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Microbiology - Viruses
Material on Midterm
135
Biology
Graduate
03/29/2014

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Term
Viruses
Definition
Obligate Intracellular Parasites. Very small and must be looked at by electron microscope.
Term
DNA Virus types
Definition
Double stranded and single stranded
Term
RNA Virus types
Definition
Double stranded, + single stranded, - single stranded
Term
Helical Capsid
Definition
Single polypeptide species. H2 bonded to neighboring nucleic acids to make global nucleic acid. Nucleocapsids = always have nucleic material.
Term
Icosahedral Capsid
Definition
20 faces, several polypeptide species. Grouped as capsomers. H2 bonded but not to nucleic acids.
Term
Envelope
Definition
Lipid bilayer with glycoproteins encoded by virus and host membrane
Term
Naked Viruses
Definition
Don't have an envelope, more stable, can move through GI system. Released when host cell dies.
Term
Enveloped Viruses
Definition
More sensitive to environment and transmitted via droplet/respiratory, sexual, parenteral routes. Transported and inserted into host membrane, released as buds, and membrane gets weaker. Continues until membrane integrity fails.
Term
Eclipse Period
Definition
Time from initial entry and assembly of progeny virion, usually not detectable. Not sick, just getting things into place.
Term
Exponential Growth Period
Definition
Number of progeny virus produced within the infected cell increases. Plateau with maximum production.
Term
Steps to Proliferation
Definition
Attachment/Absorption, Penetration, Uncoating, Genome Replication
Term
Attachment/Absorption
Definition
Attachment sites on virion bind to host cell receptor molecules. Host cell receptor molecules have tissue specificity. Viral adaptation: mutations allow for use of multiple receptor sites for binding.
Term
Penetration
Definition
Endocytosis: Receptor mediated, invagination of endosome, virion released from vessel before lysosome attaches.

Membrane Fusion: Enveloped virus fuses with host membrane, goes right into cytoplasm, degradation risk.
Term
Uncoating
Definition
Usually use host enzymes to accomplish. Prepares for nucleic acid replication. Part of Eclipse period.
Term
Genome Replication
Definition
Using host cell to aid in replication process, package into virions.
Term
DNA Virus Replication
Definition
In the nucleus. Use host dependent RNA pol to make mRNA to make proteins and DNA pol to aid in replication.
Uses hosts enzymes.
DNA -host depend RNAp -> mRNA -> structural proteins
Viral DNA -host depend DNAp -> Viral DNA
Term
+ssRNA Replication
Definition
In the cytoplasm. Directly translated into single protein. Must make RDRP.

+ssRNA -> proteins + RDRP released by enzymes -- RDRP -> complimentary -ssRNA --amplification -> +ssRNA and proteins.
Term
-ssRNA Replication
Definition
In the cytoplasm. Carries RDRP in the virion.

-ssRNA --RDRP -> +ssRNA -> mRNA -> -ssRNA, structural proteins
Term
dsRNA Replication
Definition
In the cytoplasm. Segmented genome where each section codes for a polypeptide but host lacks enzymes to transcribe. Carries RDRP in the virion.

dsRNA --RDRP-> +ssRNA -> complimentary - strand (with +ssRNA makes dsRNA), and proteins
Term
Retrovirus Replication
Definition
In the Cytoplasm. Uses reverse transcriptase and not RDRP!

+ssRNA --reverse transcriptase -> dsDNA --integrase -> integrated into genome --host dependent RNAp -> +ssRNA, proteins
Term
Detection of Viruses
Definition
Tissue culture, hemaglutinin, western blot
Term
Control
Definition
Immunization, Anti-virals, Avoidance, Sanitation, Vector control
Term
Immunization types
Definition
Inactivated -> killed, cannot cause infection
Attenuated -> possibility of becoming pathogenic
Term
Sanitation types
Definition
Hand washing, clean water, clean plumbing systems
Term
Viral Effects
Definition
Abortive, persistant, latent, lytic
Term
Abortive effect
Definition
Little effect on the cell and typically do not produce disease
Term
Persistent effect
Definition
Virus reproduces but does not kill cells. Can create a carrier state.
Term
Latent effect
Definition
No progeny but may integrate into host genome and cause alterations in the cell -> tumors.
Term
Lytic effect
Definition
Viral progeny can cause death.
Term
Humoral Response
Definition
B cell -> plasma cell -> Ag specific Ab
Neutralizes virus by interfering with one of the steps of proliferation
Causes lysis of cells to which the Ab is bound through complement
Term
Cell Mediated Immunity
Definition
Generalized Inflammation (macrophage)
Natural killer cells
Cytokines (macrophage and T cells)
First line of defense.
Term
Non-Enveloped ssDNA and dsDNA viruses
Definition
Replicate in nucleus using host dependent RNAp and DNAp

Parvovirus, Adenovirus, Papillomavirus, Polyomavirinae
Term
Parvovirus
Definition
Linear ssDNA
Icosahedral
Non-enveloped
Respiratory transmission
Fifth Disease (Erythema Infectiosum)
Presence of Ab response = diagnosis
Smallest DNA virus
Term
Fifth Disease (Erythema Infectiosum)
Definition
Rash, arthritis, birth defects, hyrops fetaliz, miscarriage. Attacks heart, liver and bone marrow. Slap cheeked appearance.
Term
Adenovirus
Definition
Linear dsDNA
Icosahedral
Non-enveloped
Droplet/direct inoculation transmission
URTI, Gastroenteritis, Conjunctivitis (Pharyngoconjunctival Fever and EKC - epidemic keratoconjunctivitis)
Immunity to serotype = lifelong (~50 serotypes)
Term
URTI
Definition
Difficult to differentiate from other respiratory infections including the flu. Many different serotypes.
Term
Gastroenteritis
Definition
Primarily infants and children
Diarrhea
Term
Pharyngoconjunctival Fever
Definition
Conjunctivitis.
Types 3 and 7
Concurrent or recent URTI
Keratitis in 30%
Mostly in children
Term
EKC (epidemic keratoconjunctivitis)
Definition
Conjunctivitis
Types 8 and 19
Keratitis common in 80% and of long duration
More severe
Term
Papillomavirus
Definition
Circular dsDNA
Icosahedral
Non-enveloped
Direct contact with infected individuals or contaminated surfaces
Preference for epi and mucosal cells with access/infection of the basal cell
Lateral spread
Cutaneous warts, Mucosal infections and malignancies
Squamous cell carcinomas, cervical carcinomas
Diagnosed by appearance of swabbings
Treatment: surgical removal, cyro, chemical removal OR use of antivirals that inhibit DNA syn or interferon boosters
Vaccination: Gardasil
Term
Polyomavirinae
Definition
Droplet transmission.
Have capability to produce tumors.
JCV (Jacob - Creutzfeldt Virus), BKV (BK virus, simliar to JCV)
Term
JCV (Jacob- Creutzfeldt Virus)
Definition
Progressive, multifocal, leukoencephalopathy
Term
BKV (BK Virus)
Definition
Hemorrhagic cystitis
Term
Enveloped dsDNA Viruses
Definition
Replicate in nucleus using host dependent RNAp and DNAp
Herpesviridae, Poxviridae, Hepadnaviridae
Term
Herpesviridae
Definition
Linear dsDNA
Icosahedral
Enveloped
Tegument which encodes viral enzymes
Alpha -> HSV
Beta -> CMV
Gamma -> Lymphoproliferative group
Term
Alphaherpesvirinae
Definition
HSV Group
Herpes Simplex Virus (HSV1 and HSV2)
Varicella Zoster Virus (VSV)
Term
Herpes Simplex Virus (HSV-1, HSV-2)
Definition
Direct contact with secretions or lesions
Rapid growth and replication
Cytocidal: kill host cells
May become latent in nerve ganglia (trigeminal or lumbar-sacral)
Vascular eruptions of affected area may be spread to a newborn during birth
Cold sores, genital herpes, infectious keratoconjunctivitis, encephalitis, ocular HSV
Treatment: antivirals to reduce duration, recurrence, pain and viral shed; most rupture/crust/heal within 7 days
**2nd most common cause of corneal blindness
Term
Ocular HSV
Definition
Lid vesicles
Complications: Follicular conjunctivitis, dendritic keratitis, iritis
Sequellae: Glaucoma
Term
Varicella Zoster Virus (VSV)
Definition
Droplet transmission
Rapid growth and replication
Cytocidal: kill host cells
May become latent in nerve ganglia (trigeminal or dorsal root)
More concern in adults and immunocompromised -> risk of pneumonia, liver failure, encephalitis
Primary infection = varicella or chicken pox
Recurrent infection = Zoster, shingles
Ocular VZV
Antivirals
Attenuated vaccine, boosters available
Term
Varicella or chicken pox
Definition
Generalized illness
Followed by exanthem (rash)
Contagious for 1-2 days before pox appear
Macular eruptions that become vesicular then crust
Continued break outs up to 1 week
Term
Zoster, Shingles
Definition
Occurs due to latency in sensory ganglia
15% of those with VZV
Vesicles distributed over dermatome of the affected nerve root
Can develop lesions for up to 1 week which can take up to 2 weeks to resolve
Post-herpetic neuralgia (pain)
Immunocompromised may experience primary infection
Term
Ocular VZV
Definition
Vesicles on face and lids
Periorbital edema
Pseudo-dendrites
Nummular keratitis: granular deposits onto the cornea
Term
Betaherpesvirinae
Definition
CMV group
Cytomegalovirus (CMV)
Human Herpesvirus 6 and 7 (HHV6 and HHV7)
Term
Cytomegalovirus (CMV)
Definition
Fluid contact, organ transplant, blood transfusion, transplacental
Slower growth, longer replication cycle
Infected cells become enlarged and multinucleated
Frequently asymptomatic and common infection
Viral shed for months/latency
Primary infection in adulthood: Infectious Mononucleosis
Congenital: intrauterine infection
In immunocompromised: common opportunistic infection in AIDS, pneumonia, retinitis
Treatment: GCV IV or intraocular if chronic chorioretinitis; Cifovir if resistant, sometimes in conjunction with Foxcamet
Screen organ donors for viral DNA or proteins
Term
Intrauterine Infection
Definition
When maternal first infection is during pregnancy the risk is greatest of symptomatic infection in the infant: hearing loss, chorioretinitis
Term
Human Herpesvirus 6 (HHV6) and 7 (HHV7)
Definition
Oral secretions
Slower growth, longer replication cycle
Infected cells become enlarged and multinucleated
Herpes 6: Roseola = baby measles = 6th disease
Recurrent with HIV: pneumonitis, encephalitis
Term
Roseola
Definition
Baby Measles
6th Disease
In infants, high fever for 3-5 days and rash. Fever can lead to febrile seizures.
Term
HIV and HSV6
Definition
Pneumonitis, encephalitis
More severe because of combination of the 2 causes an increased rate and volume of cellular death
Term
Gammaherpesvirinae
Definition
Lymphoproliferative Group
Epstein Barr Virus (EBV)
Term
Epstein Barr Virus (EBV)
Definition
Contact with saliva containing virus
Infects B cells: induce cellular lymphokines, induce cell multiplication and increase cell life, polyclonal B cell proliferation, IgM Ab that clot sheep blood cells, cytotoxic T cell response to the B cells with their expressed Ag -> atypical lymphocytosis
Latency

In immunocompromised: T cell and B cell malignancies
Infectious mononucleosis, Burkitt's lymphoma, Nummular/infiltrative keratitis
Term
Poxviridae
Definition
Linear dsDNA
No obvious symmetry, not icosahedral
Enveloped
Surface tubules

Variola (small pox), Vaccinia (cow pox), Molluscum
Term
Variola (Small Pox)
Definition
Respiratory transmission
Reservoirs in rats, don't have to be human to human transmission
Replication in HOST CYTOPLASM -> virus uses own enzymes
Cytocidal: rapid cell cycle = host cell death
Lymph drains the site and leads to viremia as the virus enters the blood stream
Multiplication causes more intense viremia

Characteristic rash with pustules that discharge the virus
Necrosis occurs leading to scarring
Term
Vaccinia (Cow Pox)
Definition
Replication occurs in HOST CYTOPLASM -> virus uses it's own enzymes
May be a mutant of cow pox or variola
Similar in genetic material and thus variola can have cross immunity
Localized disease, initial lesion at a single site but can spread by scratching

Vaccination
Term
Vaccinia/Cow Pox Vaccination Complications
Definition
Contamination at another site upon scratching vaccination site
Encephalitis
If unable to mount immune response, may lead to increased necrosis and death
In patients with eczema, a generalized form may develop
If a pregnant woman is inoculated, can have transplacental transmission
Term
Molluscum
Definition
Replication in HOST CYTOPLASM uses it's own enzymes and not the hosts
Cytocidal
Viral infection of the skin
Waxy nodule on the lids
Associated with follicular conjunctivitis
Chemical cautery (don't lance!)
Term
Hepadnaviridae
Definition
Enveloped
Circular dsDNA
Icosahedral

Hepatovirus B
Term
Hepatovirus B
Definition
Transmission: bodily fluids -> highly infectious
Replicates through a RNA reverse transcriptase
Produces RNA then the enzyme, enzyme reversely transcribes the DNA for progeny
Produces an X protein which is expressed by infected cells
Leads to a cell mediated response by T cells
Acute and chronic, symptomatic and asymptomatic
Younger = greater risk of chronic
80% of infants infected = chronic
Hepatocellular carcinoma and cirrhosis
Serology determines if disease is acute or chronic
Term
Hepatovirus B Disease Process
Definition
Incubation (4-12 days)
Pre-Icteric (up to one week): fever, malaise, nausea
Icteric: Jaundice
Convalescent/recovery (months)
Term
Hepatocellular carcinoma
Definition
While HBV not directly causative, strong association - 80%
6:1 men > women
More frequent in areas where HVC is endemic (Africa)
Term
Hepatovirus B Serology
Definition
Determines if disease is acute or chronic
Resolved Patient: no antigen, HBs and HBc antibody
Chronic Patient: both HBs and HBe antigen, only HBc antibody
Vaccinated patient: no antigen, only HBs antibody

Antigen: capsid = HBe, surface = HBs
Antibody: capsid = HBc, surface = HBs
Term
Non-enveloped ssRNA Viruses
Definition
Replicate in cytoplasm, must make RDRP

Calciviridae, Picornaviridae
Term
Calciviridae
Definition
ssRNA
Icosahedral
Non-enveloped

Norwalk Virus, Hepatovirus E
Term
Norwalk Virus
Definition
Transmission: Fecal-Oral

Epidemic Acute Gastroenteritis
Lesser pathogen
Term
Hepatovirus E
Definition
Transmission: water-bone (fecal contam -> water supply -> shellfish -> oral)
Acute Disease
No antiviral Tx, no vaccine, lesser pathogen
Term
Picornaviridae
Definition
ssRNA
Icosahedral
Non-enveloped
Poliovirus, Coxsackievirus (enteroviruses)
Rhinovirus, Hepatovirus A
Term
Enteroviruses
Definition
Ingestion of food and water
Stable at low pH of stomach, replicate in GIT, shed in stool for weeks therefore easy to spread even if you feel better.
More than 70 serotypes
All can cause CNS disease -> acute aseptic meningitis

Poliovirus, coxsackievirus
Term
Poliovirus
Definition
Transmission: fecal - oral
7-10 day incubation (95% asymptomatic, 4% abortive, 1% poliomyelitis)

Poliomyelitis (Non-paralytic -> aseptic meningitis or paralytic)

Salk (killed) or Sabin (attenuated) vaccine
Primary pathogens, third world disease
8-10 cases a year in US all by vaccine conversion or travel
Term
Non-Paralytic Poliomyelitis (Aseptic Meningitis)
Definition
Rare
Back and neck stiffness
Lasts 2-10 days, fast recovery
Term
Paralytic Poliomyelitis
Definition
Lower motor neuron damage -> flaccid paralysis
Brainstem damage -> respiratory paralysis
Occurs if virus spreads along peripheral axons to CNS motor neurons
Intracellular replication in nerve cells not muscle, destroys cells
Permanent weakness in 2/3 of patients. Post poliomyelitis syndrome decades later.
Term
Human Picornaviridae
Definition
Enterovirus, rhiniocirus, hepatovirus, parechovirus/echovirus
Term
Animal picornaviridae
Definition
Apthovirus (food and mouth disease in cattle)
Cardiovirus (encephalitis and myocarditis in cattle)
Term
Coxsackievirus
Definition
Transmission: fecal - oral
Group A: Herpangia, hand foot and mouth disease, acute hemorrhagic conjunctivitis
Group B: Pleuridynia, myocarditis, pericarditis, paralytic is mild and reversible
Primary pathogens
Term
Rhinovirus
Definition
Droplet Transmission
>100 serotypes
**Acid labile -> unlike other enteroviruses, it can't survive in GIT, reproduce in nasal passages
Common cold
Term
Hepatovirus A
Definition
Water-borne Transmission (common in shellfish)
One serotype only -> Entero 72
Replicates in hepatocyte leading to liver dysfunction

Acute disease, persistant infection and chronic hepatitis is uncommon
Inactivated vaccine -> 99% effective
Term
Enveloped +ssRNA Viruses
Definition
Replicate in Cytoplasm
Must make RDRP

Togaviridae, Flaviviridae, Coronaviridae
Term
Togaviridae
Definition
+ssRNA: 3 structural proteins
Icosahedral
Enveloped

Alphavirus, Rubivirus
Term
Alphavirus
Definition
Transmission: Arbovirus (aka arthropod-borne) -> mosquito borne
Eastern and Western Equine Encephalitis
Repellants: DEET, picardin, PMD
Term
Rubivirus
Definition
Transmission: Aerosol transmission
Incubate 2 weeks before infection. Infection occurs 1 week before and after the rash -> easy to spread without knowing
Mild in adults and children
German Measles
Live vaccination
Term
German Measles
Definition
Primary Infection:
Maculopapular rash, malaise, febrile, lymphadenopathy
Fetal/Congenital:
Infection in first trimester leads to 80% incidence of sequellae
Classic Triad of Symptoms: Cataract, deafness, congenital heart defects
Term
Flaviviridae
Definition
Flavivirus and Hepatovirus C
Enveloped
+ssRNA
Term
Flavivirus
Definition
Icosahedral
Transmission: Arbovirus (arthropod-borne -> mosquito borne)
Over 1000 viruses
Big Four: Yellow Fever, Dengue Fever, St. Louis Encephalitis (from Culex mosquitoes), West Nile (most important in Illinois!)
Repellants: DEET, Picardin, PMD
Term
Hepatovirus C
Definition
Spherical Virus
Blood, IV, Sexual, Maternal Transmission
6 types
Viral replication occurs in the hepatocytes, lymphocytes, and macrophages
Most = sub-clinical
Acute Icterus (25%), Chronic Viremia (50%), possibly causes Sjogren's
No vaccine
Term
Acute Icterus
Definition
Tx with Interferon alpha and Ribavirin or liver transplant
Term
Chronic Viremia
Definition
20% cirrhosis rate in chronic cases
20% liver failure rate in cirrhosis
Term
Coronaviridae
Definition
+ssRNA
Enveloped
Helical
Spiked, pleomorphic viruses
Upper Respiratory Infection
Term
Enveloped -ssRNA Viruses
Definition
Replicate in cytosol (except for Influenza) and have RDRP already
Nucleic acid is not infectious

Rhabdoviridae, Paramyxoviridae, Filoviridae, Arenaviridae, Orthomyxoviridae, Bunyaviridae
Term
Rhabdoviridae
Definition
-ssRNA
Helical
Enveloped

Lyssavirus
Term
Lyssavirus
Definition
Bites or inhalation of bat droppings
Reservoirs in other mammals
Course of infection: local replication, travel along peripheral neurons, infects brain gray matter, travel along autonomic nerves, infects other tissues
6-8wk incubation

Rabies
Diagnosis: signs/symptoms, exposure, post-mortem negri bodies and biopsy with PCR
Quarantine
Pre-exposure = vaccination for high risk populations
Post-exposure = vaccine, immunoglobulin
Vets = high risk
Term
Paramyxoviridae
Definition
-ssRNA
Helical
Enveloped

Rubulavirus, Morbilliviris, Pneumovirus
Term
Rubulavirus
Definition
Two proteins: H (Hemaglutinin/Neuraminidase) and F (Fusion)
Mumps
Live attenuated vaccine (MMR) -> lifelong immunity

Parainfluenza types 1 and 3 -> URTI
Rubulavirus -> mumps
Morbillivirus -> measles
RSV -> Croup, bronchiolitis
Term
Rabies
Definition
Hallucinations
Seizures
Hydrophobia -> water avoidance secondary to painful swallowing
100% mortality once Sx/Sn ensue
Term
Mumps
Definition
1/3 are sublinical
Salivary involvement
Can also attach CNS, pancreas, testes (may cause sterility)
Term
Morbillivirus
Definition
Hemaglutinin protein only
Droplet transmission
Measles, Prodrome
Ab titer, Koplik spots = diagnosis
Live attentuated vaccine (MMR) -> lifelong immunity
Term
Measles
Definition
Almost all infected get sick
Term
Prodrome
Definition
Fever, URTI, Conjunctivitis, head to toe rash
Term
Pneumovirus
Definition
Two proteins: H and F (hemaglutinin/neuraminidase and fusion)
Droplet transmission (highly contagious)
Bronchiolitis and Croup
Repeat infections are common!
Ab titer and/or Ag in sputum
Avoidance and hand washing
Major viral respiratory pathogen in children
Most important cause of bronchiolitis in infants
Term
Bronchiolitis
Definition
Major viral respiratory pathogen in children
Term
Croup
Definition
Difficulty breathing with loud cough
Term
Filoviridae
Definition
-ssRNA
Helical
Enveloped
Pleomorphic
Filamentous
Marburg and Ebola Viruses
Term
Marburg and Ebola Viruses
Definition
Reservoir unknown
Marburg Virus
Ebola virus (hemorrhagic fevers)
>50% mortality rate
Term
Arenaviridae
Definition
-ssRNA
Helical
Enveloped
Arenavirus
Term
Arenavirus
Definition
Rodent infections via: aerosol transmission/contaminated food or soil
Term
Orthomyxoviridae
Definition
Helical Enveloped
Influenza, Avian Flu
Term
Influenza
Definition
***Nucleus replication
Cap snatching: does not code its own end sequences but steals them from the host
Subtypes A and B
Variable viruses
Influenza (fever/chills, myalgia, somnolescence, 4-5days)
Complications: pneumonia, Reyes syndrome (ASA admin in children)
Term
Drift
Definition
Random mutations that are usually insignificant
Term
Shift
Definition
Reassortment that makes new subtype A variant, responsible for epidemics
Term
Avian Flu
Definition
Not human to human, usually occurs in close proximity to birds
If shift or reassortment occurs, could lead to epidemic/pandemic
Drugs to stop uncoating and/or replication
Subtype specific vaccinations
Term
Bunyaviridae
Definition
Helical
Enveloped
Bunyavirus, Hantavirus
Term
Bunyavirus
Definition
Arbovirus (arthropod-borne/mosquitoes) transmission
California Encephalitis
LaCross (hemorrhagic fever)
Term
Hantavirus
Definition
Rodent feces
Hantaan (hemorrhagic fever)
Pulmonary diagnosis
Term
Non-Enveloped dsRNA Viruses
Definition
Replicate in cytosol, has all necessary enzymes
Reoviridae
Term
Reoviridae
Definition
dsRNA
Icosahedral
Spherical
Non-enveloped
Rotavirus
Term
Rotavirus
Definition
Fecal - oral transmission
Cytoplasm replication -> contains all enzymes needed to make +RNA
7 serogroups (A-G) -> A causes disease in humans
Seasonal infection (Jan-Mar)
Infects jejunum epi cells
Incubation <48 hours
Vomiting, diarrhea, dehydration
Vaccination for infants
90% of children have Abs by age 4
Term
Retroviruses
Definition
Replicate in cytoplasm using reverse transcriptase
Retroviridae
Term
Retroviridae
Definition
+ssRNA
Icosahedral
Enveloped
Lentivirus (Human Immuno Deficiency Virus)
Lentivirus (Human T Cell Leukemia Virus)
Term
Lentivirus -> Human Immuno Deficiency Virus
Definition
Reverse Transcriptase
RNA serves as template for DNA synthesis instead of vice versa
Latent Period: CD4 > 200: body able to keep up with virus production, illnesses are non-specific, diarrhea/weight loss/fever/zoster/candida
AIDS
End Stage Disease
Treatment: HAART
Term
AIDS
Definition
CD4 <200 and defining illnesses
Candidisis, cervical cancer, CMV, encephalopathy, HSV 1, Kaposi's sarcoma, lymphoma, mycobacterium, pneumocystis carinil pneumonia, recurrent pneumonia, progressive multifocal leukoencephalopathy, toxoplasmosis of brain, wasting syndrome
Release of mature virions results in T cell death
Term
End Stage Disease
Definition
Macrophages are killed more slowly and spread the virus to other tissues -> encephalopathy-retinal ischemia
Release of cytokines contributes to muscle wasting
HHV6 coinfection causes an increase in HIV production
Variants appear that are more aggressive/virulent
Term
HAART - Highly Active Antiretroviral Therapy
Definition
Nucleoside analogs reverse transcriptase inhibitors: insertion of nucleoside analog causing chain termination, many serious side ffects
Non-nucleoside reverse transcriptase inhibitors: fewer side effects but faster resistance
Protease inhibitors: form infectious virions. resistance in single therapy. distorts fat and sugar metabolism.
Viral infusion inhibition: blocks virus binding
Term
Lentivirus -> Human T Cell Leukemia Virus
Definition
Oncogenic
HTLV-1: Adult T cell Leukemia (ATL)
HTLV-2: Hairy Cell Leukemia
Highly variable distribution
Chemotherapy is highly successful
Experimental vaccines
Term
Prions
Definition
Transmissible Spongiform Encephalopathy
Term
Transmissible Spongiform Encephalopathy
Definition
Fibrillar proteins
No detectable nucleic acids
Resistant to degradation
Infection related to structure
Animal feed
Diseased meats and byproducts
Extensive incubation period
Accumulation of diseased proteins that form fibers and start to invate the gray matter and distort neurons
Progressive dementia
Mad Cow Diease, Creutzfeldt-Jakob Disease (CJD), Kuru
Hard to kill
Fatal
Term
Mad Cow Disease
Definition
Consumption of processed animal parts causing transmission to cattle
Term
Creutzfeldt-Jakob Disease (CJD)
Definition
Human disease from consumption of contaminated meat or medical appliances
Term
Kuru
Definition
Human to human Tribal disease from direct consumption of human brains
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