Viral Evasion of the Host Immune Response Flashcards

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1
Q

What is a key difference between internal virus proteins and surface antigens?

A

Internal viral proteins vary less

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2
Q

Describe the process of presentation of viral peptides on MHC Class I.

A
Viral peptides chopped up by proteasome  
Peptides transported through TAP protein into the endoplasmic reticulum  
Here, they're loaded onto MHC class I + move to cell surface where T cells can recognise the antigen
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3
Q

State 3 viruses (and the proteins involved) that evade antigen loading onto TAP.

A

EBV – EBNA1: can’t be chopped up by the proteasome
HSV – ICP47: blocks access of the peptides to the TAP protein
CMV – US6: blocks ATP binding to TAP preventing translocation

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4
Q

State 2 viruses (and the proteins involved) that modulate tapasin function and prevent MHC transport.

A

Tapasin is involved in loading MHC molecules
Adenovirus E3-19K: prevents recruitment of TAP to tapasin + retains MHC in the ER
CMV – US3: binds to tapasin + prevents loading of peptides onto MHC

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5
Q

State 1 virus (and the protein involved) that interferes with MHC presentation at the cell surface.

A

KSHV (Kaposi Sarcoma Herpes Virus) – kK3
Induces polyubiquitination + internalisation of MHC
MHC is then passed to lysosomes + degraded

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6
Q

What do NK cells recognise on the cell surface that triggers killing of cells? What is the consequence of this?

A

Missing self: lack of MHC on the cell membrane is not healthy
Viruses that disrupt MHC presentation get killed

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7
Q

How do viruses evade this mechanism of NK-mediated killing infected cells?

A

Encode MHC analogues: virally encoded MHC is useless but fools NK cells
Upregulate MHC

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8
Q

What 4 features aid HIV in resisting neutralisation?

A

Large space between spikes prevents antibody cross linking
Extensive glycosylation masks antibody epitopes
Functionally important sites are difficult to access
Huge variation in the redundant AAs visible to B cell receptor + antibodies

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9
Q

What is antigenic drift? Give an example of a virus that exhibits this process

A

Continued rapid evolution driven by antigenic pressure from the host
Influenza

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10
Q

What is antigenic shift? Give an example of a virus that exhibits this process

A

Introduction of new subtypes of the virus from an animal source
Thus antigens don’t look like anything that humans have seen before
Influenza

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11
Q

How else can viruses cause regular infections without changing their antigen profile?

A

Can have several genetically stable serotypes that co-circulate
E.g. rhinovirus has > 120 antigenically distinct serotypes

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12
Q

How many serotypes of poliovirus are there and what type of vaccine was produced for polio?

A

3: trivalent vaccine

1 of the serotypes has been eradicated now

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13
Q

What are 4 features of dengue haemorrhagic fever (DHF)?

A
Leakage of plasma from capillaries leads to: 
Increased red cell count  
Decrease in protein  
Tendency to severe bruising + bleeding
Shock
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14
Q

What is the treatment for DHF?

A

IV fluids

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15
Q

How many serotypes of dengue are there?

A

4

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16
Q

Explain the significance of the presence of multiple serotypes of dengue with regards to the pathogenesis of DHF.

A

Infection with 1 serotype will cause antibody production
Antibody generated against this serotype will bind to but NOT neutralise infection with another dengue serotype
Can lead to ANTIGEN DEPENDENT ENHANCEMENT (ADE) causing Dengue Haemorrhagic Fever

17
Q

What can viruses do to glycoprotein antigens to hinder antibody access to the antigens?

A

Heavily glycosylate the antigens

18
Q

Why did the measles vaccine have a much larger effect on childhood mortality than expected?

A

Measles can infect memory lymphocytes + erase immunological memory
So a measles virus infection can result in a 2-3 year decrease in immunological memory that leads to morbidity + mortality from other diseases

19
Q

How does HPV counter the innate and cellular immune responses?

A

Has proteins which inhibit cGAS pathway + proteins preventing MHC class I presentation

20
Q

Why do current vaccines become redundant against rapidly changing viruses such as influenza? What could be altered?

A

They target the head of HA spikes, which the virus can easily change
Aim to target stalk of spike which varies less