Disease and Infection Definitions
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Questions and Answers

What is the main difference between disease and infection?

  • Disease involves a characteristic set of signs and symptoms, while infection is the presence of an organism. (correct)
  • Disease always results in known prognosis, while infection may be clinically unapparent.
  • Infection is caused by an infectious agent, while disease is the introduction of a viral genome into a host cell.
  • Disease is always detected by signs, while infection may not manifest any symptoms.

What is the definition of colonization as mentioned in the text?

  • Temporary introduction of an organism into the body without growth, often resulting in clinical symptoms.
  • Transient introduction of a metazoan organism into the body without any possibility of leading to disease.
  • Permanent introduction of an organism into the body accompanied by multiplication, which may lead to disease. (correct)
  • Introduction of a virus genome into a host cell followed by rapid multiplication within the cell.

What does tropism refer to in the context of infectious diseases?

  • The introduction of a disease organism from one host to another.
  • The transient or permanent introduction of organisms into the body.
  • The reservoir where infectious agents are permanently maintained.
  • The specific predilection of a virus to infect certain cells, tissues, or organs. (correct)

What defines a vector in the transmission of diseases?

<p>An agent that transmits a disease organism from one host to another. (B)</p> Signup and view all the answers

Which term refers to the presence of virions in the blood?

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

What does 'virulence' primarily refer to?

<p>Severity of disease caused (D)</p> Signup and view all the answers

Which term describes a nonessential gene that enhances an organism's virulence when expressed?

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

What does 'attenuation' refer to in virology?

<p>Loss of virulence (D)</p> Signup and view all the answers

What is meant by 'persistent (chronic) infection'?

<p>Failure to clear the infection (A)</p> Signup and view all the answers

'Latent infection' is characterized by which of the following?

<p>Presence of an intact viral genome (A)</p> Signup and view all the answers

'Smoldering infection' refers to what condition?

<p>Low-level viral replication despite immune response (D)</p> Signup and view all the answers

'Transforming infection' is characterized by what process?

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

What is the defining characteristic of an infectious disease?

<p>Deviation from normal structure or function of body part with characteristic signs and symptoms (A)</p> Signup and view all the answers

What does the term 'colonization' refer to?

<p>Permanent introduction and growth of an organism in or on the body (D)</p> Signup and view all the answers

Which term describes an organism's predilection to infect certain cells, tissues, organs, or systems?

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

What is the role of a vector in disease transmission?

<p>Transmitting the disease organism from one host to another (C)</p> Signup and view all the answers

What is the term for the loss of virulence in an organism?

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

Which condition is characterized by low-level viral replication despite an efficient immune response?

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

What does 'cytopathic effect' refer to in virology?

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

Which term describes a mixture of viruses present in a host at one time derived from a common ancestral virus?

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

What characterizes an acute infection?

<p>Self-limiting infection with rapid onset and resolution (B)</p> Signup and view all the answers

What is the term for the capacity of a virus to enter and cause damage to a tissue?

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

'Persistent infection' refers to what condition?

<p>Failure of the host to clear the infection (A)</p> Signup and view all the answers

'Slow infection' is characterized by what aspect?

<p>Long incubation period prior to symptom appearance (D)</p> Signup and view all the answers

'Oncogenesis' refers to which process?

<p>'Process through which healthy cells become transformed into cancer cells' (B)</p> Signup and view all the answers

What does 'virus restriction' relate to in virology?

<p>'Mutational load that leads to viral genome degradation' (B)</p> Signup and view all the answers

What characterizes 'abortive (nonproductive) infection'?

<p>Not leading to the production of progeny virions (B)</p> Signup and view all the answers

What is a key requirement for a virus to overcome host defenses?

<p>Gains access to the host with a minimal virus inoculum (A)</p> Signup and view all the answers

Which factor is crucial for a virus to avoid local and systemic antiviral defenses?

<p>Induction of harmful host immune responses (D)</p> Signup and view all the answers

How can a virus cause host damage through direct cell destruction?

<p>By cell lysis due to viral replication cycle completion (B)</p> Signup and view all the answers

What determines the outcome of a viral infection according to the text?

<p>The balance between factors promoting disease and guarding against it (B)</p> Signup and view all the answers

Which pattern of infection is characterized by recurring disease episodes separated by asymptomatic periods?

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

Which virus is an example of a pathogen responsible for persistent infection?

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

What characterizes the recurrence of disease in cyclic infections?

<p>Initial disease is always milder than recurrences (D)</p> Signup and view all the answers

Which type of infection is characterized by a continuous buildup of the pathogen after an initial acute phase?

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

In which type of infection do individuals recover from the initial acute illness but the pathogen remains latent for indeterminate periods?

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

Which characteristic is typical of slow infections caused by retroviruses like HIV-1?

<p>Continuous buildup of the pathogen after recovery from acute illness (C)</p> Signup and view all the answers

What can tip the balance in favor of illness or exacerbate it according to the text?

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

Which factor mentioned can render the immune system less effective and efficient?

<p>Healthy nutritional status (A)</p> Signup and view all the answers

In the context of viral infections, what is the meaning of 'non-productive or abortive' infection?

<p>No progeny virions are produced during infection (C)</p> Signup and view all the answers

Which situation makes it easier for some individuals to get infected and suffer disease according to the text?

<p>Expression of certain MHC-I alleles (B)</p> Signup and view all the answers

Which viral perspective is highlighted as irrelevant when considering the replicative cycle in the text?

<p>Outcome of delivery of viral nucleic acid (D)</p> Signup and view all the answers

Which stage of viral disease is responsible for non-specific, general symptoms like fever or malaise?

<p>Initiation of infection (A)</p> Signup and view all the answers

During which phase of viral disease can characteristic signs be recognized such as respiratory illness or hepatitis?

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

Which phase is usually associated with the resolution of viral disease?

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

Which phase is characterized by the limitation of disease through viral control and/or clearance?

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

When can transmission of a viral disease occur according to the stages mentioned?

<p>After replication in target tissue (C)</p> Signup and view all the answers

Which type of viral infection involves the host becoming permanently infected?

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

Which pattern of disease progression involves the pathogen being completely eliminated by the host's immune system?

<p>'Acute' disease pattern (C)</p> Signup and view all the answers

What is a characteristic of acute subclinical infections according to the text?

<p>'Overt' disease symptoms present (A)</p> Signup and view all the answers

'Rhinoviruses' causing the common cold are an example of which type of infection?

<p>'Acute' subclinical infection (D)</p> Signup and view all the answers

'Hepatitis B virus' can present as self-limited or persistent depending on what factor?

<p>'Pathogen virulence' (C)</p> Signup and view all the answers

Which stage is responsible for viral amplification in many viral infections according to the text?

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

When do some infections go completely undetected according to the text?

<p>During some or all steps (D)</p> Signup and view all the answers

What does MOI stand for in virology?

<p>Multiplicity Of Infection (D)</p> Signup and view all the answers

What does TCID50 stand for in virology?

<p>Tissue Culture Infective Dose 50 (D)</p> Signup and view all the answers

Which metric measures the number of infectious particles required to infect 50% of the cells?

<p>ID50/cell (D)</p> Signup and view all the answers

What is the definition of Multiplicities of Infection?

<p>The number of viral particles per unit volume (B)</p> Signup and view all the answers

What does the term HID50 refer to in the context of viral infections?

<p>The infectious dose required to infect half of the inoculated individuals (C)</p> Signup and view all the answers

Why are enveloped viruses particularly sensitive to desiccation?

<p>Enveloped structure makes them susceptible to drying out (B)</p> Signup and view all the answers

What is the role of vectors in viral transmission?

<p>To amplify viral numbers and provide shelter during transit (B)</p> Signup and view all the answers

How do naked viruses differ from enveloped viruses in terms of environmental resistance?

<p>Naked viruses are generally well-suited to withstand unfavorable conditions (A)</p> Signup and view all the answers

Which phase of viral disease is associated with viral amplification and spread to other hosts?

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

What is a critical factor that enables viruses to overcome host defenses during transmission?

<p>Structural characteristics for environmental resistance (A)</p> Signup and view all the answers

In what way do some genetic backgrounds influence the likelihood of HIV-1 infection?

<p>By increasing the probability of infection during sexual encounters (C)</p> Signup and view all the answers

How do viruses exploit vectors to aid in their transmission?

<p>By replicating within vectorial host cells and amplifying viral numbers (A)</p> Signup and view all the answers

Which aspect of viral surface structures determines tissue tropism and pathology?

<p>Cellular adhesion properties (B)</p> Signup and view all the answers

What is a common strategy employed by many viruses to ensure successful transmission between hosts?

<p>High replication rates leading to sufficient yields (D)</p> Signup and view all the answers

How do some viruses resist harsh environmental conditions while in transit from one host to another?

<p>By possessing outer proteinaceous protective capsids (D)</p> Signup and view all the answers

How can viruses infect inflammatory cells such as CD4 T lymphocytes?

<p>Via transport by M cells associated with GALTs (D)</p> Signup and view all the answers

In viral spread, what is a characteristic of systemic spread within a host?

<p>Viral particles are carried by the host's circulatory systems (A)</p> Signup and view all the answers

How do paramyxoviruses primarily move from cell to cell?

<p>Via membrane fusion between adjoining cells (D)</p> Signup and view all the answers

Which type of viruses mainly cause persistent infections with minimal cytolysis?

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

Which characteristic is associated with the infection of Kupffer cells in the liver by viruses?

<p>Spreading hepatitis viruses to hepatocytes (D)</p> Signup and view all the answers

What is a characteristic of the flu caused by Influenza virus A?

<p>Only causes acute infections (C)</p> Signup and view all the answers

How do viruses usually gain access to the central nervous system (CNS) according to the text?

<p>By crossing through endothelial cells or between them (D)</p> Signup and view all the answers

What is a common feature of human papillomaviruses and the virus responsible for hepatitis A mentioned in the text?

<p>They lead to persistent infections independent of cytolysis (D)</p> Signup and view all the answers

What is a direct pathological effect of herpesvirus infection on cells?

<p>Altered surface molecules (C)</p> Signup and view all the answers

What is a defining characteristic of bronchiolitis caused by paramyxoviruses according to the text?

<p>'Syncytia formation' between infected cells (D)</p> Signup and view all the answers

Which viral component can be toxic to cells at high concentrations?

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

How do viruses usually establish latency in neural sensory ganglia according to the text?

<p>'Retrograde transport' via neuromuscular junctions (D)</p> Signup and view all the answers

What contributes to herpetic skin lesions caused by herpesvirus infection?

<p>Cell membrane lysis (B)</p> Signup and view all the answers

What can facilitate viruses' entry into the central nervous system (CNS) according to the text?

<p>'Leukocyte circulation' from inflammatory sites (A)</p> Signup and view all the answers

Which virus is known to produce an enterotoxin affecting electrolyte secretion in enterocytes?

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

'Viral spread can occur at different scales but with overlap.' What does 'local dissemination' primarily refer to according to the text?

<p>'Membrane fusion' between adjacent respiratory cells (C)</p> Signup and view all the answers

What can be toxic and induce cell death in the context of HIV infection?

<p>Viral envelope proteins (D)</p> Signup and view all the answers

What contributes to most hepatocyte killing during hepatitis infection?

<p>[Picornaviridae] infection (C)</p> Signup and view all the answers

How do slow infections caused by retroviruses like HIV-1 differ from acute infections?

<p>Acute infections involve recurring disease episodes. (A)</p> Signup and view all the answers

What is the role of increased vascular permeability in common cold pathology?

<p>Symptoms associated with plasma protein levels. (B)</p> Signup and view all the answers

What contributes directly to many hemorrhagic fevers according to the text?

<p>Local inflammatory processes. (A)</p> Signup and view all the answers

Which factor contributes to the severe manifestations of viral diseases?

<p>Increased TNF-α expression (A)</p> Signup and view all the answers

What is the primary cause of lower respiratory tract viral diseases like bronchiolitis or influenza?

<p>Combination of viral tissue destruction and inflammatory processes (A)</p> Signup and view all the answers

How do some viral infections lead to transient bone marrow output variations?

<p>By altering hematopoiesis (D)</p> Signup and view all the answers

Which phenomenon is primarily responsible for AIDS patients' extreme susceptibility to opportunistic infections?

<p>CD4 lymphocyte depletion (A)</p> Signup and view all the answers

What category do causes of bone marrow suppression resulting from virus infections fall into?

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

Which cells can be depleted through activation-induced exhaustion during some viral infections?

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

What is the main outcome of overproduction of IFN-α, IFN-γ, IL-1β, TNF-α, IL-6, and CSFs on HSCs?

<p>Proliferation and differentiation impairment (C)</p> Signup and view all the answers

What can viral recognition receptor engagement lead to in terms of HSCs?

<p>Apoptotic pathway activation (D)</p> Signup and view all the answers

What is the primary mechanism behind the severe manifestations associated with most viral diseases?

<p>High proinflammatory cytokine expressions (C)</p> Signup and view all the answers

What is the main result of viral recognition receptor engagement on pathogen recognition receptors in HSCs?

<p>Skewed leukocyte production (D)</p> Signup and view all the answers

What effect can chronic exposure to inflammatory mediators have on hematopoietic stem cells (HSCs)?

<p>Proliferation and differentiation impairment (A)</p> Signup and view all the answers

What is the primary mechanism by which some viruses induce transient bone marrow output variations?

<p>Alteration of hematopoiesis (D)</p> Signup and view all the answers

What is the main mechanism of cell transformation in Endemic Burkitt Lymphoma?

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

What chromosomal anomaly is characteristic of 80% of Endemic Burkitt Lymphoma cases?

<p>t(8;14) (B)</p> Signup and view all the answers

Which gene promoter controls the constitutive expression of the c-myc protooncogene in Endemic Burkitt Lymphoma?

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

What accounts for the remaining 20% of Endemic Burkitt Lymphoma cases?

<p>Translocation t(8;22) (C)</p> Signup and view all the answers

What is the role of HPV E7 protein in cervical/anal/oropharyngeal carcinoma development?

<p>Binds pRb to free E2f and activate genes involved in cell cycling (B)</p> Signup and view all the answers

How does the HPV E6 protein contribute to tumorigenesis in cervical/anal/oropharyngeal carcinoma?

<p>Promotes p53 degradation leading to increased cell growth (C)</p> Signup and view all the answers

What is the mechanism through which HBV X protein contributes to hepatocellular carcinoma development?

<p>Activates the transcription of protooncogenes through cell signaling pathways (A)</p> Signup and view all the answers

What role do virokines play in promoting growth and preventing apoptosis in Kaposi sarcoma?

<p>Promote cell growth and prevent apoptosis (D)</p> Signup and view all the answers

How do some viruses increase their rates of replication?

<p>Through gene expression that increases DNA synthesis (C)</p> Signup and view all the answers

What is the primary function of viroceptors encoded by large DNA viruses?

<p>'Dampen' the host's immune response (B)</p> Signup and view all the answers

How does HCV core protein affect cell cycle control mechanisms?

<p>Inactivates p21cip to enhance cell cycling (C)</p> Signup and view all the answers

What is the impact of HPV E7 protein on p21cip in cervical/anal/oropharyngeal carcinoma development?

<p>'Inactivates' p21cip to allow for cell cycling (D)</p> Signup and view all the answers

How does Human T lymphotropic virus 1 cause adult T cell leukemia/lymphoma?

<p>Through gene expression that enhances T cell proliferation (C)</p> Signup and view all the answers

What is a common mechanism by which many viruses alter host defense mechanisms?

<p>Expressing viroceptors that dampen the host immune response (D)</p> Signup and view all the answers

What is the driving force behind genetic drift in viruses?

<p>Frequent introduction of mutations due to low proofreading capacity (B)</p> Signup and view all the answers

How do some viruses evade the host's immune response related to antigen presentation?

<p>Inhibiting MHC and MHC-associated molecules synthesis (A)</p> Signup and view all the answers

What can result from the accumulation of mutations in viruses over time?

<p>Formation of quasispecies (D)</p> Signup and view all the answers

How do some enveloped viruses increase infectivity?

<p>By incorporating host molecules into their membranes (D)</p> Signup and view all the answers

What is the significance of immune-privileged sites for certain viruses?

<p>They are immune-deprived areas allowing viruses to avoid immune defenses (A)</p> Signup and view all the answers

What can a single cell infected with two distinct strains of Influenza A virus lead to?

<p>Antigenic shift due to random mutations (C)</p> Signup and view all the answers

How do some viruses protect themselves from opsonization?

<p>By binding to Fc fragment of IgGs (D)</p> Signup and view all the answers

What can the incorporation of host molecules into virion membranes by some enveloped viruses lead to?

<p>Increased infectivity by strengthening virion-cell interactions (B)</p> Signup and view all the answers

What can tissue tropism for immune-privileged sites allow certain viruses to do?

<p>Avoid immune defenses and spread effectively (C)</p> Signup and view all the answers

How can antigenic shift occur in Influenza A virus?

<p>By accidental incorporation of segments from different strains during viral assembly (C)</p> Signup and view all the answers

Why are some sites considered immune-privileged?

<p>Because they are relatively hermetic to immune cells (C)</p> Signup and view all the answers

How do viruses first establish an infection in their hosts?

<p>By overcoming physicochemical barriers (D)</p> Signup and view all the answers

What is one of the roles of hairs in the nostrils regarding viral infections?

<p>Trap particulate matter (A)</p> Signup and view all the answers

Which of the following is NOT a molecular inhibitory molecule produced by the skin and mucosa against viruses?

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

What do complementary and other acute phase reactants do to virus particles in a soluble phase?

<p>Have antimicrobial effects on viruses (B)</p> Signup and view all the answers

Which of the following is an example of an intrinsic factor that influences host susceptibility to viral infections according to the text?

<p>Genes encoding immune responses (B)</p> Signup and view all the answers

In what way do some commensal microorganisms interfere with viral infections?

<p>Modifying local pH or secreting inhibitors (C)</p> Signup and view all the answers

'Hepagglutinin and neuraminidase are examples of major antigenic determinants.' What happens if the cell was infected by strains from different host species?

<p>Newly infected hosts will be ill-equipped to deal with new strains (A)</p> Signup and view all the answers

'Pathogenicity depends on the relationship between virus and host.' What does 'host susceptibility' refer to?

<p>Function of inherent host factors in influencing pathogenicity (C)</p> Signup and view all the answers

What is the primary role of anatomical and mechanical barriers in host defense?

<p>To prevent viral entry into the body (D)</p> Signup and view all the answers

How do keratinized cells of the skin contribute to preventing viral infections?

<p>By making the skin impenetrable under normal circumstances (A)</p> Signup and view all the answers

What is one of the roles of epithelial ciliated cells in combating respiratory infections?

<p>To transport trapped particulates out of the respiratory tract (C)</p> Signup and view all the answers

What is the main role of acute phase proteins mentioned in the text?

<p>Promoting viral particles inactivation (B)</p> Signup and view all the answers

Why is apoptosis considered a preferred mode of cellular killing by the immune system?

<p>It reduces the release of inflammatory DAMPs (D)</p> Signup and view all the answers

Which type of interferons are particularly important for initial viral containment?

<p>Type I interferons (IFN-α &amp; IFN-ß) (A)</p> Signup and view all the answers

Why do NK cells readily kill cells that express little or no MHC-I?

<p>When the NK cell KARs are not stimulated (B)</p> Signup and view all the answers

Which receptors play a crucial role in recognizing virally infected cells?

<p>TLR3 and RLRs (D)</p> Signup and view all the answers

What is the effect of TLR7 and TLR8 activation in infected cells?

<p>Recognition of viral ssRNA (C)</p> Signup and view all the answers

What is a key process triggered by IFN-α/ß or IFN-λ to eliminate infected cells?

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

Which pathway is involved in IFN-α/ß-mediated apoptosis through phosphorylation of eIF2?

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

What is the role of 2’-5’-oligo(A) synthetase/RNase L pathways upon IFN-α/ß stimulation?

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

Which gene products impede (-)ssRNA virus replication at different stages of the viral cycle?

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

What is the function of some APOBEC proteins upon viral infection?

<p>Cause viral genome degradation (A)</p> Signup and view all the answers

Which proteins act as inhibitors that hinder DNA virus replication within the nucleus?

<p>PML, Sp100, &amp; Daxx (B)</p> Signup and view all the answers

What role does RNA silencing play in intrinsic cellular defenses against viruses?

<p>Inhibit viral genome replication (D)</p> Signup and view all the answers

What do some ADAR1 induce upon viral infection?

<p>RNA editing causing hypermutation (D)</p> Signup and view all the answers

What is one characteristic of MxA proteins specifically in influenza infections?

<p>Interfere with uncoating and RNA transcription (A)</p> Signup and view all the answers

In what phase do some viruses exhibit the phenomenon of 'virus restriction' through mutational load and degradation of viral genomes?

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

What is the primary mechanism through which Mx genes impede (-)ssRNA virus replication?

<p>Interference with RNA transcription (B)</p> Signup and view all the answers

Which mechanism of cell transformation characterizes Endemic Burkitt Lymphoma?

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

What chromosomal anomaly is responsible for constitutive expression of the c-myc gene in Endemic Burkitt Lymphoma?

<p>Translocation of c-myc to chromosome 14 (A)</p> Signup and view all the answers

Which accounts for the remaining 20% of Endemic Burkitt Lymphoma cases?

<p>Translocation of c-myc to chromosome 8 or 22 (A)</p> Signup and view all the answers

What is the most common mechanism by which viruses induce human carcinogenesis according to the text?

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

Which host factor influences pathogenicity by disrupting genes encoding immune responses?

<p>TLR7 mutation (D)</p> Signup and view all the answers

What is a barrier that viruses need to overcome in the host's respiratory tract?

<p>Epithelial ciliated cells (D)</p> Signup and view all the answers

Which factor can render some individuals more susceptible to certain viral infections?

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

What is an inhibitory molecule produced by the skin and mucosa against viruses?

<p>Secretory leukocyte proteinase inhibitor (A)</p> Signup and view all the answers

Which immune response mechanism involves serum proteins with antimicrobial effects?

<p>Innate immune responses (C)</p> Signup and view all the answers

What is a common anatomical barrier that makes the skin virtually impenetrable?

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

Which phase involves viral particles being susceptible to serum proteins like mannan-binding lectins?

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

Which mechanism helps remove particulates from the respiratory tract?

<p>Epithelial ciliated cells transport particles up the tract (C)</p> Signup and view all the answers

What type of barrier is made up of functional or structural components?

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

Which factor can influence viral pathogenicity in a host?

<p>Host general health (D)</p> Signup and view all the answers

What is the role of p21cip in cell cycling in the context of HPV E7 protein?

<p>Inhibits G1 cyclin-Cdk complex (D)</p> Signup and view all the answers

Which viral protein is responsible for sequestering pRb and disrupting pRb-E2f complexes in Cervical/Anal/Oropharyngeal Carcinoma?

<p>HPV E7 protein (D)</p> Signup and view all the answers

How does the HPV E6 protein affect p53 in the context of carcinogenesis?

<p>Sends p53 for proteasomal degradation (A)</p> Signup and view all the answers

What is a characteristic effect of HBV X protein on cellular genes in Hepatocellular Carcinoma?

<p>Activation of protooncogenes (C)</p> Signup and view all the answers

How do virokines contribute to tumorigenesis in Kaposi Sarcoma?

<p>Stimulate cell growth (C)</p> Signup and view all the answers

What is the effect of viroceptors encoded by large DNA viruses on host cytokines?

<p>Counteract the host's immune response (A)</p> Signup and view all the answers

Which mechanism leads to increased probabilities of DNA mutations in Hepatocellular Carcinoma?

<p>Greater hepatocyte proliferation due to liver inflammation (C)</p> Signup and view all the answers

What is the primary role of virokines in viral pathogenesis?

<p>Counteract host antiviral mechanisms (D)</p> Signup and view all the answers

What is the result of increased levels of p53 in the cell nucleus due to HPV E6 protein actions?

<p>Increased DNA damage (A)</p> Signup and view all the answers

How does HBV infection contribute to hepatocyte DNA mutations over time?

<p>By increasing probabilities of DNA mutations with increased hepatocyte proliferation (B)</p> Signup and view all the answers

How do large DNA viruses like Herpesviridae counteract host immune responses?

<p>Dampen host immune responses by sequestering cytokines and chemokines using viroceptors (B)</p> Signup and view all the answers

Which type of proteins are mostly generated by the liver in response to macrophage proinflammatory cytokines and serve to promote viral particles inactivation?

<p>Acute phase proteins (D)</p> Signup and view all the answers

Cells undergoing stress, such as infection, react by expressing danger-associated molecular patterns (DAMPs), which induce an inflammatory process if the cell dies via:

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

Which type of cells will readily kill cells that express little or no MHC-I?

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

Which type of interferons are particularly important for the initial containment of viral infections?

<p>Type I interferons only (D)</p> Signup and view all the answers

Which receptors recognize dsRNA in infected cells, triggering the expression of type I interferons?

<p>TLR3 and RLRs (B)</p> Signup and view all the answers

What happens when infected cells express MHC-I-like molecules such as MICA and MICB on their surface?

<p>They trigger NK cell killing mechanisms (A)</p> Signup and view all the answers

What leads to the up-regulation of Fas surface expression in stressed cells?

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

'Type I IFNs stimulate the infected cell (autocrine) AND neighboring cells (paracrine) to express a set of hundreds of IFN-inducible genes' - This describes:

<p>'Positive feedback loop' (A)</p> Signup and view all the answers

'Virally infected cells have the capacity to recognize dsRNA' - Which cellular receptors play a role in this recognition process?

<p>'TLR3 and RLRs' (C)</p> Signup and view all the answers

'Fas surface expression is up-regulated in stressed cells' - What role does this up-regulation play in the immune response against infections?

<p>'Promote apoptosis' (B)</p> Signup and view all the answers

'What is the primary role of autophagy in combating viral infections?'

<p>'Eliminating intracellular pathogens' (C)</p> Signup and view all the answers

'Why is apoptosis considered a preferred mode of cellular killing by the immune system?'

<p>'It avoids release of danger signals' (B)</p> Signup and view all the answers

What is the main consequence of the activation of PKR upon type I IFN stimulation?

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

Which pathway triggered by IFN-α/ß stimulation leads to degradation of cellular RNA?

<p>2’-5’-oligo(A) synthetase pathway (C)</p> Signup and view all the answers

What is the primary role of Mx genes in combating viral infections?

<p>Impede viral replication (A)</p> Signup and view all the answers

Which proteins are examples of APOBEC proteins that cause virus restriction?

<p>APOBEC3A and APOBEC3G (A)</p> Signup and view all the answers

What is the impact of activating RNase L upon IFN-α/ß stimulation?

<p>Cell death through apoptosis (A)</p> Signup and view all the answers

Which proteins impede (-)ssRNA virus replication by interfering with viral nucleoprotein uncoating and RNA transcription?

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

What is the main impact of MxA proteins on influenza viruses?

<p>Inhibiting viral uncoating and RNA transcription (A)</p> Signup and view all the answers

Which cellular defense mechanisms act as DNA transcription inhibitors to hinder DNA virus replication?

<p>(PML, Sp100, &amp; Daxx) (C)</p> Signup and view all the answers

What is the driving force behind genetic drift in viruses?

<p>Proofreading capacity of viral polymerases (B)</p> Signup and view all the answers

How do some viruses evade immune responses by altering NK cell cytotoxicity?

<p>Expressing cell surface molecules (D)</p> Signup and view all the answers

What is the consequence of reduced class I-mediated CD8 cell cytotoxicity by viruses?

<p>Increased viral replication (B)</p> Signup and view all the answers

How do some enveloped viruses increase virulence?

<p>Incorporating host molecules into their membranes (D)</p> Signup and view all the answers

Which characteristic of RNA viruses contributes to the frequent introduction of mutations?

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

How do some viruses modulate the host cell's antigen presentation capability?

<p>Promoting MHC re-internalization (D)</p> Signup and view all the answers

Why can mutations in viral epitopes lead to the generation of escape mutants?

<p>Altered antigenicity of viral epitopes (C)</p> Signup and view all the answers

How do some viruses increase infectivity through alterations in their membranes?

<p>Incorporating host molecules (B)</p> Signup and view all the answers

What is the role of caspase 1 in the activation of IL-18?

<p>It cleaves pro-IL-18 into its biologically active form. (C)</p> Signup and view all the answers

How does IL-18 differ from other proinflammatory cytokines like IL-1β, IL-6, and TNF-α?

<p>It does not induce fever or stimulate prostaglandin or leukotriene expression. (B)</p> Signup and view all the answers

In viral infections, which cells does IL-18 work in tandem with to activate NK cells and macrophages?

<p>IL-12 (C)</p> Signup and view all the answers

What is the primary function of IL-18 and IL-12 in acquired responses?

<p>To promote the activation and differentiation of T lymphocytes (C)</p> Signup and view all the answers

Which immunoglobulin isotype is more efficient for antibody-dependent cell cytotoxicity (ADCC)?

<p>IgG2a (A)</p> Signup and view all the answers

Among the following cells, which one is NOT mentioned as engaging IgG-bound infected cells in antibody-dependent cell cytotoxicity?

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

Which immunoglobulin isotype is highlighted as being better at activating complement?

<p>IgG2b (C)</p> Signup and view all the answers

In the context of specific functions, which immunoglobulin isotype is better suited for neutralization?

<p>IgG3 (A)</p> Signup and view all the answers

Which cells play a significant role in controlling viral infections through IFN-γ and TNF-α expression at the cell-cell interface?

<p>Cytotoxic T lymphocytes (A)</p> Signup and view all the answers

What is the main action of the vIL-18BP expressed by some viruses?

<p>Dampening the host's immune response by binding to IL-18 (A)</p> Signup and view all the answers

Which receptors are primarily responsible for recognizing viral infections in macrophages and dendritic cells?

<p>Toll-like receptors (TLRs) (D)</p> Signup and view all the answers

What is the main function of immature dendritic cells at the site of infection?

<p>Take up foreign material and let themselves be infected by viruses (D)</p> Signup and view all the answers

Which pathway is another important virus-detecting system besides Toll-like receptors in macrophages?

<p>RIG-1 pathway (C)</p> Signup and view all the answers

What is the outcome of IL-12 secretion by macrophages and dendritic cells in response to viral infections?

<p>Activation of NK cells and IFN-γ secretion (D)</p> Signup and view all the answers

What causes immature dendritic cells to mature as they migrate to secondary lymphoid tissues?

<p>Cytokine milieu at the site of infection (B)</p> Signup and view all the answers

Which subset of macrophages is activated following PAMP-PRR interaction in viral infections?

<p>Innately activated macrophages (B)</p> Signup and view all the answers

What is the primary purpose of pathogen engulfment by macrophages and dendritic cells at the site of infection?

<p>MHC-II-restricted Ag presentation (D)</p> Signup and view all the answers

What happens when immature dendritic cells and macrophages migrate to secondary lymphoid tissues?

<p>Present pathogen-derived antigen to T lymphocytes (D)</p> Signup and view all the answers

What is the main function of monocyte-derived phagocytic cells in controlling viral infections?

<p>Destroy it on site (A)</p> Signup and view all the answers

How do some viruses counteract host immune responses?

<p>Express viroceptors that dampen host's immune response (A)</p> Signup and view all the answers

Which proteasomal subunits are replaced by the LMP2, LMP7, and MECL-1 subunits under the influence of IFN-γ?

<p>ß1, ß5, and ß2 (C)</p> Signup and view all the answers

What transformation occurs to immature dendritic cells under the influence of IFN-γ?

<p>They become mature dendritic cells (C)</p> Signup and view all the answers

Which cytokine is produced when a naïve CD4+ lymphocyte is engaged by a pAPC in an IL-12-rich environment?

<p>IL-12 (B)</p> Signup and view all the answers

What is the outcome of TH1 cell activation?

<p>IFN-γ secretion (D)</p> Signup and view all the answers

Which subset of macrophages secretes IL-10 to shut off the immune response?

<p>Adaptively deactivated macrophages (D)</p> Signup and view all the answers

In the context of viral infection containment, what is the main adaptive mechanism for killing virally-infected cells?

<p>CTL-mediated MHC-I-dependent killing (A)</p> Signup and view all the answers

What is the primary function of IFN-γ-producing CD4+, CD8+, and NK cells at the site of infection?

<p>Activating macrophage-killing mechanisms (D)</p> Signup and view all the answers

What is the role of memory CD4+ and CD8+ T lymphocytes in subsequent infections with the same pathogen?

<p>Contributing to anamnestic response (D)</p> Signup and view all the answers

What is the function of IL-10 secreted by specific macrophages and Treg cells after infection containment?

<p>Inhibiting unnecessary immune response (D)</p> Signup and view all the answers

What is unique about CD8+ T lymphocyte activation requirements?

<p>It requires MHC-I-restricted antigen presentation (A)</p> Signup and view all the answers

What leads to the establishment of the TH1 response through inter-stimulation and positive feedback mechanisms?

<p>Interactions between T lymphocytes, macrophages, and NK cells (B)</p> Signup and view all the answers

What triggers the differentiation of a TH1 cell producing key cytokines like IL-2 and IFN-γ?

<p>Engagement by a pAPC in an IL-12-rich environment (D)</p> Signup and view all the answers

What is the main role of activated CD8+ T lymphocytes?

<p>Destroying virally infected cells (D)</p> Signup and view all the answers

Which molecule is involved in transferring peptides to the endoplasmic reticulum for loading onto MHC-I molecules?

<p>TAP1/TAP2 (B)</p> Signup and view all the answers

In CD8 T lymphocyte activation, what is the role of CD4+ T lymphocyte help?

<p>Increasing CD86 co-stimulatory molecule expression (A)</p> Signup and view all the answers

Which cells differentiate into TFH1 cells that help in B cell activation?

<p>CD4+ T lymphocytes (D)</p> Signup and view all the answers

How do antibodies created by B cells help combat viruses?

<p>Tagging infected cells for destruction (B)</p> Signup and view all the answers

Which process involves B cells capturing viral antigen via their BCR?

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

What role do TFH1 cells play in secondary lymphoid tissues?

<p>Helping B cells differentiate into plasma cells and memory B cells (B)</p> Signup and view all the answers

In viral spread, what is the function of follicular dendritic cells?

<p>Transferring antigen to B cells (B)</p> Signup and view all the answers

How does IFN-γ influence the TH1 response?

<p>It amplifies the TH1 response to increase FasL levels (A)</p> Signup and view all the answers

What is the primary function of APOBEC expression in combatting viruses?

<p>Causing mutation in viral DNA to limit infection (D)</p> Signup and view all the answers

Why does CD8 T lymphocyte activation require a higher threshold of CD86 co-stimulation compared to CD4 T lymphocytes?

<p>CD8 T lymphocytes have a higher destructive potential (C)</p> Signup and view all the answers

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