Viral Pathogenesis Flashcards

1
Q

Viral pathogenesis:

Stages

A

Animal → cell

entry into the host → absorption

Primary replication → penetration

Spread through the host → uncoating

Cell and tissue tropism → transcription

Host immune response → translation

Secondary replication → replication

Cell injury → assembly

Persistence → release

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2
Q

Viruses in cell culture

A

Cells / virus are grown in

Tissue culture flasks or plates

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3
Q

Viruses in cell culture:

Cytopathic Effect

A

CPE: cytopathic effect

can be seen in cell culture as:

inclusions, cytoskeletal disruption, syncytia, necrosis, apoptosis, lysis

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4
Q

Viruses in cell culture:

Inclusion bodies

A
  • Viral replication complexes in the nucleus or in the cytoplasm
  • Cells may stain intact, but form “inclusion bodies”
  • Inclusions are assembled in the nucleus or cytoplasm for synthesis of viral nucleic acids and assembly of virions
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5
Q

Viruses in cell culture:

Syncytium

A
  • Fusion of cells into a single multinucleated cells
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6
Q

Experimental systems we use to study the virus

A

diagnostic tool

obtain a pure virus culture

understand basic biological process related to pathogenesis

Develop and test antivirals and vaccines

Replace the use of live animals

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7
Q

Viral pathogenesis:

How do viruses cause disease

A

enters the host

Primary replication of the virus

Spread in the host

Fate of the virus infection

cleared, persistent, acute, benign

Transmission to another host

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8
Q

Viral Pathogenesis:

Successful infection

A
  • must have:
    • enough virus to infect
    • susceptible and permissive cells
    • Host defenses must be compromised or not effective
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9
Q

Viral pathogenesis:

Enough Virions to infect

A
  • This varies a lot with the host and the virus
    • health of host - immune compromised
    • Age of host - young or old
    • Behavior of host - outside a lot for vector-borne viruses
    • Virulence of the virus
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10
Q

Viral pathogenesis:

How does a virus survive outside the host

A
  • some don’t, they go from host to host
  • Others stay in body fluids or fecal-oral
  • Some are able to survive in the environment
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11
Q

Virus must enter the host

A
  • Something needs to compromise the barrier for the virus to infect
  • Virus get through the skin or mucosal membranes
    • The skin is a good barrier - can be punctured by bite, puncture
    • Eye - conjunctiva can get infected - host defense can be blinking
    • Alimentary tract - abrasions during digestion
    • Urogenital tract - abrasions can allow the virus to enter
    • Mucosal membranes are easy to infect
      • Respiratory Tract - does have host defenses such as mucus, cilia, macrophages
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12
Q

Virus must enter the host:

Skin

A
  • Normally a good barrier unless it is compromised
  • Good barrier due to:
    • low pH (5.5)
    • other microorganisms
    • Also desiccates the virus
  • Poxviruses:
    • mouse, cow, rabbit infect through breaks in the skin
  • Sexual contact:
    • papillomavirus
  • Animal bites:
    • rhabdovirus
  • Arboviruses:
    • go through the skin via the bite of an infected arthropod
      • flaviviruses, alphaviruses, bunyaviruses, togaviruses, reoviruses, poxvirus
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13
Q

Virus must enter the host:

Respiratory tract

A
  • Barriers:
    • mucus, cilia, humoral and cellular immunity
  • Viruses enter the respiratory tract through droplets or saliva
  • Environmental factors are also important to stability of aerosolized virions
    • temperature
    • humidity
  • Upper tract:
    • arenaviruses, coronaviruses, respiratory syncytial virus, coxsackievirus
  • Lower tract:
    • RSV, Influenza
  • Entry to respiratory tract leading to systemic spread
    • hantavirus, poxviruses, arenaviruses
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14
Q

Virus must enter the host:

Gastrointestinal tract

A
  • small intestine is a selectively permeable barrier
  • There is direct contact with the outside
  • Contains polarized epithelial cells
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15
Q

Virus must enter the host:

GI tract:

Localized infection

A

stay in the epithelial cells next to the intestinal lumen

coronavirus, rotaviruses

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16
Q

Virus must enter the host:

GI tract:

Systemic infections

A

spread within the host

Enterovirus, reovirus, adenovirus

17
Q

Virus must enter the host:

Urogenital tract

A
  • Compromised epithelium can allow virus entry
  • Localized
    • papillomavirus
  • Systemic
    • hepatitis B, herpes simplex virus, HIV
18
Q

Virus must enter the host:

Conjunctiva

A
  • Normally a localized infection of the eye
    • adenovirus
  • Systemic infections can occur if the virus disseminates
    • herpes simplex viruse, enterovirus
19
Q

Virus must enter the host:

Spread

A
  • Localized vs. systemic infections
  • Localized:
    • virus stays close to the site of entry to replicate and spreads within the epithelium
  • Systemic:
    • virus disseminates to infect other organs
20
Q

Viremia curve

A

virus in the blood = viremia

21
Q

Viral replication and spread in the host

A
  • An infected animal will have this general curve:
    • passive viremia:
      • burst of virus upon inoculation
    • Primary viremia
      • virus replicates
    • Secondary viremia:
      • virus multiplies in other organs so the viremia is amplified
22
Q

Tropsim

A
  • Ability of viruses to infect a specific tissue or type of cell
    • viremia - blood
    • Enteric - replicate in GI
    • Hepatotropic - replicate in liver
    • Neurotropic - infect neural cells
      • neurovirulent - causes disease in nervous tissue
      • Neuroinvasive - virus can enter the CNS
    • Rabies - gets to the nerve endings of muscles and spreads to CNS - highly neurovirulent and neuroinvasive
23
Q

Viral Release

A

For viruses to spread they must be released from an infected host

Localized infections shed from the site of replication

Systemic infections can shed from many sites of replication

Can shed from:

Milk, urine, blood, feces, semen, skin lesions, respiratory secretions