Viruses Flashcards

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1
Q

What differentiates viral growth from bacterial growth?

A
  • bacteria grow exponentially in culture medium
  • viruses have an ‘eclipse period’ where no virus appears to be present
    • during this phase it has infected the cell and been broken down into its components
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2
Q

What are the stages of viral replication?

A
  1. Attachment to cell surface
  2. Penetration of the plasma membrane
  3. Uncoating of the genome protein coat
  4. 3 phases:
    1. Genome replication
    2. mRNA synthesized
    3. Viral proteins synthesized
  5. Protein + genome assembly
  6. Released from cell
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3
Q

How do viruses attach to cell plasma membranes?

A
  • via receptors (normal physiological parts of the PM)
  • this defines and limits the host species and type of cell that can be infected
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4
Q

What type of receptors are used by viruses for attachment/adsorption?

A
  • protein
    • e.g. ICAM-1 for most rhinoviruses
  • carbohydrate
    • e.g. sialic acid for influenza virus
    • recognition of sugars on carbohydrate side chains of glyoprotiens - very common
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5
Q

How does HIV attach to cells?

A
  • infects CD4 T-cells via CD4 and chemokine (CCR-5) receptors
  • gp160 on HIV made up of gp120 and gp41
    • on gp41 is a hydrophobic peptide, surrounded by gp120
  • CD4 receptor combines with gp120 to capture the HIV
  • induces conformational change in gp120 exposing peptide
  • recruits CCR-5
  • tight binding of HIV to cell in unstable configuration (peptide exposed)
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6
Q

How does viral penetration occur?

A

Two ways:

  1. After adsorption, the lipid coat of enveloped viruses fuses with the cell membrane and the nucleocapsid is released into the cytoplasm
  2. Enveloped and non-enveloped viruses can also stimulate endocytosis on attaching to the PM
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7
Q

What is viral uncoating?

A
  • release of viral genome from its protective capsid
  • enables nucleic acid to be transported within the cell for transcription
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8
Q

How does HIV penetrate cells?

A
  • hydrophobic peptide of gp41 insterts into PM
  • brings viral membrane in close proximity to cell membrane
  • membranes merge, viral contents and genome are emptied into the cell cytoplasm
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9
Q

How does togavirus penetrate cells?

A
  • binding to PM receptor triggers endocytosis
  • low pH of endosome can trigger a conformational change in the viral proteins to expose a hydrophobic fusion region to fuse out of the endosome (similar to gp41 peptide)
  • or, lysis of endosome releases virus
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10
Q

DNA viruses replicate in

A

the nucleus*

*exception: pox virus, encodes own machinery, replicates in cytoplasm

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11
Q

RNA viruses replicate in

A

the cytoplasm*

*exception: influenza, HIV replicate in the nucleus

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12
Q

What occurs during amplification of the viral genome and viral proteins?

A
  • nucleic acid replication to produce new genomes for new virions
  • mRNA is produced, codes viral proteins translated by the host cell
    • early proteins: non-structural (DNA, RNA polymerases, enzymes or factors to dampen innate immune response)
    • late proteins: structural (capsid proteins, virion building blocks)
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13
Q

What are early and late proteins?

A
  • early proteins: non-structural (DNA, RNA polymerases, enzymes or factors to dampen innate immune response)
  • late proteins: structural (capsid proteins, virion building blocks)
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14
Q

In order to replicate, RNA viruses require

A

RNA-dependent RNA polymerase

encoded by the virus

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15
Q

Which sense of RNA can act as mRNA?

A

+ sense, e.g. poliovirus

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16
Q

How do + sense RNA viruses replicate?

A
  • encodes own RNA-dependent RNA polymerase tf it cannot replicate right away
  • must first produce proteins by translating the RNA into a polyprotein
  • autocleavage of polyprotein yields polymerase + other encoded proteins
  • viral genome can now replicate and produce more polymerases
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17
Q

How do - sense RNA viruses replicate?

A

they must bring RNA-dependent RNA polymerase with them into the cell

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18
Q

What viruses are examples of Class I and how do they produce mRNA?

A

Class I: dsDNA

  • e.g. adenovirus, herpesvirus, poxvirus
  • enters nucleus, uses host cell polymerases
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19
Q

What viruses are examples of Class II and how do they produce mRNA?

A

Class II: ssDNA, +/- sense

  • e.g. parvovirus
  • +sense can act as mRNA –> translated to produce its RNA-dep RNA polymerases
  • -sense must bring RNA-dep RNA pol into cell
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20
Q

What viruses are examples of Class III and how do they produce mRNA?

A

Class III: dsRNA

  • e.g. reovirus
  • replicates in cytoplasm, uses own polymerases
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21
Q

What viruses are examples of Class IV and how do they produce mRNA?

A

Class IV: +ssRNA

  • e.g. picornavirus, togavirus, flavivirus
  • +ssRNA can act as mRNA
  • replicatres in cytoplasm, encodes polymerase
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22
Q

What viruses are examples of Class V and how do they produce mRNA?

A

Class V: -ssRNA

  • e.g. orthomyxovirus, paramyxovirus, rhabdovirus, filovirus
  • -ssRNA must provide its own RNA-dep RNA polymerase
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23
Q

What viruses are examples of Class VI and how do they produce mRNA?

A

Class VI: +ssRNA that replicates via DNA intermediate

  • e.g. retrovirus (HIV)
  • carries reverse transcriptase to convert +ssRNA to DNA
  • DNA is integrated into the host genome
  • DNA is used to create mRNA to create proteins
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24
Q

Translation of structural and non-structural viral proteins is carried out by

A

ribosomes in the host cell cytoplasm

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25
Q

Post-translational cleavage of viral polyproteins or trimming of structural proteins usually requires

A

virus-encoded proteases

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26
Q

Glycosylation of viral envelope glycoproteins occurs in the

A

RER & Golgi vessels, which results in them being deposited into the host cell membrane

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27
Q

How are non-enveloped animal viruses assembled and released?

A
  • icosahedral viruses, structure assembled by:
    • spontaneous assembly of the capsid proteins around the nucleic acid genome due to unstable energy state of the original protein
    • chaperonin proteins or other mechanisms may assist
    • proteolytic cleavage may induce final conformations of capsid proteins
  • virions accumulate in the cytoplasm or nucleus until the cell eventually lyses
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28
Q

How are enveloped viruses assembled and released?

A

budding through the cell surface to obtain envelope of host cell PM:

  • patches of viral envelope glycoproteins have accumulated on the PM
  • capsid proteins & NA genome condense next to PM and push out
  • e.g. influenza, measles - helical genomes covered in spiral protein coats
  • some use the cellular secretory pathway to exit the cell
    • genome enters vesicle w/structural proteins from RER while in Golgi
    • transported to PM where it fuses and releases the virus particles
    • e.g. coronavirus
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29
Q

What are the four types of virus-induced changes in cells?

A
  • transformation to tumour cells
    • e.g. oncogenic retroviruses
  • lytic infection causing cell death and virion release
    • enteroviruses, reoviruses
  • chronic infection causing slow virion release (cell lives)*
    • e.g. hep C
    • persist for years
    • do not cause enough damage to trigger a robust immune response
  • latent infection causing no harm to the cell, virus dormant until it emerges later on as a lytic infection*
    • converted to a latent form on infection
    • e.g. herpesviruses (cold sores)
  • latent & chronic infections are persistent infections
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30
Q

What are cytopathic effects?

A
  • morphological changes in virus-infected cells observed in culture on light microscopy
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31
Q

What are inclusion bodies?

A
  • accumulated viral proteins at the site of virus assembly
    • i.e. in nucleus or cytoplasm, viral components
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32
Q

How can viruses cause tumour growth?

A
  • cell transformation
  • encoding oncogenes that when expressed in an infected cell promote tumour production
    • oncogene codes for proteins w/growth promoting properties
    • expression leads to uncontrolled proliferation
  • likely picked up during evolution through integration of the viral genome into the host DNA
    • homologs or variants of cellular genes that promote the cell cycle
  • other viruses can cause tumours bc their replication affects the cellular version of an oncogene
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33
Q

What is a quasi-species?

A

Individual viruses infecting a single person are all slightly different because they are a mix of mutated forms of the virus.

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34
Q

What is the mecahnism of the changing viral genome?

A

Mutation

RNA-dep RNA pol has no proofreading mechanism, tf errors are not corrected

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35
Q

How does viral genome variation occur as a result of two viruses infecting the same cell?

A
  • rare
  • 2 related viruses
  • occurs often in flu
  • mechanisms:
    • recombination - exchange of stretches of NA btw genomes of similar sequemce, especially in DNA viruses
    • reassortment - swapping of segments for viruses that have segmented genomes, e.g. influenza and rotavirus
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36
Q

How can the viral infectious process be halted?

A
  • antibodies that block uptake and/or neutrolizes progeny
    • very effective
  • killing infected cell (cytotoxic T-cells, NK cells, Ab-mediated mechanisms)
    • when you don’t have antibodies present initially
    • kill cell before virus is released
  • interferon
    • turns on lots of antiviral molecules
  • blocking replication cycle with antiviral drugs
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37
Q

How do antivirals differ from antibiotics?

A
  • Antibiotics can be effective against a spectrum of bacteria (i.e. G+, G-)
  • Antivirals target replication, which varies with each virus, tf they are viral specific
    • e.g. acyclovir works only on herpesvirus
  • want to target only infected cells and leave normal alone - tricky
  • still have issue of generating resistance with viruses
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38
Q

What is required for a virus to cause infection?

A
  • entry into the body
  • multiplying and spreading
  • target of appropriate organ
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39
Q

What is required for a virus to be amintained in nature?

A
  • shed into the environment
  • taken up by an arthropod vector or needle
  • passed congenitally
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40
Q

Viral replication within the host can be

A
  • local - confined to the organ of entry
  • systemic - involving many organs
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41
Q

What is tropism?

A
  • anatomical localization of where the virus can infect
  • initally (but not solely) determined by the receptor specificity of the virus
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42
Q

How do viruses enter the body?

A
  • most via mucosal epithelial surfaces
    • epidermis of skin is covered in dying cells w/keratin, a hostile environment for viruses which need live cells
    • can infect skin at deeper layers via cut, parenteral innoculation (insect bites, IV needle use)
  • prefer to be swallowed or breathed in
    • conjunctiva
    • respiratory tract
    • alimentary tract (gut)
    • urogenital tract
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43
Q

What is the most important site of viral entry?

A

Respiratory tract

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44
Q

How are viral infections of the respiratory tract acquired?

A
  • aerosol inhalation of infected nasal secretions
  • mechanical transmission of infected nasal secretions via fomites (i.e. sneeze on surface that you touch, then touch your mouth or face)
  • then attach to specific epithelial cell receptors
    • remain localized (rhinovirus) or spread further (MMR)
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45
Q

What determines the initial site of virus deposition?

A
  • droplet size
  • >10microm in nose, 5-10 in airways, less than 5um in alveoli of LRT (more dangerous)
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46
Q

What are the respiratory tract barriers to infection?

A
  • mucous - traps viral particles (innate)
  • cilia to move mucous up to be swallowed
    • no cilia in alveolar airspaces
    • alveolar macrophages instead
  • temperature gradient
    • 33d in URT (nose), 37 in LRT and lungs
  • IgA
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47
Q

Which viruses cause localized infections of the respiratory tract?

A
  • rhinovirus (PicornaV, common cold)
  • respiratory syncytial virus (ParamyxoV)
  • influenza cirus (OrthomyxoV)
48
Q

Which viruses enter the respiratory tract and spread systemically?

A
  • mumps, measles (ParamyxoV)
  • rubella virus (TogaV)
  • varicella-zoster virus (HerpesV)
49
Q

What are the most common viral causes of URTI?

A
  • rhinovirus
  • coronavirus
  • adenovirus
50
Q

What are the most common viral causes of pharyngitis?

A
  • adenovirus
51
Q

What are the most common viral causes of influenza-like illness?

A
  • influenza virus
  • RSV
52
Q

What are the most common viral causes of croup (larynx & trachea)?

A
  • parainfluenza
53
Q

What are the most common viral causes of bronchiolitis?

A
  • RSV
  • parainfluenza 3
54
Q

What are the most common viral causes of pneumonia?

A
  • RSV
  • parainfluenza 3
  • influenza virus
  • adenovirus
55
Q

Why does rhinovirus cause URTI?

A
  • much more efficient at lower temperatures (33 in URT, 37 in LRT)
56
Q

What are the common local respiratory tract infections?

A
  • URTI
  • pharyngitis
  • influenza-like illness
  • croup (larynx & trachea)
  • bronchiolitis
  • pneumonia
57
Q

Syncitial viruses form

A

giant cells

e.g. RSV, HIV, measles

58
Q

Measles replicates in

A

primary

  • epithelial cells of URT
    • infects local macrophages, lymphocytes, and DC

secondary

  • lymph nodes
    • infecting immune cells tf immunosuppressed

enters circulation and –> URT (contagious)

59
Q

What are Koplick spots?

A
  • diagnostic of measles
  • accumulation of lymphocytes
  • inside mouth
60
Q

How is measles transmitted?

A
  • breathing of small particles
  • not engulfed in mucous i.e. not coughed or sneezed out
  • highly contagious
61
Q

How do viruses enter the alimentary tract?

A
  • swallowed
  • infect oropharnyx –> carried elsewhere
62
Q

What are the barriers to infection in the alimentary tract?

A
  • sequestration in intestinal contents
  • mucous
  • stomach acidity (pH = 2)
  • intestinal alkalinity to neutralize stomach acids
  • pancreatic proteolytic enzymes degrade viral proteins
  • lipolytic activity of bile degrades viral envelopes
  • IgA
  • scavenging macrophages
63
Q

Viruses that infect the alimentary tract are usually

A
  • hardy
  • naked (no envelope)
  • icosahedral capsid viruses
  • acid and bile resistant
  • +/- receptors for epithelial cells (- = abbrasion required)
64
Q

What are M cells?

A
  • microfold cells
  • found in enterocyte layers
  • sample pathogens and lumenal contents
  • transocytose pathogens to lymphocytes, DCs, and macrophages underneath M cell
  • some viruses can infect the alimentary tract via this route to the basal surface and deeper tissues
65
Q

How do viruses enter the alimentary tract?

A
  • infect enterocytes (local)
  • infect M cells (can spread to deeper tissues)
66
Q

How does rotavirus infect the intestinal tract?

A
  • locally
    • can withstand stomach acid, alkalinity, bile
      • 3 capsids
  • infects and destroys epithelial cells of the intestinal villi and M cells
    • inflammation, diarrhea (gastroenteritis)
  • fatal in infants
67
Q

How does enterovirus infect?

A
  • fecal-oral route
    • swallowed in fecal-infected food and water
    • aerosol
  • replicate in oropharynx then tonsils (URT lymphoid tissue)
    • sore throat, confused with resp infection
  • swallowed, replicate in Peyer’s Patches (GIT immune tissue)
    • shed into faeces
    • and/or into blood - viraemia
    • further tissue infection can be receptor-dependent
      • brain - meningitis
      • CNS - polio –> paralysis
      • skin - hand foot and mouth disease
      • muscle - pericarditis, myocarditis
68
Q

What is the transcutaneous route of viral infection?

A
  • bypassing skin, e.g.
    • minor trauma (papillomavirus: warts)
    • injection/needles/piercing (Hep B & C, HIV)
    • insect/animal bites (Dengue virus: fever, rash & polyarthritis)
69
Q

What is the genital route of viral infection?

A
  • via genital tract e.g.
    • papillomavirus: warts
    • herpes simplex virus
    • HIV
    • Hep B
70
Q

What is the conjunctival route of viral infection?

A
  • rare
  • specialized mucous membrane
  • tend to be adenovirus (swimming pools, optometrist)
  • enterovirus
  • HSV
71
Q

How do viruses spread in the body?

A
  • stay local: spread on epithelial surfaces
  • subepithelial invasion and lymphatic spread
  • viremia
  • neural
72
Q

What is primary viremia?

A
  • virus first enters blood (via lymph nodes, thoracic duct)
  • only a little bit
  • lasts ~days
73
Q

What are the two types of viremia?

A
  • virus free in plasma (primary or secondary phase)
  • cell-associated (e.g. macrophages, DC, T-cells)
74
Q

What is secondary viremia?

A
  • When primary viremia reaches target organs
    • e.g. liver, BV wall, spleen
  • virus grows and replicates there
  • released in massive loads
    • high viral titre in blood
    • to combat immune response so some virus persists
  • lasts 1-2 weeks
75
Q

What are examples of cell-associated viremia?

A
  • monocytes/macrophages:
    • measles, dengue
  • DCs:
    • measles
  • T-cells:
    • HIV
76
Q

What is the advantge of cell-associated viremia?

A
  • infects cells that get free passage in blood
    • monocytes, macrophages, DCs, T-cells
  • can persist for months or years if the genome is latent and can avoid immune attack
    • i.e. does not produce proteins that can be expressed on MHC
77
Q

To infect the fetus, viruses

A

must cross the placenta

this results in death and abortion if cytocidal (e.g. smallpox)

or

developmental abnormalities if non-cytocidal (e.g. rubella, cytamegalovirus)

78
Q

Why is rubella dangerous in pregnancy?

A
  • non-cytocidal but can cross the placenta
  • replicates and causes developmental abnormalities
    • slows down rate of cell division
    • small babies, first trimester organ development impaired
    • microcephaly, congenital heart defects, cataracts
    • rubella rash
  • use MMR vaccine
  • check levels before pregnancy
  • *CMV can do this too
79
Q

What viruses can infect the baby at birth?

A
  • HSV
  • Varicella
  • CMV
  • coxsackie B (fecal contamination)
80
Q

What are the determinants of tropism?

A
  • receptor availability
  • optimal temperatures
  • pH stability
  • ability to replicate in macros and lymphos
  • polarized release i.e. basal or apical
  • presence of activating enzymes
81
Q

What are the mechanisms of disease production relating to viruses?

A
  • viral-induced damage to tissues and organs
    • death as a direct result of replication
    • loss of function
  • consequences of the immune response
    • immunopath
    • immunosuppression
    • autoimmunitiy
82
Q

What are examples of viral-induced damage to tissues and organs?

A
  • direct cell death from replication (cytocidal viruses)
    • e.g. rotavirus: diarrhea from enterocyte death
    • e.g. polio: paralysis from neuronal death in SC
  • death from toxicity of viral products
  • initiation of cell apoptosis due to loss of function
  • loss of function
    • e.g. rhinovirus impairs cilia in respiratory epithelium
      • predisposes to secondary bacterial infection
83
Q

How does immunopathology contribute to disease consequences of viral infection?

A
  • powerful immune response
    • lympho, macro, cytokines, inflammation
    • IL-1, TNFa = fever
    • enlargement of lymph nodes = priming of lymphocytes
  • can enhance infection
    • i.e. viruses that grow in macrophages
      • e.g. dengue virus –> haemorrhage fever and shock
  • persistent infections produce Ab-Ag complexes when Ab cannot clear it
    • can go to kidney –> glomerular nephritis
    • blood vessel –> vasculitis (bad in HepB carriers)
  • CD4 T-cell mediated pathology
    • measles rash
    • induce eosinophil recruitment by RSV, clogs bronchioles
  • CD8 T-cell mediated pathology
    • kill hepatocytes in HepB (jaundice)
84
Q

How does autoimmunity contribute to disease consequences of viral infection?

A
  • Ab response to viral proteins similar to our own leads to autoimmune attack when virus gone
    • e.g. myelin basic protein and proteins of influenza cross-react (Guillain-Barre syndrome demyelination, transient paralysis); cocksakie B4 (homology with myocardial cells, myocarditis)
  • suspected triggers of autoimmune disease (e.g. diabetes)
85
Q

How does immunosuppression contribute to disease consequences of viral infection?

A
  • viruses replicating in immune cells can cause immunosuppression
  • e.g.
    • HIV in CD4 T-cells (kills them), monocytes (inhibits)
    • measles (temporary), non-productive replication in T-cells and macrophages, suppress non-infected T-cell proliferation by infected DC displaying measles surface glycoproteins, suppression of IL-12
86
Q

cytokines, cells

Virus infection triggers

A
  • Type 1 interferons: TNFa & TNFb
  • interacts with macro and DC –> IFNa &b
  • produce IL-12, pro-inflam cytokines and chemokines
  • IL-12 activates NK cells
  • NK cells produce Type 2 interferon: IFNy, kill affected cells
  • DC present virus to T-cells
    • cytotoxic to kill infected cells
    • helper to prime B cells to make Abs
87
Q

Type 1 interferons

A
  • IFNa & b
  • inhibit viral replication
  • activate NK cells
  • enhance MHC I expression (better targets for cyto-T-cells)
  • produced by virus-infected macrophages, DC, and tissue cells, dsRNA
88
Q

Type 2 interferons

A
  • IFNy
  • inhibits viral replication
  • activates macros
  • enhances MHC I and MHC II expression
  • produced by NK cells and T-cells
89
Q

What type of viruses are adept at immune system evasion?

A
  • large, complexDNA viruses
    • e.g. herpesviruses (HSV, VZV, CMV, EBV)
    • and poxviruses (vaccinia, myxoma viruses)
90
Q

What are the two strategies viruses use to evade the immune system?

A
  • not being recognized
  • interfering with functioning (e.g. encoding non-structural proteins)
91
Q

What is antigenic drift?

A
  • mutations generated during RNA replication
    • change AA structure of surface glycoproteins
  • can be adventagious if in a site where Ab binds
    • may confer a selective advantage
  • e.g. mechanism of influenza
  • can occur on population scale (flu) or within a single patient (HIV)
92
Q

How is T-cell priming by DCs inhibited?

A
  • blocking of cytokine-induced DC maturation (vaccinia, HCV)
  • blocking of signal transduction when pathogens bind TLRs (HSV)
  • encoding of homologous proteins e.g. cytoplasmic tail of TLR4 to block signal transduction that initiates maturation (vaccinia)
  • blockage of T-cell stimulation (measles, CMV)
93
Q

How are viral proteins normally presented on cells?

A
  • viral proteins made in the cytosol are chopped up by the proteosome complex
  • into ER via TAP channel
  • assembles with newly synthesized MHC I
  • transported in vesicle to cell surface for expression
    • –> recognition by CD8 T-cells
94
Q

How does antigenic drift/variation contribute to evasion of CD8 T cell recognition in virus-infected cells?

A
  • the epitopes recognized by CD8s can mutate
  • viruses can be selected for because they have mutations in regions associated with MHC I
    • can’t interact w/MHC I
    • or T cell receptors cannot recognize peptide any more
  • e.g. HIV, influenza
95
Q

How does HIV interfere with MHC Class I receptors?

A

Nef protein induces endocytosis of Class I such that it is no longer expressed on the surface, and not long enough to be effective

96
Q

How does HSV disrupt CD8 T-cell recognition?

A
  • encodes a peptide that blocks TAP channel on the cytosolic side
    • proteins cannot enter ER to bind to MHC I for expression
97
Q

How does CMV disrupt CD8 T-cell recognition?

A
  • encodes a protein that binds to the luminal side of the TAP channel to prevent peptides from entering the ER
    • cannot bind to MHC I for presentation on cell surface
98
Q

How does adenovirus disrupt CD8 T-cell recognition?

A
  • encodes a protein that binds to the MHC II, anchoring it to the ER
99
Q

How does EBV prevent CD8 T-cell recognition?

A
  • EBV = Epstein-Barr virus, form of herpesvirus
  • in latently infected B-cells, it inhibits proteosome (viral protein breakdown)
100
Q

How can replication influence CD8 T-cell recognition?

A
  • viruses can decrease replication of MHC I gene as they replicate
  • e.g. HIV, RSV, adenovirus
101
Q

NK cells are a major source of

A

IFNy

102
Q

NK cells are present

A

in the blood and lymphoid organs of uninfected individuals

103
Q

NK cells are activated during infection in response to

A

IL-12 or Type 1 interferons: IFNa & b

104
Q

NK cells express

A

FcR receptors

105
Q

NK cells show spontaneous toxicity to

A

tumour cells, virus-infected cells

106
Q

Humans with NK cell deficiency are highly susceptible to

A

VZV, CMV (both are herpesvirus family)

107
Q

What are the two receptors of the NK cell, and how do they work?

A
  • Activation receptor
    • recognizes molecules on cell surface expressed as a result of viral infection e.g. stress protein, sends a killing signal
  • Inhibitory receptor
    • binds to MHC I molecules on the target cell, overrides killing signal

**if class I is aberrantly expressed or absent, the inhibitory receptor will not be engaged and the NK cell will kill the target cell**

108
Q

How do viruses that downregulate MHC I avoid NK cell killing?

A
  • encoding of a protein that keeps ligand for kill+ signal in the ER
    • e.g. murine CMV
  • encoding of an MHC I-like molecule that sticks on infected cells so that the NK cell things there are normal levels of MHC I
    • e.g. human CMV
109
Q

What are interferons?

A
  • soluble factors (cytokines) released from virus-infected cells
  • inhibit viral replication in neighbouring cells
  • mediated by particular cellular proteins or pathways
  • stimulate signalling pathways that upregulate transC and transL of a range of cellular proteins that prime the cell to stop viral infection
110
Q

How do interferons inhibit translation of infected cells?

A
  • IFN binds to receptors on uninfected cells
  • +inactive PKR (PKR stops transcription)
  • PKR detects the presence of dsRNA
  • autophosphorylates to active form
  • inactivates ribosome from translating proteins
111
Q

How do viruses overcome PKR inhibition of translation?

A
  • the first few viruses that enter a cell will replicate RNA withim the capsid to avoid triggering activation of PKR
  • production of small stretches of RNA that bind only one monomer of PKR (need two for phosphorylation)
    • EBV, adenovirus
  • proteins that coat dsRNA so PKR cannot hook on
    • vaccinia, reovirus
  • encode a homolog of mitochondrial translation factor inactivated by PKR that competes for binding
    • vaccinia
112
Q

What are the genetic factors influencing susceptibility to viral infection?

A
  • inherited defects
    • absence of Ig class (can also decrease during pregnancy)
  • polymorphisms in genes controlling immune responses (MHC)
    • not all MHC are as good at defending viruses, we don’t all have the same ones - they are selcted for on disease exposure
  • interferon-inducible genes
    • some people lack MxA and MxB, mannose binding lectin, promoters for these molecules - difficulty managing infections
  • receptor genes
    • don’t express certain receptors e.g. CCR5 and HIV
      • CCR5 is chemokine receptor on certain cells
      • w/o it seem to not get infected with HIV
113
Q

What are non-genetic factors influencing susceptibility to viral infection?

A
  • age
    • newborns & elderly more susceptible
    • young suffer less from immunipathy
  • malnutrition
  • hormones, pregnancy
    • males, pregnant women more susceptible
  • dual infections
    • two diseases at once, worse symptoms
    • immune response might be tailored to only one infection
      • secondary bacterial infections can be bad
114
Q

What are the outcomes of viral infection?

A
  • full recovery (influenza)
  • death - usually in immunocompromised hosts, or man is not the natural host (ebola, bird flu pandemics)
  • recovery with permanent damage
    • tumor formation, cancer
    • polio –> paralysis
  • persistent infection
115
Q
A