Virology III - Infection & Disease Flashcards
virulence
ability of a virus to cause disease (pathogenicity)
why do viruses cause disease
to optimize survival
- want the clinically sick animal to shed the virus
can also be an accidental by product of infection
what are the factors that determine virulence
host
virus
environment
what virus factors determine virulence
- genome sequence
- epigenetic factors
what host factors determine virulence
- genome sequence
- epigenetic factors
- adaptive & innate response
- receptor distribution
what does receptor distribution determine
viral tropism for specific hosts/sites/tissues
what is the iceberg of disease severity
assessment of most common virulence outcomes
- exposure w/o infection
- subclinical infection
- mild disease
- moderate disease
- severe disease
- death
what are the steps of host infection
- entry and replication into initial host cell types
- local or generalized spread in host
- shedding from host
- clearance from host
what are the routes of entry into a host
- respiratory
- alimentary
- conjunctiva
- skin
- systemic (capillary)
- scratch/bite
- urogenital tract
what is required by the virus in order to spread locally or systemically
must evade host immune system and inflammatory responses/barriers
what is important for adequate shedding of the virus
virus must reach the correct site for shedding at a concentration high enough to ensure infection of the next host
what mediates clearance of a virus
adaptive immune response
may not be complete - can get intermittent shedding of chronic infections
local infections
route of virus entry = route of shedding
ex. respiratory pathogen that gets shed via the respiratory tract
systemic infections
route of virus entry = one route of shedding, but shedding also occurs at an additional site
ex. respiratory pathogen that gets shed via the respiratory and urogenital tract
what are the steps of viral spread
- virus crosses epithelium
- primary replication occurs inside macrophages OR free in blood
- travels to LN
- secondary replication occurs in LN
- virus travels in blood either cell-free or cell-associated
- causes viremia