multiple receptors on the cell surface and is endoxytosed. The virion is uncoated in the endosome and injects the genetic material into the cytoplasm by becoming hydrophobic

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20
Q

how and when is Poliovirus translated?

A

Translation occurs before RDRP makes the negative sense strand by ribosomes. The polyprotein is then cleaved.

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21
Q

what is the main clinical presentation of rotavirus?

A

profuse diarrhea, dehydration and maladsorption. peak incidence in winter

22
Q

what is the classification of rotavirus?

A

reovirus, dsRNA, segmented, naked icosahedron

23
Q

what is the classification of influenza?

A

orthomyxovirus - ssRNA, segmented, enveloped helical

24
Q

what is the classification of HIV?

A

retrovirus +ssRNA 2 copies, enveloped icosahedron

25
Q

is RDRP included in the rotavirus packaged in the virion?

A

yes, it is a -ssRNA virus

26
Q

Where does transcription and translation occur in rotavirus?

A

transcription occurs within the loosened capsid and translation occurs in the cytoplasm

27
Q

after assembly in the virus, what is the progression of rotavirus out of the cell?

A

virions bud into the rough ER and are either exocytosed by vesicles or lyse the cell during egress

28
Q

what event happens to rotavirus after it exits the cell?

A

virions mature in the gut lumen

29
Q

what is the treatment for rotavirus?

A

oral rehydration (make sure they are not contaminated)

30
Q

is there a vaccine for rotavirus?

A

yes, a live attenuated vaccine

31
Q

what are the symptoms of uncomplicated infuenza?

A

upper/lower respiratory tract involvement, muscle aches, fever, headaches and weakness

32
Q

what are some complications that can be caused by influenza?

A

primary viral or secondary bacterial pneumonia (or mixture) or rhabdomyelitis (muscle breakdown)

33
Q

where does transcription and replication of influenza occur?

A

inside the nucleus

34
Q

how does influenza egress from the cell?

A

it buds off and is cleaved from surface receptors by neuraminidase to release into respiratory droplets

35
Q

describe the genome of influenza

A

-ssRNA genome that is segmented into 8 portions

36
Q

what are the two types of influenza vaccines?

A

fluzone (trivalent inactivated vaccine with two A subtypes and one B subtype) and flumist (live attenuated vaccine that is a mist)

37
Q

describe antigenic shift and antigenic drift as it refers to influenza

A

antigenic shift refers to segment mis-sorting while antigenic drift refers to random mutations

38
Q

what are three reasons that death rates due to HIV infection decreasing?

A

better treatments, hope for treatment to succeed and motivation for early diagnosis

39
Q

what are the stages of HIV disease?

A

exposure, acute (primary) infection, seroconversion, latent period, early symptomatic infection, AIDS, and advanced HIV infection

40
Q

what are the classifications of AIDS and advanced HIV infection?

A

AIDS- CD4 count<50 cells

41
Q

what is HIV’s host range and tropism?

A

humans

CD4 cells and macrophages

42
Q

what are the two mediators of HIV disease?

A

chronic immune activation and depletion of T cells and macrophages

43
Q

if a patient comes in presenting with esophageal candidiasis, what virus would you also test for?

A

HIV

44
Q

what is the first thing that HIV does when the virion fuses with the plasma membrane of a cell and uncoats?

A

Viral reverse transcriptase turns the + ssRNA into dsDNA in the cytoplasm. This is integrated into the host genome

45
Q

what is the RNA product of HIV’s integrated DNA used for and how is it transcribed?

A

it is both the mRNA for translation and the viral genomes that will be packaged. It is transcribed with host RNA pol 2

46
Q

how does HIV egress from the cell?

A

viral proteins and 2 copies of the genome bud from the cell.

47
Q

what happens to the HIV virion once it leaves the cell?

A

capsid proteins are cleaved to form the final shape

48
Q

why does HIV lie latent in the cell for a long time before replication?

A

when the T cell begins to divide, it supplies the virus with the necessary building blocks

49
Q

how is HIV diagnosed?

A

serologic tests for antibodies, nucleic acid assay for viral load (molecular diagnostics) and CD4 T cell count

50
Q

what are 4 ways to prevent HIV?

A

risk avoidance, community awareness, public health measures and chemoprophylaxis (antivirals0

51
Q

what is the treatment for HIV?

A

combination of at least 3 drugs (avoid resistance)

52
Q

what are 5 goals of HIV treatment?

A

suppress viral load, restore immune function, prevent transmission, prevent drug resistance and improve quality of life