Viral Infections Flashcards

1
Q

8% of our genome is made up of viral fragments and is adapted into human DNA.

A

True

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2
Q

Viruses adapt to live permanently within their host within a parasitic relationship.

A

True

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3
Q

Which came first, viruses or cells?

A

No one knows!

But cells are there to support the lives of the viruses.

Viruses existed in a pre-cellular world and played a key role in generating complex life via gene transfer (plasmid sequences between cells)

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4
Q

Describe Schmallenberg Virus

(“narrow mountain”)

A

Unlikely to cause disease in humans

  • An animal disease which causes birth defects and miscarriages in livestock (sheep, goats, cattle)
  • First emerged in 2011 (Germany, Netherlands)

  • Symptoms in adult cattle include reduced milk yield and diarrhoea
  • Causes late abortions and birth deformities in newborn sheep, goats and cattle.
  • The virus is spread by midges, and has crossed the Channel from the continent.
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5
Q

SARS COV 2

A

ZOONOTIC - passed from animals to humans and vice versa.

Mutations create a change in the viral genome and changes the proteins to make it bind to ACE2 receptors (all over the body but primarily in the resp system).

Previously bound to bat receptors and mutated to be able to bind to human receptors.

Degree of severity depends on the number of ACE receptors.

Closely related to SARS COV (75-80%)

Emerged as a mutation.

Human to human transmission.

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6
Q

What is a virus?

A

Virus means POSION or TOXIN

It is a SMALL infectious agent (25-300nm) and cannot be seen under a regular microscope. Can see under an electron microscope.

A bacteria is larger (0.2-2um)

CANNOT grow outside of a host cell (is classed therefore as intracellular)

It can “survive” in the environment (eg on a door handle).

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7
Q

Shapes are characteristic of different types of virus.

A

See slide with pics on

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8
Q

What are the essential components of a virion?

A

Essential components of the virion:

¨Nucleic Acid – DNA or RNA, single or double stranded, one piece or several fragments (a segmented genome), linear or circular, of greatly varying size and type.

Capsid (protein) – usually made of blocks called capsomers

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9
Q

What are the OPTIONAL structures within a virus?

A

¨Envelope – usually obtained from the host cell and made of lipid. They push through the lipid bilayer and coat themselves with the plasma membrane.

Eg COVID is an envelope virus and the spike sticks out through the membrane.

Surface structures – e.g. “knobs”, apical fibres.

Enzymes – some viruses carry genes for enzymes required for their own replication e.g. HIV They carry a code to make their own virus or they carry one with them (RnA to DNA) so it can then integrate itself into the host cells. Infects t-lymphocytes and then the DNA integrates into the t-cell genome.

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10
Q

What does the protein matrix do?

Hemagglutinin binds to the host cell

LABEL the influenza virus….

A

The matrix protein allows proteins to enter the virus and allows it to release into the cytosol.

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11
Q

What does ICTV do?

A

The International Committee for the Taxonomy of Viruses (ICTV)

Classify viruses with a set of criteria:

nPrimary Criteria¨Which nucleic acid is present?¨Double or single stranded¨Presence/absence of envelopenSecondary Criteria¨Host(s) affected¨Capsid shape

Endings of taxons set as¨Order (-virales)¨Family (-viridae)nSubfamily (-virinae)nGenus (-virus)nSpecies (-virus)

See the Virusphere 2005 for genotypes

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12
Q

Name some DNA Viruses

(can integrate into genome and mutate heavily)

A

Herpes

Adeno

Papilloma

Epstein-Barr

Can be vaccinated and the vaccine does not need to be changed as the virus does not mutate.

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13
Q

Name some RNA viruses

(variety of acute serious infections)

A

¨Influenza¨Rotavirus¨Norovirus¨Coronavirus¨HIV¨Ebola¨Rabies

Difficult to come up with a vaccine as they mutate regularly.

Unusually high mutation rate.

Seasonal epidemics with flu, covid.

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14
Q

Where do viruses come from?

A

Mutation of existing viruses (RNA viruses).

Sudden spread from isolated populations (eg HIV in the 1980’s). No ability to sequence the genomes until the mid-80’s.

Spread from other animals.

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15
Q

Reservoirs of viral agents

A

Other people - most importance.

Animals - more important in other countries in comparison to the UK (east asia where they live in close proximity of livestock).

Environment - door handles, soil, oceans.

(Many bacteria are yet to be discovered int he oceans)

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16
Q

Emerging Viruses - Name their sources

A

HIV - 1980’s in San Fran

Ebola (hemorraghic fever) 1976 central Africa

West Nile Virus - 1999 North America

Schmallenberg - 2012 Germany

Influenza - 2009 Mexico and Usa from pigs (swine flu)

SARSCOV2 1029 China from Wuhan markets?

17
Q

How do viruses spread?

A

Ingestion - hand to mouth/fecal oral transmission: noro, polio, rotavirus

Inhalation - aerosol (airborne droplets) despite presenting as a skin condition; measles, mumps, rubella.

Inoculation: penetration through the skin: rabies from animal bites, St Louis encephalitis, dengue fever, Hep B via needles.

“Other” sexual activity - exchange of bodily fluids through mucous membranes: HIV

18
Q

How do viruses spread?

A

Ingestion - hand to mouth/fecal oral transmission: noro, polio, rotavirus

Inhalation - aerosol (airborne droplets) despite presenting as a skin condition; measles, mumps, rubella.

Inoculation: penetration through the skin: rabies from animal bites, St Louis encephalitis, dengue fever, Hep B via needles.

“Other”

Sexual activity - exchange of bodily fluids through mucous membranes: HIV.

Conjuctival inoculation - post cold eye infections.

19
Q

Define tropism…

A

When a virus exhibits a preference for particular cells. Often this is in the tissues near the entry point eg., gastroenteritis and resp viruses.

The receptors for the virus are present on those particular cells.

The prderred site of infection may be some distance from the entry point:

Rabies and herpes - neurones

HIV - lymphocytes

Both at entry site adn distance

SARSCOV2 ACE2 fround in kidney heart lungs intestine

20
Q

Which viruses can survive outside the body

A

ow long can Influenza survive for?

hands - 5 mins

dry paper tissue - 15 mins

in aerosols - 24 hours (which is why ventilation is important)

hard non-porous surfaces - 1-2 days

banknotes - up to 17 days

when frozen - they can live indefinitely

21
Q

How can you kill a virus?

A

Proteins begin to denature at 60 degree heat

Acid pH (below2)

Detergents will destroy the lipid envelope.

22
Q

How can we prevent viral infections?

A

Vaccination

First vaccine was against Smallpox (by Edward Jenner in 1796)

n“First” vaccine was against the viral illness SmallpoxnThe routine childhood vaccination covers a number of viral illnesses¨Measles, Mumps and Rubella in the MMR¨Polio in either the Sabin (live) or Salk (killed) vaccines¨Human Papiloma virus vaccine being introducednCertain groups are vaccinated against infections that they are at increased risk from¨Hepatitis B for Health Care Workers¨Rabies for some vets and animal workers¨Flu vaccine for the at risk groups (in detail later)nSome vaccines are recommended or required for travel¨Yellow fever

23
Q

How can treat viral infections?

A

anti-infective drugs and anti-viral agents and anti-microbial agents

However, there are very few targets on a virus that can be exploited.

(CONSIDER ebarr AND FURTHER DOWN REGULATION OF THYROID CAPABILITY)

24
Q

Viral tx…

See slide for all anti viral treatments

A

Blocking target ENTRY so the virus cannot enter.

eg amantadine can block the end protein of the virus from entering the cell.

Agents can block enzymes that replicate the genome of the virus NUCLOCIDE ANALOGUES (they look simialr to nucleotides but are different in shape so compete with the receptors) disrupt the replication. ACYCLOVIR

eg a herpes virus replicates the dna and acyclovir (which looks like guanacine) so slots into place instead and stops the replication. Low toxicity.

HIV reverse transcriptase -

zanamivir can inhibit the release of the virus from the cell by stopping neurohinamse.

nThree families of drugs available that only impact on actively replicating HIV and therefore “slow progression” rather than “cure”¨Nucleoside analogues that effect reverse transcriptase activityne.g. Lamivudine, Zidovudine¨Other reverse transcriptase inhibitorsne.g. Delaviridine, Nevirapine¨Protease inhibitorsne.g. Amprenavir, IndinavirnUsed in combinations (HAART) because of the evolution of resistance which is an increasing problemnHAART = Highly Active Anti-Retroviral

nNucleoside Analogues¨Become incorporated into the growing viral nucleic acid chain but terminates elongationnAciclovir – used against Herpes virus infectionsnGanciclovir – particularly used against CMVnRibavarin – useful against RSV and LassanLamivudine – anti-HIV

(Cytomegalovirus)

nViral Un-coating InhibitorsnAmantadine – against influenza A virusnnNeuraminidase InhibitorsnZanamivir – really prevents spread

25
Q

HIV Treatments - Anti-retroviral

A

Three families of drugs available that only impact on actively replicating HIV and therefore “slow progression” rather than “cure”¨

Nucleoside analogues that effect reverse transcriptase activityn

e.g. Lamivudine, Zidovudine¨

Other reverse transcriptase inhibitorsne.g. Delaviridine, Nevirapine¨Protease inhibitorsne.g. Amprenavir, Indinavirn

Used in combinations (HAART) because of the evolution of resistance which is an increasing problemn

HAART = Highly Active Anti-Retroviral Treatment

PrER Pre-exposure prophylaxis of antivirals for patients at high risk of infection.

Retroviral therapy for infants:

“US doctors cure child born with HIV”

26
Q

How is a viral infection diagnosed?

A

Culture methods

Immunological Methods¨Antibody detection (serology)¨

Use of antibodies to demonstrate virus (ELISA; Lateral Flow Assay LFA)

Antigen detection

Electron microscopy

Molecular methods¨PCR (polymerase chain reaction) (for DNA viruses)¨

RT-PCR (reverse transcription-PCR) (for RNA viruses)¨Largely retrospective

27
Q

Is there a link between viruses and cancer?

A

nThe importance of viruses in the development cancer is now well established, though the mechanisms are far from clearnnHuman Papilloma Virus (HPV) is linked to cervical cancer to the extent that the vaccine is now included into the vaccine schedule for 12 year old girls and boysnnEpstein-Barr Virus is linked to Burkitt’s Lymphoma and cancer of the nasopharynxnnHepatitis C Virus is linked to liver cancer.

28
Q

Viral infections of bacteria - bacteriaphage

A

nPhages are viruses that can infect bacterial cellsnOften quite specific in the bacteria that they affectnnResearch very active some decades ago then a lull until the last few yearsnPossible therapy for antibiotic resistant bacterianIssues of public acceptability.

29
Q

Example viruses for exam - describe…

A

Influenza

Coronaviruses (SARS, MERS)

MMR

Noro

Rota

HIV

Zoonotic

Polio