Coronaviruses Quiz
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Questions and Answers

Which of the following coronaviruses is considered an alpha-coronavirus?

  • HCoV-229E (correct)
  • HCoV-OC43
  • MERS-CoV
  • SARS-CoV
  • What percentage of human respiratory infections are attributed to HCoV-229E and HCoV-OC43 combined?

  • 30 - 40%
  • 20 - 50%
  • 5 - 30% (correct)
  • 10 - 25%
  • How are coronaviruses primarily transmitted?

  • Through vector-borne routes
  • By respiratory aerosol (correct)
  • Via direct contact with infected surfaces
  • Through contaminated water
  • What is a significant characteristic of reinfection after a coronavirus infection?

    <p>Reinfection occurs frequently due to brief immunity (A)</p> Signup and view all the answers

    During which season do coronavirus outbreaks primarily occur?

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

    What is a characteristic feature of the RNA replication strategy in Coronaviridae?

    <p>It has a high frequency of mutation and recombination. (D)</p> Signup and view all the answers

    Which of the following genera is NOT part of the Coronaviridae family?

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

    Which method do coronaviruses predominantly use to transcribe their full-length complementary RNA?

    <p>Virus-specific RNA-dependent RNA polymerase. (C)</p> Signup and view all the answers

    How are coronaviruses classified within the order Nidovirales?

    <p>Into two subfamilies and multiple genera based on several characteristics. (A)</p> Signup and view all the answers

    Which of the following statements is true regarding the subfamily Torovirinae?

    <p>It is widespread in ungulates and linked to diarrheal diseases. (A)</p> Signup and view all the answers

    What is the significance of high-frequency deletion mutations in coronaviruses?

    <p>They contribute to the evolution of new virus strains. (B)</p> Signup and view all the answers

    Which serogroups of human coronaviruses are represented by strains 229E and OC43?

    <p>Beta and Alpha. (A)</p> Signup and view all the answers

    What role does the rough endoplasmic reticulum play in coronavirus replication?

    <p>It synthesizes the viral glycoproteins. (D)</p> Signup and view all the answers

    What component of the influenza virus is responsible for its antigenic variation?

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

    Which of the following statements regarding influenza virus A is correct?

    <p>It is classified using both hemagglutinin and neuraminidase surface proteins. (A)</p> Signup and view all the answers

    How many antigenically distinct types of neuraminidase are associated with the influenza virus?

    <p>9 (C)</p> Signup and view all the answers

    What is the primary function of hemagglutinin in the influenza virus?

    <p>Viral entry into host cells (C)</p> Signup and view all the answers

    What describes the genome structure of the influenza virus?

    <p>Single-stranded RNA with segments (D)</p> Signup and view all the answers

    How are influenza virus subtypes named?

    <p>By combining their hemagglutinin and neuraminidase subtype numbers (B)</p> Signup and view all the answers

    Which protein is NOT found as a surface antigen in the influenza virus?

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

    Which of the following characteristics is true about influenza B virus?

    <p>It is antigenically stable. (B)</p> Signup and view all the answers

    Which matrix protein of the Influenza A virus plays a role in forming an ion channel critical for virion uncoating?

    <p>M2 matrix protein (B)</p> Signup and view all the answers

    What are the two lineages of Influenza B viruses?

    <p>B/Yamagata and B/Victoria (D)</p> Signup and view all the answers

    Which antigens are considered type-specific for influenza viruses?

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

    What role does the NS 1 protein play in Influenza virus virulence?

    <p>Inhibits interferon mRNA production (D)</p> Signup and view all the answers

    How does hemagglutinin facilitate the infection of a host cell?

    <p>By binding to neuraminic acid on the cell surface (C)</p> Signup and view all the answers

    Which of the following properties are characteristic of the M1 matrix protein?

    <p>Provides structural integrity to the virus (D)</p> Signup and view all the answers

    What is the purpose of the M2 matrix protein in the uncoating process?

    <p>It transports protons into the virion (A)</p> Signup and view all the answers

    Which statement about the group-specific antigens of influenza viruses is true?

    <p>They distinguish between influenza types A, B, and C (B)</p> Signup and view all the answers

    What is the primary function of hemagglutinin during the viral infection cycle?

    <p>Agglutinate red blood cells (A)</p> Signup and view all the answers

    What is the level of accuracy for rapid influenza tests in determining infection with the influenza virus?

    <p>70% (A)</p> Signup and view all the answers

    How does neuraminidase contribute to the viral life cycle?

    <p>It cleaves sialic acid to facilitate viral release (D)</p> Signup and view all the answers

    What is the outcome of antigenic drift in orthomyxoviruses?

    <p>Gradual mutations leading to amino acid changes (D)</p> Signup and view all the answers

    What type of antibodies primarily provides immunity in the respiratory tract against orthomyxoviruses?

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

    What role does the matrix protein play in the assembly of orthomyxoviruses?

    <p>Mediates interaction of nucleocapsid with the envelope (B)</p> Signup and view all the answers

    Which of the following drugs is effective only against influenza A viruses?

    <p>Amantadine (A), Rimantadine (B)</p> Signup and view all the answers

    Which statement correctly describes the process of viral mRNA translation?

    <p>Viral mRNAs primarily move to the cytoplasm for translation (A)</p> Signup and view all the answers

    What is the role of neuraminidase inhibitors in treating influenza infections?

    <p>They block the release of the virus from infected cells. (C)</p> Signup and view all the answers

    What causes antigenic shift in orthomyxoviruses?

    <p>Reassortment of genome RNA segments (D)</p> Signup and view all the answers

    What challenge do existing influenza vaccines face?

    <p>The viruses undergo antigenic drift and shift. (B)</p> Signup and view all the answers

    At what point does the virion RNA polymerase function in the viral replication process?

    <p>In the nucleus to transcribe genome segments (A)</p> Signup and view all the answers

    Which samples can be used for viral cultures to diagnose influenza?

    <p>Throat swabs, nasal wash, or nasal aspirates (A)</p> Signup and view all the answers

    Which statement is true about the blood tests for influenza antibodies?

    <p>They diagnose recent infection. (D)</p> Signup and view all the answers

    Where does the final step of virion release occur in the host cell?

    <p>By budding from the outer cell membrane (C)</p> Signup and view all the answers

    Which of the following best describes the vaccines used against influenza?

    <p>Contain one or two type A viruses and a type B virus. (D)</p> Signup and view all the answers

    Flashcards

    Coronaviruses Replication

    Coronaviruses replicate using a virus-specific RNA-dependent RNA polymerase, producing subgenomic mRNAs from a full-length complementary RNA.

    High Mutation Rate

    Coronaviruses have a high frequency of mutations during replication; this is unusual for RNA viruses with a nonsegmented genome.

    Coronaviruses Classification

    Coronaviruses are classified within the Nidovirales order, with subfamilies like Coronavirinae and Torovirinae and genera like Alphacoronavirus, Betacoronavirus, and Gammacoronavirus.

    Alphacoronavirus Classification

    Within the Coronaviridae family, Alphacoronaviruses are one of the genera, along with others such as Betacoronavirus.

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    Betacoronavirus

    Another genus within the Coronaviridae family.

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    Human Coronavirus

    Some coronavirus strains infect humans; two serogroups (229E and OC43) are examples.

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    Torovirus Classification

    Toroviruses are widespread in ungulates, associated with diarrheal disease. They are also part of the Coronaviridae family.

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    Coronaviridae Classification

    The Coronaviridae family is characterized by particle morphology, RNA replication, genome organization, and nucleotide sequence homology.

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    Common Human Coronavirus Infections

    HCoV-229E and HCoV-OC43 account for a significant portion (5-30%) of respiratory illnesses, while CoV-NL63 and HCoV-HKU1 are less common (~5% of respiratory samples).

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    Coronavirus Transmission

    Coronaviruses spread through respiratory droplets, primarily in winter, with roughly a 2-3 year cycle.

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    SARS-CoV Origin

    The source of SARS-CoV is not elaborated in the provided text.

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    Coronavirus Infection Symptoms

    Approximately half of coronavirus infections do not show noticeable symptoms. While infections are typically limited to the respiratory tract.

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    Influenza B Lineages

    Influenza B viruses are classified into two lineages: B/Yamagata and B/Victoria.

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    Neuraminidase and Hemagglutinin

    Influenza A virus has two surface proteins: Neuraminidase and Hemagglutinin.

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    M1 Matrix Protein

    M1 matrix protein is located between the internal nucleoprotein and the envelope, providing structural integrity.

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    M2 Matrix Protein Function

    M2 matrix protein forms an ion channel, transporting protons into the virion, disrupting the envelope, and releasing the genome RNA.

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    Influenza Virus Antigens

    Influenza viruses possess group-specific and type-specific antigens

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    Group-Specific Antigen Location

    The internal ribonucleoprotein complex is the group-specific antigen distinguishing influenza A, B, and C

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    Type-Specific Antigens

    Hemagglutinin and Neuraminidase are the type-specific antigens located on the surface.

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    NS1 Protein Function

    Nonstructural protein NS1 inhibits the production of interferon mRNA, a key defense mechanism of the host cells.

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    Influenza virus structure

    Influenza viruses have a segmented single-stranded RNA genome, a helical nucleocapsid, and an outer lipoprotein envelope with hemagglutinin (HA) and neuraminidase (NA) spikes.

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    Influenza virus subtypes

    Influenza A viruses are categorized by their hemagglutinin (H) and neuraminidase (N) proteins.

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    Antigenic variation (influenza)

    Influenza viruses can change their surface proteins (like HA and NA), making it harder for the immune system to recognize them.

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    Hemagglutinin (HA)

    A protein on the influenza virus surface that helps the virus attach to host cells.

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    Neuraminidase (NA)

    A protein on the influenza virus surface that helps the virus release from host cells after infection.

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    Influenza A subtype naming

    Influenza A subtypes are named using the H and N numbers, like A(H1N1) or A(H3N2).

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    RNA-dependent RNA polymerase

    An enzyme in influenza viruses that helps reproduce the virus's genetic material.

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    Influenza A classification

    Influenza A viruses are categorized by the properties of their hemagglutinin (H) and neuraminidase (N) surface proteins.

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    Hemagglutinin Function

    Hemagglutinin (HA) is a protein found on the surface of influenza viruses that binds to sialic acid receptors on host cells, facilitating entry into the cell.

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    Neuraminidase Function

    Neuraminidase (NA) is another viral protein that cleaves sialic acid, enabling the release of newly formed viral particles from the infected cell.

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    Influenza Virus Entry

    Influenza viruses enter host cells through endocytosis, where they are engulfed in a vesicle.

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    Influenza Virus Replication

    Once inside the cell, the virus's RNA polymerase transcribes its genome into mRNA, which is then translated into viral proteins. New viral RNA genomes are also made.

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    Antigenic Drift

    Antigenic drift refers to small, gradual changes in the influenza virus's proteins, mainly due to point mutations in the genes.

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    Antigenic Shift

    Antigenic shift involves a major change in the virus due to the reassortment of segments of its genome RNA.

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    Influenza Virus Release

    New influenza viruses are released from the infected cell by budding from the cell membrane, where the HA and NA proteins are located.

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    Why are HA and NA important targets for antiviral drugs?

    Hemagglutinin (HA) is crucial for the virus to attach to and enter host cells, while neuraminidase (NA) helps the virus release from infected cells and spread. Targeting these proteins with drugs can disrupt the virus's life cycle.

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    Influenza Diagnosis

    Rapid influenza tests provide results within 24 hours, with around 70% accuracy for infection detection and 90% accuracy for type identification. Viral cultures take 3 to 10 days and involve swabs or aspirates. Blood samples can be tested for antibodies indicating recent infection.

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    Influenza Immunity

    The primary immune response to influenza relies on secretory IgA in the respiratory tract. IgG is also produced but provides less protection. Cytotoxic T cells contribute to protection as well.

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    Influenza Treatment

    Drugs that target influenza viruses include amantadine and rimantadine for influenza A and zanamivir and oseltamivir for both influenza A and B. These neuraminidase inhibitors block the release of new viruses from infected cells.

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    Influenza Vaccine

    Inactivated influenza A and B virus vaccines are administered through injection. The vaccine usually contains strains of viruses from the previous winter's outbreaks to provide protection against circulating strains.

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    Study Notes

    RNA Viruses: Coronaviruses

    • Coronaviruses are large, enveloped RNA viruses.
    • Animal coronaviruses cause diseases in domestic animals, which can cause human infection.
    • Human coronaviruses cause common colds (second in frequency only to rhinovirus) and gastroenteritis in infants.
    • Human coronaviruses are difficult to culture.
    • Worldwide spread.

    Types of Coronaviruses

    • SARS-CoV (2002): an atypical pneumonia, severe acute respiratory syndrome (SARS)
    • MERS-CoV (2012): Middle East respiratory syndrome (MERS), severe pneumonia
    • COVID-19 (2019): New severe respiratory infection with pneumonia and respiratory distress
    • COVID-19 or SARS-CoV-2 is a new strain of coronavirus

    Structure and Composition

    • Coronaviruses are enveloped, 120-160 nm particles
    • Helical nucleocapsid is 9-11 nm in diameter
    • 20-nm club- or petal-shaped projections are widely spaced on the outer surface of the envelope (a "solar corona").
    • Two serotypes: 229E and OC43
    • Nonsegmented, single-stranded, positive-polarity RNA genome

    Replication

    • Virus replicates in the cytoplasm
    • Virus attaches to receptors on target cells by glycoprotein spikes (either S or HE)
    • Functional receptor for SARS-CoV is angiotensin-converting enzyme 2 (ACE-2)
    • SARS-CoV binds to CD-26 on the respiratory mucosa.
    • Receptor for human coronavirus 229E (aminopeptidase N)
    • The S glycoprotein may cause fusion of the viral envelope with the cell membrane, leading to uncoating.
    • Requires pH 6.5 or higher
    • Newly synthesized genomic RNA molecules interact in the cytoplasm with the nucleocapsid protein to form helical nucleocapsids.
    • Nucleocapsids bud through membranes in the rough endoplasmic reticulum and the Golgi apparatus.
    • Coronaviruses exhibit a high frequency of mutation and deletion during replication.
    • This is unusual for an RNA virus with a non-segmented genome, contributing to the evolution of new virus strains.

    Classification

    • The Coronaviridae family is classified within the order Nidovirales.
    • Two subfamilies: Coronavirinae and Torovirinae
    • Six genera exist: Alphacoronavirus, Betacoronavirus, Gammacoronavirus, Deltacoronavirus, Bafinivirus, and Torovirus
    • Characteristics used to classify Coronaviridae include particle morphology, unique RNA-replication strategy, genome organization, and nucleotide sequence homology.
    • Two serogroups of human coronaviruses which are represented by strains 229E and OC43.
    • SARS virus can be placed in the same group (group 2) as OC43.
    • A third distinct antigenic group contains the avian infectious bronchitis virus of chickens.
    • Seven coronaviruses are known to infect humans.

    Epidemiology

    • Coronaviruses are distributed worldwide.
    • Outbreaks primarily occur in the winter on a 2-3 year cycle.
    • They are transmitted by respiratory aerosol.
    • Infection is typically limited to the mucosal cells of the respiratory tract.
    • Approximately 50% of infections are asymptomatic.
    • Immunity following infection appears to be brief, and reinfection can occur.

    Origin Stories

    • SARS-CoV: Originated in horseshoe bats.
    • MERS-CoV: Originated in bats and became widespread in camels.
    • COVID-19: Originated in horseshoe bats and a pangolin may have been an intermediate host.

    Diagnosis

    • Combination of symptoms, risk factors, and a chest CT
    • RT-PCR from a nasopharyngeal swab

    Treatment/Prevention

    • No proven antiviral treatment for human coronavirus infections.
    • Potential drugs like Ribavirin (for RSV and HCV), protease inhibitors, and Remdesivir.
    • There are several vaccines.
    • Inactivated influenza A and B virus vaccines are licensed for parenteral use in humans.

    Immunity

    • Immunity develops but is not absolute.
    • Immunity against the surface projection antigen is most important
    • Resistance to reinfection may last several years
    • Reinfections with similar strains are common
    • 95% of patients with SARS or MERS developed an antibody response

    Prevention

    • Frequent hand washing
    • Social distancing
    • Covering coughs and sneezes
    • Keeping unwashed hands away from the face
    • Using of masks for those who suspect they have the virus
    • Management with symptom treatment, supportive care, isolation, and experimental measures

    Coronavirus COVID-19

    • Caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) identified in Wuhan, China in late 2019.
    • The disease spread globally, resulting in a pandemic.
    • Common symptoms include fever, cough, and shortness of breath, muscle pain, sputum production, diarrhea, sore throat, loss of smell, and abdominal pain.
    • Symptoms, depending on the viral dose and immune status of the host typically appear abruptly and lasts 3-5 days.

    ORTHOMYXOVIRUSES

    • Influenza viruses are a major cause of respiratory disease.
    • High frequency of genetic reassortment and resultant antigenic changes makes them difficult to control.
    • Influenza is of three Types: A, B and C. A is most common and usually causes epidemics.
    • Influenza A virus undergoes shifts and drifts with HA and NA.
    • The two surface antigens of influenza undergo antigenic variation independent of each other.
    • Type A has subtypes.

    Replication

    • The internal ribonucleoprotein complex is the group-specific antigen (influenza A, B, C).
    • The hemagglutinin and neuraminidase are the type-specific antigens on the surface
    • Influenza viruses have both group-specific and type-specific antigens.
    • The virus adsorbs to host cell sialic acid receptors and enters cells in vesicles.
    • The virion RNA polymerase transcribes the eight genome segments into eight mRNAs in the nucleus.
    • Most of the mRNA that moves to the cytoplasm, where they are translated into viral proteins.
    • Some of the viral mRNA remain in the nucleus, which serves as the template for the synthesis of the negative-strand RNA genomes in the progeny virions.
    • The helical ribonucleoprotein assembles in the cytoplasm
    • Matrix protein mediates the interaction of nucleocapsid with envelope.
    • The virion releases from the cell by budding from the outer cell membrane.
    • Minor antigenic changes are termed antigenic drift while mutations in the gene domain, that result in amino acid change, are termed antigenic shift

    Other important facts

    • Viruses can survive on surfaces for up to 72 hours
    • The incubation period is 2-14 days (average 5 days)

    Complications

    • Reye's syndrome.

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    Description

    Test your knowledge on coronaviruses with this quiz! Explore key facts about alpha-coronaviruses, transmission methods, and seasonal outbreaks. Enhance your understanding of these important respiratory pathogens.

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