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16 Cards in this Set

  • Front
  • Back
Papillomaviruses
- induce warts on skin/condylomas in mucous membranes
- possess cell tropism for skin/mucosal squamous epithelial cells
- more than 100 HPV "genotypes"
- cervical cancer/epithelial tumors
- naked icosahedral particle
- circular dsDNA genome
- 10 genes; 8 early, 2 late
- two capsid proteins.
HPV types that cause most significant human disease
- 16, 18 cause genital malignancies
HPV replication
- infects proliferating epithelial cells
- early proteins produced, viral DNA replicated 50-100 x as an episome
- division of cell also duplicates viral DNA
- viral DNA replicates to thousands of copies/cell in superficial layers
- late genes expressed/virions produced.
HPV malignancy
- episomal DNA can randomly integrate into cellular DNA
- virion production stops, instead HPV E6 and E7 proteins produces
- able to immortalize fibroblasts, foreskin keratinocytes and cervical epithelial cells
- E6 targets p53 for proteolytic degradation
- E7 binds RB, liberating E2F transcription factor, inducing S-phage
Polyomaviridae
- JC Virus, BK Virus
- Icosahedral, dsDNA, circular
- ubiquitous, most children infected, asymptomatic
- can form persistent kidney infections (uroepithelial cells)
- reactivates in immunosuppressed
Pathology of JCV
- can cause progessive multifocal leukoencephalopathy (PML) in brain
- rare, fatal demyelinating disease
- immunocompromised
Pathology of BKV
- can cause hemorrhagic cystitis (kidney, bladder, ureter)
- immunocompromised
Adenovirus genome
- linear dsDNA
- 34 genes (20 early)
Adenovirus features
- 50 serotypes of human adenoviruses
- cause different infections
- lifelong immunity
- can form long-term persistent infections in lymphoid tissue
- reactivated in immune suppressed patients
Adenovirus disease
- Pediatric respiratory disease: fever, pharyngitis, tonsillitis, cough
- pharyngoconjunctival fever (PCF); from inadequately chlorinated swimming pools, nasal oral aspiration or direct conjunctival inoculation.
Epidemic Keratonconjunctivitis (EKC)
- Adenovirius
- direct inoculation and ocular trauma infects corneal epithelial cells
- can cause permanent visual impairment
- prolonged virus shedding
Acute Respiratory Disease (ARD)
- upper and lower respiratory disease in military recruits
- fatal or cause chronic lung damage
- effective live virus vaccine discontinued
- not seen in civilian populations
Immunosuppressed Adenovirus infections
- causes disseminated infection
- 20% of pediatric allogeneic stem cell transplant patients with ablated immune system get it, 1/2 die
B19 Parvoviurs
- ssDNA
- 5 kbp; 2 early, 2 late virion proteins
- host cell must be in S-phase for virus replication (virus can't induce S-phase)
- hematopoietic progenitor cells (erythroblasts) have receptor
- replicates in bone marrow
- autonomous parvovirus
Adeno-Associated Virus (AAV)
- common human parvovirus
- requires adenovirus or herpesvirus helpers
- does not cause disease
Pathology of parvovirus B19
- Slapped cheek (erythema infectiosum)
- fever/anemia @ 5 days
- exanthema arthritis @ 15 days