Viral Pathogenesis Flashcards

1
Q

localized infection (entry from outside)

A

involves primarily nasal, oral, ocular, or genital routes

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2
Q

systemic infection (entry from outside)

A

involves primarily parenteral (like vein, skin, muscle), placental, or oral routes

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3
Q

most viruses are transported throughout the body via blood and lymph except for these 4 which remain localized in the respiratory tract

A

Orthomyxoviridae
Paramyxoviridae
Coronaviridae
Rhinoviridae

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4
Q

for cells of ectodermal origin, most viruses exhibit a

A

tissue “tropism”

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5
Q

factories of virus assembly

A

intracellular inclusion bodies

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6
Q

inflammatory response involves

A

polymorphonuclear infiltration, later replaced by lymphocytes and monocytes

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7
Q

chemokines cause

A

chemotaxis or “directed migration” of immune cells

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8
Q

cytokines do this

A

signal through receptors on immune cells or “cross signal”

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9
Q

Th1 cytokines

A
pro-inflammatory
interferon gamma
interleukin 1 alpha and beta
TNF-a
IL-12
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10
Q

Th2 cytokines

A

anti-inflammatory
transforming growth factor beta
IL-4
IL-10

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11
Q

HIV-1 augments the expression of

A

chemokind receptor 5 (CCR5) on monocytes

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12
Q

native ligand for CCR5

A

RANTES chemokine, released by cytotoxic T lymphocytes

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13
Q

RANTES stands for

A

Regulated upon Activation, Normal T cell Expressed and Secreted

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14
Q

virokines

A

proteins encoded by viruses that mimic proteins in the immune system (mimicry molecules)

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15
Q

HIV gp160 virokine function

A

binds CD4 in ER

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16
Q

HIV gp120 virokine function

A

induces apoptosis of CD8 cells

17
Q

these viruses down-regulate immune response (5)

A
HIV
HBV
rhinovirus
respiratory syncytial virus (RSV)
cytomegalovirus
18
Q

these viruses elicit a hyper-immune response (2) and how

A

ebola
marburg virus

TSS like effects due to release of cytokines like TNF-a

19
Q

Marburg virus

A
  • filovirus
  • nosocomial
  • headache, muscle and joint pain, fever
  • bleeding from everywhere
  • sunken eyes and hemorrhage
  • skin rash
  • cough