Coronaviruses and Influenza Virus
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Questions and Answers

Which of the following characteristics of HIV-1 is crucial for its ability to integrate into a host cell's DNA?

  • Its use of gp120 to bind to the CD4 receptor.
  • Its envelope derived from the host cell membrane.
  • Its positive-sense ssRNA genome.
  • Its reverse transcriptase enzyme. (correct)

A researcher is investigating potential therapeutic targets for HIV-1. Which of the following viral proteins would be the MOST specific target to prevent viral entry into macrophages?

  • CCR5 (correct)
  • gp120
  • CD4
  • gp41

How do the oncogenes E6 and E7, associated with high-risk HPV types, contribute to the development of cervical cancer?

  • E6 and E7 stimulate the immune system to target and destroy infected cells, causing chronic inflammation.
  • E6 and E7 directly induce mutations in cellular DNA repair mechanisms.
  • E6 and E7 promote viral replication, leading to increased cell lysis.
  • E6 degrades p53, while E7 inactivates Rb protein, disrupting cell cycle control. (correct)

A patient presents with cervical dysplasia. Further testing reveals the presence of HPV-16. Which of the following mechanisms is MOST directly responsible for the progression of dysplasia to cervical cancer in this patient?

<p>The expression of E6 and E7 oncoproteins disrupts cell cycle regulation. (D)</p> Signup and view all the answers

A public health campaign aims to prevent the spread of Hepatitis A. Which strategy would be MOST effective?

<p>Educating the public about proper hand hygiene and sanitation. (D)</p> Signup and view all the answers

A patient is diagnosed with chronic Hepatitis C. Which of the following is the MOST significant long-term risk associated with this condition?

<p>Development of cirrhosis and hepatocellular carcinoma. (B)</p> Signup and view all the answers

According to the provided mnemonics, which of the following viruses would be expected to bind to the CAR receptor?

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

If a new antiviral drug was developed that specifically blocked the function of integrins, which of the following viruses would MOST likely be affected?

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

A patient is co-infected with Hepatitis B and another Hepatitis virus. According to the mnemonics, which other Hepatitis virus requires Hepatitis B for co-infection?

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

Which of the listed viruses contains a circular genome?

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

A novel virus is isolated and found to have a positive-sense, single-stranded RNA genome. Based on this information, which of the following replication locations is most likely for this virus?

<p>Cytoplasm, using viral RNA polymerase (D)</p> Signup and view all the answers

Which characteristic of influenza viruses is primarily responsible for the need for annual vaccination?

<p>Antigenic drift due to minor mutations in hemagglutinin and neuraminidase. (C)</p> Signup and view all the answers

A child presents with bronchiolitis, and a respiratory sample tests positive for a virus that causes syncytia formation. Which viral glycoprotein is most likely responsible for this observation?

<p>Fusion (F) glycoprotein (D)</p> Signup and view all the answers

Which of the following viruses is most likely to establish a persistent or latent infection in its host?

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

A researcher is studying the immune response to a novel coronavirus. They observe that CD8+ T cells play a crucial role in controlling the infection, but antibody levels decline relatively quickly. Which of the following is the most likely consequence of this immune profile?

<p>Potential for reinfection despite initial immune response. (E)</p> Signup and view all the answers

During an influenza pandemic, public health officials are monitoring for antigenic shift. What genomic mechanism would most likely cause this?

<p>Reassortment of segmented genomes between different influenza virus strains. (D)</p> Signup and view all the answers

A research lab is working to develop a novel antiviral drug that targets a specific step in the replication cycle of coronaviruses. Which of the following would be the most appropriate target, considering the unique characteristics of coronaviruses?

<p>Interference with the binding of the Spike (S) glycoprotein to the ACE2 receptor. (B)</p> Signup and view all the answers

A patient presents with a respiratory infection. A diagnostic test reveals the presence of a non-enveloped virus with a double-stranded DNA genome. Which virus is the most likely cause of this patient's infection?

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

During an outbreak of respiratory illness, it is determined that the causative agent is transmitted primarily through large respiratory droplets and direct contact. Which of the following viruses is most likely responsible for this outbreak?

<p>Respiratory Syncytial Virus (RSV) (C)</p> Signup and view all the answers

A study of a novel respiratory virus shows that it replicates in the nucleus of infected cells. Which of the following viral characteristics would best explain this observation?

<p>The virus utilizes host RNA polymerase for replication. (A)</p> Signup and view all the answers

Flashcards

Coronaviruses

Family of viruses including SARS-CoV-1, MERS-CoV, SARS-CoV-2 with ssRNA genomes.

Spike glycoprotein

Viral attachment protein in coronaviruses that binds to ACE2 receptor.

ssRNA positive-sense

Single-stranded RNA that serves as mRNA, used by some viruses for replication.

Transmission routes for coronaviruses

Spread primarily through respiratory droplets and fecal-oral routes.

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Antigenic drift

Minor mutations in a virus that occur over time, seen in influenza virus.

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Antigenic shift

Major genetic changes in a virus, can lead to pandemics.

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Influenza viral attachment protein

Hemagglutinin (HA) and neuraminidase (NA), proteins for influenza virus infection.

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RSV pathogenesis

Infects the respiratory tract leading to fatal infections, particularly in infants.

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Adenoviruses

Family of viruses with dsDNA genomes, known for respiratory infections and conjunctivitis.

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Immune response to coronaviruses

Involves interferon production and CD8+ T cells; antibodies are often short-lived.

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HIV-1

A retrovirus causing immunodeficiency by depleting CD4+ T cells, leading to AIDS.

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HIV Transmission Routes

HIV can be transmitted via sexual contact, blood, and from mother to child.

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HIV VAP

Viral attachment proteins gp120 and gp41 mediate binding and fusion with host cells.

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Coreceptors for HIV

CCR5 and CXCR4 are the coreceptors that HIV binds to for entering cells.

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Human Papillomavirus (HPV)

A virus known for causing genital warts and cervical cancer, associated with various oncogenes.

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HPV Oncogenes

E5, E6, and E7 oncogenes promote cancer by disrupting tumor suppressors like p53.

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Hepatitis A Transmission

Transmitted via fecal-oral contamination, leading to acute infection only.

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Hepatitis B Risk

Can cause acute or chronic disease and is associated with cirrhosis and liver cancer.

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Hepatitis C Chronicity

Primarily transmitted through blood, leading to chronic infections in 70-75% of cases.

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Viral Receptors Mnemonic

"ACE the CAR Test" helps remember virus receptors for adenovirus, coronavirus, HIV, influenza, and HPV.

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Study Notes

Coronaviruses (SARS-CoV, MERS-CoV, SARS-CoV-2)

  • Virus family: Coronaviridae
  • Genome type: single-stranded RNA, positive-sense, enveloped, helical capsid
  • Viral attachment protein: Spike (S) glycoprotein, binding to ACE2 receptor
  • Transmission: respiratory droplets, fecal-oral route
  • Replication: cytoplasm, using viral RNA polymerase
  • Pathogenesis: disrupts respiratory cilia, leading to cytokine storm in severe cases
  • Immune Response: innate (IFN, neutrophils, monocytes), adaptive (CD8+ T cells control; antibodies are short-lived)
  • Disease severity: mild (common cold-like), severe (atypical pneumonia, SARS, MERS, COVID-19)

Influenza Virus (Types A, B, C)

  • Virus family: Orthomyxoviridae
  • Genome type: single-stranded RNA, negative-sense, segmented, enveloped
  • Viral attachment proteins: Hemagglutinin (HA) binds sialic acid; Neuraminidase (NA) aids release
  • Replication: nucleus (unique for RNA viruses)
  • Transmission: respiratory droplets
  • Pathogenesis: kills respiratory epithelium, weakens mucus defenses, may lead to secondary bacterial infections
  • Immune Response: innate (interferon, NK cells), adaptive (antibodies to HA, most protective; antibodies to NA)
  • Antigenic variation: drift (minor mutations, seasonal flu), shift (major changes, pandemics)

Respiratory Syncytial Virus (RSV)

  • Virus family: Paramyxoviridae
  • Genome type: single-stranded RNA, negative-sense, enveloped, helical
  • Viral attachment protein: Fusion (F) glycoprotein, causing syncytia formation
  • Replication: cytoplasm
  • Transmission: large droplets, direct contact
  • Pathogenesis: infects bronchi, bronchioles, alveoli, no viremia
  • Immune Response: weak cell-mediated immunity (prolonged infection); IgG and IgA antibody responses
  • Disease association: leading cause of fatal respiratory infections in infants and young children

Adenoviruses

  • Virus family: Adenoviridae
  • Genome type: double-stranded DNA, non-enveloped, icosahedral capsid
  • Viral attachment protein: Fiber protein, binding to CAR receptor
  • Replication: nucleus, using host RNA polymerase
  • Transmission: respiratory droplets, fecal-oral, direct contact
  • Pathogenesis: persistent infections, reactivation possible in immunocompromised individuals
  • Immune Response: strong antibody response, some latent infections
  • Disease examples: respiratory infections, conjunctivitis, gastroenteritis

Human Immunodeficiency Virus (HIV-1)

  • Virus family: Retroviridae
  • Genome type: single-stranded RNA, positive-sense, enveloped (two copies)
  • Viral attachment proteins: gp120 binds CD4 receptor; gp41 mediates fusion
  • Co-receptors: CCR5 (macrophages), CXCR4 (T cells)
  • Replication: reverse transcription, integration into host DNA in the nucleus
  • Transmission: sexual contact, blood, maternal-fetal
  • Immune Response: initial NK response, progressive CD4+ T cell depletion, AIDS with CD4+ count below 200 cells/μL
  • Treatment: multiple targets (reverse transcriptase inhibitors, protease inhibitors, fusion inhibitors)

Human Papillomavirus (HPV)

  • Virus family: Papillomaviridae
  • Genome type: double-stranded DNA, circular, non-enveloped, icosahedral
  • Viral attachment protein: L1 capsid protein, binding to integrins
  • Replication: nucleus, using host RNA polymerase
  • Transmission: skin-to-skin contact, sexual contact, fomites
  • Pathogenesis: oncogenic: E5, E6, E7 promote cancer:
    • E6 degrades p53 (tumor suppressor)
    • E7 inactivates Rb protein
  • Immune Response: cell-mediated immunity usually clears infection; high-risk strains cause persistent infection, lead to cervical cancer
  • Disease types: low-risk (HPV-6, 11 - genital warts), high-risk (HPV-16, 18 - cervical cancer)

Hepatitis Viruses (HAV, HBV, HCV)

  • Hepatitis A (HAV): Picornaviridae, ssRNA, fecal-oral, acute, self-limiting
  • Hepatitis B (HBV): Hepadnaviridae, dsDNA, blood, sexual, maternal-fetal, acute or chronic, risk of cirrhosis and hepatocellular carcinoma
  • Hepatitis C (HCV): Flaviviridae, ssRNA, blood, sexual, chronic (70-75% cases), risk of cirrhosis and cancer

Viral Receptor Mnemonic

  • "ACE the CAR Test"
    • Adenovirus: CAR receptor
    • Coronavirus: ACE2 receptor
    • HIV: CD4 + CCR5/CXCR4
    • Influenza: Sialic acid
    • HPV: Integrins

DNA Virus Mnemonic

  • "HHAPPPPY"
    • Hepatitis B (Hepadnaviridae)
    • Herpesviridae
    • Adenoviridae
    • Parvoviridae (ssDNA)
    • Poxviridae (cytoplasm)
    • Papillomaviridae (HPV)
    • Polyomaviridae

RNA Virus Replication Mnemonic

  • "Nuclear Flu"
    • Influenza replicates in the nucleus

Hepatitis Transmission Mnemonic

  • "A-E Routes"
    • A: Fecal-oral (food/water contamination)
    • B: Blood, Birth, Body fluids
    • C: Chronic bloodborne infections
    • D: Defective (needs HBV)
    • E: Enteric, like Hep A

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Description

Explores the characteristics of Coronaviruses (SARS-CoV, MERS-CoV, SARS-CoV-2) and Influenza Viruses (Types A, B, C). Covers genome type, viral attachment proteins, transmission methods, replication processes, and immune responses. Examines disease severity ranging from mild to severe cases.

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