Viruses Flashcards
What is the most common drug hypersensitivity reaction? how does it occur
Morbilliform drug eruption:
amoxicillin treatment for sore throat and fever +
Epstein Barr Virus infection (EBV, mononucleosis)
What is Epstein Barr Virus?
EBV causes Infectious Mononucleosis (IM) also known as glandular fever (kissing disease)
Explain the herpes life cycle
See diagram
What are the three phases of gene expression in herpes
- tegument proteins regulate production of mRNAs and proteins of
IE immediate early genes; they
-protect the virus against innate host immunity
-promote transcription of early genes - production of E early
mRNAs / proteins; they
- are involved in viral replication - production of L late
mRNAs / proteins; they
are involved in virus assembly
Explain how herpes ans EBV illustrate the virus principle
- specific ways to get into the host cells: attachment and virus entry
- Distinguish the virus’ genetic material
Host interactions to establish chronic infection
Expression of viral genes is often in phases - Virus replication, assembly and release
Explain features of Herpes and EBV
dsDNA - Linear in acute, circular in latent phase
120-140kb
120-200nm, envelope, capsid
down-regulate pro-inflammatory responses and MHC-II
can infect B and T cells
widespread infection
Explain points of intervention within the general virus life cycle
- receptor binding (COVID)
- entry (COVID)
- mRNA function- Interferon > RNA breakdown
- DNA/RNA synthesis
- assembly - Protease (COVID)
- release - Neuraminidase (Influenza)
How does INFy orchestrate viral defense?
Type 1 interferon (IFNa - dentrites and IFNb - fibroblasts) produced by infected cells (autocrine and paracrine)
production of >300 gene products and stimulates:
T cells and NK cells produce type II INFy
INFy kills virus infected cells/cancer cells
autocrine - virus replocation in hibition, apoptosis
paracrine - up-regulation of MHC-1 and NK activation
Virus epidemic examples
SARS outbreak 2002/3 - 8,000 cases, 800 deaths nearly 10% fatality
Middle east (MERS): 2012/3 - 1,300 cases, 400 deaths; nearly 40% fatality
COVID19 - 75,000,000 cases, 6,900,000 deaths, 0.9% fatality
what does R0/ the R number mean? give examples
of individuals one sick person will infect
2 = HepC, Ebola, Influenza
4 = SARS, HIV
6 = Pox
10 = Mumps
18 = Measles
Explain the use of Dexamethasone in COVID-19
Corticosteroid
in UK - tested on hospitalised patients with COVID-19
benefits for critically ill patients -reduction in mortality by 1/3 for people on ventilators, 1/5 for people on oxygen
Give examples of different types of approved drugs for virus treatment
Nirmatrelvir and Ritonavir (Paxlovid, protease inhibitor)
Remdesivir (Veklury, nucleotide interfering with viral RNA replication)
Molnupiravir(Lagevrio, same as above)
Sotrovimab (Xevudy) is a “biological” – monoclonal antibody or mAb
Explain features of the drug Paxlovid (CHECK WHAT IT TREATS)
Convenience: orally bioavailable (50% in rats) (95% absorbed from GI)
Efficacy: reduced hospitaliasation and mortality
Mechanism: inhibits the cystine protease Mpro that helps cleave and mature chains of the viral protein
prevents transmission
what are proteases required for in virus infection
virus entry
endosomal release
cleave polyproteins
Describe features of the drug Sotrovimab
Monoclonal antibody
Recognises spike protein of virus
used to treat symptomatic acute covid-19 infection in 12 and above
overcome infection and prevent serious illness
What is a mAB?
Monoclonal antibody:
- Mouse (or other animal) challenged with an antigen
- produces cells that produce specific antibodies
-Cross these cells with an immortal / cancerous cell
- Each cell colony then produces a specific antibody, a clone
Neutralising SARS mAB
Source animal is human
Make a monoclonal antibody, as before
Test effectivity against antigen, here SARS spike protein
Spike receptor binding domain (RBD) targeted mAb neutralise the virus (Graham 2021)
What is a virus factory?
A compartment within an infected cell, made by the virus to protect it from degradation/host defences
Example of a virus that creates a virus factory
Coronaviridae (COVID), Pox, Herpes
Examples of cytoplasmic virus factories
Coronaviridae use double membrane vesicles (DMVs)
in the cytoplasm where the dsRNA is produced
Poxvididae form a viruplasm for viral replication and assembly
Examples of nuclear virus factories
Herpesviridae formnuclear replication compartments(RCs) for viral DNA replication and late gene transcription
Examples of RNA viruses
Paramyxovirus (mumps & measles):
RNA-negative strand (mRNA complement)
linear ssRNA– genome, 15.3 kb
enveloped, size 150 nm
Mumps: infection of the ductal epithelium lading to Parotitis; the mumps virus can cross the brain blood barrier and infect ependymal cells
Paramyxovirus down-regulates innate immunity by interfering with interferon responses
Explain virus classification
How they look: capsid, envelope
Their genome:
This can be either DNA or RNA
Do Viruses violate the central Dogma?
YES
Virus classification by nuclear material (Baltimore classification)
double or single stranded DNA viruses
I- dsDNA: all mechanisms like DNA genomic host cell
II- ssDNA: convert to dsDNA first, then like host cell
double or single stranded RNA viruses
III - dsRNA: RNA used as template for mRNA
IV - ssRNA: a positive strand has the same orientation as mRNA;
requires synthesis of complementary RNA first;
mRNA is then synthesized from the complementary RNA strand
V - ssRNA: a negative strand is complementary to mRNA;
mRNA can be synthesized directly from the genome template
VI: RNA genome but dsDNA intermediate
VII: DNA genome but ssRNA intermediate
Examples of virus in the class 1 classification
dsDNA
use normal cellular mechanisms
Herpes, papilloma, pox
Examples of virus in the class 2 classification
ssDNA
Convert to dsDNA first
e.g. parvo
Examples of virus in the class 3 classification
dsRNA
use normal cellular mechanisms
e.g. reo, picobirna
Examples of virus in the class 4 classification
ssRNA+
must synthesise complementary strand 1st
e.g corona
Examples of virus in class 5 classification
ssRNA-
use the normal cellular mechanism
e.g. paramyxo, filo, orthomyxo
Examples of virus in class 6 classification
ssRNA+, DNA intermediate (retrovirus)
Convert their genome to DNA
e.g. HIV
Examples of viruses in class 7 classification
dsDNA, RNA intermediate
Use an RNA intermediate
e.g. hepadna
estimate of how many viruses on earth
10^31 (2000 known species)
Which Baltimore class of virus is most common
4
Influenza life cycle
Attached to silica acids on the membrane surface and on proteins
Internalised
Sheds Cathrin coated vesicle
Releases ribonucleoproteuin
Makes mRNA that are spliced to make proteins
RW
How does influenza enter cells
attachment
endocytosis
acidification of the endosome
pH induced conformational change of hemagglutinin (surface protein) - exposure of hydrophobic residues
Leads to loss of envelope and release of viral genome
Hemagglutinin features
active, virus form
trimeric membrane protein
bind glycosylated surface proteins on host membrane
Drugs targeting which proteins are being developed to target influenza
drugs against M1 and M2
Two external proteins of influenza
H=Hemagglutinin
glycosylated protein
binds to sialic-acid
N=Neuraminidase
hydrolyses sialic-acid glycosylation
active against Hemagglutinin as well as surface proteins