tumorviruses Flashcards
what are the two models by which viruses could cause cancer?
1: provirus model: genes enter the cell at the time of infection carried by the tumor virus
2: oncogene model: genes for malignancy are already present in all cells of the body - tumor viruses can activate
what is the difference between cellular oncogenes and viral oncogenes?
cellular oncogenes have introns and exons whereas viral oncogenes don’t
what do human papillomaviruses cause?
papillomas
benign tumors of squamous cells
can develop to carcinoma
describe the DNA structure of papillomaviruses
double-stranded circular DNA
what type of virion structure do papilloma viruses have?
icosahedral nuclocapsid
are papillomaviruses enveloped?
nonenveloped
which genes in papillomaviruses are implicated in carcinogenesis? by what mechanism?
two of the early genes: E6 and E7
encode proteins that inactivate genes encoded by tumor suppressor genes (esp. p53 and RB) - interfere with the stability of these proteins
how many types of HPV are there? which ones infect which tissues?
over 100 types
HPV 1-4: skin warts
HPV-6 and HPV-11: genital warts, respiratory tract papillomas, especially laryngeal, in young children
HPV-16: E6 and E7 proteins bind more strongly to p53 and RB proteins than other types of HPV => more carcinogenic
also oral cancers
HPV-16 and HPV-18: intraepithelial neoplasia
about 30 types infect genital tract
in what kinds of cells does HPV replicate?
in terminally differentiated squamous cells
initially infects cells of basal layer of skin, but no virus produced in those cells
how does HPV DNA become malignant?
it’s incorporated into host cell DNA in vicinity of cellular proto-oncogenes
E6 and E7 are overexpressed
E6 can bind to the p53 protein and inactivate it
where is HPV DNA in latently infected cells?
episomally located
E6 and E7 are not overexpressed
why are E6 and E7 not overexpressed in the latent form of HPV?
another early gene, E2, controls E6 and E7 expression
E2 only functional when DNA is episomal
E2 inactivated when viral DNA is integrated, so now E6 and E7 can be overexpressed
how is HPV transmitted?
by skin-to-skin contact and by genital contact
can HPV be transmitted to neonates? if so, what would be the symptoms of neonatal HPV?
yes, during childbirth
causes warts in mouth and in respiratory tract, especially on larynx
what are koilocytes and what viral infection are they the hallmark of?
cytoplasmic vacuole that’s characteristic of infection by HPV
what type of immune reaction is induced by HPV? what is the result of this reaction?
both cell-mediated immunity and antibody
spontaneous regression of warts
what would be the clinical presentation of HPV infection?
most commonly, papillomas of various organs depending on the virus type
carcinoma of uterine cervix, penis and anus
intraepithelial neoplasia
what is intraepithelial neoplasia and what viruses cause it? how would you detect it?
HPV-16 and HPV-18
premalignant lesions on cervix (CIN) or penis (PIN)
detect by applying acetic acid to tissue
how would you diagnose HPV? (laboratory diagnosis)
usually diagnosed clinically - presence of koilocytes in lesions
PCR to detect DNA of 14 high-risk genotypes
how is HPV treated?
podophyllin for genital warts
alpha interferon also, and help prevent recurrences
liquid nitrogen for skin warts
plantar warts removed surgically or treated with salicyclic acid
cidofovir for severe infections
what are the vaccines for HPV? what types of vaccines are they?
1: Gardasil - recombinant vaccine against 4 types of HPV - has capsid proteins from types 6, 11, 16, and 18
2: cervarix - recombinant vaccine - proteins from 16 and 18 plus adjuvant AS04 that stimulates toll-like receptors and thereby enhances antibody production
how would you prevent HPV transmission?
vaccines
c-section uncertain in effectiveness
circumcision reduces risk of infection
steps of replicative cycle of hepatitis B
1: virion enters cell
2: uncoating
3: virion DNA polymerase synthesizes missing portion of DNA (remember that hep B has double-stranded circular DNA with two notches/gaps)
4: DNA serves as template for mRNA synthesis by cellular RNA polymerase
5: full-length positive-strand transcript made = template for minus-strand of progeny DNA
6: minus strand then template for plus-strand of genome DNA
catalyzed by reverse transcriptase
RNA-dependent DNA synthesis
some of progeny DNA integrates into host cell genome
where does replication of hep B DNA occur?
within the newly assembled virion core in the cytoplasm