Antiviral Drugs and Viral Infections Overview

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Questions and Answers

What is the role of neuraminidase inhibitors like oseltamivir and zanamivir?

  • To inhibit a viral enzyme essential for virus release (correct)
  • To enhance the immune response against viruses
  • To facilitate the entry of viruses into host cells
  • To boost viral replication

Which protein is responsible for binding the HIV virus to its target cell?

  • Gp41
  • Integrase
  • Gp120 (correct)
  • Protease

What distinguishes nucleoside reverse transcriptase inhibitors (NRTIs) from non-nucleoside reverse transcriptase inhibitors (NNRTIs)?

  • NNRTIs require activation by phosphorylation
  • NRTIs require cellular enzymes for activation (correct)
  • NNRTIs are more effective than NRTIs
  • NRTIs do not require any cellular activation

Which enzyme is essential for the assembly of new viruses?

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

What is the primary function of integrase in viral replication?

<p>To convert viral RNA into DNA (A)</p> Signup and view all the answers

Zidovudine was notable as the first antiviral drug introduced for the treatment of which virus?

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

What triggers the activation of nucleoside reverse transcriptase inhibitors?

<p>Phosphorylation by cellular enzymes (D)</p> Signup and view all the answers

What is the targeted cell type for HIV infection?

<p>CD4 T cells (A)</p> Signup and view all the answers

What is the primary mechanism of action for M2 channel inhibitors like Amantadine and Rimantadine?

<p>They prevent viral uncoating after infection. (C)</p> Signup and view all the answers

What is the primary role of pegylated interferons in the immune system?

<p>To enhance the immune system's ability to combat viruses (B)</p> Signup and view all the answers

Which group of patients is at greater risk for severe symptoms of influenza?

<p>Elderly individuals and those with chronic diseases (A)</p> Signup and view all the answers

Which types of cells are activated by interferons?

<p>Natural killer cells, macrophages, and B cells (A)</p> Signup and view all the answers

What types of influenza primarily affect children and the elderly?

<p>Type B affects children while Type A affects the elderly. (B)</p> Signup and view all the answers

What is the main target organ for hepatitis viruses?

<p>Liver (C)</p> Signup and view all the answers

Which of the following diseases can be caused by influenza?

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

What is a significant consequence of chronic hepatitis infection?

<p>Development of cirrhosis (D)</p> Signup and view all the answers

How do interferons help combat viral infections?

<p>They prevent viral penetration and inhibit replication. (D)</p> Signup and view all the answers

Which type of interferon is most commonly used in treatment?

<p>Interferon-alpha 2b (B)</p> Signup and view all the answers

Which type of interferon is specifically mentioned as being used for chronic hepatitis B and C?

<p>Interferon-alpha 2b (C)</p> Signup and view all the answers

How do interferons exert their antiviral effects?

<p>Through inhibition of viral penetration and mRNA translation (A)</p> Signup and view all the answers

Which of the following statements about influenza transmission is accurate?

<p>It spreads easily through droplets during coughing and sneezing. (A)</p> Signup and view all the answers

What is the role of interferons in the immune response?

<p>They act as immunomodulators to control viral replication. (B)</p> Signup and view all the answers

What property do some types of interferons possess that aids in managing chronic conditions?

<p>Anti-inflammatory properties (C)</p> Signup and view all the answers

How are interferons typically produced for therapeutic use?

<p>From mammalian tissues or recombinant DNA technology (B)</p> Signup and view all the answers

What is the main reason for utilizing selective action in antiviral therapy?

<p>To prevent toxicity to the patient's own cells (D)</p> Signup and view all the answers

Which of the following enzymes is NOT implicated in viral replication and is, therefore, not a target for antiviral agents?

<p>Ribonuclease (C)</p> Signup and view all the answers

Which process allows a virus to enter and infect a host cell?

<p>Attachment and penetration (C)</p> Signup and view all the answers

What determines the viral tropism of a virus like HIV?

<p>The presence of specific receptors on host cells (C)</p> Signup and view all the answers

What occurs during the uncoating of a virus?

<p>Release of viral RNA or DNA (D)</p> Signup and view all the answers

Which enzyme is responsible for the integration of viral genetic material into the host cell's DNA?

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

Which of the following is NOT a phase in the life cycle of a virus?

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

What is the primary characteristic of viral tropism?

<p>The preference of a virus for specific cell types (A)</p> Signup and view all the answers

What is required for the activation of Acyclovir in infected cells?

<p>Thymidine kinase (D)</p> Signup and view all the answers

In which type of cells does the conversion of Acyclovir occur?

<p>Infected cells (A)</p> Signup and view all the answers

Which of the following drugs is classified as a neuraminidase inhibitor?

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

What role does neuraminidase play in the influenza virus life cycle?

<p>Helps release new viruses into circulation (D)</p> Signup and view all the answers

Amantadine and Rimantadine are used to treat which type of influenza?

<p>Influenza A only (A)</p> Signup and view all the answers

What is the common symptom of influenza not typically mentioned?

<p>Skin rash (C)</p> Signup and view all the answers

Which protein is essential for the attachment of the influenza virus to host cells?

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

What is the main therapeutic action of neuraminidase inhibitors?

<p>Prevent viral replication and transmission (C)</p> Signup and view all the answers

What is the role of enfuvirtide in HIV treatment?

<p>It prevents the virus from binding to host cells. (C)</p> Signup and view all the answers

Which step does amantadine affect in the viral replication process?

<p>It blocks the uncoating process of the virus. (C)</p> Signup and view all the answers

How do nucleoside reverse transcriptase inhibitors (NRTIs) function?

<p>They target an enzyme essential for viral replication. (D)</p> Signup and view all the answers

What is the primary function of interferon in treating viral infections?

<p>To prevent the penetration of the virus into host cells. (A)</p> Signup and view all the answers

Which component is primarily synthesized during the viral replication process?

<p>Viral nucleic acid. (B)</p> Signup and view all the answers

What role do protease inhibitors (PIs) play in HIV treatment?

<p>They inhibit an enzyme called CYP3A. (A)</p> Signup and view all the answers

What happens to viral nucleic acid after the uncoating process?

<p>It integrates with the host nucleic acid. (C)</p> Signup and view all the answers

Which antiviral strategy is commonly used in treating both HIV and hepatitis C?

<p>Interferon treatments. (C)</p> Signup and view all the answers

Flashcards

Viral Tropism

A virus's preference for infecting specific cell types, tissues, or organs.

Attachment & Penetration

The initial stage of viral infection, involving the virus binding to and entering the host cell.

Uncoating

The process where the virus releases its genetic material (DNA or RNA) into the host cell after entering.

DNA-dependent DNA polymerase

An enzyme that copies DNA using a DNA template.

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RNA-dependent RNA polymerase

An enzyme that copies RNA using an RNA template.

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RNA-dependent DNA polymerase

An enzyme that copies RNA to make DNA.

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Integrase

Enzyme that integrates viral genetic material into the host cell's DNA.

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Protease

Enzyme that cuts viral proteins into functional units.

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Neuraminidase

Enzyme that helps release viruses from the host cell.

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Antiviral drug targets

The specific structures, enzymes, or processes involved in viral replication that the antiviral drug can target to block or inhibit viral replication while minimizing harm to the body.

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Viral Protein Assembly

Proteins produced by a virus are assembled, packaged, and released to infect other cells.

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Neuraminidase Inhibitors

Drugs that block the viral enzyme neuraminidase, preventing new viruses from leaving the infected cell.

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HIV Virus Structure (gp120)

Part of HIV virus that binds to the target cell, like CD4 cells.

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HIV Virus Structure (gp41)

Part of HIV virus, facilitating fusion with the cell membrane.

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Integrase

Viral enzyme integrating viral DNA into host cell DNA.

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Protease

Cut viral proteins into smaller functional parts (during assembly).

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Antiretroviral Drugs (ART)

Drugs to treat viruses, such as HIV.

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Nucleoside Reverse Transcriptase Inhibitors (NRTIs)

Anti-HIV drugs that need activation by cellular enzymes.

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Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)

Anti-HIV drugs that don't need activation.

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Zidovudine

An early and effective anti-HIV drug.

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Viral Replication

The process by which a virus infects a host cell and uses the cell's machinery to produce new viral particles.

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Viral Attachment

The initial step in viral replication where a virus binds to specific receptors on the host cell's surface.

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Viral Penetration

The process by which a virus enters the host cell after attachment.

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Viral Uncoating

The release of viral nucleic acid from the protein coat (capsid), allowing the viral genetic material to access the host cell's machinery.

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Viral Nucleic Acid Synthesis

The production of new viral genetic material (DNA or RNA).

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Viral Integration

The incorporation of viral genetic material into the host cell's genome.

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Viral Protein Synthesis

The production of viral proteins, which are essential for the assembly and structure of new viruses.

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Viral Assembly

The formation of new viral particles using the synthesized viral proteins and genetic material.

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Viral Release

The release of newly assembled viruses from the host cell, potentially leading to cell death or damage

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Antiviral drugs targeting receptor

Drugs that prevent viral attachment to host cells.

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Antiviral drugs targeting penetration

Drugs that prevent virus entry into host cells

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Antiviral drugs targeting uncoating

Drugs that prevent the release of viral genetic material from the protein coat.

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Antiviral drugs targeting nucleic acid synthesis

Drugs that interfere with the process of making new viral genetic material.

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Antiviral drugs targeting integration

Drugs that prevent viral genetic material from combining with the host cell's genetic material.

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Antiviral drugs targeting protein synthesis

Drugs that interfere with the construction of viral proteins.

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Antiviral drugs targeting assembly

Drugs that hamper the process of assembling new viruses from their components.

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Antiviral drugs targeting release

Drugs that prevent the release of new viruses from the infected cell.

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Acyclovir mechanism

Acyclovir needs activation by an enzyme (thymidine kinase) inside infected cells to become effective.

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Acyclovir activation

Acyclovir is converted to its active form through a series of enzymatic steps inside infected cells.

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Influenza virus proteins

Influenza viruses have proteins like neuraminidase and haemagglutin, crucial for various stages of infection, including uncoating and attachment.

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Neuraminidase inhibitor

Drugs like oseltamivir and zanamivir block the neuraminidase enzyme, preventing new viruses from releasing from the host cell.

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Amantadine/Rimantadine usage

These drugs are used to inhibit uncoating and assembly of influenza A virus, limiting viral replication, but less effective against influenza B

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Influenza symptoms

Common symptoms of influenza include fever, runny nose, headache, cough, sneezing, and body weakness.

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M2 Channel Inhibitors

Drugs that target M2 channels in influenza type A viruses, preventing virus uncoating and replication.

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Influenza Transmission

Spread by droplets released during coughing, sneezing, or talking.

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Influenza Symptoms (severe)

Pneumonia, Respiratory distress syndrome, Meningitis, Encephalitis, Seizures.

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Influenza Types

Influenza A (affects elderly), B (affects children), C, and D (also infecting animals).

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Interferons

Cytokines released by infected cells to stop viral replication.

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Interferon mechanism

Interferons block viral penetration, assembly, release and inhibit viral mRNA translation.

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Immune-compromised patients

Patients with weakened immune systems are more susceptible to severe influenza symptoms.

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Pegylated Interferons

Chemically modified interferons, more effective than conventional types.

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Interferons

Proteins activating immune cells to fight viruses; important for hepatitis treatment.

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Hepatitis

Viral liver infection, often chronic; can lead to cirrhosis and liver cancer.

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Chronic Hepatitis

Long-term liver infection, often with fibrosis (scarring).

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Viral Inhibition

Interferons' mechanism blocking viral actions (penetration, protein creation, release).

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Immune System Activation

Interferons activating essential cells (NK, B, macrophages) targeting viruses & infected cells.

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Apoptosis

Programmed cell death, crucial for getting rid of infected cells.

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Anti-inflammatory Properties

Some interferons reducing inflammation (important for chronic conditions).

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Hepatitis B and C Virus (HBV, HCV)

Types of hepatitis viruses causing the most concern because they often transform into chronic form.

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Viral Entry Inhibition

Process of preventing viruses from entering cells through interferons.

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Viral mRNA inhibition

Interferons preventing the creation of viral genetic material

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Viral Protein Translation Inhibition

Interferons preventing the creation of viral proteins

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Viral Protein Assembly Inhibition

Interferons preventing the creation of viral complete pieces

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Viral Release Inhibition

Interferons preventing viruses from leaving infected cells.

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Study Notes

Antiviral Drugs

  • Antiviral drugs target viral enzymes and structures vital for replication.
  • They target specific viral proteins in the replication process.
  • Antiviral drugs are available for viruses causing significant morbidity and mortality.
  • Morbidity refers to the suffering from diseases.
  • Mortality is the deaths caused by diseases.

Overview of Viral Infections

  • Viruses infect various organs, including the liver, brain, and immune system.
  • The targeted organ varies depending on the virus.
  • Examples listed include encephalitis, meningitis, common cold, herpes simplex, respiratory infections, hepatitis, skin infections, cardiovascular, eye infections, and sexually transmitted diseases.

Learning Objectives

  • Reasons for the difficulty of antiviral drug development.
  • Targets for antiviral drugs.
  • Mechanism of antiviral therapy against herpes viruses.
  • HAART treatment for HIV infections.
  • Combination therapy benefits for HIV infections.
  • Neuraminidase inhibitors used in influenza infections.
  • Interferons' role in hepatitis C therapy.

Targets for Antiviral Agents

  • DNA dependent DNA polymerase
  • RNA dependent RNA polymerase
  • RNA dependent DNA polymerase
  • Integrase
  • Protease
  • Neuraminidase

Attachment and Penetration of Virus

  • Viruses attach to specific host cells.
  • Entry into the host cell through receptor binding.
  • Viral fusion with the host membrane.

Synthesis of New Viral Components

  • Virus directs host cell machinery for protein synthesis.
  • Viral RNA or DNA directs protein synthesis.
  • Production and assembly of new viral components.

Assembly of Components into New Virus

  • Assembly of the viral components into new viruses.

Release of the Virus from Host Cell

  • Release of newly formed viruses from the host cell.

Problems in Developing Antiviral Agents

  • High diversity among viruses.
  • Rapid replication and mutation, leading to antigen changes.
  • Intracellular reproduction of viruses.
  • Selectivity requirement, avoiding harm to host cells.
  • Toxicity -Viral obligate intracellular reproduction depends on host cell functions.

Antiretroviral Drugs (ART)

  • Nucleoside reverse transcriptase inhibitors (NRTIs)
  • Non-nucleoside reverse transcriptase inhibitors (NNRTIs)
  • Protease inhibitors (PIs)
  • Integrase inhibitors
  • Chemokine receptor antagonists
  • HIV fusion inhibitors

Highly Active Antiretroviral Therapy (HAART)

  • Combination of at least 3 antiretroviral drugs.
  • Suppresses HIV replication and viral load.
  • Reduces resistance development to ARV.
  • Restores the immune function (CD4 count).
  • Reduces mortality and morbidity.
  • Improves quality of life.
  • Prevents HIV transmission.

Herpes Simplex Viruses (HSV)

  • Two major types: HSV-1 (oral herpes) and HSV-2 (genital herpes).
  • Similar structures, different sites of infection.
  • Transmission via close contact, saliva, or sexual contact.

Antiviral Therapy for Herpes Viruses

  • Acyclovir or its analogues are used.
  • Competitiveness for guanosine triphosphate (GTP) for incorporation into viral DNA.
  • Inhibition of DNA polymerase.
  • Effective for herpes simplex and varicella-zoster viruses.

Anti-Influenza Drugs

  • Neuraminidase inhibitors (prevent viral release)
  • Amantadine and rimantadine (inhibit viral uncoating)
  • Targeting influenza A&B virus.

Interferons

  • Cytokines that act on viral replication.
  • Type of interferons (alpha, beta, gamma) are important in antiviral action.
  • Used to treat chronic B and C hepatitis.
  • Pegylated forms are used for better efficacy and longer duration.

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