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126 Cards in this Set

  • Front
  • Back
What type of genome do picornaviruses contain?
+ssRNA
What is the prototypical picornavirus?
Poliovirus
What is the genome of adenovirus?
dsDNA
What receptor does adenovirus bind to?
CAR
What family does rotavirus belong to?
Reoviridae
What is the genome of rotavirus? What is its structure?
dsRNA, 11 RNA segments
What antigenic subtype of rotavirus causes most human dz?
Group A
What virus is activated by trypsin in the GI tract?
Rotavirus
What virus undergoes final assembly in the ER before release?
Rotavirus
What is the effect of NSP4 from rotavirus?
Acts as enterotoxin, activates enteric nn and increases Ca2+
What type of immunity is key against rotavirus?
Humoral
What is the genome of norovirus?
+ssRNA
What virus causes a Crohn's-like dz?
Norovirus
What virus is associated with diarrhea outbreaks on cruise ships or nursing homes?
Norovirus
What is the genome of polyomaviruses?
dsDNA, circular
What residue do polyomaviruses bind to on cell surface?
Sialic acid
What virus encodes large and small T-antigen?
Polyomavirus
What are the early genes produced by Polyomavirus? Late genes?
Early: Large T-antigen, small T-antigen
Late: Structural proteins
What genes are encoded by the large T-antigen?
J-domain for DNA replication
LXCXE to inhibit tumor suppressor genes
DBD to bind DNA
Helicase to disrupt p53
What is the primary dz associated with BK polyomavirus?
Post-transplant nephropathy
What receptor does JC polyomavirus bind to?
5HT2A receptors
What is the only polyomavirus with oncogenic potential?
Merkel cell polyomavirus
What is the genome of smallpox?
dsDNA
What DNA virus has a primarily cytoplasmic life cycle?
Smallpox
What virus undergoes processing in Golgi and acquires two new membranes before tracking to cell surface for release?
Smallpox
What type of infection does the intracellular smallpox cause? Extracellular?
Intracellular: Host to host
Extracelluar: Within host
What type of virus causes hepatitis A? What is its genome? What was the other picornavirus studied?
Picornavirus, +ssRNA, poliovirus
What picornavirus is NOT cytolytic?
Hepatitis A virus
What is the structure of the hepatitis A vaccine?
Formalin-inactivated virus adsorbed to alum
What is the genome of hepatitis E virus? What family does it belong? What other virus is in same family?
+ssRNA, calicivirus, norovirus
What transporter does hepatitis B bind to?
Na/bile co-transporter
What is the genome of hepatitis B?
Circular, partially dsDNA
What are the two mechanisms by which hepatitis B contributes to HCC?
1) Integration of viral genome, leads to genomic instability

2) Production of HBx, inhibits p53
What is the function of HbX protein?
Inhibits p53
What virus uses RT to produce a partially dsDNA?
Hepatitis B
What family does hepatitis B belong to?
Hepadnavirus
What is the genome of hepatitis B? What family does it belong to?
+ssRNA, flavivirus
What receptors does hepatitis B bind to?
LDL, VLDL
How does HCV core protein lead to HCC? Envelope protein? NS3-4?
Core: Regulates tumor suppressors, induces steatosis, increases cell proliferation

Envelope: Inhibits NK cells

NS3-4: Enhance cell growth, inhibit apoptosis
What is the structure of the HPV genome? What famly does it belong to?
Circular, dsDNA, papovaviridae
What is the function of the HPV early genes E1-2, E4, E5 and E6-7?
E1-2: Mediates replication, DNA transcription
E4: Disrupts cytokeratin to allow for egress
E5: Stimulates constitutive growth factor signaling
E6-7: Inhibit p53, Rb
What changes in layers of skin seen w/ HPV?
Stratum corneum contains nuclei, stratum spinosum starts to replicate
What layer of skin does HPV early gene expression occur in?
Stratum basale
What layer of skin does HPV late gene express and viral gene expression occur in?
Stratum spinosum
What layer of skin does HPV virion assembly occur in?
Stratum corneum
What is the structure of the HPV vaccine?
Capsid protein L1, forms VLPs
What is the retrovirus genome?
Diploid, ssRNA
What proteins are encoded by the retroviral Gag gene?
Matrix, capsid, nucleocapsid and protease
What proteins are encoded by the retroviral Pol gene?
Reverse transcriptase, integrase
What proteins are encoded by the retroviral Env gene?
Env protein, cleaved into transmembrane and extracellular components
What accounts for the rapid evolution and drug resistance of retroviruses?
Error prone reverse transcriptase
What is the structure of the LTRs in the retrovirus genome? What are the recognized by?
U3, R, U5, integrase
What are the three fates of viral mRNA after production from ssRNA?
Cleaved to env protein
Stays whole to gag-pol protein
Stays whole to genome
Which HIV protein is translated on ER-bound ribosomes? Which HIV protein is translated on cytosolic ribosomes?
env protein translated on ER-bound ribosomes (traffics through Golgi to cell surface)

Gag and gag-pol proteins synthesized in cytoplasm
What is the function of the psi signal in retrovirus life cycle?
Present on unspliced RNA, indicates RNA that can be used as genome in progeny
When do gag and gag-pol undergo proteolysis?
AFTER budding has occur, required for infectivity
What are the two regulatory proteins specific to HIV?
Tat: Required for transcription
Rev: Transports unspliced RNA into cytoplasm
What is the function of Vif and Vpu in HIV?
Vif: Degrades antiviral protein deoxycytidine deaminase (packaged by host cells w/ HIV)

Vpu: Inhibits tetherin, allowing for release from cell
What receptor do M-tropic HIV viruses bind to? Which part of infection do they create?
CCR5, cause initial infection and transmission
What receptor to T-tropic HIV viruses bind to? Which part of infection do they create?
CXCR4, arise at AIDS stage
What are the endogenous ligands that can be used to block M-tropic HIV viruses? T-tropic HIV viruses
M-tropic: RANTES, MIF-1a (bind CCR5)
T-tropic: SDF-1 (binds CXCR4)
What are the three ways in which HIV causes disease?
1) Direct killing of T-cells
2) Indirect activation of immune response against infected T-cells
3) Severe immunosuppression from T-cell depletion
What is the MOA of enfuvirtide?
Fusion inhibitor, blocks fusion of HIV and CD4+ membranes
What is the MoA of maraviroc?
CCR5 antagonist, blocks HIV entry
What is the MoA of raltegravir?
Integrase inhibitor, blocks integration of HIV genome into viral genome
What is the genome of rabies virus?
-ssRNA
What receptors does rabiesvirus bind to? Where?
Ganglioside, CD56 in neurons, nAChR in muslce
What is the pattern of spread of rabies within body?
Infects m. or n, travels back from n to CNS and replicates in brain, thenc an spread to cornea, skin, salivary glands
What is the only gross manifestation of rabies visible on brian?
Negri bodies
What does post-exposure prophylaxis of rabies include?
Washing out wound, passive immunization with rabies Ig into area, and then active immunization
What is the genome of influenzavirus? What family does it belong to?
-ssRNA, orthomyxovirus
What influenza proteins are synthesized in ER? In cytosol?
ER: HA, NA, trafficked to Golgi and then to cell surface
Cytosol: Structural proteins, trafficked back to nucleus to assoc w/ genome for assembly into virions
How does influenza cause damage?
Destroys respiratory epithelium

Activates immune response, including CTLs and interferon
How does flu in children differ from that in adults?
More fever, GI symptoms
What is antigenic driftr? Shift?
Drift: Small changes in HA or NA that cause pandemic, result from mutations d/t error-prone RNA polymerase

Shift: Major change in HA or NHA d/t reassortment between human and animal gnes, produces pandemics
What vaccines are used for flu? Drugs?
Formalin-inactivated and live attenuated

Amantidine (blocks uncoating) and oseltamivir (blocks neuraminidase to prevent release)
What is the genome and family of rhinovirus?
+ssRNA, picornavirus
What is the most important component of immunity against rhinovirus?
Secretory IgA
What virus is responsible for SARS?
Coronavirus
What is the genome of parainfluenza virus? What family does it belong to?
-ssRNA, paramyxovirus
What virus causes croup?
Parainfluenza
What is key in immunity against parainfluenza?
IgA against HN (HA, NA in same protein)
What is the genome of RSV? What family does it belong to?
-ssRNA, paramyxovirus
What type of helper T-cell repsonse is triggered by RSV in adults? Children?
Adults: TH1
Children :TH2
What genome/family are mumps and measles?
-ssRNA, paramyxoviruses
What geome/family is rubella?
+ssRNA, togavirus
What is the shared pathogenesis of MMR?
Acquired by respiratory transmission, then cause viremia
What produces characteristic rash of measles?
Virus-infected endothelial cells and T-cells
Koplik spots are characteristic of what virus?
Measles
What are some characteristic symptoms of rubella?
Arthritis, arthralgia in adults, cataracts, heart defects, deafness, intrauterine growth retardation in neonates
What virus causes parotitis?
Mumps
What cell type does parvovirus infect?
Erythroid precursor cells in BM
What receptor does parvovirus bind to?
Group P antigen
What virus causes fifth dz? how does it develop?
Parvovirus, virus locally replicates and eventually cause viremia
What are the symptoms of fifth dz?
Bright red cheeks, maculopapular rash, circulating immune complexes
What is the effect of parvovirus on patients with chronic hemolytic anemia?
Aplastic crisis
What virus causes herpangina?
Coxsackie virus, type of enterovirus
What is the genome of herpesvirus?
dsDNA
What ganglia do HSV-1, 2 infect?
Trigeminal, sacral
What RNAis produced during latency in herpesvirus infection?
LATs, never translated, fx to maintain latency
What does reactivation of herpesvirus lead to?
Anterograde transport to site of initial inoculation and reinfection
HSV-1 preferentially infects what region? HSV-2?
Oral; genital
What is the only herpesvirus that can be aerosolized?
VZV
What cell types does herpesvirus infect?
Epithelial, endothelial, T-cells
Which sensory ganglia does VZV establish latency in?
ALL ganglia
What cell type does CMV establish latency in?
CD34+ hematopoietic stem cells
What is the most important part of the immune response to CMV?
Cell-mediated
What is characterisic finding in CMV assoc mononucleosis?
Negative heterohpile antibody test
What are most sever sequelae of congenital CMV?
Permanent hearing and vision loss
What virus produces owl eye cells?
CMV
What drugs are used to tx CMV?
Ganciclovir, foscarnet, cidofovir
What cell types does EBV infecT?
Epithelial cells in pharynx or B-cells
What produces symptoms of mono?
T-cell response to B-cells
What is type I/II latency? What virus is it assoc w/
EBV, occurs in memory B-cells, leas to BL, naspharyngeal carcinoma
What is type III latency? What virus it assoc w/?
EBV, in proliferating B-cells, leads to mono, PTLD
What is EBV dz?
Caused by overactive immune response to EBV
What herpesvirus replicates in CD4+ T-cells?
HHV-6b
What virus causes exanthem subitum/roseola infantum? What is the characteristic presentation?
HHV-6b, high fever, followed by sudden rash
What dz does HHV8 cause?
Kaposi sarcoma
What cell types does HHV-8 infect?
CD19+ B-cells, endothelial cells, monocytes, keratinocytes
What is the genome of hantavirus?
-ssRNA
What vector spreads hantavirus?
Deer mice
What dz does hantavirus cause?
Pulmonary syndrome
What vectors spread arboviruses, e.g. dengue, West Nile?
Mosquitoes, birds
What virus can be dx using the tourniquet test?
Dengue virus
What causes dengue shock syndrome?
When individual w/ antiboides against one strain is infected w/ another strain