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Micro
Kaplan4h - Virology (-RNA Viruses)
30
Accounting
Pre-School
03/25/2013

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Cards

Term
What do we see that is common to ALL ss(-)RNA? Give the two variations? What are the proteins often associated with them and abbreviations?
Definition
-Virion associated polymerase
-Enveloped
-Helical*
-Multiplies in cytoplasm*

*Rhabdoviruses are bullet-shaped helical helical
*Orthomyxoviruses (flu) use the cytoplasm and nucleus

-H; hemagglutinin
-N; neuraminidase
-F; fusion protein
-M; membrane stabilizing protein
-P; denotes polymerase
Term
What are all the -RNA viruses?
Definition
-Paramyxoviruses
-Rhabdoviruses
-Filoviruses
-Orthomyxoviruses
-Bunyaviruses
-Arenaviruses

-Mnemonic; **Pain Results From Our Bunions Always**
-We can remember it's for -RNA because "pain is negative"
-This is in order of decreasing size (paramyxo is largest RNA virus period, followed by Rhabdo)
Term
Which are segmented? How many segments?
Definition
ROBA to remember;
-Reoviruses (dsRNA) (10-11)
-Orthomyxoviruses (8)
-Bunyaviruses (3)
-Arenaviruses (2)
Term
What are the major viruses for;
-Paramyxoviruses (4)
-Rhabdoviruses (2)
-Filoviruses (2)
-Orthomyxoviruses (1)
-Bunyaviruses (3)
-Arenaviruses (2)

(see chart on page 406)
Definition
-
Term
What are the important paramyxoviridae?
Definition
-Measles
-Mumps
-Parinfluenza
-Respiratory syncytial virus (RSV)
-Human metapneumovirus (human MNV)
Term
How many serotypes of measles are there? How is it transmitted and what is the reservoir?
Definition
-There is only one serotype
-The reservoir and transmission are both respiratory
Term
What proteins are associated with measles other than pol?
Definition
-H and F, no N (hemagglutinin, fusion, neuraminidase)
Term
What will measles look like at a histological level?
Definition
-There will be formation of giant cells (it has the F protein)
-Same with all the herpesvirus family members
Term
What is the progression of measles? What is a late complication disease? What is measles other name?
Definition
Measles (aka *rubeola)
-Starts with **three C's; cough, coryza (nasal cold-like symptoms), conjunctivitis, and photophobia
-Next we get **Koplik spots (in mouth, esp. soft palate)
-Next we get the maculopapular rash from *ears down (was forehead down in german measles, aka *rubella)
-And finally, we can get *giant cell pneumonia (Warthin-Finkeldey cells)

Subacute sclerosing panencephalitis
-Rare late complication of measles caused by mutation
-Defective virus persist in brain causing slow CNS degeneration
-No cure and usually fatal
Term
Compair measles and german measles?
Definition
-German is rubella, measles is rubeola
-Measles you get much sicker
-German rash starts on forehead and goes down, while measles starts under the ears (rash looks same tho)
Term
What kind of vaccine is measles?
Definition
-MMR is a live vaccine MRr. vz Mapsy
Term
What proteins are associated with mumps other than pol?
Definition
-It has single H & N glycoproteins, and also F proteins
Term
What type of infection is mumps at a cellular level?
Definition
-Lytic
-Somewhat odd because it is enveloped
Term
What does the disease look like? What is the greatest complication? How do we prevent it?
Definition
-Bilaterally parotitis with flu like symptoms
-Can cause orchitis (testis swelling) and **sterility in males
-Can also lead to meningioencephalitis

-Use the live MMR vaccine
Term
What diseases are caused by;
-Parainfluenza
-RSV
-Human MNV
Definition
-Parainfluenza; bad cold in adults, *croup in young kids

-RSV; cold in adults; *pneumonia and bronchiolitis in infants (esp. *preemies)

-Human MNV; 15% of colds in kids (Rhino and corona are the other, and more common cold causers)
Term
What is the one odd characteristic of rhabdoviridae? What are the members of this family?
Definition
-They are bullet shaped

-*Rabies
-Vesicular stomatitis (not even going over)
Term
Go through the pathogenesis in rabies?
Definition
-Bitten by rabid animal (*raccoon, bat, etc.)
-Binds to cholinergic receptor and travels via **retrograde axoplasmic flow to the DRG, and then on to the CNS

-This means that the closer you're bitten to the CNS, the quicker you will develop rabies
Term
What do we see in the disease of rabies?
Definition
-Starts off with a flu-like prodrone
-After it gets to the CNS we get you get hallucinations, hydrophobia, seizures, coma and death
-After it does get into the CNS, it is fatal
Term
How do we diagnose rabies histologically?
Definition
-We look for **negri bodies
-They are dark inclusion bodies in nerve cells that are indicative of rabies
Term
How do we treat rabies?
Definition
-After symptoms we don't, you're dead
-After bite, we give human rabies immunoglobulin (hRIG)
-Then we give five doses of vaccine over the course of a month (killed virus vaccine; remember RIP Always)
Term
What are the members of the filoviridae family? What do they look like and what do they cause in general? How are they transmitted? Once someone gets infected with a filoviridae, what do we do?
Definition
-Ebola
-Marburg

-They are filamentous, or lasso shaped
-In general they cause intense *hemorrhagic fever where you **bleed from every orifice b/c of *endothelial attack
-They are transmitted via direct contact
-Infected are quarantined in *level 4 isolation and care is simply supportive as the disease is fatal

-The "Let the Right One In" disease lol
Term
What is unique about the orthomyxoviridae? What are the members? What do they infect?
Definition
-They have *8 segments; this is one reason that the flu is ever changing and difficult to vaccinate for effectively
-Also, these can make use of the *nucleus

-Influenza A (infects "A"nimals also; birds & pigs)
-Influenza B (humans only)
Term
What are the protein types that the influenzas have? What do they do? What is the bird flu?
Definition
-Hemagglutinin is for attachment
-Neuraminidase is for breaking up mucous and also exiting the cell

-These are also used to serotype the virus (H5N1 etc.)
-H5N1 is actually the "bird flu" that jumped directly from birds to humans
Term
What do we have to worry about in respect to the influenza virus changing?
Definition
-It is particularly susceptible to **antigenic drift where the RNA pol makes errors and the antigens change (all viruses)

-**Antigenic shift is where two different **influenza A serotypes get together (usually in an animal) and the result is a new virus that no one has immunity to through segment reassortment (sorta like virus sex)
-Can lead to pandemics
Term
What are the treatments for influenza?
Definition
Inhibit viral uncoating;
-Amantadine/rimantadine (older treatments) [-adines]

Neuraminidase inhibitors;
Anamivir/oseltamivir [-amivirs]
Term
What vaccine type do we use?
Definition
Killed vaccine (RIP A)
-More common
-2As and a B from the last year

Live vaccine
-Newer
-Intranasally with same composition
-Not for small kids and elderly
Term
What are the bunyavirus family members? What is different about this family? How are they transmitted?
Definition
-California encephalitis
-La Crosse encephalitis
-*Hantavirus

-These guys have **3 segments of *circular -RNA, one being ambisense
-They are *arboviruses except for hantavirus (remember, flavi, toga, bunya; tastey toga bunny gets bitten)
Term
What is another name for hantavirus? How is it transmitted?
Definition
-Sin nombre
-Rodent turds that get inhaled
-Occurs more in rainy season (spring & early summer)
Term
What is the disease like that results from sin nombre?
Definition
-*Pulmonary syndrome with massive pulmonary edema
-Get *myalgia especially in the legs (weakness)
-The mortality rate is actually 50%
Term
What are the members of arenaviruses? what do they cause What do they look like? What is different about them?
Definition
Lymphocytic choriomeningitis virus (LCMV)
-Flue in hamsters lol

Lassa fever virus
-Humans get from eating rats in west Africa causing hemorrhagic fever with a 50% fatality rate

-When they come out of the cell they get covered in a few *ribosomes making they look sandy (arena means sand)
-They have *2 circular segments one being *ambisense

-Note; this family is not really that important, but might want to know that it is there at least
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