Virology Test 1 Flashcards

1
Q

What is virology?

A

Study of viruses and viral diseases

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2
Q

What is a virologist?

A

Someone who studies viruses

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3
Q

Why is the study of veterinary virology important?

A

Viruses cause high mortality and morbidity

Viral diseases cause tremendous financial losses to livestock and poultry industries, hampering the economic development of a country

Some are zoonotic

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4
Q

What are characteristics of viruses?

A

Non-living
Nucleic acid genome surrounded by a protein coat
Do not possess standard cellular organisms
Cannot make own energy or proteins
All are obligate intracellular parasites
Cannot multiply by division - replication resembles an assembly line

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5
Q

What is a virion?

A

A complete virus particle that consists of an RNA or DNA core with a protein coat sometimes with external envelopes and that is the extracellular infective form of a virus

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6
Q

What is a virus?

A

Broad general term used to describe the infectious agent and includes: the infectious virion or inactivated virus particle, or viral nucleic acid and protein in the infected cell

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7
Q

What is a viroid?

A

An infectious particle smaller than any known viruses, an agent of certain plant diseases. The particle consists only of an extremely small circular RNA molecule, lacking the protein coat of a virus

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8
Q

What did Edward Jenner do for the world?

A

Inoculated some cowpox repeatedly into arms of a healthy 8 year old boy who became immune and did not succumb to small pox.

Vaccination - comes from the Latin word “vacca” meaning cow

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9
Q

What did Louis Pasteur do for the world?

A

Injected dried, potassium hydroxide treated, infected rabbit brain material in two boys bitten by rabid dogs and both recovered

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10
Q

What is the Chamberland filter?

A

Filter that had pores smaller than bacteria.

Pioneered the discovery of viruses. Used in the famous tobacco mosaic virus experiment

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11
Q

What was the tobacco mosaic experiment?

A

Diseased tobacco leaves were crushed and passed through the Chamberland filter -> the cell debris was placed on a healthy leaf -> remained healthy

->the cell filtrate was placed on a healthy leaf-> leaf died

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12
Q

What did Friedrick Loeffler and Paul Frosch do for the world?

A

Passed the first animal virus through a Chamberland filter and discovered the cause of foot-and-mouth disease (Foot-and-mouth disease virus)

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13
Q

What did Walter Reed do for the world?

A

Discovered yellow fever is transmitted through mosquitoes

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14
Q

What about Peyton Rous?

A

Isolated the first tumor-causing animal virus (oncogenes viruses). Of course named the Rous sarcoma virus.

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15
Q

And Ernst Ruska and Max Knoll did what?

A

Invented the electron microscope

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16
Q

What was the first virus successfully propagated in embryonated hen’s egg?

A

Fowlpoxvirus

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17
Q

Sanford et all did what in history?

A

Culture of isolated mammalian cells

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18
Q

Enders et all did?

A

Growth of poliovirus in cell culture

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19
Q

Bulbecco and Vogt did what?

A

Plaque assay for the first animal virus - poliovirus

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20
Q

The only animal disease declared globally eradicated

A

Rinderpest

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21
Q

What is the smallest animal virus?

A

Porcine circovirus type 1

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22
Q

Largest animal, human and bird virus?

A

Poxvirus (200 nm diameter and 300 nm in length)

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23
Q

What shape is Ebolavirus?

A

Filament-shaped

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24
Q

What shape is Rabies virus?

A

Bullet shaped

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25
What shape is Tobacco Mosaic virus?
Rod-shaped
26
What shape is Poxvirus?
Brick-shaped
27
What shape is Rotavirus?
Spherical
28
What is pleomorphism?
The ability of some viruses to alter their shape or size
29
What are some common methods used to determine morphology of viruses?
Electron Microscopy (EM) Cryo-electron microscopy (Cryo-EM) X-ray crystallography Nuclear Magnetic Resonance (NMR)
30
What are general components of a virus?
DNA or RNA genes Capsid Envelope (fat bubble) Molecules of protein
31
What is a capsid?
Protein shell that encases/envelopes the viral nucleic acid or genome. Made up of capsomeres. Most viruses have one capsid except Reoviruses which have a double layered capsid.
32
What is a capsomere?
Basic subunit protein in the capsid
33
What is a nucleocapsid?
Capsid + virus nucleic acid (DNA or RNA)/Genome
34
What is helical symmetry?
In all animal viruses, the Helical nucleocapsid is enclosed within a lipoprotein envelope. Naked helical nucleocapsids are common among plant viruses.
35
What is cubic/Icosahedral symmetry?
Two types of capsomeres are present in icosahedral capsids -> pentagonal (pentons) capsomeres at the vertices and hexagonal capsomeres making up the facets (hexons).
36
True/False: There are always 12 pentons but the number of hexons changes with the viral size.
True ALWAYS 12
37
What is the triangulation number and how is it calculated?
Describes the relationship between the numbers of pentons and hexons in an icosahedron. T=h2 + h * k + k2
38
True/False: Icosahedrals can be naked or enveloped?
True
39
Name that virus: T=1, simplest icosahedron, capsid consists of 60 copies of CP proteins.
Parvovirus
40
Name that virus: Outer capsid has a T=13 icosahedral symmetry and the inner has a capsid T=2.
Reoviridae
41
Which virus has a complex capsid symmetry?
Pox virus
42
What are the functions of the viral capsid?
Responsible for the structural symmetry of the virus particle. Encases and protects the nucleic acid from enzymes, chemicals and physical conditions. Receptor attachment proteins for attachment to specific receptors on host cells. Interact with host cell membrane to form the envelope. Uncoating of genome in host cell. Transport viral genome to appropriate side. Facilitates packaging of the nucleic acid genome. Contains antigenic sites which determines antigenicity of virus.
43
What is the envelope?
Lipid bilayer with embedded proteins. | Acquired by budding of viral nucleocapsid through a cellular membrane (nucleus, golgi, cytoplasmic)
44
Two kinds of viral proteins in the envelope
Glycoproteins | Matrix protein
45
Two glycoproteins in a virus envelope
External glycoproteins | Channel proteins
46
What are external glycoproteins?
Major antigens of the virus | Function as hemagglutination, receptor binding, antigenicity and membrane fusion
47
What are channel proteins?
Mostly hydrophobic proteins, form a protein lined channel through the envelope Alters permeability Important in modifying the internal environment
48
What are the virus envelope matrix proteins?
Proteins that link the internal nucleocapsid to the lipid membrane envelope. Have a crucial role in Virus Assembly. Stabilization of the lipid envelope. Serve as recognition site of nucleocapsid at the plasma membrane and mediates the encapidation of the RNA-nucleoprotein cores into the membrane envelope.
49
What is the envelope, how is it acquired and maintained?
Bi-layer Acquired from cell membrane of host (cytoplasmic, nuclear, ER) Maintained only in aqueous or moist environments. Is sensitive to desiccation, heat, and pH changes. Can be inactive by dissolution of lipid membrane with lipid solvents such as: ether, chloroform, sodium deoxycholate, detergents. Enveloped viruses are easier to sterilize than non-enveloped viruses and cannot survive for longer periods in the environment.
50
``` Which of the following is not a component of a virus? A. Nucleic Acid B. Capsid C. Envelope D. Capsule ```
Capsule
51
True/False: The viral matrix protein is located between the viral nucleic acid (DNA/RNA) and the capsid.
False
52
Are viral nucleic acids DNA or RNA? Are they ss or ds?
Can be any
53
Antigenic drift results in ________
Mutations
54
What is recombination?
The exchange of nucleotide sequences between different, but usually closely related, viruses during replication. Occurs in a single gene segment.
55
What is the most important mechanism for high genetic diversity in viruses with segmented genome?
Reassortment Only in viruses with more than one gene segment, i.e. Only in viruses with segmented genome/RNA/DNA.
56
What is retroviral integrase?
Enzyme produced by a retrovirus (such as HIV) that enables it's genetic material to be integrated into the DNA of the infected cell
57
What is reverse transcriptase (RT)?
Enzyme used to generate complementary DNA (cDNA) from a RNA template.
58
What is nucleic acid polymerase?
Viral genome replication
59
What are viral nonstructural proteins?
Proteins that may play roles within the infected cell during virus replication or act in regulation of virus replication or virus assembly
60
True/False: Nonstructural proteins are seen in the extracellular virions?
False
61
What are incomplete virions?
Virions without nucleic acid [empty capsid]
62
What are defective virions?
A virus that cannot replicate because it lacks a full complement/copy of viral genes. Defective viral particles result from mutations or errors in the production or assembly of virions.
63
What are pseudovirions?
Contains non-viral genome within the viral capsid, such as host nucleic acid instead of viral nucleic acid
64
What are pseudotypes?
When related viruses infect the same cell, the genome of one virus may be enclosed in the heterologous capsid of the second virus
65
An incomplete virion is composed of ___ _____
Only capsid
66
What is the Baltimore classification system?
Viruses are classified into one of the seven groups depending on a combination of their nucleic acid (DNA or RNA), strandness (ss or ds), sense and method of replication. An old system that isn't currently used.
67
What is the International Committee on Taxonomy of Viruses (ICTV) Classification System?
ICTV is the only body charged by the International Union of Microbiological Societies with the task of developing, refining, and maintaining a universal virus taxonomy. The currently used to classify viruses
68
How does the ICTV classify viruses?
Nature of the virus genome and virus genetic diversity. Virus replication strategies. Virus morphology.
69
How are the viruses ordered using the ICTV classification system?
``` Order (-virales) Family (-viridae) Subfamily (-virinae) Genus (-virus) Species ```
70
The family of a virus is denoted by suffix ____
Viridae
71
True/False: viruses have the genetic capability to multiply by division
False, they do not have the ability. Outside of the host, they are inert/dormant particles.
72
What does the virus need to replicate and generate next progeny of viruses?
Living host cell.
73
What happens inside of the host cell?
Virus hijacks and uses the host cell machinery to produce its proteins and nucleic acid for the next generation of virus
74
What are the possibly ways to grow/cultivate viruses?
Cell/tissue culture Inoculation in embryonated eggs Lab animals
75
What are monolayer cultures?
When the bottom of the culture vessel is covered with a continuous layer of cells, usually one cell in thickness, they are referred to as monolayer cultures
76
What is a primary cell culture?
Maintenance of growth of cells dissociated directly from the parental tissue. Best culture system for isolation and propagation of viruses. Used in producing viral vaccines.
77
What is a subculture (or passage)?
Transfer of cells from one culture vessel to another culture vessel. This is periodically required to provide fresh nutrients and growing space for continuously growing cell lines.
78
What are the two types of cell lines?
Finite/Dipoid Cell lines | Continuous cell lines
79
What are finite/diploid cell lines?
Cell lines which have a limited life span and go through a limited number of cell generations. Derived mainly from embryos; or from secondary cultures. Can be used for vaccine production
80
What are continuous cell lines?
Acquire the ability to divide indefinitely. Derived directly from cancer cells. FDA prohibits their use in vax productions.
81
What is culture medium?
Provides all necessary nutrients (amino acids, inorganic salts, vitamins and glucose) required for growth of cells
82
Why is serum in culture media important?
Required for growth and maintenance of cells. Helps in cell adhesion, regulate cell membrane and permeability and provide nutrients.
83
What is phenol red pH indicator?
Indicates change in pH by changing color of medium from red to orange or yellow
84
Why is the carbon dioxide level important in growing viruses?
It is necessary to use exogenous CO2 when using media buffered with a CO2-bicarbonate based buffer to maintain pH of the medium.
85
Why are antimicrobial agents used in culture?
To prevent contamination with bacteria, mycoplasma, yeast, molds, etc
86
What is trypsin used for?
Proteolytic enzyme used to detach and dissociate cells while subculture grew
87
What is the cytopathic or cytopathogenic effect?
Damage or morphological changes to host cells during virus invasion
88
Where are the locations within the egg that can be inoculated?
Yolk sac Allantoic cavity Amniotic cavity Chorioallantoic membrane (CAM)
89
Inside of the egg, what are signs of virus growth?
Death of embryo Paralysis (sluggish movement) Stunted growth Pocks on CAM
90
How else can viruses be grown in a lab?
Lab animal inoculation
91
What is an ultracentrifuge?
Used for concentration and purification of viruses. Have played a virtual role in virology, efficiently sediments even the smallest viruses.
92
What is rate-zonal centrifugation?
Ultracentrifugation method for purification and concentration of viruses. Separation of virus particles based on their mass. Under centrifugal force, particles move at different rates depending on their mass.
93
What is isopycnic centrifugation?
AKA buoyant or equilibrium separation, particles are separated solely on the basis of they buoyant density
94
True/False: you can use virus purification with membrane chromatography to purify viruses.
True I basically gave that one to you
95
What is virus quantification?
Counts the number of viruses in a specific volume to determine the virus concentration
96
What is a virus titer?
Lowest concentration of virus that still infects cells. Also defined as the number of infectious units per mL of sample.
97
What is the biological quantification test?
Depends on a virus particle initiating a successful replication cycle. Plaque Assays Pock assays Various endpoint titration methods
98
What is the physical quantification test?
Does not depend on any biological activity of a virus particle. ``` Electron microscopic particle counts Hemagglutination Immunological assays, ELISA Quantitative PCR assay Flow cytometry ```
99
What are the two ways of direct counting of viral particles in a solution?
Direct by transmission electron microscopy (TEM): the most direct method to determine the [virus particle] in a solution Virus counter 2100
100
Is hemagglutination assay a physical or biological test? What is it based on?
Physical; [antigen]
101
Is single radial immunodiffusion (SRID) and physical or biological test? What is it based on?
Physical; [antigen]
102
Is Quantitative PCR (qPCR) a physical or biological test? What is it based on?
Physical; gene expression
103
What are the biological assays?
Monolayer plaque assay Pock Assay Transformation assay Quintal assay
104
Monolayer plaque assay: what is a plaque and what is the unit associated with this assay?
A circular zone of necrotic cells surrounded by viable cells in a monolayer. Unit: plaque-forming units/mL (PFU). Measures the number of virus particles capable of forming plaques per unit of volume. Ex. If a solution has a PFU of 1000 PFU/mL, then every mL of solution contains enough virus to form 1000 plaques
105
Pock assay: what is a pock and what is the unit of measure associated with this assay?
Pock: necrotic area on chorioallantoic membrane (CAM) of embryonated egg Unit: pock-forming units/mL
106
What is the transformation assay and what unit is involved in this assay?
Quantitative determination of titers of oncogenic viruses Unit: focus-forming units/mL
107
What is important about the quantal assay?
Endpoint: virus dilution that affects 50% of the test subjects
108
What is the TCID50?
The tissue culture infectious dose which will infect 50% of the cell monolayer challenged with the defined inoculum
109
A 300 PFU/mL means what?
The minimum # of viruses present/mL of the sample to form 300 plaques in a monolayer cell culture
110
What is a permissive cell?
A cell in which a virus is able to replicate, i.e. The cell machinery supports replication of the virus
111
What is a non-permissive cell?
Cells in which a factor necessary for viral reproduction is not present or one detrimental to viral reproduction is not present. E.g. Absence of appropriate receptors
112
What is MOI (Multiplicity of infection)?
The number of virions that are added per cell during infection
113
What is the latent period?
After uncoating and until just before the 1st appearance of extracellular new virus particles. Or the time before new infectious virus appears in the medium i.e. The time from uncoating to just prior to the release of the first extracellular virions. During this phase no extracellular virions are detected
114
What is the eclipse period?
After uncoating and until just before 1st appearance of intracellular new virus particles Or the time interval between uncoating ("disappearance" of viruses) and appearance, intracellularly, of first infectious progeny virions
115
What is adsorption?
During this period, the virus attaches to and enters cells and the titer of free virus in the medium may actually decline.
116
What is burst size?
Number of infectious virions release per average cell
117
True/false: Virus attachment to receptor on host cell is non-specific.
False, very specific. Each virus has its own specific receptor(s) on specific host cells
118
What is the first step to virus replication?
Attachment to host cell surface Mediated by interactions between the virus and complimentary receptor on the hose cell surface. Cell that lack the appropriate receptor escape being infected by viruses. In some cases, binding to a cellular receptor is not sufficient for infection: an additional cell surface molecule, or co-receptor, is required for entry.
119
Can viruses use more than one host cell receptor?
Yes HIV for example.
120
What is a co-receptor?
Binding to a cellular receptor is not sufficient for infection. An additional cells surface molecule, or co-receptor, is required for entry
121
True/False: viruses can enter the host cell using any receptor present on surface of host cell.
False, need specific receptors
122
What is the next step in viral replication?
Penetration and Uncoating
123
How do nonenveloped/naked viruses penetrate the host cell?
Receptor mediated endocytosis (common) Pore mediated penetration of viral genome into host cell In many non-enveloped viruses, Clathrin-mediated endocytosis or any other receptor-mediated endocytosis of virus.
124
How to enveloped viruses penetrate the host cell?
Surface membrane fusion (have pH independent Fusion proteins) - Here fusion of virus envelope with host cell membrane occurs directly on surface of host cell. Facilitated by pH independent fusion protein. Receptor mediated endocytosis (have pH dependent Fusion proteins) - Fusion of virus membrane with host endosomal membrane release viral genome. The fusion protein requires low pH to get activated, which is achieved in endosome and facilitate virus envelope fusion with endosomal membrane.
125
How do others penetrate, or other uncommon methods of entry?
Antibody-mediated attachment and penetration | Ex FIPV
126
Is exocytosis a method of penetrating into the host cell?
No
127
What is uncoating?
Release of viral genome in host cell | Virion can no longer be detected - loss of infectivity
128
What are the two functions of parent viruses?
1. Multiple copies for new viruses (children/progeny) | 2. Viral proteins for capsid and successful replication
129
What is reverse transcriptase?
Conversion of viral RNA to cDNA during virus replication
130
What happens during the processing of primary RNA transcript?
Viral mRNA must conform to the requirements of host cell translation system (the host cell can recognize the mRNA and translate same). A series of modifications occur, known as Processing of Primary RNA Transcript/Pre-RNA. 1. Capping. 2. Addition of Poly-A tail. 3. Splicing After, mRNAs are translated in the cytoplasm Viral mRNAs produced in the nucleus must also be exported to the cytoplasm
131
What is the first modification that occurs during RNA transcript?
Capping - addition of 7- methylguanosine to the 5' end of RNA
132
What is the second modification?
Addition of 3' poly-adenylated tails
133
What is the third modification to RNA transcript?
Splicing - Process that removes introns and joins exon in a primary transcript
134
What is an exon?
Portion of a genera that codes for amino acids
135
What is an intron?
Portion of a gene that does not code for amino acids
136
True/false: the poly-A tail is added to the 3'-end of viral mRNA.
True
137
What are the two types of viral mRNA?
Monocistronic: mRNA that encodes one polypeptide Polycistronic: mRNA that encodes several polypeptides
138
What is assembly and maturation part of viral replication?
Assembly of virus genome and proteins into new virions follow a specific order. All components, including nucleic acids and proteins, are packaged to form mature virions. May take place in nucleus, cytoplasm, plasma/cell membrane
139
There are two types of progeny virions that can be released. What are they?
Naked virions - lysis of host cell, cannot exit host by budding since they lack an envelope Enveloped virions - budding from host cell
140
True/false: cell lysis is induced by non-enveloped viruses facilitating virus release
True
141
What is exocytosis?
Viruses mature by budding through the membrane of the Golgi or ER. Vesicles containing the virus then migrate to the plasma to the plasma membrane and are released by exocytosis.
142
What are the two important enzymes of replication of retroviruses?
Reverse transcriptase - synthesis of RNA into DNA Integrase - integrates viral DNA into host genome
143
How are viruses spread from one cell to the next?
Extracellular spread Intracellular spread - results in rapid virus dissemination, evasion of immune system, and persistent infections Nuclear spread of virus genome
144
What is pathogenicity?
Ability of a virus to cause disease in host.
145
What is a pathogen?
Virus that causes disease
146
What is pathogenesis?
Manner/mechanism of development of a disease
147
What is virulence?
Quantitative or relative measure of the degree of pathogenicity of the infecting virus
148
What is avirulent?
Not virulent or not harmful to the host
149
True/false: virulence is an absolute property of a virus
False, not absolute, depends on many variables.
150
What is the LD50?
The dose of the virus required to cause death in 50% of animals
151
What is infectious dose 50 (ID50)?
Dose of virus that will infect 50% of an experimental group of hosts/animals
152
True/false: the lower the ID50 and LD50, the more virulent the organism
True
153
Virus A: LD50 is 30 Virus B: LD50 is 50 Which is more virulent?
A because the LD50 is lower
154
What are the routes of entry into the host body?
Skin Mucous membrane GI tract Respiratory tract
155
What are the defenses of the skin?
``` Dense outer layer of keratin Low pH Presence of fatty acids Bacterial flora Dryness Components of innate and adaptive immunity ```
156
What are 3 main ways to break the skin defenses?
Transcutaneous injection - bite of Arthropods Bites of infected animals Contaminated objects
157
What are the GI tract defenses?
``` Mucous membrane of oral cavity and esophagus Acidity of the stomach Alkalinity of intestine Layer of mucus covering the gut Lipolytic activity of bile Proteolytic activity of pancreatic enzymes Defensins IgA Scavenging macrophages ```
158
Defenses of the respiratory tract
``` Mucociliary blanket Alveolar macrophages NALT BALT Temperature gradient ```
159
What is a disseminated infection?
Infection spreads beyond the primary site of infection
160
What is a systemic infection?
Number of organs or tissues are infected
161
How do apical and basolateral release play roles in the spread of viruses?
Directional shedding of viruses from the infected epithelium is critical to subepithelial spread. Apical release facilitates virus dispersal, whilst basolateral release provides access to underlying tissues, facilitating system spread
162
What is viremia?
The presence of a virus in the blood. Virus may be free in blood or in a cell such as lymphocytes
163
What is primary viremia?
Initial entry of virus into the blood after injection
164
Secondary viremia
Virus has replicated in major organs and once more entered the circulation
165
Active viremia
Following initial virus replication in host. Release of virions from the initial site of replication, such as lymphatics or epithelium of investing to the blood stream
166
Passive viremia
Direct inoculation of virus in host, such as contaminated syringe or bite of arthropods. No initial replication elsewhere in host before
167
Neurotrophic virus
Virus that can infect neural cells. Infection may occur by neural or hematogenous spread
168
Neuroinvasive virus
Viruses that enter the central nervous system (spinal cord and brain) after infection of a peripheral site
169
Neurovirulent virus
Virus that cause disease of nervous tissue, manifested by neurological symptoms and often death
170
A virus that exhibits low neuroinvasiveness of the CNS, but high _______. It always enters the PNS, but rarely enters the CNS. When it does, the consequences are almost always severe, if not fatal
Neurovirulence
171
Virus exhibits _______, but low neurovirulence. Most infections lead to invasion of the CNS but neurological disease is mild
Neuroinvasiveness
172
Virus that exhibits both high ________ and _______. It readily infects the PNS and spreads to the CNS with 100% lethality unless antiviral therapy is administered shortly after infection
Neuroinvasiveness; neurovirulence
173
Retrograde spread
Travel opposite direction of nerve impulse flow. Invades axon terminals and then spread to dendrite or cell body, and then cross synapse to reach next axon terminal
174
Anterograde spread
Travel in direction of nerve impulse flow. Virus invades dendrites or cell bodies and then spreads to axon terminals, and then cross synaptic contacts to invade dendrite of next neuron
175
Neural spread of viruses to CNS through what two routes?
Olfactory | BBB
176
Acute infection
usually intensive shedding over a short period of time
177
Persistent infections
Can be shed at a lower titer for months to years
178
Tropism
The specificity/affinity of a virus for a particular host tissue
179
Pantropic viruses
Can replicate in more than one host organ/tissue
180
Viral injury to the skin usually appears how?
Vesicles - fluid filled sacs/elevations Ulcers - opening caused by sloughing of necrotic tissue, extending past the epidermis Nodule/tumor - palpable, solid, elevated mass. Nodules with distinct borders. Tumors extending deep into dermis Warts - benign skin growths that appear when a virus infects the top layer of the skin Papule- solid elevations without fluid with sharp borders Erythema - reddening of skin, consequences of systemic viral infections
181
GI viral injury happens how?
Ingestion or hematogenous spread, systemic infection -> Destruction of enterocytes due to viral replication, hypersecretion -> GI disease, malabsorption, diarrhea -> pronounced dehydration, acidosis, hemoconcentration
182
How does injury to the respiratory tract appear?
``` Loss of ciliary activity Loss of integrity of the lining mucus layer Multifocal destruction of epithelium Inflammation Exudation Influx of inflammatory cells Obstruction of air passages Hypoxia & respiratory distress Secondary bacterial infection ```
183
Injury to the CNS appears how?
Encephalitis or encephalomyelitis characterized by neuronal necrosis, phagocytosis of neurons (neuronophagia), and perivascular infiltrations of inflammatory cells (perivascular cuffing) ``` Progressive demyelination (canine distemper) Neural vacuolation in prion disease ```
184
Damage to the endothelium appears how?
Hemorrhages - petechiae hemorrhage (pin-point/small spots), ecchymoses hemorrhage (larger areas of hemorrhage, ill-defined margins)
185
What happens with disseminated intravascular coagulation (DIC)?
Clots form in small blood vessels throughout the body -> organs do not get blood -> organ failure Later stages, raw material from clot exhausted due to over use -> no clot formation in later stages -> hemorrhages throughout body
186
Teratogenesis
Abnormal development or arrests in development of the embryo or fetus May result in death or malformations during the antenatal period
187
Virus-induced immunopathology
Tissue injury mediated by host immune response to virus infection. It is the price paid by the host to clear a viral infection. Depends on the delicate balance between the protective and destructive effects of the host immune response to viruses
188
Immunopathology
Tissue damage mediated by hypersensitivity reactions. Autoimmune diseases e.g. Moon blindness in a horse Inflammation-mediated tissue damage e.g. Fibrosis Immunodeficiency disorders
189
What is the role of T cells in viral injury to host tissue
Cytotoxic cell mediated lysis/killing of infected host cells Release of cytokines from T cells (CD4+ and CD8+) and other cells that cause inflammation of tissue damage that becomes chronic against persistent virus infections
190
What is the roll of TLRs in viral injury to host tissues?
Persistent activation of these receptors of innate host cells by viruses causes production of pro-inflammatory cytokines and interferons, as well as signals that recruit and activate cells involved in inflammation. Injury can also be mediated by free radicals, such as NO and superoxide
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Toxicity from antibody responses - response to virus injury to host tissue
Antibody responses to viruses may also contribute to tissue damage
192
Virus-induced immunopathology
Immunosuppression - infectious burial disease: virus replication causes atrophy of the bursa and a sever deficiency of B lymphocytes, resulting in immuno-suppression. As a result, infected birds become susceptible to other pathogens
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Inapparent infections
Clinical signs and symptoms are not evident. Too few cells may be infected Stimulate host immune response Possible source of virus spread
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Acute infection (short term infection)
Short clinical course | Rapid clearance from host immune response
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Latent infections
Infectious virus is not demonstrable except when deactivation occurs. Reactivation is often stimulated by immunosuppression and/or by the action of a cytokine or hormone
196
Chronic infection
Follows acute infection in which the virus is continuously shed from or is present in infected tissue
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Slow or persistent infection
Prolonged incubation period, lasting months or years. Slow progressive lethal disease
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True/false: rapid clearance from host immune response is a feature of persistent viral infection
False
199
Effects of viruses on host cells
Cytocidal -> cell death: lysis or apoptosis Non-cytocidal -> persistent infection Cell transformation -> tumor cells
200
Cytopathic effect or cytopathogenic effect
Damage or morphological changes to host cells during virus invasion
201
Cell fusion: syncytium or polykaryon formation
fusion of the plasma membrane of four or more cells to produce an enlarged cell with four or more nuclei. Prone to premature cell death. Results from the fusion of an infected cell with neighboring infected or uninflected cells
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Inclusion bodies in host cell during viral infection
Any abnormal structure in a cell nucleus or cytoplasm or both, such as aggregates of proteins, having characteristic staining properties and associated with certain viral infections. Help to ID certain viral infections
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Inclusion bodies can be:
Accumulation of viral components. Results from degenerative changes in cells. Crystalline aggregates of virions. ``` Intracytoplasmic or intranuclear (or both) Single or multiple Large or small Round or irregular in shape Eosinophilic/acidophilic or basophilic ```
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Acidophilic staining
Recognizes/affinity for acid dyes, such as eosin. Appear pinkish upon staining
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Basophilic staining
Recognizes/affinity for basic dyes, such as hematoxylin. | Appear purplish blue upon staining
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In tissue culture, visible morphological changes/damages to monolayer cells resulting from virus infection is also known as ______
Cytopathic effect
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General mechanisms of virus-induced cell injury and death
Inhibition of host-cell nucleic acid synthesis. Inhibition of host-cell RNA transcription (mRNA production and processing). Inhibition of host-cell protein synthesis. Some viruses cause lysosomes to release their hydrolytic enzymes, which then destroy the host cell Interference with cellular membrane function.
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What is apoptosis?
Process of programmed cell death, which is essentially a mechanism of cell suicide that the host activates as a last resort to eliminate viral factories before progeny virus production is complete. Different from lysis where viral replication is complete, host cell is destroyed and new virions released
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What mediates death of the host cell?
Activation of host-cell caspase enzymes mediate death of the cell. Once activated, caspases are responsible for degradation of the cell's own DNA and proteins
210
What are the two apoptotic pathways?
Intrinsic pathway | Extrinsic pathway
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What is the intrinsic (mitochondrial) pathway?
Activated as a result of increased permeability of mitochondrial membranes subsequent to cell injury, such as that associated with a viral infection
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What is the extrinsic (death receptor) pathway?
Activated by engagement of specific cell-membrane receptors, which are members of the TNF receptor family. Thus binding of the cytokine TNF to its cellular receptor can trigger apoptosis
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What two things can also initiate apoptosis of virus-infected target cells?
Cytotoxic T lymphocytes and NK cells. Using preformed mediators such as perforin and granzyme that directly activate caspases in the target cell
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What results from surface membrane fusion of enveloped viruses?
Antibody-dependent mediated cytotoxicity. Viral glycoproteins are retained on the cell surface, and since these are antigenic, the cell can become a target of the immune system of the host
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What are the steps in antibody-dependent cell mediated cytotoxicity?
Antibody binds antigens on the surface of target cells Fc receptors on NK cells recognize bound antibody Cross-linking of Fc receptor signals the NK cell to kill the target cell Target cell dies by apoptosis
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What is cell transformation?
Changing of a normal cell into a cancer cell
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Neoplasia
Descriptive term that denotes an abnormal tissue overgrowth that may be either localized or disseminated. It is the process that leads to the formation of neoplasms
218
Oncology
Study of neoplasia and neoplasms
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Benign neoplasm
Growth produced by abnormal cell proliferation that remains localized and does not invade adjacent tissue
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Malignant Neoplasms
Locally invasive and may also be spread to other parts of the body
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Oncogenic viruses
Viruses that cause or give rise to tumors
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Metastasis
Spread of cancer cells from the part of the body where it started to other parts of the body
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Proto-oncogenes
Encode proteins that function in normal cellular growth and differentiation
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Tumor suppressor genes
Plays a role in keeping cell division in check. Encodes proteins that regulates and inhibits uncontrolled growth
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Oncogenes
Mutated forms of proto-oncogenes or aberrantly expressed proto-oncogenes
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What are Retinoblastoma proteins (Rb)?
Important tumor suppressor gene/protein that blocks E2F and keeps cell division in check. E2F facilitates cell division
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What is p53 protein?
Tumor suppressor gene/protein that prevents cells with damaged DNA from entering into cell division. Tries to mediate repairing of the damaged host cell DNA. If the damaged DNA cannot be repaired, p53 mediates apoptosis of the cell with damaged DNA
228
Tumor viruses/oncogenic viruses
Viruses that cause cancer | Oncogenic viruses generally have a DNA genome, or generate a DNA provirus after infection (retrovirus)
229
Oncogenic DNA viruses
Have viral oncogenes in the viral DNA. These oncogenes cause cancer in host cells and also may help in the virus replication process. A. When oncogenic DNA viruses infect permissive cells, they can replicate successfully. No cancer. B. When oncogenic DNA viruses infect non-permissive cells, they cannot replicate. The viral DNA integrates into host DNA or in some viruses- the viral DNA remain episcopal. Cancer results
230
What two ways do oncogenic DNA viruses interact with cells?
1. Productive infection in permissive cells: the virus completes its replication cycle, resulting in cell lysis -> no cancer 2. Non-productive infection in nonpermissive cells: virus transforms the cell without completing its replication cycle -> cancer During such non-productive infection, the viral genome or a truncated version of it is integrated into the cellular DNA; alternatively, the complete genome persists as an autonomously replicating plasmid (episome)
231
Acutely transforming retroviruses
These viruses steal the proto-oncogene from the infected host cell DNA, and then the virus converts the proto-oncogene into the oncogene
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Slow/chronic transforming retrovirus
RNA virus. The virus genome gets inserted into the regulatory gene of the host cell DNA. As a result, the regulatory gene cannot function proper. There is no control on proto-oncogenes of the host DNA. The result is excessive cell division, or cancer
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Tumor antigens
New antigens appear on the surface of tumor cells that may provoke an immune response
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Expression of tumor antigens
FOCMA: Feline oncornavirus membrane associated antigen
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What are the host immune responses to viral infections?
Innate immunity Adaptive immunity Passive immunity
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Innate immune system
Defenses exhibit neither antigen specificity nor memory. First line of defense against viral infections Constantly present Immediately operational Only response available for the first few days after infection Primary physical and chemical defenses
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What role does the GI tract have in innate immunity?
Mucous membrane of oral cavity and esophagus that is refractory to viruses. Acidity of the stomach Alkalinity of intestine Layer of mucus covering gut. Lipolytic activity of Bile Proteolytic activity of pancreatic enzymes. Defensins
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What role does the respiratory tract play in innate immunity
Mucociliary blanket Temp gradient - the temp difference of the nasal passages (33C) and the alveoli (37C) that plays an important role in the localization of infection. Thus, rhinovirusus, which infect the nasopharynx and cause the common cold, replicate well at 33C but poorly at 37, which flu is the reverse preference
239
NK cells
NK cells mediate death of virus infected cells via apoptosis
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Cellular Pattern Recognition Receptors
Cells at portals of virus entry possess surface receptors (PRRs) that recognize specific pathogen-associated molecular patterns (PAMPs). One class of PRRs are TLRs
241
What do TLRs initiate?
Phagocytosis Chemotaxis Inflammatory mediators Interferons
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Interferons
A group of cytokines that are secreted by somatic cells in response to viral and to other stimuli. Possess potent antiviral, immunomodulating and anti-cancer properties. Show no virus specificity RNA viruses are stronger inducers than DNA. Interferons are orally inactive and should be administered to the patient by parenteral route (injection)
243
How many major classes of interferons are there?
3
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Type 1 interferons
Many IFN-alpha : leukocyte interferon, produced in large quantities by plasmacytoid dendritic cells IFN-beta : fibroblast interferon. Secreted by virus-infected fibroblast
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Role of type 1 IFNs
Inhibit virus replication in host Activate NK cells to kill Increase expression of MHC-1 molecules and antigen presentation Type-1 IFNs also stimulate differentiation of monocytes into dendritic cells Maturation of dendritic cells Stimulates memory T cell proliferation
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Type-II interferons
Only one type, IFN-gamma. Mostly immunoregulatory. Produced by antigen-stimulated T cells and NK cells
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Type-III INF
At least 3 identified: IFN-delta1, 2, and 3. Recently discovered Expressed in response to viral infections and activation of TLR Primarily functions as immunoregulator
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Adaptive immunity
Humoral and cellular Humor is mediated by antibodies from B lymphocytes Cellular mediated by T lymphocytes Antigen specific so responses take time Stimulates long-term memory Internal viral antigens usually elicit protective cell mediated immune response Surface antigens elicit protective humoral and CMI responses
249
True/False: interferons are virus specific i.e. For each virus there will be a specific interferon
False
250
Humoral immunity
Antibodies may be directed against viral proteins on free virions (capsid or envelope), or against viral proteins expressed on surface of infected cells
251
Virus neutralization
Neutralizing antibodies prevent virus attachment and entry into host cells. They bind to the viral capsid or host envelope
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Opsonization
Coating of virions with antibodies. Antibody coated virion is recognized and phagocytosed by macrophages and sometimes by neutrophils
253
Some other antiviral effects of antibodies
Clumping of viruses (immunocomplex formation) Activation of complement system Antibody-dependent cell-mediated cytotoxicity
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Cell mediated immunity
CD4+ or CD8+ T lymphocytes with microbial antigen in phagocyte or infected cell containing microbial antigen (respectively) -> activation of macrophages, inflammation, stimulation of B lymphocytes, killing of infected cells
255
True/False: Adaptive immunity is virus specific
True
256
Evading the immune system: antigenic plasticity is what?
Rapid changes in the structure of the viral antigen. May by the result of mutation, reassortment or recombination. Due to change in antigen structure, the virus may become resistant to immunity generated by previous infection
257
Evading the immune system: antigenic multiplicity is?
Antigenic variants with little or no cross-reactivity
258
Negative cytokine regulation
Virokines: some viruses synthesize proteins which are homologs of cytokines/IFN Viroreceptors: some viruses encode proteins that are homologous to the receptors for cytokines
259
Other means of evading the immune system
``` Down-regulation of MHC I pathway Inhibition of complement activation Evasion of neutralizing antibodies Latency Cell-to-cell spread of viruses Inhibition of apoptosis ```
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Virus epidemiology
Study of determinants, frequency, dynamics and distribution of viral diseases in populations
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Why study epidemiology of viral diseases?
The risk of infection and/or disease in an animal or animal population is determined by: characteristics of viruses, host and host population, behavioral, environmental, and ecological factors that affect virus transmission from one host to another
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The role of epidemiology is viral diseases
To ID and/or clarify the role of viruses in the etiology of diseases. Understand the interaction of viruses with environmental determinants of disease. Determining factors affecting host susceptibility. Unraveling modes of viral disease transmission. Studying impacts of viral disease on health, economy and society. Studying role of infectious pathogens isn't he pathogenesis of chronic non-communicable diseases, such as oncogenic viruses. Large-scale testing of vaccines and drugs
263
How does studying epidemiology help?
Advancing our understanding of the nature of diseases. In alerting and directing disease treatment, control and prevention activities. Providing early warning systems and tracking diseases. Assessment of economic and social impacts. Assessment of the efficacy and cost of diseases control and prevention
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Case fatality rate
The percentage of deaths among the clinically ill animals. Animal pop: 100 Number of sick: 25 Number of dead: 10 Case-fatality rate: 10/25 * 100 = 40%
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Mortality rate
Number (%) of animals in a population that die from a particular disease over a specified period of time ``` Animal pop: 100 # of sick: 25 # of dead: 10 Mortality rate= 10/100 * 100 = 10% ```
266
Morbidity rate
The percentage of animals in a population that develop clinical signs attributable to a particular virus over a defined period of time (commonly the duration of an outbreak)
267
Incidence
Number of new cases that occur in a population over a specified period of time. Incidence rate= (# of cases * 10^n)/population in a specified period of time AKA attack rate is a measure of the occurrence of infection or disease in a population over time- for example, a month or a year, and is especially useful for describing acute diseases of short duration
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Prevalence
Number of occurrences of disease (old and new), infection or related attributes (antibodies) in a population, at a particular point of time Prevalence = (# of cases * 10^n)/population at risk at a particular time
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Sporadic viral disease
Occurring occasionally, singly, or in scattered instances, and in an irregular and haphazard manner
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Enzootic viral disease (endemic in humans)
The constant presence of a viral disease within a given geographic area or population group
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Epizootic viral disease (epidemic in humans)
Occurrence of more cases of viral diseases than expected in a given area or among a specific group of people/animals over a particular period of time. Refers to peaks in disease incidence that exceed the endemic/enzootic baseline or expected incidence of disease
272
Panzootic viral diseases (pandemic in humans)
A virus epidemic occurring over a very wide area (several countries or continents) and usually affecting a large proportion of the population
273
Asymptomatic carrier
Animals that have contracted an infectious viral disease, but display no clinical symptoms. Shed virus, transmitting disease to others. Shedding of virus may be continuous or intermittent
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Contagious disease
A disease that is spread from one person or organism to another by direct or indirect contact
275
Period of contagiousness
Time during which an infected animals sheds virus
276
Exotic disease
Disease not known to occur in a particular country or geographical area
277
Rabies has never been reported before in St. Kitts. Suddenly, a few cases of canine rabies are reported from St. Kitts, especially among dogs that accompanied incoming RUSVM students from the USA. In this context, rabies would be ____ disease in St. Kitts
Exotic
278
Seroepidemiology
Denotes the use of serological data as the basis of epidemiological investigation, as determined by diagnostic serological techniques
279
Molecular epidemiology of viruses
The use of molecular biological data as the basis of epidemiological investigation of viral diseases
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Horizontal transmission of disease
Contact: direct (bites, sex, licking, droplets), indirect (air-borne, fomites) Vector transmission: mechanical or biological Vehicle-borne Iatrogenic Nosocomial
281
Vertical transmission of virus
From mom to baby
282
Define horizontal (Lateral) transmission
Spread of an infectious agent from one person/animal or group to another person/animal or group. Most viruses are transmitted by horizontal route
283
Contact transmission
Spread of infectious agent by direct or indirect contact Infected Host -> susceptible host by direct transmission Infected host -> intermediate object by indirect transmission Intermediate object -> susceptible host by indirect transmission
284
Direct-contact transmission
Involves actually physical contact between an infected animal and a susceptible animal. This includes sexual contact
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Direct-contact transmission: droplet transmission
Transmission of virus in droplet nuclei that travel less than 1 meter from the source to the susceptible host
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Indirect-contact transmission
Indirect-contact transmission occurs via fomites, such as eating containers, bedding, dander, restraint devices, vehicles, clothing, improperly sterilized surgical equipment or improperly sterilized syringes or needles
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Fomite
Inanimate object or substance that is contaminated with the infectious agent and is capable of transmitting infectious organisms from one individual to another.
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Airborne transmission
Spread of infectious agents by droplets nuclei in dust that travel more than one meter, sometimes for miles, from the infected to the susceptible host.
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Vector transmission
AKA arthropod-borne transmission. Arthropod vectors carry the viruses from the infected host to susceptible host. Mechanical transmission: passive transport of the infectious agent on the feet or other body parts of the arthropod vector Biological transmission: Infectious agent undergoes either a necessary part of it's life cycle, or multiplication, in the vector before transmission to susceptible host
290
Arboviruses
A class of viruses transmitted to humans by arthropods such as mosquitoes and ticks
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Enzootic cycle (Sylvatic or Jungle Cycle)
The natural transmission of virus between wild animals/ birds (vertebrate hosts) and primary insect vectors.
292
Epizootic cycle (rural cycle)
The virus is transmitted between non-wild or domestic animals and the primary or accessory insect vectors.
293
Urban cycle
The virus cycles between humans and insect vectors
294
Types of transmission cycles?
Enzootic cycle Epizootic cycle Urban cycle
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Amplifying host
The level of virus can become high enough that an insect vector such as a mosquito that feeds on it will probably become infectious
296
Dead-end host or incidental host
A host from which infectious agents are not transmitted to other susceptible hosts. They do not develop sufficient viremia to be picked up by the insect vectors.
297
Common-vehicle transmission
Includes fecal contamination of food and water supplies and virus-contaminated mea or bone products Fecal contamination of water or food and virus contamination of meat or meat products
298
Iatrogenic transmission
Infection that is transferred during medical or surgical practice
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2 ways of iatrogenic transmission
Introduction of pathogens by contaminated instruments, or contaminated body surface. Ex. Spread of equine infectious anemia virus via multiple-use syringes and needles Introduction of pathogen through contaminated prophylactic or therapeutic preparations
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Nosocomial transmission
Occurs while an animal is in a veterinary hospital or clinic. AKA hospital acquired infection
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Vertical transmission
Infection that is transferred from dam to embryo or fetus or newborn before, during, or shortly after parturition
302
Zoonosis
Infections that are transmissible from animals to humans
303
Herd immunity
Immunity that occurs when the vaccination of a significant large portion of a population (or herd) provides a measure of protection for individuals who have not developed immunity
304
Incubation period
Interval between infection and the onset of clinical signs. In many diseases there is a period during which animals are infectious before they become sick
305
Prodromal period
The first signs and feelings of illness after incubation period. The period of early symptoms of a disease occurring after the incubation period and just before the appearance of the characteristic symptoms of the disease
306
Acute period
When the disease is at its height. Severe clinical signs
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Decline period
Period when clinical signs begin to subside
308
Convalescent period
The body gradually returns to it's pre-diseased state, and health is restored
309
True/false: hospital acquired viral infection is also known as nosocomial transmission
True
310
True/false: Enteric viruses have been shown to be more stable in environment than respiratory viruses
True
311
Classification of infective micro organisms by risk group: what are those risk groups?
Group 1: no or low individual and community risk Group 2: moderate individual risk, low community risk Group 3: high individuals risk, low community risk - A pathogen that usually causes serious human or animal disease but does not ordinarily spread from one infected individual to another. Effective treatment and preventive measures are available Group 4: High individual and community risk - A pathogen that usually causes serious human or animal disease and that can be readily transmitted from one individual to another, directly or indirectly. Effective treatment and preventive measures are not usually available.
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What does it mean to be at BSL4?
Maximum containment lab. BSL4 labs handle dangerous and exotic pathogens belonging to the highest risk group (i.e. Risk group 4 or Ebola virus)
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Biohazard
Biological substances that pose a threat to the health of living organisms, primarily that of humans
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Biosafety
Laboratory biosafety describes the containment principles, technologies and practices that are implemented to prevent the unintentional exposure to pathogens and toxins, or their accidental release
315
Aerosol
Very small droplets of fluid that can spread via air. Viruses can spread in lab through aerosol route
316
Biosecurity
Laboratory biosecurity describes the protection, control and accountability for valuable biological materials within labs, in order to prevent their unauthorized access, loss, theft, misuse, diversion or intentional release
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What should be done for virus isolation?
Specimens should be collected as soon after onset of symptoms as possible, because maximal amounts of virus are usually present at the onset of signs. The chance of viral recovery is best during the first three days after onset and is greatly reduced beyond 5 delays with many viruses
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What should be done for serological tests?
Two blood specimens are generally collected - one during the acute phase of the illness and the second sample during the convalescence period
319
When should specimens be collected for molecular diagnostics?
Should be obtained during the early part of the illness
320
How do you transport virus to the medium (VTM):
Swabs
321
How should virus samples be transported to prevent spillage?
Basic triple packaging system
322
At what exams do you diagnose viral infections by gross evaluation?
Clinical signs Necropsy Histopathology
323
Methods of detection of viruses by cultivation/isolation
In cells/tissue culture | Inoculation in eggs
324
How is electron microscopy used in virology?
Can be used to demonsttate viruses in samples and detect viruses that cannot be grown in-vitro
325
What are the two types of electron microscopes used?
Scanning | Transmission
326
Transmission electron microscopy (TEM)
Method used in TEM is based on transmitted electrons | TEM seeks to see what is inside of beyond the surface
327
Advantages of TEM
Might be used in preference to an SEM because: | TEM can produce images that have higher magnification and greater resolution than images produced by SEM
328
Scanning electron microscopy (SEM)
Based on scattered electrons | Focuses on the samples surface and it's composition
329
Advantages of SEM
Might be used in preference to TEM because: | SEM produce 3D images while TEM only produce flat images
330
True/false: A TEM yields 3D images
False
331
Gold standard test
A diagnostic test that is considered to be the most accurate and best available under a particular condition or set of conditions
332
Sensitivity
The probability that cases with the infection (determined by the result of the reference or 'gold standard' test) will have a positive result using the test under evaluation
333
Specificity
The probability that cases without the infection (determined by the results of the reference or 'gold standard' test) will have a negative result using the test under evaluation
334
Collection of serum should be in what?
Red-top vacutainer tube
335
Collection of plasma should be in what?
Lavender-top EDTA vacutainer tube
336
Vacutainer tubes used to collect blood sample to obtain serum for diagnostic purposes usually have ___ caps?
Red
337
Typical ELISA (Enzyme-linked immunosorbent assay)
``` Antigen coated in a well Add antibody tagged with an enzyme Antigen binds to enzyme-tagged antibody Wash the excess unbound antibodies Add substrate Enzyme tagged to antibody which is bound to antigen will change color of substrate. Intensity of color indicates more positive reaction ```
338
Direct ELISA
Antigens are immobilized and enzyme-conjugated primary antibodies are used to detect or quantify antigen concentration. The specificity of the primary antibody is very important
339
Indirect ELISA
Primary antibodies are not labeled, but detected instead with enzyme-conjugated secondary antibodies that recognize the primary antibodies.
340
Sandwich ELISA
The antigen to be measure is bound between a layer of capture antibodies and a layer of detection antibodies. The two antibodies must be very critically chosen to prevent cross-reactivity or competition of binding sites
341
Competitive ELISA
A decrease in signal when compared to assay wells with purified antigen alone indicated the presence of antigens in the sample. Weaker signal indicates presence of antigens in sample.
342
Fluorescence antibody test (FAT)
Direct FAT: labeled antibodies are added onto the sample (antigen). Visible fluorescence appears at the binding sites of the specific antibodies (antigen-antibody binding). Indirect FAT: IFAT employs a secondary antibody labeled with a fluorescent marker that recognizes the primary antibody bound to antigen
343
Immunohistochemistry
The antibody is tagged with an enzyme, generally horseradish peroxidase. The enzyme reacts with a substrate to produce a colored product that can be visualized in the infected cells with a standard light microscope
344
Immunochromatography (lateral flow devices)
A form of POC (point-of-care) test that is simple to perform, easy to carry, and does not require specialized equipment
345
Agglutination
Method using the property of specific antibodies to bind many antigens (antigens on pathogen, or antigen coated particles, latex beads) into single clumps thereby forming large complexes, which are easily precipitated. The precipitation can be macroscopically or microscopically visible
346
Hemagglutination and Hemagglutination inhibition test
Relies on the property of some pathogens (mainly viruses) to nonspecifically agglutinate erythrocytes
347
Agar gel immunodiffusion test
Antigen and antibody placed in separate wells of an agar gel. Antigen and antibody diffuse toward each other. A thin white line is formed due to precipitation of antigen/antibody complex.
348
Complement fixation test
Let us say that the serum from patient has antibody against virus A. -> Intact sheep RBCs settle at bottom (positive reaction). Let us say that the serum from patient is negative to virus A. It will have no antibodies -> you find hemolysis of sheep RBCs, destruction/hemolysis of sheep RBC indicated negative reaction
349
Neutralization assay
Neutralization of a virus is defined as the loss of infectivity through reaction of the virus with specific antibody