Beruflich Dokumente
Kultur Dokumente
Dr.Sajini Souda
Learning Objectives
Describe the nature of viruses: their small size and
diversity.
Define the following terms as used in the description and
classification of viruses: DNA virus, RNA virus, retrovirus,
capsid, enveloped, non-enveloped, symmetry.
Describe the essential features of the replication cycle for
the different groups of viruses: RNA viruses, DNA viruses
and retro viruses.
Give examples of different viruses associated with
infectious disease in humans and describe the way in which
they cause disease.
Using an example, explain how the mechanism of inhibition
by antiviral drugs can relate to specific viral properties.
The units for measurement of virion size are nanometers (nm). The clinically important viruses range from 18 nm
(parvoviruses) to 300 nm (poxviruses) . The latter are almost visible with a light microscope and are approximately one
fourth the size of staphylococcal bacteria.
Larger virions can hold a larger genome that can encode more proteins, and they are generally more complex.
Schemes of 21 virus families infecting humans showing a number of distinctive criteria: presence of
an envelope or (double-) capsid and internal nucleic acid genome
Virus Structure
Size
18 nm 300 nm diameter
Basic shape
Rod-like
Spherical (complex)
Helical
Polyhedral (Most common polyhedron is the
icosahedron which has 20 triangular faces)
Sometimes with tails or envelopes.
Genomic material
DNA or RNA
Single or double stranded
Protective Shell - Capsid
Made of many identical protein subunits
Symmetrically organized
50% of weight
Enveloped or non-enveloped
Helical Symmetry
Genome
The genome of the virus consists either of
DNA
RNA
The DNA can be
Single
Double stranded
Linear
Circular
The RNA can be either
Positive sense (+) (like messenger RNA[mRNA])
Negative sense () (analogous to a photographic
negative)
Double stranded (+/)
The RNA genome may also be segmented into
pieces, with each piece encoding one or more
genes.
RNA viruses
Ways in which genomic RNA of RNA viruses can be transcribed into messenger
RNA (mRNA) before translation into proteins. +ve, positive sense; -ve, negative
sense; ds, double stranded; ss, single stranded.
The ways in which genomic RNA of RNA viruses is replicated. +ve, positive
sense; -ve, negative sense; mRNA, messenger RNA
Baltimore classification
Rabies
HIV
Receptor molecule
Sialic acid receptor on lung epithelial cells and
upper respiratory tract
Acetylcholine receptor
Neuronal cell adhesion molecule
CD4: Primary receptor
CCR5 or CXCR4: chemokine receptors
Hepatitis C virus
Human rhinoviruses
Immediate early
Early
Late.
Retroviruses have two identical copies of a plus single-stranded RNA genome and an outer envelope containing
protruding viral glycoproteins. After envelope glycoproteins on a virion interact with a specific host-cell
membrane protein or group of proteins, the retroviral envelope fuses directly with the plasma membrane
without first undergoing endocytosis (step 1). Following fusion, the nucleocapsid enters the cytoplasm of the
cell; then deoxynucleoside triphosphates from the cytosol enter the nucleocapsid, where viral reverse
transcriptase and other proteins copy the ssRNA genome of the virus into a dsDNA copy (step 2). The viral DNA
copy is transported into the nucleus (only one host-cell chromosome is depicted) and integrated into one of
many possible sites in the host-cell chromosomal DNA (step 3). The integrated viral DNA, referred to as a
provirus, is transcribed by the host-cell RNA polymerase, generating mRNAs (light red) and genomic RNA
molecules (dark red). The host-cell machinery translates the viral mRNAs into glycoproteins and nucleocapsid
proteins (step 4). The latter assemble with genomic RNA to form progeny nucleocapsids, which interact with
the membrane-bound viral glycoproteins, Eventually the host-cell membrane buds out and progeny virions are
pinched off (step 5).
Viral Transmission
Mode
Examples
Respiratory transmission
Sexual contact
Maternal-neonatal
transmission
Genetic
Prions, retroviruses
HTLV-1, Human T-cell lymphotropic virus 1.
Disease
Pharyngitis
Pneumonia
Etiologic Agent
Rhinovirus
Coronavirus
Influenza viruses
Parainfluenza viruses
Respiratory syncytial virus
Metapneumovirus
Adenovirus
Enteroviruses
Herpes simplex virus
Epstein-Barr virus
Adenovirus
Coxsackie A virus(herpangina, hand-footand-mouth disease) and other enteroviruses
Parainfluenza virus 1
Parainfluenza virus 2
Influenza virus
Adenovirus
Epstein-Barr virus
Respiratory syncytial virus(infants)
Metapneumovirus
Parainfluenza virus 3 (infants and children)
Parainfluenza viruses 1 and 2
Respiratory syncytial virus(infants)
Metapneumovirus
Parainfluenza virus(infants)
Influenza virus
Adenovirus
Varicella-zoster virus (primary infection of
adults or immunocompromised hosts)
Cytomegalovirus (infection of
immunocompromised host)
Measles
Gastrointestinal Viruses
Infants
Rotavirus A
Adenovirus 40, 41
Hepatitis B, C, G, D
Human immunodeficiency
virus
Norwalk virus
Calicivirus
Astrovirus
Cytomegalovirus
Rotavirus A and B
Reovirus
Epstein-Barr virus
Viral Exanthems
Condition
Etiologic Agent
Rash
Rubeola
Measles virus
German measles
Rubella virus
Roseola infantum
Human herpesvirus 6
Erythema infectiosum
Boston exanthem
Echovirus 16
Infectious mononucleosis
Vesicles
Oral or genital herpes
Chickenpox/shingles
Varicella-zoster virus
Coxsackie A virus
Papillomas, etc.
Warts
Papillomavirus
Molluscum
Molluscum contagiosum
Other
JC virus (progressive multifocal
leukoencephalopathy [in immunosuppressed
people])
Measles variant (subacute sclerosing
panencephalitis)
Prion (encephalopathy)
Human immunodeficiency virus (AIDS dementia)
Human T-cell lymphotropic virus 1 (tropical
spastic paraparesis)
AIDS, Acquired immunodeficiency syndrome
Muscle
Coxsackie B virus
(pleurodynia)
Glands
Cytomegalovirus
Mumps virus
Eye
Herpes simplex virus
Adenovirus
Measles virus
Rubella virus
Enterovirus 70
Coxsackie A24 virus
Family
Reservoir/Vector
Togaviridae
Birds/Aedes mosquito
Togaviridae
Birds/Culex mosquito
Flaviviridae
Birds/Culex mosquito
Flaviviridae
Birds/Culex mosquito
California encephalitis
Bunyaviridae
La Crosse encephalitis
Bunyaviridae
Yellow fever
Flaviviridae
Birds/Aedes mosquito
Dengue
Flaviviridae
Monkeys/Aedes mosquito
Reoviridae
Tick
Lymphocytic choriomeningitis
Arenaviridae
Rodents
Lassa fever
Arenaviridae
Rodents
Bunyaviridae
Deer mice
Ebola
Filoviridae
Unknown
Rabies
Rhabdoviridae
Influenza A
Orthomyxoviridae
Antigen detection (e.g., direct and indirect immunofluorescence, enzymelinked immunosorbent assay, Western blot)
Nucleic Acids
Neutralization, hemagglutination,
and hemagglutination inhibition
assays.
Maculopapular Rash
Adenovirus; enterovirus (picornavirus)
Rubella virus; measles virus
Vesicular Rash
PCR, RT-PCR
RT-PCR, ELISA
Vesicle fluid, scraping, or swab, enterovirus HSV and VZV: vesicle scraping (Tzanck
in stool
smear), cell culture; HSV typing by PCR, IF
Respiratory Tract
Influenza virus; paramyxoviruses;
coronavirus; rhinovirus; enterovirus
(picornavirus)
Gastrointestinal Tract
RT-PCR
Rabies virus
IF of biopsy, RT-PCR
Cerebrospinal fluid
Urine
Urinary Tract
Adenovirus; CMV
Blood
HIV; human T-cell leukemia virus; hepatitis
Blood
B, C, and D viruses, EBV, CMV, HHV-6
ELISA for antigen or antibody, PCR, and RTPCR; multiplex assays detect several agents
Agent
Targeted Virus*
Attachment
Neutralizing antibodies
Most viruses
HIV, HSV
Amantadine, rimantadine
Influenza A virus
Tromantadine
HSV
Picornaviruses
Interferon
HCVs, papillomavirus
Antisense oligonucleotides
Protein synthesis
Interferon
HCV, papillomavirus
Nucleoside analogues
Phosphonoformate, phosphonoacetic
acid
Herpesviruses
Nucleoside biosynthesis
Ribavirin
Nucleoside analogues
Glycoprotein processing
HIV
Assembly (protease)
HIV, HCV
Assembly (neuraminidase)
Oseltamivir, zanamivir
Influenza A, B virus
Virion integrity
Nonoxynol-9
HIV, HSV
Transcription
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