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Micro 0580 Exam 4
Infectious DIsease: Virus and Parasite
36
Microbiology
Graduate
05/05/2012

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Term
Unifying Principles of All viruses
Definition
genomes packaged inside particles that mediate transmission
genome contains information for initiating and completing infectious cycle in a susceptible, permissive cell
able to establish themselves in a host population so that virus survival is ensured
Term
types of viral genomes (understand requirements for each to be replicated and transcribed)
Definition
ds DNA
ds RNA
ss +RNA
ss -RNA
ss DNA
Term
RNA polymerase
Definition
ALL RNA viruses must encode this for replication of their genome because there is not a host protein that can replicate RNA
Term
-ss RNA
Definition
type of virus genome that requires an encoded polymerase to make mRNA and to replicate the genome
Term
Retrovirus
Definition
+ sense RNA virus that requires a DNA intermediate for replication
Term
Hepadnavirus
Definition
DNA with full length but nicked + strand and pertial - strand. Requires DNA repair first and a viral reverse transcriptase
Term
viral techniques for gene packing in genome
Definition
Polyprotein- one large protein cleaved to make many
Leaky Scanning- different start sites yielding different reading frames
Reinitiation- ribosomes chug along between genes
Internal Ribosome Entry Sites- ribosomes can bind one of two different sites to yield different proteins
Term
Viral genome secondary structure
Definition
Internal Ribosome Entry Site- efficient recognition of mRNA by ribosomes
Packaging signals- promotes packaging for assembly into virio
Term
Enveloped virus
Definition
"wimpy" virus because they don't survive for long periods outside fo their hosts. Membrane derived from host breaks down
Term
Non-enveloped virus
Definition
viruses that are harder to destroy and that stick around longer because they survive better outside of their hosts
Term
Uncoating of virus at plasma membrane
Definition
virus attaches to receptor AT NEUTRAL pH
interaction induces conformational change in either viral ligand or fusion protein
results in insertion of a fusion peptide
this induces mixing of membranes
virus is released into cytoplasm
Term
uncoating of virus within endosome
Definition
virus attaches to receptor
virus taken up by cell by CLATHRIN-DEPENDENT receptor mediated endocytosis
pH becomes ACIDIC exposing fusion peptide
membranes fuse and release virus into cytoplasm
Term
uncoating of virus at nuclear membrane
Definition
virus attaches to receptor
internalized by endocytosis
capsid protins are removed
capsid is transproted in the cytoplasm along microtubules
capsid docks into nuclear pore complex
further disassembly and DNA injection into nucleus
Term
ribosomes
Definition
virus cannot encode its own translational machinery
this is always a good target for therapy because virus is dependent upon host's
Term
Viral exit stragegies
Definition
1. Budding- leave membrane without destroying it
2. Lysis- destroy membrane
Term
Direct detection
Definition
assay for detecting viruses
clinical specimen examined for presence of virus
EM, histological examination, antigen detection, PCR
Term
Indirect detection (virus isolation)
Definition
assay for detecting viruses
specimen is incubated in presence of cells that allow for virus growth
- primary cells (noraml cells)
-semi-continuous cells (embryonic kidney and skin cells)
-continuous cells (immortalized)
Presence of virus is detected by
-cytopathic effect=degenerative changes in cells
-haemadsorption=cells acquire the ability to stick to mammalian RBCs
Term
Serology
Definition
assay for detecting viruses
production of antibodies against the virus
RISE in titer of IgG
presence of IgM
seroconversion
extremely high titer of IgG (least reliable)
Term
Influenza Virus
Definition
Enveloped, negative sense ssRNA, segmented
1. Virus life cycle
-inhalation
-attachment: HA protein, sialic acid, epithelial cells
-endocytosis: M2 protein, acidificaiton
-replication: ssRNA transproted into nucleus
-assembly: at plasma membrane
-budding: neuraminadase required to cleave
2. why the virus can cause such outbreaks
-antigenetic drift: point mutations in type A or B causing epidemics
-antigenetic shift: shuffling of RNA segments between virus types (A only) causing pandemics
3. how anti-viral drugs work
-prevent entry
-fusion
-transcription/translation: Ribavirin prodrug resembling RNA neucleotide, very toxic
-release: Nearaminidase inhibitors (Zanamivir [Relenza] and Oseltamivir [Tamiflu])
4. how vaccines work
-Seasonal: killed or inactivated, split virus vaccine (subvirion), live attenuated influenza nasal spray
Term
Herpes Simplex Virus
Definition
Large, enveloped dsDNA encoding for thymidine kinase (activator)
1. principle of viral latency
- dec gene expression
-reduced recognition by immune response
- persistence of intact viral genome
- ability to re-enter productive phase
2. virus life cycle and "waves of gene expression"
Active infection
-Phase 1: fusion and DNA entry to nucleus, early gene expression using HOST RNA pol., induction of phase 2
-Phase 2: Immediate early proteins transactivate early gene expression which is REQUIRED FOR VIRUS REPLICATION, genome replicaiton initiated
-Phase 3: DNA replication and early protein sstimulate expression of late genes, form many of teh viral structural proteins for capsid formation
-Phase 4: Viral capsid assembly and progeny DNA encapsidatoin takes place in nucleus, virons egress form cell
3. Triggers that shift HSV from latency to lytic
-repression by host cell factors
-sensory neurons express low levelos of transcription factors
-viral LAT transcripts inhibit viral lytic genes
-inhibition by host immune response
4. Transition from latency to active
-increased ICPO HSV gene/decreased ICP4
-local injury
-stress, hyperthemia, UV light, Menstruation, hormone imbalance, immunocompromise
5. How anti-viral drugs work
-act on thymidine kinase (which catalyzes the phosphorlyation of pyrimidines, purines and ribose analogs)
-Acyclovir causes chain termination of viral DNA elongation inhibiting replication
Term
Human Papilloma Virus
Definition
1. Virus Life Cycle
-Exposure via sexual contact
-Attachment and entry: infection of the basal keratinocyte through wound or abrasion, entry via clathrin-dependent receptor mediated endocytosis
-Viral transcription and viral protein production:E1 and E2 (viral helicase and master transcriptional regulator) recruit CELLULAR polymerases and accessory proteins to mediate replication
-Assembly and budding: DOES NOT induce lysis, virion release is dependent on desquamation of the most stratified skin cells
2. Normal Coures of infection
-In cervical cancer, viral DNA linearizes and integrates into host chromosome. If the break occurs in E2, viral regulation of E6 and E7 is lost leading to transformation of the infected cell
3. Why the virus promotes proliferation
-interacts with p53 and Rb, tumor suppressor genes to promote proliferation
4. How the rial proteins E6 and E7 work
-E6 interacts with E6AP to induce p53 degredation (tumor suppressor) and prevents stop at normal cellular checkpoints
-E7 directly vinds ot the hypophosphorylated version of retionblastoma protein (pRb) leading to transcription of proteins of genes that are involve din DNA synthesis and cell cycle progression
5. Viral capsid structure and how the VLPs can be used for immunization
-capsid formed by late genes L1 but not L2 can form a capsid without any DNA in it. This is used in the vaccine
Term
HIV
Definition
Infects CD4+ T lymphocytes, encodes a reverse transcriptase, single stranded + sense RNA, encodes 3 major transcripts: Gag, Pol and Env.
Gag: encodes major subunits
Pol: produces enzymes (RT, integrase, protease)
Env: precursor to the cleaved envelope proteins that serve as a receptor for HIV to CD4 (gp120 and gp41)
1. Virus Life cycle
-acquisition: sexual contact
-attachment and fusion: gp120 binds CD4, conformational change to bind to CCR5 or CXCR4 to mediate fusion of viral envelope with plasma membrane
-RT: converts + sense RNA to dsDNA, no proofreading
-Integration: integrase binds to ends of dsDNA and shuttles to nucleus, cleaves host DNA and catalyzes integration. Now called proviral DNA. copied by HOST DNA polymerase
-Replication: HOST RNA polymerase II transcribes DNA into RNA. Can be 1. transpoted to cytoplasm for assembly 2. translated into three large polyproteins 3. spliced into smaller sequences for trsnslation
-Assembly: the Env polyprotein is transported to the plasmama membrane where it is cleaved into gp120 and gp41. polyproteins associate at plasma membrane, when gp41 reaches threshold density virion initates budding
-Budding and Maturation: protease must act on the polyproteins wihtin the virus in order fot eh virus to mature into an infectious particle. Virion mporpholgy is converted from doughnut-shaped center to an electorn dense, conical core
2. How drugs target HIV
HAART:
-Reverse transcriptase inhibitors
-Protease inhibitors
-Fusion inhibitors and early entry inhibitors
-Integrase inhibitors
3. Why HIV quickly becomes drug resistant
lots of mutations due to RT not having a proofreading mechanism.
Term
Taenia Saginata
Definition
Cestode
egg has striations
Proglottid has many uterine lines
Scolex has 4 suckers
COWS eat embryonated eggs, migrate to tissues, eat undercooked beef, stomach acids release cysticerci, scolex attaches to intestine, proglottids passed in feces
Term
Diphyllobothrium Latum
Definition
Cestode
football shaped egg
Proglottid has rose shaped blotch
Eats lots of B12-pernicious anemia, occulocysterocosis and neurocysticerosis
Scolex has longitudinal grooves without hooks
Larvae hatch in water, multiple FISH cycle, eat infected fish, scolex attaches to mucosa, grows and proglottid breaks up in colon, EGGS present in feces
Term
Taenia Solium
Definition
Cestode
egg has striations
Proglottid has many uterine lines
Scolex has 4 suckers and hooklets
PIGS eats embryonated eggs, migrate to tissues, eat undercooked pork, stomach acids release cysticerci, scolex attaches to intestine, proglottids passed in feces
Term
Enterobius Vermicularis (Pinworm)
Definition
Cestode
oval and elongated eggs
transmitted fecal oral route, larvae hatch in small intestine, migrate to colon, mature, release of eggs at perineum, eggs embryonate->itching
diagnosed by tape test (NIH Swab)
Term
Trichuris Trichuria (whipworm)
Definition
Cestode
barrel shaped, yellow-brown with bipolar prominences on egg
Ingestion of eggs from soil, hatch in small intestine, migrate to colon, unembryonated eggs in feces, embryonate in soil
In south east US
Dysentery in heavy infestations, anemia, rectal prolapse
diagnose by ova in stools
Term
Ascariasis Lumbricoides
Definition
giant intestinal round worm
eggs have hard shell
infective eggs containing larvae ingested, penetrate small intestine and enter blood, migrate to liver, lung, then coughed up and swallowed to intestine, mature and eggs passed in feces
hepatic and lung damage
diagnose by chest x-ray, sputum, eosinophilia or ovas/adult in feces
Term
Necator Americanus, Ancylostoma Duodenale
Definition
Hookworms
filariform larva develop in soil, penetrate through skin, follow lymphatics, migrate to heart and lungs, up trachea and swallowed, mature in intestine, unembryonated eggs pass in feces
Term
Strongloidiasis stercocalis
Definition
similar to hookworm
prevalent in institutionalized persons
filariform larva develop in soil, penetrate through skin, follow lymphatics, migrate to heart and lungs, up trachea and swallowed, mature in intestine, can penetrate back into blood and reinfect, unembryonated eggs pass in feces
intestine damage, dysentery like syndrome
diagnose by larvae in stool or sputum
Creeping eruptions
Term
Entamoeba Histolytica
Definition
Protozoan parasite
amoebic dysentery, disseminated amoebiasis (encephalitis, hepatitis)
trophozoite form: active and vegetative amoebic form in colon, eats RBC, amoebic abcesses in colon and liver, flask shaped ulcers
cyst form: spore-like form for transmission/infection
ingested as cyst, excysts in small intestine, trophs live in colon and invade by releaseing proteases, may disseminate, cysts form in dried feces
diagnose by exam of feces 3 times or serology by elisa or IHA
Term
Giardiasis Lamblia
Definition
Flagellage protozoa parasite
DOES NOT invade
causes lawnmower effect and villous atrophy in colon, malabsorption, diarrhea
Trophozoite: spook appearance
Cyst: triggered by dehydration in colon
diagnosis by 3 stool exams, tissue endoscopy, enterotest
Term
Cryptosporidium parvum
Definition
sporozoan parasite
very small intracellular protozoan
stains with Giemsa or H & E acid-fast
affects jejunum causing explosive, profuse diarrhea
Diagnosis: detection of oocytes in stools, acid-fast stain, or immunofluorescence
Term
Enterocytozoan bieneusi
Definition
microsporidia obligate intracellular pathogen that injects spore contents via coiled polar tubule
diagnosis: microscopic exam for ova and parasites X 3, fluorescence microscopy (NOT acid-fast)
Term
Trichomonas Vaginalis
Definition
sexually transmitted protozoan flagellate
prefers basic envrionment
readily visible on wet mount
Term
Maegleria fowleri
Definition
Amoeboid flagellate
causes encephalitis and keratitis
found in warm ponds
enters nares of nose and is fatal
similar to Acanthamoeba spp. (keratitis)
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