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MIcro Exam II - Lectures 10-12
Exam II Flashcards - Lectures 10-12
241
Microbiology
Professional
04/21/2011

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Term
Is a virus alive?
Definition
No, it can direct life, but has no metabolism, no cytoplasm, organelles.
Term
T/F Bacteria outnumber viruses.
Definition
False - viruses outnumber 10:1.
Term
What is a capsid?
Definition
Surrounds the genome in a virus.
Term
Can a virus have both RNA and DNA?
Definition
No - mutually exclusive.
Term
What is a naked virus?
Definition
No viral envelope, which is stolen from the host cell.
Term
Describe the virus contents.
Definition
DNA xor RNA, a few viral proteins for replication, and a protein shell.
Term
What is a virion?
Definition
Extracellular form of a virus - also called virus particle.
Term
What are the contents of a nucleocapsid?
Definition
DNA xor RNA, structural proteins/protein shell, enzymes and nucleic acid binding proteins, and Nucleocapsid may be the outer structure (if it's naked).
Term
What is the envelope made of?
Definition
Lipid bilayer.
Term
Which is hardier - naked or not naked virus?
Definition
Naked - resistant to the environment. The lipid bilayer of envelope makes it more "fussy".
Term
How does our I/S recognize viruses?
Definition
The viral proteins that project out of the membrane for attachment - peplomers, spikes, VAPs).
Term
What is a capsomere?
Definition
A viral nucleocapsid structure - can be icosahedral - 20 sides, or alpha helical shaped (coiled).
Term
Name nucleocapsid structures?
Definition
Capsomeres, helical(rod) or icosahedral, bacteriophage (spaceship).
Term
How do we get rid of viruses?
Definition
Antibody response can kill it, but not clear it. Need CMI.
Term
Name the 2 bacteriophage lifecycles.
Definition
Lytic, Lysogenic.
Term
What are the details of the lytic lifecycle?
Definition
attach, penetrate, inject (no uncoating), biosynthesis, maturation (assembly of new virus), release (lysis of the host cell).
Term
What is the process of DNA integrating into the chromosome, and the virus sitting dormant in the cell?
Definition
Lysogenic life cycle of bacteriophage.
Term
Where does an envelope come from?
Definition
Host cell membrane.
Term
What is a VAP?
Definition
Viral attachment protein.
Term
What does influenza have that helps it attach to its host cell?
Definition
Hemaglutinin.
Term
How do enveloped viruses spread?
Definition
Needs moisture - airborne droplets, secretions, etc... Fragile b/c of membrane lipids. Also has VAPS, spikes, peplomers, etc...
Term
What happens in the Attachment phase of viral replication?
Definition
Uses specific receptors, bacteriophages use tail fibers.
Term
What happens in the Penetration phase of viral replication?
Definition
Animal viruses are taken up by endocytosis, whole virus inside the cell. Bacteriophages attach and inject their material. Some bacteria have a primitive I/S to chop up foreign DNA to protect against bacteriophages.
Term
What happens in the Synthesis phase of viral replication?
Definition
Bacteriophages - all steps in the cytoplasm. Animal viruses - diff for DNA, RNA.
Term
How does a DNA virus replicate itself?
Definition
Replicate in the nucles and use ribosomes in the cytoplasm.
Term
How does positive sense RNA replicate?
Definition
They use negative sense RNA to transcribe mRNA in the nucleus, then the proteins are made in the cytoplasm.
Term
How does negative sense RNA replicate?
Definition
Converted to +sense, then the positive sense RNA is used as mRNA to directly make proteins.
Term
What happens in the Assembly phase of viral replication - where does it occur?
Definition
Cytoplasm of the host cell, some viruses need envelope from the host cell.
Term
What happens during the Release phase of viral replication?
Definition
Lytic cycle - host cell is killed when virus lyses. After lying dormant in lysogenic cycle, it can enter lytic cycle an lyse. In eukaryotic viruses, infection leads to lysis or budding.
Term
How are viruses classified?
Definition
Size, morphology, nucleic acid content, structure, diseases causes, means of transmission, host cell.
Term
What is the Baltimore System?
Definition
Viral classification system. Most used currently. 7 families that considers structure, biochemical characteristics, genome structure, and mode of replication.
Term
What is tropism?
Definition
Virus host cell specificity - determined by VAPs on the surface. Ex. Hep C is hepatotropic. Some have a wide range, some very narrow.
Term
Describe a typical viral growth curve.
Definition
Wish I could copy the chart in here. On Section 10 handout.
Term
What is the viral burst size in a viral growth curve?
Definition
The number of virions produced when a cell lyses. Ranges from a few to 1000s.
Term
What is the replication cycle in a viral growth curve.
Definition
Process that starts when a virion enters a cell and ends when virions are released.
Term
T/F A typical human virus replication cycle is 48-72 hrs?
Definition
False - 8-40 hrs.
Term
What is the eclipse period of a viral growth curve?
Definition
The period of time between infection by a virus and the appearance of the mature virus within the cell. If you're exposed during this time you won't get infected.
Term
What are Early Proteins?
Definition
Biosynthesis of viruses happens in steps. Proteins needed initially for replication are Early Proteins.
Term
What are Late Proteins (examples)?
Definition
Proteins needed by a virus to assemble virions. Include capsomeres and capsids.
Term
Name the 7 Baltimore classification categories.
Definition
dsDNA, ssDNA, dsRNA, +sense ssRNA, -sense ssRNA, RNA reverse transcribing viruses, DNA reverse transcribing viruses.
Term
Describe the replication of dsDNA viruses.
Definition
host cell needs to transcribe the DNA->RNA->protein. Host cell already knows how to do this.
Term
Describe the replication of ssDNA viruses.
Definition
Translocated to the nucleus. Synthesizes into dsDNA. This is how our DNA is replicated, so machinery is already in place to do that.
Term
Describe the replication of dsRNA viruses.
Definition
Viruses have an enzyme to make mRNA. Can then translate this to a protein. Viral RNA polymerase.
Term
Describe the replication of +sense ssRNA viruses.
Definition
Could be directly used as mRNA to make a protein. But making more copies is a problem. A viral enzyme is needed to copy.
Term
Describe the replication of -sense ssRNA viruses.
Definition
This must be converted to +sense. Can then be used as mRNA.
Term
Describe the replication of RNA reverse transcribing viruses.
Definition
RNA->DNA. Virus needs to bring an enzyme to do that.
Term
Name the DNA viruses.
Definition
Hepadnaviridae, Herpesviridae, Adenoviridae, Poxviridae, Papillomaviridae, Parvoviridae, Polyoma.
Term
Name the ssDNA viruses.
Definition
Only one - Parvoviridae.
Term
Name the naked DNA viruses.
Definition
Pre-PAP... Polyoma, Papilloma, Adenovirus, Parvovirus (Not Pox).
Term
Name the reverse DNA virus.
Definition
Hepadnaviridae - Hepatic DNA virus.
Term
Name the positive ss RNA viruses.
Definition
A RETRO TOGA party with FLAVorful PICO de gaillo and CORONAs.
Term
Name the negative ss RNA viruses.
Definition
Paramyxo, Orthomyxo, Rhabdo, Filo, Bunva, Arena.
Term
Name the dsRNA.
Definition
Reoviridae.
Term
Name the Reverse RNA.
Definition
Easy - Retroviridae - HIV.
Term
What unique problem is presented to viruses using eukaryotic ribosomes?
Definition
Eukaryotic cells generally uses monocistronic (one protein for one mRNA) and the virus has polycistronic mRNA.
Term
How does HIV adapt to the monocistronic/polycistronic problem?
Definition
The virus makes monocistronic mRNA, the host cleaves the viral mRNA into monocistronic, a long polyprotein is made then cut, viral mRNA has sites for ribosomes to internally AND at 5' end.
Term
List virus virulence factors.
Definition
Attachment proteins, enzyme.
Term
What is an attenuated virus?
Definition
Lost its virulence factors.
Term
What is viremia?
Definition
Viruses in the blood. Can then spread to secondary site.
Term
What is significant about your I/S fighting a viral infection.
Definition
Must kill your own cell since it's intracellular. Cytokines cause dmg. Immune complexes and complement also cause damage.
Term
What is viral incubation period? How is it measured?
Definition
Time between exposure and symptoms. Usually measured in days to years.
Term
What is the significance of a latent viral infection - how does this relate to a chronic infection?
Definition
Latent - viral genome present, but shed virus is NOT DETECTABLE. Chronic - small amt of virus is present.
Term
How are viruses spread?
Definition
Inhalation, fecal/oral, blood.
Term
What is syncytium?
Definition
Cell to cell transfer w/out being exposed to your I/S.
Term
How can viruses cause cancer?
Definition
Provide/Activate growth stimulating genes, Remove stops for DNA synthesis and growth, Prevent apoptosis, Integrate into host and turn on neighboring genes, Cause cells to divide faster and get more mutations.
Term
How are viruses grown?
Definition
Tissue culture or live animals.
Term
What is CPE?
Definition
Cytopathic effect of the virus - what you see. CMV - large cells, inclusion bodies - negri bodies, rabies in brain, HSV, Varicella-Zoster, etc....
Term
How are viruses diagnosed?
Definition
Serology, detection of viral components, symptoms, history, isolation and growth, electron microscope.
Term
How are viruses treated?
Definition
Antivirals, Disrupt the virion (envelope, stop infection), Block attachment, Block penetration and uncoating, Block RNA synthesis/transcription, Blcok genome replication, Protein Synthesis, Virion Assembly and Release, Stimulate Host I/S.
Term
What is the only known human virus of the Polyoma family?
Definition
SV-40.
Term
Is SV-40 oncogenic?
Definition
Yes - although we don't know why. Rarely causes disease in monkeys unless infected w/ SIV. It does bind MHC I, so the I/S doesn't see the cell.
Term
What is the shape of the capsid and nucleic acid of HPV?
Definition
Naked nucleocapsid, icosahedral capsule.
Term
What virus causes cervical cancer?
Definition
HPV (HSV).
Term
What is Gardasil a vaccine for?
Definition
HPV (HSV) - combines 16, 18, 6, and 11 capsid proteins.
Term
Where does HPV replicate?
Definition
Squamous cell epithelium. Becomes warts. Causes cell proliferation in mucosa/cutaneous. Inhibits tumor suppressor, so unchecked growth.
Term
What are some disease caused by adenoviruses?
Definition
Resp. infections, Conjunctivits, Pharyngoconjunctival fever in infants, Gastroenteritis,
Term
How is adenovirus transmitted?
Definition
Droplet or fecal/oral.
Term
Describe the Adenovirus.
Definition
DS DNA naked nucleocapsid icosahedral virus.
Term
What virus is used as a vector for gene therapy?
Definition
Adenovirus.
Term
Describe the herpes virus.
Definition
Enveloped DS DNA virus w/ icosahedral capsidds. Can cause latent and recurrent infections.
Term
What is the only virus family w/ a nuclear envelope (instead of an outer cell membrane)?
Definition
Herpes.
Term
Name some diseases caused by Herpes.
Definition
HSV 1, HSV2, Varicella Zoster, Cytomegalovirus, EBV, Herpes Virus-8.
Term
What does HSV 1 infect?
Definition
Herpes Simplex Virus 1 infects the lips/face/skin/oral cavity.
Term
How is HSV 1 treated?
Definition
Acyclovir.
Term
Who is at risk with HSV 1/2?
Definition
Immunosuppressed, newborns, can spread to brain and be fatal.
Term
How are HSV-1/HSV-2 acuired?
Definition
Cuts, infection. HSV-2 is an STD.
Term
What does HSV-2 infect?
Definition
Mucoepithelial cells. Latent in neurons.
Term
What does Varicella Zoster cause?
Definition
Chicken pox/shingles. Infects mucoepithelial cells, latent in neurons, resp. and close contact transmission.
Term
Where does Zoster lie dormant?
Definition
Neurons - they'll follow the nerve track.
Term
What does Varicella/Zoster spread thru?
Definition
Macs, so it spreads quickly.
Term
Which Herpes disease do we have a vaccine for? What type of vaccine?
Definition
Live attenuated for Varicella/Zoster.
Term
What cells does CMV infect?
Definition
monocytes, lymphocytes and epithelial cells, latent in monocytes and lymphocytes
Term
How is CMV spread?
Definition
close contact, transfusions, tissues, congenital.
Term
What has caused CMV to be worse?
Definition
More prevalent due to HIV - immunosuppressed. Also pregos at risk.
Term
T/F Most of us have had CMV.
Definition
True - just not serious to us.
Term
What caused Jimmer Fredette to miss a critical stretch of last season?
Definition
Mono-EBV.
Term
What cells does EBV infect?
Definition
B-cells - Jimmer played for BYU. Also epithelial cells.
Term
How is EBV transmitted?
Definition
Spit - the kissing disease.
Term
How long does mono last?
Definition
2-3 weeks, no vaccine or treatment. That's why Jimmer took a month to get back to normal.
Term
How is mono diagnosed?
Definition
Mono spot. Your serum + sheep RBCs -> clumping.
Term
What is associated with Burkitts lymphoma?
Definition
EBV and co-infection w/ malaria.
Term
What causes Kaposi's Sarcoma?
Definition
Herpes 8 - Type of skin cancer.
Term
Why do AIDS pts get Kaposi's Sarcoma?
Definition
Type of skin cancer, need T cells to clear it.
Term
Describe the pox virus.
Definition
DS DNA enveloped virus.
Term
What is unique about the Pox replication cycle?
Definition
Replicates in the cytoplasm - brings in enzymes to copy its DNA.
Term
What does Pox cause?
Definition
Variola - one of these is small pox. Also Molluscum contagiosu (warts - only spread by close contact, sex and fomites), vaccinia virus (cowbox), monkeypox (milder, 1-10% fatal).
Term
Talk about the small pox virus.
Definition
Spread by inhalation, travels in blood, fatal, acute, highly infections. BIG CANDIDATE FOR BIOTERRORISM. No treatment.
Term
Describe the Parvo Virus family.
Definition
SS naked DNA (only SS one).
Term
Name the SS naked DNA virus?
Definition
Parvovirus. This is a small virus - needs growing cells to replicate.
Term
What disease does Parvovirus cause?
Definition
Strain B19 causes Fifths disease. Slapped cheek, Fever, problem for anemic kids.
Term
What causes slapped cheek syndrome?
Definition
Parvovirus, B19, Fifths Disease.
Term
What are the characteristics of the Picorna virus family?
Definition
Small, SS + strand naked RNA, icosahedral capsid.
Term
Which Picornavirus that is not stable in acid (the rest are stable)?
Definition
Rhinovirus.
Term
T/F Picorna virus doesn't need to bring in its own enzymes.
Definition
False - brings in proteases and RNA dependent RNA polymerase.
Term
Name the 3 important genera of Picornaviruses.
Definition
Enterovirus, Rhinovirus, Hepatovirus.
Term
T/F Picornavirus is cytolytic.
Definition
True. Repicates and spreads quickly as well.
Term
What do polio and coxsackie viruses belong to (family/genus)?
Definition
Picornavirus family, Enterovirus genus.
Term
What makes Enteroviruses resistant to harsh conditions (GI tract and sewage)?
Definition
Their capsid.
Term
Which enterovirus has a vaccine?
Definition
Polio.
Term
How is Polio spread?
Definition
Fecal contamination of water.
Term
Describe the lifecycle of the polio virus?
Definition
Replicates in pharynx and GI tract, enters bloodstream, then goes to the CNS.
Term
Why does polio cause paralysis?
Definition
It's cytolytic for motor neurons.
Term
Name the vector/reservoir for polio.
Definition
Us (so no vector). So this can be eliminated.
Term
Herpangina is caused by what?
Definition
Coxsackievirus - Group A - not related to Herpes virus - hand/foot/mouth. Also causes conjunctivities.
Term
What causes Pleurodynia?
Definition
Coxsackievirus - Group B. Myocardial/pericardial infections.
Term
How are enteroviruses treated?
Definition
Antiviral pleoconaril - prevents penetration into the cell. Must be given early.
Term
T/F Sabin is inactivated polio vaccine.
Definition
False - Sabin is Oral - live attenuated.
Term
What does Rhinovirus belong to?
Definition
Picornavirus family.
Term
T/F There just a few serotypes of Rhinovirus.
Definition
False - over 100.
Term
How is Rhinovirus treated?
Definition
Nasal vasoconstrictors, antiviral pleocarnil for asthmatics.
Term
Describe the calci virus family.
Definition
Postive sense SS RNA naked capsid icosahedral.
Term
What causes Norwalk virus?
Definition
Calcivirus. This is the prototype.
Term
What causes 50% of gastroenteritis?
Definition
Norwalk virus.
Term
How is Norwalk virus treated?
Definition
Prevention and rehydration. Must use bleach or steam to prevent.
Term
T/F the infections dose is very high for Norwalk virus.
Definition
False - very low b/c it' stable in acid, bleach. Need fresh conc. bleach or steam.
Term
What is the only +SS RNA enveloped virus?
Definition
Coronavirus.
Term
How does Coronavirus survive in the GI tract?
Definition
Surface projections.
Term
What is the 2nd most prevalent cause of the common cold?
Definition
Coronavirus. Also found in GI tract.
Term
What caused SARS?
Definition
Coronavirus.
Term
What are the characteristics of the Paramyxovirus?
Definition
-Sense, SS RNA - enveloped, helical nucleocapsid.
Term
How can you tell family members of the Paramyxofamily apart?
Definition
By their VAPs.
Term
T/F Paramyxoviruses induce cell fusion?
Definition
True - they induce cell fusion - giant multi-nucleated cells.
Term
What causes measles/rubeola?
Definition
Paramyxovirus, morbillivirus genus. Highly contagious - droplet transmission - not prevalent due to vaccines.
Term
What causes Koplik's spots?
Definition
Paramyxovirus, on the buccal mucosa.
Term
What family/genus is parainfluenza part of?
Definition
Paramyxovirus/paramyxovirus.
Term
What kind of vaccine is the rubella vaccine?
Definition
Live attenuated.
Term
What is infected in rubella?
Definition
Testes/CNS - due to viremia.
Term
What do Nipah and Hendra belong to?
Definition
Paramyxovirus - unassigned genus. Broad host range - accidental host causes DEADLY OUTCOME.
Term
What causes RSV?
Definition
Paramyxovirus Pneuovirus genus.
Term
How are infants w/ RSV treated?
Definition
Ribavarin - inhaled. Also Ig shots - anti-RSV - somebody else's antibodies.
Term
What causes Influenza A/B/C?
Definition
Orthomyxovirus.
Term
T/F Orthomyxovirus is hardier than most enveloped viruses.
Definition
True - can live on fomites for a day.
Term
Name the VAP that elicits antibody response on orthomyxoviruses.
Definition
Hemaglulutinin.
Term
What is neurominidase?
Definition
Enzyme important for release in orthomyxovirus. Target for drug therapy.
Term
Describe the orthomyxovirus.
Definition
SS -sense RNA enveloped helical virus.
Term
T/F vaccines are available for orthomyxovirus.
Definition
Of course - flu vaccine.
Term
How are orthomyxos treated?
Definition
Antivirals - stop attachment and uncoating.
Term
How are influenzas classified?
Definition
Time/Place of orig isolation/Antigen HA and NA.
Term
What disease is associated with Reye's syndrome?
Definition
Influenza B and chick pox and aspirin. Anyone <19 shouldn't be given aspirin.
Term
Describe the Rhabdovirus family.
Definition
Enveloped -sense SS helical RNA virus.
Term
What causes rabies?
Definition
Rhabdovirus.
Term
T/F Rabies has never been fatal.
Definition
False - before vaccine it was 100% fatal. Replicates for days/months at site of bite/inhalation, goes to CNS then brain.
Term
How is rabies treated?
Definition
Vaccine/antibodies. Takes a long time to replicate. Ab can block spread during incubation period.
Term
How is rabies diagnosed?
Definition
Negri bodies in neurons. CPE in neurons.
Term
What is the reservoir for rabies?
Definition
Dogs.
Term
What are the important diseases caused by Filovirus family?
Definition
Ebola and Genus Marburg virus. Hemorrhagic fevers.
Term
Where is Filovirus endemic?
Definition
Africa - spread by bats/monkeys/humans/syringes.
Term
How is Filovirus treated?
Definition
Anti-serum, quarantine, killing infected animals.
Term
Describe the Reovirus family.
Definition
DS + RNA - segmented genome.
Term
T/F Reovirus is enveloped.
Definition
False - double layered icosahedral protein capsids.
Term
T/F Reovirus is stable in acids.
Definition
True - also airborne transmission.
Term
What types of illnesses are caused by Orthoreovirus.
Definition
Not treated, not surveyed. Mostly asymptomatic in humans, mild upper resp/ GI, biliary atresial (Gall bladder blockage).
Term
Where is Ortheovirus genus found?
Definition
Rivers/water.
Term
What family is Ortheovirus in?
Definition
Reovirus.
Term
What family is Rotavirus in?
Definition
Reovirus.
Term
What types of illnesses are caused by rotavirus?
Definition
GI tract.
Term
How is Rotavirus transmitted?
Definition
Human fecal/oral.
Term
Who does Rotavirus infect?
Definition
Birds/mammals/humans.
Term
T/F Rotavirus is hardy.
Definition
True - stable in env., may resist handwashing, survives stomach acid.
Term
T/F Rotavirus does not have a vaccine.
Definition
False - live attenuated - oral - so you're trying to give local immuninity.
Term
What causes 50% of all diarrhea in kids < 2 years old?
Definition
Rotavirus.
Term
What types of illnesses are caused by coltiviruses?
Definition
Colorado Tick Fever - CO and West US, Canada.
Term
What are the reservoir/vector of coltvirus?
Definition
Rodents (reservoir) Ticks (Vector).
Term
How do you treat coltvirus (CO tick fever)?
Definition
It resolves itself. Fever, headache, myalgia, rash. Not reportable so no good stats.
Term
How is coltvirus (CO tick fever) diagnosed?
Definition
Blood serology, rule out RMSF - which is bacterial, treated w/ abx).
Term
Describe Togavirus.
Definition
+ SS RNA icosahedral. Enveloped.
Term
Name 2 generas of togavirus.
Definition
Alphavirus (not important human pathogen) and Rubivirus.
Term
What is unique about rubivirus?
Definition
Spread by resp. droplets
Term
What does rubivirus cause?
Definition
Rubella (German Measles)
Term
What are Forchhiemer's Spots associated with?
Definition
Rubivirus (rubella).
Term
Can rubella cause abortion?
Definition
Yes.
Term
What is the vaccine for Rubivirus?
Definition
MMR - live attenuated.
Term
Describe Flaviviridae.
Definition
Enveloped + SS RNA.
Term
How are arboviruses (Flaviviridae) transmitted?
Definition
Mosquitoes - think Dengue/Yellow Fever.
Term
What causes West Nile/Dengue/Yellow Fever?
Definition
Arboviruses/Flaviviridae.
Term
Describe the Bunyaviridae family.
Definition
Enveloped segmented - ssRNA.
Term
What causes Hantavirus?
Definition
Bunyaviridae. Rodent (urine) spread - lethal - pulmonary disease.
Term
What causes B. Rift valley fever and California?
Definition
Bunyaviridae - though this is mosquito born - disease of livestock.
Term
What organ do hepatoviruses target?
Definition
Liver - jaundice, dark urine, lymphadenopathy and muscle pain.
Term
What family does Hep A belong to?
Definition
Picornavirus - genus Heparnavirus. Generally mild.
Term
T/F Hep A is stable.
Definition
True - Inactivated by detergents, salt water, drying, autoclave, Cl-, etc...
Term
How is Hep A spread?
Definition
Fecal/oral, water, shellfish, or FOOD PREP WORKERS.
Term
T/F Hep A causes chronic disease.
Definition
False.
Term
T/F Hep A damange is due to the Immune Response.
Definition
True.
Term
How is Hep A treated?
Definition
Antibody (artificial passive) for contacts.
Term
What vaccine is available for Hep A?
Definition
Killed vaccine here (age 2), live in China.
Term
Which Hep Virus is a DNA Virus?
Definition
B
Term
What causes Hep B?
Definition
Hepadnavirus.
Term
Described Hepadnavirus.
Definition
enveloped partially ds cirucular DNA genome, icosahedral.
Term
T/F Hep B can cause cancer.
Definition
True - integrates into host genome.
Term
What is an infections Hep B particle called?
Definition
Dane particle.
Term
How is Hep B spread?
Definition
needles, sex, perinatally.
Term
What is serum hepatitis?
Definition
Hep B - 60-90 days incubation. seroconversion for needle stick so universal precautions taken.
Term
How is a Hep B needle stick treated?
Definition
HB Ig.
Term
What percentage of the world population is infected w/ Hep B?
Definition
1/3 - that can't be right - double check this. 5% of US - 25% of those have symptoms.
Term
What does the T-cell response from Hep B cause? What kind of immunopathology is this?
Definition
Liver damage. Your T cells kill your liver cells. Type II response.
Term
What kind of immunopathology results from Hep B?
Definition
Type II (vasculities and renal dmg) and Type III.
Term
How is Hep B treated?
Definition
Antivirals aimed at polymerase.
Term
How is Hep B diagnosed?
Definition
Hep B surface antigen - HBsAg - 1st antigen to appear.
Term
T/F If you're seropositive for HBcAg Ab, you could have been vaccinated.
Definition
False - core antigen - host makes IgM to this when you clear the virus, so NOT present from vaccine.
Term
What comes after HBsAg?
Definition
HBeAg - comes after HBsAg and this means the virus is very infective, active.
Term
What causes Hep C virus?
Definition
Flavivirus - RNA genome. Hepacivurs + sense RNA - enveloped icosahedral.
Term
How is Hep C spread?
Definition
blood, needles, sex, perinatally.
Term
T/F Hep C doesn't cause cancer.
Definition
False - Increases liver cancer - high cell turnover.
Term
Who is infected by Hep C?
Definition
Humans/chimps - 170 million carriers.
Term
Flavivirus causes which Hepatatises?
Definition
C and G.
Term
T/F Hep G is more serious than Hep C and related?
Definition
False - related yes, but less virulent. Unlikely a major human pathogen.
Term
How is Hep C diagnosed?
Definition
ELISA.
Term
How is Hep C treated?
Definition
IFN-alpha or ribavirin - 50% recovery.
Term
Describe Hep E virus.
Definition
Resembles Calcivirus.
Term
Describe Hep D.
Definition
-Sense SS RNA.
Term
T/F Hep D acts alone.
Definition
False - needs HBV as a helper - uses HBV cell to produce protein - viral parasite. SUPERINFECTION TO HBV. Makes it worse.
Term
Describe Hep E.
Definition
non-enveloped +sense ss RNA.
Term
T/F Hep E disease resembles calcivirus.
Definition
False - DISEASE resembles Hep A, and the VIRUS resembles Calcivirus.
Term
Describe a prion.
Definition
Proeinaceous infectious particle.
Term
What does a prion cause?
Definition
encephalopathies -
Term
How do prions act?
Definition
Binds to your proteins - causes re-forlding.
Term
T/F prions are not antigenic, inflammatory or immunogenic.
Definition
True - to all 3.
Term
T/F Prions are resistant to heat and radiation.
Definition
True on both accounts.
Term
How are prions transmitted?
Definition
Injection, transplantation, contact w/ medical equipment, food, genetics for humal familial
Term
How are prions treated?
Definition
No serotests, prevention is key. Need to treat w/ NaOH for autoclave - 30 mins, 1 hour in hour and autoclave, then 1 hour rinse in water.
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