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162 Cards in this Set

  • Front
  • Back
ssDNA either (+/- sense), replicates in the nucleus, requires growing cells for replication
Parvoviridae
Replicates and kills mitotically active erythrocytic precursors
febrile, infectious phase of parvovirus
mild fever, slapped-cheek appearance, and athralgia due to what exact pathogenesis
Immunocomplex formation in the noninfectious, symptomatic phase of parvovirus
Diseases associated with parvovirus
fifth disease
Chronic anemia in immunocompromised patients
Aplastic crisis in sickle cell patients
dsDNA, replicates in the nucleus, infects squamous epithelium and mucous membranes
papillomaviridae
Which forms of HPV are associated with high risk cancer
HPV: 16, 18, 31, and 45
which forms of HPV are associated with low risk cancer
HPV: 6 and 11
Which forms of HPV are associated with warts
HPV 1 and 4
Differentiate early and late genes in papillomavirus
early genes - stimulates cell growth which facilitates viral genoma replication via host DNA polymerase. promotes keratin production
late genes - encode structural proteins expressed in terminally differentiated upper skin layer
rare autosomal recessive skin disorder characterized by abnormal HPV susceptibility leading to hundreds scaly macules and papules in sun-exposed areas. Patients are very susceptible to squamous cell carcinoma.

Which serotypes are associated
epidermodysplasia verruciformis
HPV 5 and 8
Describe progress for malignancy in papillomavirus
DNA is integrated in a break in E1/E2 (viral replication proteins) E2 normally controls E6/E7 expression, thus integration deregulates and increases oncogene expression. E6/E7 promote cell growth by inactivating cell growth suppressor proteins p53 and P105RB
HPV 6 and 11
benign head and neck papillomas anogenital warts (condylomata acuminata)
cervical neoplasia associations
HPV 16, 18, 31, 45
dsDNA that replicates in the nucleus and is asymmptomatic in immunocompetent patients
polyomaviridae
Describe pathogenesis of polyomavirus
reactivated in immunosupressed patients. Polyoma T antigens promote cell growth by inactivating p53 and P105RB
differentiate permissive and nonpermissive cells in polyomavirus
permissive - allow transcription of the late genes and viral replication leading to cell death

nonpermissive - allows only early genes to be expressed promoting cell growth
establishes latent infection in the kidneys, if reactivated can cause severe UTIs. Associated with kidney transplantation
BK virus (polyomavirus)
establishes latent infection in the kidney, B cells, monocyte-lineage cells, if reactivated can lead to CNS infection
JC virus (polyomavirus)
caused by latent JC virus which transforms astrocytes and kills oligodendrocytes causing lesions and demyelination
progressive multifocal leukoencephalopathy (PML)
dsDNA that replicates in the nucleus that encode their own DNA polymerase associated with respiratory and enteric infections
Adenoviridae
which adenovirus serotypes are associated with respiratory
serotypes 1-7
which adenovirus serotypes are associated with gastroenteritis
serotypes 40-42
this virus has a propensity to become latent and persist in lymphoid tissue
adenovirus
which virus has dense basophilic nuclear inclusion bodies due to inefficient viral replicatioin
adenovirus
virus associated with pharyngoconjunctivitis, keratoconjunctivitis (non purulent), and acute respiratory disease
adenovirus (serotypes 1-7)
dsDNA that replicates in the nucleus that has RNA dependent DNA polymerase
Hepadnaviridae
actions of the RNA dependent DNA polymerase of hepatitis B
reverse transcriptase,
DNA dependent DNA polymerase,
and ribonuclease activity
which antigens are present in hepatitis B
Hep B core antigen
Hep B e antigen
Hep B surface antigen
Only DNA virus to encode a reverse transcriptase and replicate through an RNA intermediate
Hepatitis B
differentiate reverser transcriptase of Hepatitis B and HIV
Hep B lacks integrase activity that HIV has
disease caused by immune reaction and immune complex formation leading to rash, polyarthritis, fever, glomerulonephritis
Hepatitis B
Hep B surface antigen present for more than 6 months
chronic infection
indication of active, ongoing infection of hepatitis B
Hep B surface and e antigen present in the blood
differentiate chronic and acute hep B infections
chronic infections are detectable by anti-HBc (IgG) present
what is detected in blood of vaccinated individuals for hep B
anti-HBs (IgG)
what happens to most infants infected perinatally with Hep B
become chronic carriers but don't show symptoms
dsDNA that replicates in the nucleus and encodes their own DNA polymerase. first bud out of the nuclear membrane, discard that envelope and pick up final viral modified envelope at the Golgi
Herpesviridae
tegument
space between the envelope and capsid for proteins and enzymes to facilitate replication in non-growing cells like neurons.
Found in herpesvirus
differentiate lytic and latent infections of herpes simplex
lytic - infection of fibroblasts and epithelial cells
latent - infections of neurons
latency-associated transcript (LAT) proteins
Are the only thing expressed during latent infection in herpes simplex
HSV thymidine kinase and DNA polymerase (required for DNA synthesis and virus production) are not made
Unaffected by acyclovir which wipe out DNA polymerase
causes gingivostomatitis, keratoconjunctivitis, and sporadic encephalitis in children
HSV - 1
infections associated with HSV - 2
gential herpes
neonatal infections
meningitis
this virus replicates in the respiratory tract mucosa, but then enters the bloodstream and lymph system ending up in the skin causing asynchronous rash
Varicella Zoster
cells with large, purple intranuclear inclusion bodies surrounded by a halo (owl's eye) and small basophilic cytoplasmic inclusions
CMV
replicates in epithelial cells, but has latent infection in B cells
EBV
Acyclovir mechanis of axn
phosphorylation by viral thymidine kinase activates acyclovir as a substrate for viral DNA polymerase to incorporate and prevent elongation and eventually DNA chain termination
dsDNA that replicates in the cytoplasm and is brick-shaped instead of icosahedral
poxviridae
differentiate variola and varicella zoster
variola - simultaneous outbreak of the vesicular rash
varicella - vesicles erupt in successive crops
cells infected with this family of dsDNA virus have cytoplasmic inclusion bodies
poxviridae
clusters of bening, pink skin tumors with nipple-like indentations. have eosinophilic cytoplasmic inclusion bodies
molluscm contagiosum
subtypes associated with exanthem subitum (roseola)
HHV 6 and 7
subtype associated with an STD that infects B cells, and precedes sarcoma. Opportunistic in AIDS patients
HHV 8
Acute Hepatitis B window
there is a time when no HBsAg nor anti-HBsAg, both IgMs, will be present. Due to 1:1 ratio of them interacting.
list the naked viruses
PAPs PiC Reo:
parvoviridae
adenoviridae
papovaviridae
picornaviridae
caliciviridae
reoviridae
Associated cells of latency with herpesviridae
neurons - HSV and VZV
B cells - EBV
lymphocytes - CMV
differentiate which ganglia HSV-1 and 2 may be localized to
HSV - 1 - trigeminal nerve ganglia
HSV - 2 - sacral nerve galgnlia
all DNA viruses except what are double stranded
parvovirus
all DNA viruses except what duplicate their DNA in the nucleus
poxvirus - cytoplasm
All DNA viruses except what duplicate their DNA by using it as a template to make more DNA
Hepatitis B virus
uses RNA dependent DNA polymerase to make more DNA from RNA intermediate
what do all (-)ssRNA viruses have in common
all carry virus-associated RNA dependent RNA polymerase and are enveloped
list all nonsegmented (-)ssRNA viruses
paramyxovirus
rhabdovirus
filovirus
bornavirus
nonsegments (-)ssRNA that replicates in the cytoplasm and induces cell-cell fusion creating multinucleated giant cells
paramyxoviurs
what are the different glycoproteins associated with paramyxovirus and their actions
Fusion protein -fusion of viral and host cell membranes
Hemagglutinin-neuramidase (HN) protein - viral attachment protein
hemagglutinin (H) - binds sialic acid receptors
virus consists of H and F glycoproteins
presents with fever, cough, and conjunctivitis, koplik spots and erythematous maculopapular rash
Rubeola (measles)
what causes the rash in rubeola
action of cytotoxic T cell on infected cell in the endothelial cells
complications of this virus in young children include: otitis media, bronchopneumoni with giant cells, or persistent infection that leads to subacute sclerosing panecephalitis years after the infection
Rubeola
this virus has F and HN glycoprotiens. associated with bilateral parotitis, CNS infection of the meninges, or unilateral orchitis
mumps
this virus has F and HN glycoproteins, associated with croup. does not cause varemia
parainfluenza virus
this virus only consists of the F glycoprotein and is the major cause of bronchiolitis and penumonia in infants and young children
respiratory syncytial virus
associated with necrosis of the bronchi and bronchioles leading to plugs of mucis, fibrin, and necrotic material causing expiratory wheezing
respiratory syncytial virus
(-)ssRNA nonsegmented that replicates in the cytoplasm and is bullet-shaped
rhabdovirus
transmission of the virus that grows in muscles and makes its way to the CNS via axonal transport in sensory fibers.
dog bite
contaminated aersols from bats
complications of rabies
encephalitis
degenerating neurons
repiratory failure
comatose
eosinophilic intracytoplasmic inclusions seen in tissue infected with this (-)ssRNA virus
negri bodies - rhabdovirus
hydrophobia characteristic of this disease
rabies
koplik spots characteristic of this disease
measles
nonsegments (-)ssRNA that replicates in the cytoplasm spread by direct contact with infected blood or secretions
Filovirus
efficient replications of this virus cause extensive tissue necrosis of parenchymal cells of the liver, spleen, lymph nodes, and lungs.
Filovirus
Hemorrhagic Fever
Filovirus
8 segments (-)ssRNA that is transcribed in the nucleus but is assembled in the cytoplasm
Orthomyxovirus
What are the 3 surface proteins of the orthomyxovirus and fxns
N - facilitates release of virus from infected cell surfaces during budding
H - binds to sialic acid receptor
M2 - promotes viral uncoating and release from endosome
major cause of secondary lung infections of the elderly by staph aureus, H. influenza, and Strep pneumoniae
Influenza A
mechanism of axn for antivirals: amantadine and rimantadine
M2 ion channel blocker blocks the delivery of the viral RNA into the cell after endocytosis
mechanism of actions for antivirals: Zanamivir and oseltamivir
N inhibitors don't allow release of sialic acid receptors that the new virions are attached to, limit spread of infection
segmented (-)ssRNA that consists of 2 normal segments and one being ambisense, and replicates in the cytoplasm
bunyavirus
spread by mosquitos bites that cause subclinical infections or occasionally nonfatal encephalitis in children
california encphalitis: bunyavirus
transmitted by deer mice urine and feces via aerosoles causing fever, muscle aches, interstitial pumonary edema, acute respiratory failure, and death within days
Hantavirus: bunyavirus
segmented (-)ssRNA that contains 2 segments, one of which is ambisense, replicates in the cytoplasm
arenavirus
sandy appearance because of ribosomes in the virion, inefficient glycoprotein transcriptions causes poor virus assembly and persistent infectioni
arenavirus
spready via hamsters of house mice and causes influenza-like symptoms and fatal meningitis
lymphocytic choriomeningitis
nonsegmented (-)ssRNA that replicates in the nucleus and is highly neurotropic and can spread to monocytes
bornavirus
virus associated with schizaophrenia, autism, and other neuropsychiatric diseases
bornavirus
(-)ssRNA that replicates in the nucleus requires Hep B surface antigen for replication
Hepatitis D
differentiate coinfection with superinfection
coinfection - acquire both Hep B and D together
superinfection - acquire both Hep B and D after chronically infected with Hep B
differentiate Hep B and D pathology
Hep D causes direct cytopathic liver damage unlike Hep B which the liver damage is secondary to immune response
only dsRNA virus
naked?
reovirus
yes it is naked
associated with an enterotoxin that causes infantile gastroenteritis - noninflammatory diarrhea
nsP4 protein of the rotavirus
consisting of 11 segments in the inner capsid and covered with another outer capsid
reovirus
what activates the reovirus for infection producing an intermediate/infectious subviral partical
proteolytic cleavage of the outer capsid by gastric secretions
associated with tick-born transmission that causes biphasic fever and encephalitis
coltivirus
differentiate genetic drift vs. shift in influenza A virus
drift - point mutations in replicating errors due to no proofing
shift - requires an individual cell be coinfected with two different strains of influenza A such as avian and human. progeny of new virus are assembled with some chromosomes of both strains resulting in a pandemic
what do all (+)ssRNA viruses have in common
all code for RNA dependent RNA polymerase - do not carry in the virion
list the naked (+)ssRNA viruses
picornaviridae
calciviridae
hepeviridae
(+)ssRNA viruses that replicates in the cyotplasm associated with a polyprotein and rapid proliferation leading to cell lysis
picornaviridae
categories of the picronaviridae group
enteroviruses: polio, coxsackie, echo, and entero
heparnavirus: Hep A
rhinovirus
contains all viral protein sequences and is synthesized within 10-15 minutes of infection
polyprotein associated with picornaviridae
fecal-oral transmission that infects oral and GI mucosa and can infect anterior horn cells
piliovirus
what receptor does piliovirus bind to
PVR receptor
different stages of piliovirus infection
abortive - nonspecific febrile illness
nonparalytic - back pain and muscle spasms in addition to minor illness
paralytic - asymmetric flaccid pararlysis with no sensory loss
bulbar - involves CNs and medullary respiratory center
postpilio syndrome - deterioration of originally infected muscle
deterioration of originally infected muscle in poliomyelitis
is the virus present
post-polio syndrome
virus is NOT present
what receptor does coxsackie virus bind to
I-CAM -1
Hand-foot-mouth vesicular disease
Coxsackie A
myopericarditis
Coxsackie B
picornavirus associated with food-borne illness
Hepatitis A
associated with acute infection of hepatitis
Hepatitis A
what differentiates rhinovirus from other picornaviridae
susceptible to acidic pH
common cold that peaks during summer and fall. Replicates poorly above 33 degrees celcius
rhinovirus
(+)ssRNA virus that is the major cause of food-borne illness and acute gastroenteritis
Caliciviridae
All (+)ssRNA viruses are icohedral in shape except what
coronaviridae
viruses in the flavivirdae family
Yellow Fever virus
Dengue virus
west nile virus
Hep C and G
arbovirus
virus spready by mosquitoes
arobovirus that is associated with fever, jaundice, renal failrure, and GI hemorrhage (black vomit)
Yellow Fever
arbovirus that infects macrophages which release interferon
Dengue
(+)ssRNA virus that is associated with rapid onset of fever, myalgia, anthralgia, and rash
Dengue
complication in which non-neutralizing antibodies promote virus uptake and activate T cell to release inflammatory cytokines resulting in rupture of vasculature
Dengue hemorrhagic fever
associated with chronic hepatatis infections
Hep C
allows cells to harbor this virus outside of hepatocytes and inhibits apoptosis allowing persistent infection
Hep C
hepatitis associated with 20% mortality in pregnancy in women in their 3rd trimester
very similar to what other virus
Hep E
Hep A
(+)ssRNA virus that replicates in the cytoplasm associated with surface glycoprotein spikes
togavirus
mosquito born togaviruses
alphaviruses:
eastern, western, venezualen equine encephalitis
horses are dead end hosts and wild birds are normal carriers
alphaviruses of togavirus family
(+)ssRNA viruses that is respiratory transmission with immune complex formation causing symptoms
Rubella (German Measles) - (Togavirus)
virus associated with a 3 day rash, arthralgia, arthritis, and a teratogen
Rubella
(+)ssRNA virus that replicates in the cytplasm associated with prominent club-shaped surface glycoproteins (H1)
coronaviridae
this enveloped virus can endure conditions of the GI tract and spread via the fecal-oral route unlike other enveloped viruses
coronaviridae
E2 glycoprotein mediates viral attachment in this viral family
coronaviridae
causes common cold in winter and spring (cold weather)
coronavirus
virus associated with palm civets and ferret badgers that is transmitted via respiratory droplets
coronarivus: SARS
(+)ssRNA viruses that carry RNA dependent DNA polymerase
retroviridae
reverse transcriptase
characteristics of retroviridae
enveloped
contain two copies of RNA genome, RT, integrase, and two tTNAs
is the (+)ssRNA genome of retroviruses infectious
No because does not encode a polymerase that can directly generate more mRNA
three genes of HIV and what they encode
gag gene: structural proteins
env gene: surface glycoproteins gp120 and transmembrane protein gp41
pol gene: protease, integrase, RT
part of the HIV genome that is critical for integration
long terminal repeat (LTR) sequence
HIV binding initially and eventually
gp120 binds CD4 and CCR5 on macrophages initially and later on in the disease gp120 binds CD4 and CXCR4 on T cells
why are some people resistant to HIV infection
because they lack chemokine co-receptors (CCR5 and CXCR4)
function of gp120 and gp41 respectively
gp120 binds CD4 and chemokine receptors CCR5 and CXCR4
gp41 promotes cell membrane fusion due to chemokine receptor binding
HIV replication
RT in the cytoplasm uses tRNA to synthesize dsDNA
integrase inserts the viral DNA into the human chromosome
after viral assembly and evelopement, protease cleaves the polyprotein to form and infectious virion
differentiate HIV viral attachment to macrophages vs. T cells
CD4 T cells are lysed and macrophages are spared and continue to maintain persistent HIV infection. Knockout of the CD4 T cells compromises the entire immune system
CD4 T count and stages of HIV infection
Normal levels (800-1000) - acute stage that resembles influenza
(500) - asymptomatic stage with generalized lymphadenopathy for 2-10 years.
(<500) - symptomatic stage with fatigue, weight loss, and opportunistic infections.
(<200) - final stage with HIV wasting syndrome, kaposi's sarcoma, pneuoncystis pneumonia, dementia
Different HIV medication
fusion-penetrations inhibitors
RT inhibitors
protease inhibitors
integrase inhibitors
CCR5 antagonists
HAART
cocktail of three antiviral drugs
virus associated with adult acute T-cell lymphoma
HTLV-1
virus that promotes cell growth through tax
can lead to what
HTLV-1
uncontrolled growth can lead to cancer
associated with multinucleated giant cells
paramyxoviridae
list all the arboviruses
alphaviruses of togavirs family
flaviviridae except Hep G and C (yellow, dengue, west nile)
california encephalitis: bunyavirus
what two viruses are associated with inactivation of p53 and p105RB
polyomavirus
papillomavirus
viruses under the paramyxoviridae family
rubeola
mumps
parainfluenza
respiratory synctial virus
filamentous virus
filovirus
viruses under the bunyaviridae family
california encephalitis
hantavirus
viruses under the reoviridae family
rotavirus
coltivirus
Guarnieri bodies
variola: poxviridae (small pox)
molluscum bodies
molluscum contagiosum: poxviridae