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185 Cards in this Set

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What type of nucleic acid do viruses have? What do viruses lack that eukaryotic cells have?
Viruses have DNA or RNA but not both, no ribosomes and no mitochondria
Describe the lipid membrane envelope of a virus
it is derived from the host cell membrane, if you have an envelop you have spike glycoproteins
Which virus has an icosahedral capsid?
Polio, it's a hard shell w RNA (or DNA for other viruses) wound up
Give an example of structural and non structural proteins and what relative amounts do viruses make
Capsid proteins are structural, polymerase proteins are non structural (they're catalytic)

Lots of structural, very few non-structural
What does syncytia formation refer to?
some viruses have an F protein that fuses with cell membranes( Poliovirus)
cell fusion results in Multinucleated cells
others include measles, RSV
What are viral inclusion bodies?
A cytopathic effect with Herpes, Cytomegalo, paramoyxo, rabies

so much capsid is produced that material falls out and you see inclusions in the cytoplasm
What is the Hemagglutinin Inhibition Assay
Antibody titer against Influenza, based on ability to bind surfaces of RBCs
If you have antibody, it does not agglutinate
The HAI # looks for
at what serum dilution do you lose the ability to inhibit HA of influenza
Influenza attaches to ___ for host cell reception
Sialic Acid
HIV uses what host cell receptor?
CD4
Polio virus uses what host cell receptor?
Immunoglobulin superfamily
What is the mechanism influenza uses to get into the host?
Endocytosis followed by fusion with the endosome
3 main places for a virus to uncoat
plasma membrane, within the endosome, at the nuclear membrane
Spike and glycoproteins get "glued" together by
matrix protein
How do non enveloped viruses like adenovirus leave the cell?
through cell lysis
Antibodies for Influenza target what step?
They inhibit virus hemagglutinin to target uncoating
What does Amantadine do?
It inhibits Influenza M2 protein which is an ion channel that helps acidify the endosome, with the antiviral it cannot uncoat
It inhibits influenza M2 protein
M2 is an ion channel that helps acidify the endosome so influenza can uncoat
Nucleoside analogs target
DNA replication
this works for HIV, Herpes
Ribaviron targets
Nucleoside Biosynthesis
works on RNA viruses like RSV
How does Oseltamivir (Tamiflu) work?
It targets the release step of influenza by inhibiting neuraminadase
All viruses then stay on original cell and dissemination is limited
What separates the early from late stage?
DNA synthesis
In this type of virus the genomic RNA serves as mRNA
plus strand RNA virus
Example of +ss RNA virus
Hepatitis C
+RNA--> - RNA --> +mRNA
Example Negative ss RNA
influenza
goes from -RNA--> +mRNA
uses an RNA dependent RNA Polymerase
RNA to mRNA breakdown of HIV
+RNA --> -DNA --> dsDNA --> + mRNA
Example of a +DNA ss virus
Parovirus goes from +DNA --> dsDNA --> mRNA uses a DNA dependent RNA Polymerase
Example of ds DNA virus
Herpes
Example dsRNA virus
Rotavirus
Phases of DNA virus expression
alpha
beta
gamma
Alpha is Immediate Early- regulator
Beta- Early- Enzymes
Gamma-Late- structural proteins
Do you make structural proteins early or late?
Late
Function of Beta Proteins
promote DNA replicatoin and turn on Gamma mRNA transcription
Steps of + strand RNS viruses
1. tranlation by ribosome to large polyprotein
2. polyprotein cleaved by viral and cellular protesases
3. a product, viral polymerase takes the +RNA to -RNA to make progeny genomes
2 most common upper respiratory viral infection
Rhinovirus and coronavirus
Most common GI vral infections
infants-
Children/adults
Infants- Rotavirus
Children/adults- Norwalk
Most common CNS virus for Encephalitis
Herpes Simplex
Most common virus to infect Eyes
Adenovirus
Heart or Muscle viral infection is most likely
Coxsackie B virus
Common cellular respones to virus infection
Programmed cell death apoptosis
Cytophatic effect of a virus
Name virus that infects
motor neurons
sensory neurons
Motor-Rabies
Sensory-Herpes
Host Innate Immune response, notices virus in cell because of low class I MHC expression
Natural Killer cells
These play a rode in adaptive Immune response to a virus
T lymphocytes
Cytotoxic T cell and IFN gama for lysis
Th1 to activate B lymphocytes
Initial host immune response to a virus is
IFN alpha and Beta
What host response is the last in response to viral infection
B cells 1-2 weeks before antiviral antibodis cirulate
Feature of innate type I interferons
all bind to common receptor
IFN alph and Beta
Type II interferon features
binds to a separate receptor than type I
IFN gamma comes from activated lymphocytes
Most important host reponse during a viral infection
Interferons
Explain induction of Interferon response
Cell notices foreign viral DNA turns on Interferon regulatory factors (IRFs) for type I IFN secretion
How do IFN type I interact with neighboring cell?
IFN fits into a receptor on neighbor that activates JAK kinase
-produces a transcription factor for STAT
-Interferon Stimulated Genes
-Resistant to viral infection
What does the NS1 protein of influenza do?
binds to ds RNA, inhibits host RNA processing, no IFN synthesis
What does the V protein of Measles do?
Inhibits STAT signaling, no IFN response
Herpesvirus makes a 34.5 protein that does what
counteracts Interferon Stimulated Genes
Which virus has a protein, ICP47, that inhibits antigen presentation of class I MHC
Herpes Virus
DNA dependent DNA polymerase repairs by what activity
3'-5' exonuclease activity
Error rate in viral DNA vs RNA polymerase
Viral RNA polymerase has a really high error rate
Explain antigenic Drift
slow accumulation of mutations that result in antibody resistant viruses

Influenza viral spike glycoproteins like HA and NA drift to create new strains
Does antigenic drift occur for DNA viruses?
NO it's DNA polymerase has a low mutation rate
Reassortment only occurs with
viruses with more than 1 segment of genome
and must be 2 viruses coinfecting infecting
Define antigenic shift
sudden introduction of new antigenic properties due to a re-assortment of segments (HA and NA for influenza) from 2 different virus strains
A common example of an 11 segment dsRNA virus that can undergo reassotment, it causes infantile gastroenteritis
Rotavirus
Copy-Choice recombination can only happen with ___ and involves what mechanism
RNA viruses, RNA Pol falls off virus 1, drags RNA it was working on to second virus and finishes synthesizing--> get hybrids
Copy Choice is common among
ss RNA viruses
Polio virus
new viral genomes that may be drug resistant, antibody resistant, or have new tropism
Break-Rejoin only occurs with ___ and involves what mechansim
DNA viruses,
Nuclease cuts 1 virus and ligase puts it back together with another virus
Describe and give an example of complementation
a defective virus gets help from another wild type virus
coinfection of hepatitis B and D
Hep D is defective, Hep B supplies capsid
Example of phenotypic mixing
coinfection where parental viruses mix coats to make mosaic capsid, genomes DO NOT CHANGE
can extend host range
Define Interference
coinfection with one virus negatively influences growth of second
Defective virus competes for limiting components like polymerase
Commonly give by killed virus
what are the limitations?
Polio and Influenza
antibody response high, cell immunity low, requires booster
risk of causing disease if not inactivated
Live attenuated virus theory and limitations
Grow virus until achieve desired mutations, it's less virulent
can induce immunity
may spread to uninfected people , could revert to wt
Theory of subunit vaccines and it's limitation
produce viron component, example Hep B glycoprotein produced in yeast
antibody response high, cell immunity low
What is flumist?
a reassortment virus given as a live attenuated "vaccine"
it is cold adapted and can only grow in nose
A provirus is
an integrated DNA copy of virus genome (term used for retrovirus)
For retroviruses unspliced mRNA codes
GAG and POL
For retrovirus spliced mRNA can create
ENV
What does gag encode for retrovirus
matrix protein
Capsid
Nucleocapsid
Protease to cleave gag and pol
What does pol encode for retrovirus
Reverse Transcriptase (RNA dependent DNA Pol)
Integrase
What does env encode for retrovirus?
Surface proteins
transmembrane proteins
In retrovirus how do you get Gag and Pol?
Normal translation produces Gag
A slippery sequence produces Gag+Pol
99% of time get Gag
1% of time get Pol
How is env obtained in retroviruses?
mRNA splicing produces env
Small amounts of ___ are found in a mature virion
Protease, Reverse transcriptase, and integrase
Retrovirus assembly
how do Env proteins get to surface
what happens to viral genome
Env proteins TM-SU go from ER--> Golgi-->Plasma Mem
Viral genome synthesized by cellular polymerase and forms dimer in cytoplasm (bc its 2+strand RNA)
How do viral oncogenes differ from cellular?
Only contain portion of cellular oncogene
Do not contain splice sites
Are separated from normal controls
What is a transducing oncogenic retrovirus
After recombination virus and host, the viral genome encodes an oncogene that was grabbed from host
What is a non-transducing oncogeneic retrovirus
recombination into genome next to an oncogene, the transcription factor of the virus activates the oncogene
Some tranducing retroviruses like avian myeloblastosis have this
an oncogene instead of the viral gene Myb instead of ENV
RSV parainfluenza measles and mumps are what type of virus
paramyxovirus, negative strand RNA
Type of virus that influenza is
orthomyxovirus, negative strand RNA
Transport of Influenza to the cytoplasm requires
NS2 protein
Rinoviruses and coronaviruses are both postitive or negative RNA or DNA?
Positive RNA viruses
Viral pneumonia/ bronchitis likely caused by
Parainfluenza and RSV
Influenza changes every 2-3 years due to Antigenic Drift or Shift?
The major antigenic changes with severe epidemics are a result of Antigenic Drift or Shift?
Every couple years- Drift
Epidemics- Shift
Features of Orthomyxoviruses
-RNA virus, segmented genome, envelope, helical nucleocapsid
Hemagglutinin has a role in
Attachment- binds sialic acid
Penetration- mediates fusion of virus envelope with endosome
Gene expression of influenza is usual patter for -RNA virus with what unusual feature?
takes place in nucleus of cell
Antigenic drift does not change
H or N subtype
How do new H subtypes of influenza occur?
Antigenic shift
reassortment between genome segments of human and animal
Zanamivir and Oseltamivir target
Neuramidase in influenza, not much resistance
Amantadine and Rimantidine target
Ion channel M2 in influenza, high incidence of resitance
Paramyxoviruses are
Negative RNA virus, nonsegmented, enveloped, helical nucleocapsid
How do RSV and Parainfluenza enter a cell
fusion of virus envelope with plasma membrane mediated by F protein
Where does replication occur for RSV and parainfluenza
in the cytoplasm (no mRNA splicing)
HIV belongs to what group of retroviruses?
lentivirus
Name genetically distinct groups of HIV and which is most common
M,N,O
M for major
N non major
O outlier
Lentivirus infections feature this type of mutation and genetic diversity
lots of mutation bc no prrof reading and copy-choice recombination
A simple retrovirus contains __ copies of what kind of RNA
2 copies of + sense ssRNA
Describe what happens to gb160 precursor of HIV
gets glycosylated and knicked in Golgi to make gp41 and gp120
gp41 is a fusion protein
gp120 i sa receptor binding domain
HIV gb120 uses
CD4 receptor
What are the coreceptors for HIV
CCR5- macrophages and CXCR4-T cells
Features of HIV using the R5 virus
slow replication and non-syncytia
Features of HIV using X4 coreceptor
usually a more mature virus, it rapidly replicates, lots of syncytia and rapid T cell death
What is the likely cellular reservoir for HIV latent infection?
In the lymph nodes follicular Dendritic cells chronically infected
Progression of Acute to Chronic to Clinical symptoms of HIV
describe what happens to macrophages and T cell
macrophage carriers latent or low viron, gets activated, can disseminate (could go to brain, see demintia) or can stimulate latent-->extensive infection in T cells see loss of CD4
Name 2 important auxilliary proteins in HIV and what they do
Tat and Rev
modify host machinery for proper environment
Name an important late auxilliary protein for HIV and what it does
Vpu- makes structural proteins, improve infectivity
In trascription of HIV what is the default path?
splicing
this makes mRNA for Tat Rev and Nef
Unspliced HIV produces
gag, pol, env
What is the role of Rev protein of HIV?
RNA binding protein that binds to rev-response element RRE to control splicing
What is the role of Tat of HIV?
RNA binding protein binds Tat-associated RNA element RAR to enhance transcription
Describe what happens with or without Rev in HIV transcription
No Rev results in Rev,Tat, Nef
Rev + mRNA inhibits splice to make gag/pol or have 1 splice for env
What does HIV protein Tat do?
Tat binds the HIV TAR sequence to promote better processivity of cellular RNA polymerase

it ensures that the full length genome gets made
What is the job of VPU in HIV?
inhibits the host protein tethrin which tethers progeny to plasma membrane
What is tethrin?
An interferon inducible protein that prevents HIV release
How does AZT work?
Its a reverse transcriptase inhibitor nucleoside derivative
How does Neveripine work
Its an RT inhibitor non nucleoside analog
Saquinavir works by
inhibiting viral protease
Enfuviritide works by
glycoprotein inhibitor blocks gp41
Name hepatitis transmitted by: fecal-oral route
blood
Fecal-oral: A E
Blood: B C D
Describe Hepatitis A
positive sense RNA virus, w a shell and RNA for polyprotein and protease
Describe immunity to HepA
get long term immunity after first infection or vaccine, no chronic infection, only 1 serotype
Diagnose acute HepA infection by appearance of
HAV IgM in serum
see this about a week before symptoms start
Describe structure of HepB
contains complete +DNA w partially incomplete -DNA
Viral RNA attaches to plus end to act as primer
HBV lifecyle
Viral DNA goes to nucleus and gets converted to
Covalently closed circular (CCC) DNA
CCC DNA of HBV makes ____
2 types of RNA
short transcripts
and a long full pregenome
The short transcript of HBV goes to the ___ and makes ____ which has ability to ___
Golgi
S protein, a surface antigen SA
SA can bleb of independently without matrix ext
The full length protein of HBV makes
2 proteins
Capsid and P protein
P protein is Reverse Transcriptase (RNA dep DNA pol)
Difference between retroviral RT and HBV RT
In retrovirus RT works early in life in nucleus
In HBV RT works on outgoing virus
Key markers of acute HBV infection First see, then
First see Anti HBsAg to surface antigen then see anti-HBc IgM, response to core protein

the core protein response will persist for life
the surface antigen response wanes after infection passes
Markers of chronic HBV infection
both HBsAg and HBc IgG persist at high levels for life

Patient is negative for IgM HBc and positive for HBsAg in serum
Compare the immunological profile of 2 patients immune to HBV one who had a vaccine and one who had a previous infection
Both have - serum HBsAg
Vaccinated Patient: -anti cAg
+ anti sAg

Previous infection: + for anti cAg
+ for anti sAg
Serum levels of what mark an HBV infection currently going on ___ interestingly you will not see ___
HBsAg
won't see anti-sAg in serum because all is complexed with HBsAg
Treatment for HBV
Interferon alpha
Lamivudine- nucleoside analog inhibitor of RT
Hepatitis C has what kind of genome?
+ RNA
Outcome of an Hep C infection depends on
T cell response
if robust T cell response may clear it
Persistant infection of HepC even in presence of anti-HCV antibodies because
E2 glycoprotein has hypervariable region, lots of mutants
E1 is the other glycoprotein
Hepatitis D encodes
must have___ also
Hepatitis Delta Antigen only
Needs Hepatis B to help, cannot cause infection alone
HepD genome
ss ciruclar RNA
lytic herpes infections take place in
Latent ones?
lytic- mucosal epithelial or cloes to mucosa
latent- long lived cells neurons/ memory lymph/stem cells
Herpes genome is
large ds DNA
Where are alpha herpes viruses latent?
sensory neural ganglia
simplex viruses are in this category
Alpha Herpes Viruses cause
1
2
3
HSV1- cold sores
HSV2- Genital ulcers
HHV3 is VZV chicken pox and shingles
Beta Herpes viruses (3 of them)
HHV5- Cytomegalovirus, mono
HHV6- roseola, infants
HHV7 like CMV
Gamma Herpes Virus
HHV4 Epstein Barr- mono, lymphoma, carcinoma
HHV8 Kaposi's sarcoma
These diseases are worse in adulthood than childhood
Varicella zoster virus and Epstein Barr
Herpes can counteract immune system during lytic infection by___
degrading/blocking MHC class I antigen presentation

Sequestering C3b and IgG

Expressing Bcl2 to avoid apoptosis

Block IFN alpha
What response if critical to clear Herpes?
Effective T cell response
this is why it is so severe in immunocompromised
Where do HSV1, HSV2, and VZV establish latency
in sensory neural ganglia
HSV1- trigeminal ganglia
HSV2- sacral ganglia
VZV- dorsal root ganglia
Reactivation of alpha HV based on
trauma, fever, stress, taking glucocorticoids
anything that causes immune suppresion
What is the significance of Thymidine Kinase
enzyme expressed by herpes virus (HSV1,2, VZV and EBV) that is required to produce DNA precursor
many prodrugs take advantage of this and require viral TK to become active
Antiviral prodrugs that require Herpes TK for activation have good activity on active Herpes infections, why do they not work on latent infections?
In latent infections the virus uses cellular DNA Pol to maintain genome instead of viral DNA Pol
Acyclovir will not work on
CMV
How is the chicken pox vaccine given?
live attenuated VZV
means it could spread to other hosts
Why might you see high rate of shingles in communities with high VZV vaccination rate
?
individuals with natural VZV infections have T cells that are not boosted with exposure throughout adulthood
Leading cause of infectious birth defects
Cytomegalovirus
only if primary infection during pregnancy
What is relation between Epstein Barr Virus and B cells?
Viral gene products drive B cells into memory B
Latent membrane proteins do this
EBV latent membrane protein 1 action
mimics signal from helpter T cell to drive B cells to memory cells
EBV infections reside in
memory B cells
get symptoms bc cytokines and T cells try to clear the infected B cells
How can EBV cause cancer?
NOT caused just by viral infection
only happens if host is immune compromised or cellular mutations promote transformation
How does Burkitt's lymphoma happen
B cell origin
Chomosomal translocation of c-myc gene under control IgG promotor

this rapidly triggers cell death

viral apoptotic proteins rescue the cell and allow tumor growth
Kaposi sarcoma is a cancer of
endothelial cells
its a gamma herpes virus
latency of the beta herpes viruses
hematopoeitic stem cells
Role of pRb
Retinoblastoma
keeps E2F sequestered and inactive
free E2F makes lots of cell division
what is p53
tumor supressor gene
keeps p21 in check
initiates Bax cell death if inappropriate dividing
What kind of virus is human papillomavirus
small
non enveloped
stable
80 serotypes
HPV cervical carcinoma highest risk types____
HPV skin carcinoma highest risk
Cervical- 16 18
Skin- 5, 8
HPV virus infects
basal cell
How does viral DNA of HPV replicate in terminally differentiated cells?
uses cellular polymerase it DOES NOT have viral DNA Pol
Pathology cell changes in HPV for cervical carcinoma
see large nucleus, more cytoplasm, quilocytotic cells
What is the role of E7 protein in HPV
binds pRb and releases E2F
high risk forms have great affinity and ability to induce pRb degradation
What is the role of E6 HPV protein?
Modifies ubiquitin ligase E6AP
E6AP targets p53 for degradation
blocks cell death
Normally E6 and E7 get turned off in HPV, what keeps them turned on?
Viral integration into host genome may keep E6/E7 on
What strains of HPV does Guardasil target?
16, 18 (cervical cancer) along with 6,11
JC virus
progressive multifocal leukoencephalopathy
BK virus
nephropathy in renal transplant setting
MC virus
Merkel cell carcinoma
small, non eveloped, skin cancer of mechanoreceptor cells
How does Merkel Cell carcinoma progress?
viral large T protein inhibits pRb and p53
viral genome gets integrated and replication is defective
What does Adenovirus cause?
influenza like repiratory epidemics conjunctivitis, gastoenteritis, tonsilitis
E1A protein of Adenovirus targets
E1B target
pRb to release EF2
p53 degradation