Adenoviridae: Structure, Pathophysiology & Diagnosis
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Questions and Answers

What structural characteristic is notably absent in adenoviruses?

  • Linear double-stranded DNA
  • Spike glycoprotein fiber with HA activity
  • Icosahedral capsid
  • Lipid envelope (correct)

A patient presents with pharyngitis and conjunctivitis. Which virus type should be primarily suspected based on tissue tropism?

  • Herpes Simplex Virus
  • Adenovirus (correct)
  • Rhinovirus
  • Influenza Virus

Why might adenovirus infections frequently go unnoticed in immunocompetent individuals?

  • Their incubation period is too short to produce noticeable symptoms.
  • Infections are often asymptomatic in individuals with a healthy immune system. (correct)
  • Diagnostic methods are not sensitive enough to detect the virus.
  • The virus only replicates in specific cell types absent in healthy individuals.

Which diagnostic method is most suitable for confirming an adenovirus infection, considering the virus’s characteristics?

<p>Isolation in cell culture, although it may take time. (D)</p> Signup and view all the answers

A community swimming pool is suspected as the source of an adenovirus outbreak causing conjunctivitis. Which transmission route is most likely in this scenario?

<p>Direct contact with contaminated surfaces or water. (C)</p> Signup and view all the answers

Which method directly detects the presence of HPV infection?

<p>Search for viral antigen by immunofluorescence (D)</p> Signup and view all the answers

What is the primary component of the recombinant HPV vaccines?

<p>L1 capsid protein (D)</p> Signup and view all the answers

Which of the following is a characteristic of papillomaviruses?

<p>Naked virus with circular double-stranded DNA (C)</p> Signup and view all the answers

What is the most common mode of transmission for anogenital warts caused by HPV?

<p>Sexual contact (D)</p> Signup and view all the answers

Which of the viral proteins encoded by HPV are most directly associated with the development of cancer?

<p>E6 and E7 (A)</p> Signup and view all the answers

A patient presents with palmar warts. How did they most likely contract the HPV?

<p>Direct contact (B)</p> Signup and view all the answers

A new HPV genotype is discovered. What characteristic would be most useful in determining its risk?

<p>Its tissue specificity (tropism) (A)</p> Signup and view all the answers

The quadrivalent HPV vaccine protects against which of the following HPV types?

<p>HPV 6, 11, 16, and 18 (A)</p> Signup and view all the answers

Flashcards

Adenovirus Structure

Naked viruses with linear double-stranded DNA and an icosahedral capsid.

Adenovirus Fiber

A spike glycoprotein found on each penton of the adenovirus capsid, possessing hemagglutinin activity.

Adenovirus Multiplication Sites

The respiratory tract, eye, and gastrointestinal tract.

Adenovirus Transmission Routes

Direct contact, airway, and fecal-oral route.

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Adenovirus Direct Diagnosis

Isolation in cell culture.

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Direct Viral Diagnosis

Direct detection of virus through antigen or genome search.

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Indirect Viral Diagnosis

Detection of seroconversion to confirm current infection.

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Papillomavirus Structure

Naked viruses with circular double-stranded DNA arranged in an icosahedral capsid.

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Key HPV Proteins in Carcinogenesis

E6 and E7

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Papillomavirus Infections

Benign tumors of skin and mucous membranes.

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HPV Transmission

Direct contact (skin warts) or sexual route (anogenital warts).

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HPV Diagnosis

Clinical, cytology (cervical smear), or histology (biopsy).

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HPV Vaccines

Recombinant vaccines consisting of the L1 capsid protein.

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Study Notes

Adenoviridae Structure

  • Adenoviruses are naked viruses
  • They contain linear double-stranded DNA
  • The capsid is icosahedral
  • Each penton has a spike glycoprotein called fiber
  • The spike glycoprotein has a sphere with hemagglutinin (HA) activity
  • There are 51 serotypes of human adenoviruses divided into 6 groups (A to F)
  • Grouping is based on tissue tropism

Adenoviridae Physiopathology

  • Adenoviruses multiply mainly in the respiratory tract, eye, and gastrointestinal tract
  • The incubation period is 1-10 days
  • Adenovirus infections are often asymptomatic, especially in immunocompetent individuals
  • They are responsible for various infections
  • This includes respiratory illnesses, eye infections, and digestive issues like gasto-enteritis
  • Transmission routes for adenoviruses include direct contact, airborne particles, and the fecal-oral route

Adenoviridae Diagnosis

  • Direct diagnosis methods include virus isolation in cell culture, immunofluorescence to detect viral antigens, and PCR to detect the viral genome
  • Cell cultures can take time
  • Indirect diagnosis involves demonstrating seroconversion to confirm current infection and group serodiagnosis
  • Serotyping can be done by haemagglutination inhibition or virus neutralization

Papillomaviridae Structure

  • Papillomaviruses are naked viruses
  • They have circular double-stranded DNA
  • They have an icosahedral capsid
  • The viral genome codes for 8 proteins
  • 6 proteins involved in viral replication: E1, E2, E4, E5, E6 and E7
  • 2 structural proteins (capsid components): L1 and L2
  • E6 and E7 proteins are the main factors in carcinogenesis

Papillomaviridae Physiopathology

  • Papillomaviruses cause benign tumors of the skin and mucous membranes in humans and animals
  • "Human Papillomavirus" or "HPV" are specific to humans
  • After penetration, the virus replicates in epithelial cells of skin or mucosal epithelium
  • Tumors from HPV are called "papillomas"
  • Papillomas being divided into cutaneous warts and anogenital condylomes
  • There are over 120 HPV genotypes, 40 of which infect the anogenital area
  • Risks include High-risk for cancer lesions and Low-risk for non-cancerous potential
  • HPVs have high tissue specificity
  • Contamination happens
  • By direct contact with skin warts
  • By sexual transmission in cases of anogenital warts
  • Asymptomatic HPV infections area very common
  • HPV infections require a relatively long incubation

Papillomaviridae Diagnosis

  • Diagnosis is primarily clinical, using cytology (cervical smear) or histological (biopsy)
  • Direct diagnosis involves viral genome research
  • Indirect diagnosis isn't typically used much in practice

Papillomaviridae Vaccination

  • HPV vaccines are recombinant vaccines made from the L1 capsid protein
  • Two vaccines given currently are:
  • Gardasil: quadrivalent vaccine (HPV 6, 11, 16, and 18)
  • Cervarix: bivalent vaccine (HPV 16 and 18)
  • Girls and boys aged 11-12 can get vaccinated against HPV
  • The vaccination involves 3 injections over 6 months (0, 1, and 6 months)

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Description

Explore the structure, physiopathology and diagnosis of Adenoviridae viruses. Covering their multiplication in the respiratory, eye and gastrointestinal tracts. Learn about transmission routes.

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