Viruses and Disease Flashcards

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1
Q

What are viruses and their size?

A

Obligate intracellular paraites that contain EITHER DNA or RNA and are not susceptible to any antibiotics.

Viruses are smaller than bacteria

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2
Q

Describe the structure of a virus and how this limits the size of the genome

A

Small genome is limited by the capsid (protein coat) - made up of repeated subunits of virally encoded protein

Some viruses also have a lipid envelope - derived from host cell the virus grew in - surrounding the capsid

Viral protein spiked may protrude from capsid/lipid envelope

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3
Q

What is adenovirus and how does it assemble?

A

Cause sore throats, conjunctivitis, etc.

Has to make only 3 proteins before it self-assembles

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4
Q

Give an example of a virus and how it attaches to a host cell

A

Influenza and cell of respiratory tract:
Cell has various normal proteins inserted into membrane
Virus interacts with specific receptors in target cell using ligands

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5
Q

How do viruses enter host cells? How can an antiviral affect this?

A

Viral and cell membrane fuse

OR

By pinocytosis (if virus is not enveloped) - bind to receptor initiates internalisation of both receptor and virus.

Antiviral can inhibit entry by fusion

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6
Q

What does uncoating of a virus involve? How can an antiviral work here?

A

Viral nucleic acid released from capsid

Antiviral can work by inhibiting ion pump in virus capsid responsible for uncoating

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7
Q

How does the virus replicate with the cell?

A

Nucleic acid is used to produce new viral proteins (uses host ribosomes and maybe polymerases)

Viral nucleic acid is replicated into progeny genomes

Some viral enzymes may be used, e.g: protease, RNA dependent RNA polymerase

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8
Q

How is the virus assembled?

A

By packing nucleic acid and proteins together

No antivirals target this step

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9
Q

How are viruses released from a host cell?

A

By budding - mature progeny virus released with envelope derived from host cell membrane around capsid

By lysis - viruses accumulate until cell lyses. Large aggregations of virus (crystals) may be visible under light microscope as INCLUSIONS

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10
Q

What are antibiotics, their objectives and the structures they target?

A

Active against bacteria, not viruses and objective is selective toxicity

Structures targeted include bacterial ribosomes (with erythromycin), growing bacterial cell wall (with penicillin) and other bacterial structures, like enzymes

Viruses have few of these targets

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11
Q

What are anti-microbials?

A

More general term for drugs meant to treat infection that may be bacterial, viral, fungal or protozoal, etc

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12
Q

List possible targets of antiviral drugs

A

Viral nucleic acid polymerases
Other viral enzymes (involved in viral nucleic acid replication/protein synthesis)
Uncoating (ion pumps can be selectively blocked)
Attachment/entry
Release

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13
Q

Describe DNA and RNA containing viruses

A

Containing DNA - go to nucleus

Containing RNA - go to cytoplasm (always bring 1 enzyme used in genome replication)

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14
Q

What is meant by rational drug design?

A

Use of detailed molecular analysis of viral targets to design molecules that may inhibit viral function, rather than blind testing of random molecules for antiviral properties

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15
Q

What is meant by pathogenesis in relation to viruses? What mechanisms occur?

A

Mechanism by which viruses causes disease:

Cell death due to lysis or cell machinery hijacking
Cell death due to immune system, particularly cytotoxic T cell
Cell proliferation (viruses that cause warts)

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16
Q

Describe viral infection and what increases the risk of infection related cancers

A

Person can be infectious even if they have no symptoms. Immunosuppression increase incidence of infection related cancer, like Kaposi’s sarcoma

Virally induced cancers - HPV and cervical cancer, Hep B & Hep C and hepatocellular carcinoma

17
Q

Immune response to viral infection?

A

Cytotoxic T lymphosytes recognise viral proteins on host cell surface as foreign and induce apoptosis of infected cell

Neutralising antibodies (IgG, IgM) can prevent virus binding to cellular receptors

18
Q

What type of immunity is most important against viral infection?

A

Cell mediated immunity (does not involve antibodies, but does involve phagocytes, cytotoxic T cells, etc) more so than humoral immunity (involving antibodies) - antibodies however do have a role in long term adaptive immunity

19
Q

What is meant by persistence?

A

Viruses can elude immune system and establish infection years
Infections can be intermittent, with periods of active viral replication punctuated by viral latency.

20
Q

What are examples of persistent viruses and how they function?

A

Viruses may become latent (no active replication ) and reactivate, like Herpes Simplex virus

Viruses may remain continually active for years. Chronic infection can result, HIV and Hep C. (Patients may remain asymptomatic - no symptoms - before getting fatal complications)

21
Q

How are viruses detected in the lab?

A

Detect antibody response against virus

Detect presence of virus itself

22
Q

What specific techniques are used to detect viruses?

A

PCR (detects viral nucleic acid) and NAATs (Nucleic Acid Amplification Techniques)

Antigen detection

23
Q

How can recent infection be differentiated from past infection?

A

Detection of virus specific IgM antibodies
Detection of rising titre of IgG antibodies
Detected of very high titre of IgG antibodies