Viral Pathogenesis Flashcards

1
Q

What is pathogenicity?

A

The ability an organism has to cause disease

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1
Q

What 2 factors is pathogenicity composed of?

A

Infectivicity (ability to infect and colonise a host)–>Number of microbes necessary to initiate infection and cause disease.

Virulence (ability to cause host cell damage)–> occur along a spectrum, pathogenic organisms always cause disease while less virulent forms may not cause disease at all

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2
Q

In short terms give the steps of a virus life cycle. (7)

A
  1. Attachment
  2. Virus entry
  3. Cell membrane fusion
  4. Uncoating
  5. Replication
  6. Virus assembly
    7.Virus release
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3
Q

What happens in virus attachment stage?

A

Highly specific process
Involves complimentary receptor on the surface of a susceptible host cells
Receptor can be protein or carbohydrate
initial binding is reversible
May cause a conformational change that then allows binding to a co-receptor

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4
Q

What has to happen in the virus entry stage and what are the 2 possible ways the virus can enter the host?

A

Viruses must cross the plasma membrane to enter the host cell
Can either enter by either:
1. Cell memrane fusion (non-endocytic pathways)
2. Receptor-mediated endocytes (Endocytotic pathways)

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5
Q

What happens in the cell membrane fusion stage?

A

Virus membrane fuses with plasma membrane and nucleocapsid is released into the cytoplasm

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6
Q

Explain the steps of the entry of Herpes simplex Virus

A
  1. Initial binding gB or gC to heparin sulphate (complex carbohydrate expressed on the surface of many cell types)
  2. Attachemnt of gD to,
    - HveA (lymphocytes, fibroblasts, epithelial cells)
    - Nectin 1 & 2 (neurons, epitheilial cells, fibroblast)
  3. Fusion of the viral envelope with cell membrane.
    Uses multiple types of spike glycoproteins to bind and enter different types of cells
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7
Q

Explain the steps of the entry of HIV

A
  1. Binding of HIV gp120 to CD4+ T-cells, induces conformational change in pg120.
  2. Enables binding of gp120 to CCRS or CXCR4, causes the gp120 trimer to break apart, allows gp41 to be pulled towards the cell membrane
  3. Fusion of gp41 with cell membrane, releases nucleocapsid into the cytoplasm
  4. Nucleocapsids are targeted to nucleus
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8
Q

Explain in 3 steps what receptor mediated endocytosis

A
  1. Virus particle binds to host cell receptor
  2. enters cell in an endosome
  3. Virus membrane fuses with membrane of the endosomeand nucleocapsid is released into cytoplasm
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9
Q

Explain the steps of the entry of the influenza virus (6 points)

A
  1. Binding of haemagglutinin (HA) to sialic acid receptor
  2. Internalisation in clathrin coated pit
  3. Movement into endocytotic vacuole which fuse with lysosome
  4. Low pH triggers conformational change in HA trimer
  5. Exposes fusion domain which allows fusion of iral membranes and endosome membrane
  6. Release of nucleocapsids into cytoplasm
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10
Q

What happens in the uncoating stage?

A

Release of viral nucleic acid from viral capsid
Process is variable: for some viruses
- Nucleic acids may still be in nucleoproteins complex
- The capsid is only partially disintegrated

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11
Q

What happens in the replication stage?

A

DNA viruses:
- dsDNA viruses use host machinery in the nucleus to make more dsDNA
- ssDNA converted to dsDNA then replicated like ds DNA

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12
Q

How do RNA viruses replicate?

A

Replicate in the cytoplasm (except influenza and retroviruses)
All make viral mRNA which the migrates into thecytoplasm to synthesis viral proteins using the host ribosomes

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13
Q

What happens in the Virus assembly stage?

A

Translation of viral proteins in the cytoplasm

Assembly by virus capsids from newly synthesised components (de novo assembly)

Encapsidation of the viral nucleic acid

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14
Q

What happens in the virus release?

A

Enveloped viruses by budding from the plasma membrane
acquire the envelope on the way out from plasma mebrane or internal membranes

Non-enveloped viruses released by cell lysis

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15
Q

What is the important factor a virus has to overcome to enter the body?

A

Host innate defences

16
Q

What are some of the defences present in the Respiratory Tract?

A

Specialised ciliated epithelium and mucus: MUCOCILIARY ESCALATOR (upper resp tract) and bronchi
Sneezing and coughing
Innate immunological defences (cytokines, NK cells, macrophages etc.)

17
Q

What are some of the defences present in the GIT?

A

Low pH in the stomach (denatures protein and kills most microorganisms)
Bile and proteolytic enzymes in intestines
- High pH in the duodenum (rapid change)
Musous

18
Q

How does the rabies virus spread in a host?

A

Entry: Bite of a rabid animal or contamination of scratch wounds by virus infected saliva

Rabies replicate in peripheral tissues at site of infection

Can remain at site of infection for days/weeks or longer

Virus enters peripheral nerves
spreads to CNS and enters brain

Migrates to salivary glands (replicates) and excreted in saliva

No viraemia

19
Q

What is virus tropism?

A

Viral tropism refers to the capability of an infectious virus to infect particular cells.
i.e. Cellular tropism: cell infection
Tissue tropism: organ tissue infection
Host tropism: Host infection

20
Q

For virus to occur, the cell must be…

A

Susceptible
- Appropriate cell surface receptor for entry
Permissive
- Able to support replication of the virus
- May need particular cellular proteins to complete infection
May need to be in a particular cell type e.g. canine parvovirus needs rapidly dividing cells

21
Q

What factors affect tropism?

A

Not just receptors that determine tropism

Cells need to be susceptible (able to support replication of the virus)

Other factors that can determine tropism

22
Q

What are cellular proteases in viruses?

A

Cellular protease can activate fusion:
Some enveloped virus require proteolytic cleavage of envelope glycoprotein for activation of fusion domain
- Infectious virus is only found in cell types that cotain proteases that cleave the glycoprotein
- E.g. HA spike protein
Must be cleaved into HA 1 and HA2 by cellular proteases