Viruses Flashcards

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1
Q

What are the differences between plasmacytoid and myeloid dendritic cells, and how do they confer antiviral resistance?

A

plasmacytoid dendritic cells (pDC)
- Specialized in producing large amounts of type I interferons (IFN-α and IFN-β) in response to viral infections through Toll-like receptor (TLR) signaling.

  • limited antigen presentation

myeloid dendritic cells (mDC)
- Efficient in antigen uptake, processing, and presentation to T cells, promoting adaptive immune responses.

  • Produce proinflammatory cytokines and chemokines upon activation through various stimuli, including pathogens and inflammatory signals
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2
Q

How are viral antigens processed and presented?

A

Protein Degradation:
- Proteasomal Degradation: Proteins, including viral antigens, are degraded by the proteasome in the cytoplasm into smaller peptide fragments.
- Endosomal Degradation: Some viral proteins may also be processed by lysosomal proteases following endocytosis and fusion with lysosomes.

Peptide Loading onto MHC Molecules:
- MHC Class I Pathway: Cytosolic peptides generated by proteasomal degradation are transported into the endoplasmic reticulum (ER) by the transporter associated with antigen processing (TAP).
- Peptide Loading: In the ER, peptides bind to newly synthesized MHC class I molecules, which are then transported to the cell surface for presentation to CD8+ T cells (cytotoxic T lymphocytes, CTLs).

T Cell Recognition and Activation:
- CD8+ T Cell Activation: MHC class I-peptide complexes on infected cells are recognized by CD8+ T cells (CTLs), leading to T cell receptor (TCR) engagement, co-stimulation, and activation of CTLs.

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3
Q

What role do CD4 T cells play in antiviral immunity?

A
  • provide help to CD8 T cells (induce proliferation)
  • recruit proinflammatory macrophages
  • eliminate infected cells
  • provide help to B cells to produce antibodies
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4
Q

How do CD8 T cells tackle infection?

A
  • killing cells through release of perforin and granzymes
  • trigger death by Fas binding to FasL on infected cell
  • produce soluble factor which cure the cell eg IFN-gamma, TNF-alpha
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5
Q

What role do antibodies play in antiviral immunity?

A
  • opsonisation
  • prevent binding to receptors
  • prevent endocytosis
  • prevent fusion
  • activate complement
    –> destroy virus and opsonisation
    –> destroy virus-infected cells
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6
Q

What is the structure of a coronavirus?

A
  • positive, single stranded RNA genome
  • enveloped
  • zoonotic viruses
  • spherical
  • cell entry via various receptors
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7
Q

What is the genome structure of SARS-CoV2?

A
  • read in two large ORFs
  • proteases cut large polyproteins into 16 smaller proteins
  • 2 are proteases responsible for cleavages that make entry into cells much more efficient
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8
Q

What is unique about the polymerase in SARS-CoV2?

A

RNA viruses tend to be small as RNA is unstable, which is why they mutate so fast

but cov2 has polymerase w proof-reading activity

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9
Q

What are the receptors necessary for HIV entry?

A

CXCR4 on T cells
CCR5 on macrophages

these allow fusion of lipid envelope w cell membranes facilitating entry into the cell

antiCXCR4 and antiCCR5 can inhibit viral entry

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10
Q

Why are nucleoside/nucleotide analogues effective at inhibiting viruses?

A

take advantage of the fact that viral polymerases are not as discriminating as cellular polymerases

but are relatively toxic to humans, can cause mutations, and are potentially carcinogenic

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11
Q

How are non-nucleoside reverse transcriptase inhibitors useful?

A

rather than binding to the active site of HIV RT, they inactivate by binding elsewhere
However, mutations in RT can allow mutants to escape effects

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12
Q

Why is HIV maturation crucial?

A
  • only mature HIV protease is infectious
  • driven by virion protease

this protease is a major antiviral target
eg
- natural substrate for HIV-1 protease is 7 amino acids long
–> Saquinivar (Ro 31-8959) mimics this structure
–> fits into active site and doesnt leave, inactivating the enzyme

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13
Q

What is HAART?

A

Highly Active Anti-Retroviral Therapy

Uses more than one anti-HIV drug
reduces probability of virus acquiring drug resistant mutation

can dampen down replication of HIV to undetectable levels, so patient can live a normal life
v large drug burden however

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14
Q

What is PrEP?

A

Pre-Exposure Propylaxis

aimed at HIV-negative individuals who are at a substantial risk

contains two drugs - NRTIs

when taken daily, shown to reduce the risk of HIV infection up to 92%

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15
Q

How do anti-herpesvirus drugs work?

A

nucleoside analogues

  • DNA chain terminating
  • activated in infected cells by viral Thymidine Kinase
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16
Q

What are three important features on the influenza virion surface?

A

Hemagglutinin (HA) - binds to sialic acid on cell surface

Neuraminidase (NA) - cleaves sialic acid allowing release of virus from cell

Matrix protein 2 (M2) - forms pore, allows H+ ions to enter virion - essential for uncoating

17
Q

What is an example of an influenza drug target?

A

decreased pH within endosome causes conformational changes in HA allowing it to fuse with the endosome

amantadine can block this fusion as well as bursting out of cell by blocking M2 protein ion channel

18
Q

How is Hepatitis C treated?

A

a combination of IFN-alpha and Ribavirin, a nucleoside analogue

60-80% success rate

left untreated, can lead to cancer in the liver

19
Q

How is EBOV treated?

A

monoclonal antibodies

eg ZMapp
- cocktail of three mAbs
- recognises conformational epitopes on GP2 or the stem region of the GP trimer

REGN-EB3
- 3 humanised mAbs from mice infected w ebola
- recognise proteins on outside of EBOV particle eg GP which allows virus to enter a cell

secreted GP can act as an antibody decoy

20
Q

SARS-CoV2 assembles new particles via the endoplasmic reticulum-Golgi intermediate compartment (ERGIC). What are the advantages of this?

A
  1. Protection and Budding:
    Enclosed Environment: The ERGIC provides an enclosed and protected environment conducive to viral assembly and budding, shielding viral components from degradation by host cell proteases and nucleases.
  2. Incorporation of Viral Proteins:
    Post-Translational Modifications: The Golgi apparatus facilitates post-translational modifications, such as glycosylation and palmitoylation, of viral proteins, which may be essential for their proper folding, stability, and functionality in viral assembly and entry.
    Protein Sorting: The Golgi apparatus ensures the proper sorting and trafficking of viral proteins to the budding sites on the ERGIC membrane, promoting efficient virion assembly.
  3. Protection from Immune Recognition:
    Immune Evasion: Assembling viral particles in the ERGIC may help evade host immune surveillance by concealing viral antigens until the virions are released from the host cell.
    Stealthy Exit: The budding and release of enveloped virions from the ERGIC allow the virus to exit the host cell without triggering immediate immune responses, facilitating viral spread and propagation within the host.
21
Q

What is respiratory syncytial virus (RSV)?

A

cause of upper respiratory tract infection (URTI)
- common cold in healthy adults
- otitis media in children

cause of lower respiratory tract infection (LRTI)
- viral pneumonia in the elderly and in immune suppressed patients
- bronchiolitis in infants
–> is a big problem is an inability to feed as it requires breathing

22
Q

How is RSV treated?

A

no active vaccination

mAbs - monthly palivizumab
- single dose of nirsevimab
does not alleviate bronchiolitis

23
Q

What is the role of RSV G protein?

A

binds to CX3CR –> inhibits IFN-I, promotes T2-response

soluble form acts as an immuno decoy –> can bind to CX3CR1 on pDCs and to some lymphocytes, leading to altered chemotaxis and reduced function
–> can bind specific neutralising antobodies

24
Q

What is the role of RSV F protein?

A
  • binds to nucleolin which facilitates virus internalisation by forming a pore where the nucleocapsid can enter through
  • binding to epidermal growth factor (EGF) –> micropinocytosis, promotes fusion
  • pre-fusion form is unstable –> refolding
  • post fusion form is v stable
  • activates the Th2 response
  • binds to TLR4 and causes desensitisation of TLR signalling receptors
25
Q

What is the role of RSV SH protein?

A

small hydrophobic membrane protein that forms a pentameric ion channel (virioporin) which facilitates delayed host cell apoptosis

26
Q

What is strange about the human immune response to RSV?

A

we do not develop good long term immunity to RSV
can be infected w the same strain repeatedly

27
Q

What receptor recognises RSV?

A

RIG-I in epithelial cells

28
Q

What roles do the N proteins in RSV play?

A
  • NS1 and NS2 enhance degradation of STAT2 which mediates the type 1 IFN signalling pathway by forming a complex and regulating gene expression
  • NS1 and NS2 reduce maturation of cDCs, attenuating their efficacy as antigen-presenting cells
  • N protein can disrupt the immunological synapse
29
Q

What are the differences between the Th1 and Th2 responses?

A

Th1
- produce pro inflammatory cytokines (IFN-gamma, TNF-alpha, IL-2)
- this activates macrophages, CTLs and NK cells
- protective immunity against intracellular pathogens

Th2
- produce anti-inflammatory and immunoregulatory cytokines (IL-4, 5, 10, 13)
- activates B cells which produce antibodies, recruit eosinophils, activates mast cells
- protective immunity against extracellular pathogens (eg helminths), and stimulates tissue repair

30
Q

What TLRs are involved in the detection of viruses?

A

TLR-3: dsRNA
TLR-7: ssRNA
TLR-8: ssRNA
TLR-9: CpG DNA