Virology 2 & 3 Flashcards

1
Q
  1. Discuss the processes involve in transmission from one person to another .
A

vertical transmission: spread of the virus from an individual of one generation to its offspring in urtero (commonly by crossing the placenta, or contamination of the oviduct)

horizontal transmission: spread of the virus from one individual to another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. List the 6 basic ways that viruses are transmitted.
A
respiratory
fecal-oral
transmission by close contact
transmission by insect vector
transmission by animal vector
direct injection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. Discuss viral entry into a host, including the most common entry sites.
A

majority infection transmitted by respiratory route
second most common site of entry is the gastrointestinal tract
the next most common is through mucous membranes such as genitalia or mouth
most common animal vector is via skin by mosquito, via insect defection and scratching of bite or through inhalation of dried excrement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. How do viruses potentially initiate an infection.
A

.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. Describe the processes involved in the spread of virus through the host in the two basic types of infections (local and dissemenated)?
A

localized infection at the organ or tissue of entry and the immune system is important in stopping the spread from cell to adjacent cell

disseminated infections spread through the blood exposing the entire system to the possibility of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. Using aseptic meningitis as an example, be able to describe the basic steps involved in a disseminated infection.
A

localized replication of site of entry is followed by spread to the lymphatic system

viruses must penetrate the basement membranes of mucosal membranes (pro-inflammatory cytokines? via matrix metaloprotinases)

virus is carried to lymph node by dendritic cells and has some capacity to replicate in lymph node cells and reach the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. Describe ways in which viruses directly damage cells and relate this to the causation of symptoms.
A
  1. host shut off
    synthesis (sustained will kill the cell)
    selective inhibition of host proteins
  2. Inhibition of host cell protein
    inhibition of host translation
    change phosphorylation of DNA dependent RNA polymerase (Pol II)
    interfere with splicing of host mRNA
    interfere with transport of host mRNA to cytoplasm
  3. Interfere with cell cycle
    pushing cells to enter S phase and then hijacking replication “hardware”
  4. triggering apoptosis AFTER replication
    encode elements to block and also initiate apoptosis (HIV gp120 envelope protein triggers apoptosis of uninfected cells)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. Define cytopathic effect and be able to list examples.
A

cytopathic effect is shape/structural changes in host cell due to virus
shrinkage of cell nucleus
cell rounding and detachment from plate (disruption of tight junctions)
development of inclusion bodies (nuclear or cytoplasmic) including viral proteins
cell cell fusion (syncytium formation via enveloped virus) glycoproteins on cell membrane cause fusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. Discuss the differences between acute and persistent infection.
A

acute: host is able to clear the infection, host may or may not show symptoms

persistent infection: host doesn’t clear infection; includes latent and chronic infections, these infections last at least 6mo after initial infection

(virus can exhibit both)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. Describe the differences between latent and chronic infection. What is the most significant difference between latent and chronic infection?
A

latent infections: during the latent periods, the virus is present but not infectious; reactivation can occur with virus shed asymptomatically and recrudescence when virus replication is associated with symptoms (Herpes)

chronic infection: infectious virus can be isolated form the host at any time following acquisition (Hep B)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. Define “incubation period” and explain what a virus is doing drug this time.
A

the incubation period is the time between infection and rise in positive blood antibodies, during this time it may appear that the viral load decreases as the virus breaks apart in replication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. Define “productive infection,” “abortive infection,” and “subclinical or asymptomatic infection.”
A

production infection: infection of a cell that results in the production and release of infectious virus , the cell is permissive for the virus

non-productive: infection of a cell that result in the failure to produce infectious virus, the cells are said to be non-permissive for viral replication

subclinical/asymptomatic infection: virus infects the host and triggers an immune response in the absence of specific (or any) symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. Recognize the association between some viral infections and human malignancies.
A

viruses can cause changes in cell cycle from primary cells (limited passing) to immortalized cells that will continue to pass due to mutation in cellular growth regulation gene mutation or with additional mutations, transformed cells, which include loss of contact inhibition

these changes in cell cycle can lead to virus causing cancer through insertional mutagenesis (retroviruses) or chronic transforming retroviruses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. Be able to list which virus is associated with which malignancies.
A

HTLV- Adult T-cell Leukemia
HHV 8 (immunosuppressed)-Kaposi’s Sarcoma, lymphoma, Castleman’s
HPV- cervical, anogenital, skin, head and neck cancers
Epstein-Barr virus (immunosuppressed)- lymphomas, nasopharyngeal cancer, GI cancers
Hepatitis C and Hepatits B- hepatocellular carcinoma (**important risk factor)
Merkel Cell tumor polymer virus- Merkel cell carcinoma
Human cytomegalovirus- possibly gliomas and GI tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Discuss the salient features of respiratory spread of virus. Describe the mechanism and features that increase spread.

A

the most common mechanism
viruses increase coughing and sneezing, and also induce secretion of copious amounts of mucous and fluid contaminated with virus

*virus can survive for several hours or days on contaminated surfaces and objects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Discuss the salient features of fecal-oral spread of virus. Describe the mechanism and features that increase spread.

A

large amounts of virus can be shed in fecal material

not all viruses that spread via fecal-oral cause GI symptoms (i.e. polio)
spread can be ubiquitous and clean water is very important to limit outbreaks

handwashing!

17
Q

Discuss the salient features of close-contact spread of virus. Describe the mechanism and features that increase spread.

A

some virus are stable enough to transmit viruses via contaminated objects (thought to be less efficient in infecting the new host)

suspected that some viruses are spread by transfer of infected cells (many establish persistent infection)

kissing and sex (and nursing); note oral fecal route can also be transmitted by sex

18
Q

Discuss the salient features of insect-vector spread of virus. Describe the mechanism and features that increase spread.

A

viruses must be capable of replicating both in insects and vertebrate hosts, most commonly the mosquito (mosquitoes do not appear to serve as fomites)

19
Q

Discuss the salient features of animal-vector spread of virus. Describe the mechanism and features that increase spread.

A

viruses that use an animal to transmit infection and are not usually lethal to animal hosts

in US transmission by contact with urine or feces is more common than then animal bites, or even prep of animal for consumption

20
Q

Discuss the salient features of direct injection spread of virus. Describe the mechanism and features that increase spread.

A

use of contaminated needles or accidental needle stick (viremia is important)

those who use contaminated needles also put their sexual partners

21
Q

Contrast primary viremia and secondary viremia?

A

primary viremia- virus is in low levels in the blood and lasts a short time (permissive cells are infected at this stage
secondary viremia- virus that is produced by cells infected by primary viremia now shed their virus and this viremia includes higher titers, and may last longer (correlated with infection), in this stage the target organ is infected (tropism is demonstrated)

22
Q

Name mechanisms of direct damage

A

host shut off (shutting down host gene expression) or selective inhibition of specific host proteins (via altered phosphorylation, proteolytic cleavage of host initiation factors and digestion of host mRNA)

23
Q

Contrast virulence and pathogenicity.

A

pathogenesis- ability to cause disease symptoms

virulence- capacity of a given virus to cause disease (rate infection, higher rate of infection)

24
Q

Describe several cytopathic effects that are diagnostic for certain viruses.

A

rabies: negri bodies (inclusion body in infected neurons)

humann cytomegalovirus : owl eye cells (cell swells and the nucleus becomes pyknotic)

25
Q

Define acute transforming retroviruses.

A

viruses that have gained proto-oncogenes that a re able to transform cells efficiently and can cause rapid tumor growth in animals

26
Q

Compare acute v. chronic cancer viruses.

A

acute encode directly transforming genes (short incubation and tumors are polyclonal) ie. Kapok’s Sarcoma (HHV8)

chronic cause immortalization of cells, so additional mutations are required for cancer (long incubation period, tumors are monoclonal) i.e. cervical cancer (HPV)