Viral Pathogenesis Flashcards

1
Q

what are main sites of viral entry?

A
  • respiratory tract
  • alimentary tract
  • urinogenital tract
  • conjunctiva (eyes)
  • arthropod (insects)
  • capillary
  • skin
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2
Q

what is an overt disease?

A

Apparent disease (what we see, symptoms), many viruses are unapparent

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3
Q

what are acute virus infections?

A
  • rapid onset of disease
  • relatively brief period of symptoms
  • resolution for infection happens within days
  • localised to specific site of the body
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4
Q

what does widespread infection of virus to tissues cause?

A

viraemia

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5
Q

what are steps for infection for Influenza A virus?

A
  • virus infects cell of respiratory tract
  • destruction of respiratory epithelium occurs ( secondary bacterial infections)
  • altered cytokine expression leading to fever (e.g. interleukin-1 and interferon)
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6
Q

what is antigenic drift?

A

gradual evolution of viruses to generate antigenic variants

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7
Q

what is antigenic shift?

A

significant changes in virus antigenic structure

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8
Q

what hosts play a huge role in generating new virus types through antigenic shift?

A

non-human hosts

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9
Q

what are 2 outcomes for a virus which enters the gut?

A
  1. virus excretion in the faeces

2. viraemia; in non-neuronal tissue or neuronal tissue which can lead to paralysis

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10
Q

what is a latent virus infection?

A

stays in tissues for the rest of your life but remains dormant until activated

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11
Q

what are 2 types of common latent virus infections?

A
  1. herpes simplex virus (cold sores type 1)

2. herpes simplex virus (genital lesion type 2)

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12
Q

what 3 types of stimuli can reactivate a latent virus?

A
  1. chemical signal
  2. mechanical signal
  3. light signal
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13
Q

what are some factors which suppress an immune system?

A

-stress
-drugs
-bacterial illness
-steroids
(all lower immune resistance)

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14
Q

where does virus lie dormant?

A

in the cell nucleus (but no replication occurs)

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15
Q

when does viral replication occur?

A

when virus migrates to epithelial cells (primary infection)

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16
Q

what cancer can HPV lead to?

A

cervical carcinoma

17
Q

what cancer can retrovirus lead to?

A

lymphomas and leukaemias

18
Q

How is the virus HTLV-1 transmitted? (responsible for tumour formations

A

transmission by blood; mother to child

19
Q

what does HTLV-1 virus do?

A
  • infects T cells
  • modifies host cell gene expression using a transactivating protein (tax)
  • can lead to variety of disease including leukaemia
20
Q

how does a retrovirus induce tumour formation? (4)

A
  1. virus infects cell
  2. virus nucleic acid made as viral DNA integrates into cellular genome
  3. virus causes changes in cellular gene expression
  4. uncontrolled cell multiplication and tumour formation
21
Q

which cells does HIV kill in the body?

A

CD4 (Helper T cells)