Podcast
Questions and Answers
What is the approximate global prevalence rate of congenital cytomegalovirus (CMV) infection in newborns?
What is the approximate global prevalence rate of congenital cytomegalovirus (CMV) infection in newborns?
- 0.64% (correct)
- 0.3 - 2%
- 17 - 20%
- 0.03 - 0.2%
If a child is infected with congenital CMV, what is the estimated chance of experiencing significant long-term effects?
If a child is infected with congenital CMV, what is the estimated chance of experiencing significant long-term effects?
- 2-5%
- 10-15%
- 5-10%
- 17-20% (correct)
When does the risk of symptomatic congenital cytomegalovirus infection become the highest in pregnancy?
When does the risk of symptomatic congenital cytomegalovirus infection become the highest in pregnancy?
- Immediately before birth
- Third trimester
- First trimester (correct)
- Second trimester
Which of these is a neurological sign of congenital cytomegalovirus infection?
Which of these is a neurological sign of congenital cytomegalovirus infection?
Which of these conditions can be caused by cytomegalovirus (CMV) in immunocompromised patients?
Which of these conditions can be caused by cytomegalovirus (CMV) in immunocompromised patients?
What is the typical progression of skin lesions in varicella?
What is the typical progression of skin lesions in varicella?
What is the primary risk factor for VZV reactivation leading to herpes zoster?
What is the primary risk factor for VZV reactivation leading to herpes zoster?
What percentage of the population infected with VZV will develop herpes zoster?
What percentage of the population infected with VZV will develop herpes zoster?
Which of the following is NOT a characteristic of herpes zoster?
Which of the following is NOT a characteristic of herpes zoster?
What is the correlation between VZV cell-mediated immunity at the onset of a herpes zoster rash and the severity of the condition?
What is the correlation between VZV cell-mediated immunity at the onset of a herpes zoster rash and the severity of the condition?
Which of the following antiviral medications is NOT typically used for treating VZV infections?
Which of the following antiviral medications is NOT typically used for treating VZV infections?
What is the primary mechanism by which the VZV vaccine provides protection?
What is the primary mechanism by which the VZV vaccine provides protection?
What is a known limitation in the treatment of VZV infections, according to the information provided?
What is a known limitation in the treatment of VZV infections, according to the information provided?
Which of these cells is NOT mentioned as being permissive for CMV replication?
Which of these cells is NOT mentioned as being permissive for CMV replication?
In CMV infections, what percentage of CD4+ and CD8+ memory cells are typically involved in the T cell response?
In CMV infections, what percentage of CD4+ and CD8+ memory cells are typically involved in the T cell response?
In which location was the highest seroprevalence of CMV found in the seroprevalence studies?
In which location was the highest seroprevalence of CMV found in the seroprevalence studies?
Which of the following statements is TRUE regarding CMV infection?
Which of the following statements is TRUE regarding CMV infection?
What is the typical clinical presentation of CMV infections in children and adults?
What is the typical clinical presentation of CMV infections in children and adults?
Which location listed has the lowest reported CMV infection rate?
Which location listed has the lowest reported CMV infection rate?
Which of the following is NOT a primary mode of CMV transmission according to the provided information?
Which of the following is NOT a primary mode of CMV transmission according to the provided information?
What is the main function of the viral homologue of IL-10 in the context of CMV infection?
What is the main function of the viral homologue of IL-10 in the context of CMV infection?
A pregnant woman is CMV-seronegative. What percentage range represents the likelihood of transmission to the foetus?
A pregnant woman is CMV-seronegative. What percentage range represents the likelihood of transmission to the foetus?
What is the most common outcome of a primary CMV infection in an immunocompetent individual?
What is the most common outcome of a primary CMV infection in an immunocompetent individual?
What impact does maternal immunity have on the transmission of CMV infection to the foetus?
What impact does maternal immunity have on the transmission of CMV infection to the foetus?
Which of these is a consequence of CMV's inhibition of MHC-I expression?
Which of these is a consequence of CMV's inhibition of MHC-I expression?
According to the information, what is a defining characteristic of congenital CMV infection in high-income countries?
According to the information, what is a defining characteristic of congenital CMV infection in high-income countries?
Which of the following best describes an abortive HPV infection?
Which of the following best describes an abortive HPV infection?
In the context of HPV infection, which of the following cell types is considered permissive, aiding viral replication?
In the context of HPV infection, which of the following cell types is considered permissive, aiding viral replication?
What is the primary role of the E2 protein in HPV infection?
What is the primary role of the E2 protein in HPV infection?
What is the consequence of blocking E2 expression in non-permissive cells?
What is the consequence of blocking E2 expression in non-permissive cells?
What are the primary functions of the E6 and E7 proteins?
What are the primary functions of the E6 and E7 proteins?
Which tumor suppressor protein is directly affected by the E7 protein in HPV oncogenesis?
Which tumor suppressor protein is directly affected by the E7 protein in HPV oncogenesis?
How does HPV typically gain access to basal cells?
How does HPV typically gain access to basal cells?
What is the typical time frame for most HPV infections to clear on their own?
What is the typical time frame for most HPV infections to clear on their own?
Which of the following mucosal syndromes is associated with low-risk HPV types?
Which of the following mucosal syndromes is associated with low-risk HPV types?
What is the primary method for diagnosing HPV infections in the laboratory?
What is the primary method for diagnosing HPV infections in the laboratory?
Why are HPV antibody tests not useful for diagnosing infection?
Why are HPV antibody tests not useful for diagnosing infection?
What does the L1 protein in HPV vaccines do?
What does the L1 protein in HPV vaccines do?
Which of the following is NOT a component of the 9-valent HPV vaccine (Gardasil 9)?
Which of the following is NOT a component of the 9-valent HPV vaccine (Gardasil 9)?
What are the basic components of HPV subunit vaccines?
What are the basic components of HPV subunit vaccines?
Why is continued cervical cancer screening needed even after HPV vaccination?
Why is continued cervical cancer screening needed even after HPV vaccination?
What is the primary route of transmission for Epstein-Barr Virus (EBV)?
What is the primary route of transmission for Epstein-Barr Virus (EBV)?
Which of the following describes the typical course of a primary Cytomegalovirus (CMV) infection?
Which of the following describes the typical course of a primary Cytomegalovirus (CMV) infection?
Which serological marker suggests the resolution of an active EBV infection?
Which serological marker suggests the resolution of an active EBV infection?
What is the primary mechanism by which EBV promotes B cell proliferation?
What is the primary mechanism by which EBV promotes B cell proliferation?
In which type of cells does EBV establish latent infection?
In which type of cells does EBV establish latent infection?
What is the significance of atypical T-cells in the context of EBV infection?
What is the significance of atypical T-cells in the context of EBV infection?
Which statement best describes the relationship between oncogenic viruses and cancer development?
Which statement best describes the relationship between oncogenic viruses and cancer development?
What is the primary method for diagnosing congenital CMV infection?
What is the primary method for diagnosing congenital CMV infection?
Which of the following is considered an oncogenic RNA virus?
Which of the following is considered an oncogenic RNA virus?
What is the primary mode of transmission for Human Papillomavirus (HPV)?
What is the primary mode of transmission for Human Papillomavirus (HPV)?
What is a significant consequence of HPV infection on human health?
What is a significant consequence of HPV infection on human health?
What determines the productive stage of Papillomavirus infection?
What determines the productive stage of Papillomavirus infection?
Why are maternal CMV serological tests recommended during the first trimester of pregnancy?
Why are maternal CMV serological tests recommended during the first trimester of pregnancy?
What is the role of angiogenic factors in tumor growth within the context of viral infections?
What is the role of angiogenic factors in tumor growth within the context of viral infections?
Which of these factors has been linked to the development of Burkitt lymphoma in sub-Saharan Africa, alongside EBV infection?
Which of these factors has been linked to the development of Burkitt lymphoma in sub-Saharan Africa, alongside EBV infection?
Flashcards
Varicella (Chickenpox)
Varicella (Chickenpox)
A highly contagious childhood illness caused by the varicella-zoster virus (VZV). It is characterized by a fever and a rash of itchy, fluid-filled blisters (vesicles) that progress to pus-filled bumps (pustules) and then scabs (crusts).
Herpes Zoster (Shingles)
Herpes Zoster (Shingles)
Reactivation of the varicella-zoster virus (VZV) in adults, often years after an initial chickenpox infection. Shingles causes painful, blistering rash along the path of a nerve.
Postherpetic Neuralgia (PHN)
Postherpetic Neuralgia (PHN)
A chronic and debilitating pain condition that can occur after shingles. It is characterized by persistent pain, tingling, or numbness in the area of the shingles rash even after the rash has healed.
VZV Cell-Mediated Immunity
VZV Cell-Mediated Immunity
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Age and Shingles
Age and Shingles
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Vertical transmission of CMV
Vertical transmission of CMV
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Immunopathogenesis of CMV infection
Immunopathogenesis of CMV infection
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Cytomegalovirus infection : different virulence at different age/ condition
Cytomegalovirus infection : different virulence at different age/ condition
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Maternal immunity against CMV
Maternal immunity against CMV
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CMV-seronegative mother
CMV-seronegative mother
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CMV-seropositive mother
CMV-seropositive mother
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Congenital CMV infection
Congenital CMV infection
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Congenital CMV infection : transmission
Congenital CMV infection : transmission
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VZV Treatment
VZV Treatment
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Postherpetic Neuralgia
Postherpetic Neuralgia
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VZV Vaccine
VZV Vaccine
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VZV Vaccine Benefit
VZV Vaccine Benefit
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CMV Classification
CMV Classification
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CMV Severity
CMV Severity
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CMV Target Cells
CMV Target Cells
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CMV Latency
CMV Latency
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Cytomegalovirus (CMV)
Cytomegalovirus (CMV)
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CMV disease
CMV disease
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Complications of CMV infection
Complications of CMV infection
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CMV and other health conditions
CMV and other health conditions
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E2 Protein role in HPV infection
E2 Protein role in HPV infection
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Permissive vs. Non-permissive cells in HPV infection
Permissive vs. Non-permissive cells in HPV infection
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Abortive HPV infection
Abortive HPV infection
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HPV infection and epithelial proliferation
HPV infection and epithelial proliferation
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HPV persistence and cancer risk
HPV persistence and cancer risk
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HPV types and associated syndromes
HPV types and associated syndromes
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Role of E6 and E7 in HPV oncogenesis
Role of E6 and E7 in HPV oncogenesis
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HPV infection: Entry, Persistence, and Cancer
HPV infection: Entry, Persistence, and Cancer
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Laboratory diagnosis of HPV infection
Laboratory diagnosis of HPV infection
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Cervical cancer screening strategies
Cervical cancer screening strategies
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HPV vaccines: Types and targets
HPV vaccines: Types and targets
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HPV vaccine composition: VLPs
HPV vaccine composition: VLPs
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HPV vaccination: Age and gender
HPV vaccination: Age and gender
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HPV vaccination and cervical cancer screening
HPV vaccination and cervical cancer screening
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Oncogenic virus
Oncogenic virus
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Immunosuppression
Immunosuppression
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Tumor Microenvironment (TME)
Tumor Microenvironment (TME)
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Inflammation
Inflammation
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Viral Integration
Viral Integration
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Viral Oncoproteins
Viral Oncoproteins
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Epstein-Barr Virus (EBV)
Epstein-Barr Virus (EBV)
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Burkitt's Lymphoma
Burkitt's Lymphoma
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Nasopharyngeal Carcinoma
Nasopharyngeal Carcinoma
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Human Papillomavirus (HPV)
Human Papillomavirus (HPV)
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Cervical Cancer
Cervical Cancer
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Nucleic Acid Amplification Tests (NAATs), including PCR
Nucleic Acid Amplification Tests (NAATs), including PCR
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Serological Testing
Serological Testing
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Immune Evasion
Immune Evasion
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Leukocytosis
Leukocytosis
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Atypical Lymphocyte
Atypical Lymphocyte
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Study Notes
DNA Viruses
- DNA viruses are a diverse group of viruses
- They have genomes of double-stranded DNA, either linear or circular.
- Different families of DNA viruses have different structures (icosahedral, helical, complex)
- Some DNA viruses are enveloped, while others are naked.
- Viral genome sizes vary among different viruses.
Herpesviridae
- Double-stranded linear DNA, genome
- Icosahedral capsid, 150 nm
- Enveloped viruses (fragile viruses)
- Characterized by latent infection, whereby the viral genome persists in the host cell without causing immediate disease symptoms.
Herpesviruses
- The primary cell target of Herpes simplex virus type 1 (HSV-1) and Herpes simplex virus type 2 (HSV-2) is mucoepithelial cells
- Latency sites (HSV-1): mainly the trigeminal ganglia
- Latency sites (HSV-2): mainly the sacral ganglia
- HSV transmission routes include close contact, contact with oral fluids, or sexual contact.
- Clinical signs are characterized by painful, often benign and recurrent lesions such as oral herpes and genital herpes.
- In severe cases, the virus can cause encephalitis or disseminate infections in immunosuppressed patients
- Neonatal Herpes: Herpes genitalis in pregnant women is the main risk factor for neonatal herpes. Transmission can occur during delivery (30-50% of primary maternal infection cases).Reactivation of maternal infection (1-5%).
- Diagnosis can be made through virus isolation (liquid from vesicles, CSF), genome detection by PCR (liquid from vesicles, crusted lesions, CSF, blood), and serology.
- Treatment is with nucleoside analogs (acyclovir, valacyclovir, famciclovir).
Varicella-zoster Virus (VZV)
- VZV establishes latent infection in sensory ganglia.
- Primary infection is varicella (chickenpox) characterized by fever and a diffuse rash of vesicles that develop into pustules and then crusts.
- Reactivation leads to herpes zoster (shingles) - this is characterized by severe pain in the area innervated by the affected nerve, which is followed by a rash.
- It typically affects persons over age 50, and the incidence increases with age.
- Transmission occurs primarily through the respiratory route; and direct contact with skin vesicles is also possible
- Diagnosis of VZV infections is generally clinical.
- Treatment is with acyclovir, valacyclovir, or famciclovir.
Cytomegalovirus (CMV)
- Infects only humans.
- Infects fibroblasts, epithelial cells, endothelial cells, and macrophages.
- Usually causes mild or asymptomatic disease.
- However, CMV can cause severe disease in immunocompromised patients, (immunocompromised patients, those with immature immune systems, or fetuses).
- Seroprevalence studies suggest that a high percentage of people globally have been exposed to CMV.
- CMV can be transmitted vertically from a pregnant woman to a fetus, through transplanted organs, or through saliva (children) or sexual transmission (adults).
- Immunological mechanisms help prevent widespread infection, but persistent infections can cause disease or complications in some individuals.
- Symptoms and signs of congenital CMV infections include intrauterine growth retardation, premature birth, hepatosplenomegaly, jaundice, thrombocytopenia, and anemia. Complications may include neurological issues like hypotonia or lethargy, as well as possible intracranial calcifications or hearing loss.
- In immunocompromised individuals, almost every organ can be affected by CMV, with clinical signs varying among individuals.
Epstein-Barr Virus (EBV)
- EBV is ubiquitous, with 80–90% of adults seropositive.
- Transmission is primarily through oral contact (saliva).
- EBV establishes a latent infection in B lymphocytes.
- The majority of infections in childhood are asymptomatic, and those in adulthood may result in infectious mononucleosis (also called kissing disease), a self-limiting lymphoproliferative disorder.
- Viral infection may result in swollen lymph nodes (lymphadenopathy), pharyngitis/sore throat, splenomegaly (enlarged spleen), or hepatitis.
- EBV is recognized as an oncogenic virus, linked to endemic Burkitt lymphoma, B-cell lymphomas in immunocompromised individuals, Hodgkin's disease, and nasopharyngeal carcinoma.
Human Papillomavirus (HPV)
- HPV belongs to the Papillomaviridae family; it is a non-enveloped virus.
- HPV can replicate in epithelial cells causing cutaneous or mucosal lesions and warts.
- Causes latent infection in memory B cells
- HPV is an oncogenic virus that can lead to cervical cancer, oropharyngeal cancer, penile cancer, and anal cancers.
- HPV infection is typically transient (90% clear within three years)
- Diagnosis is primarily through genome detection with real-time PCR tests of cervical swabs and other tissue samples.
- HPV vaccines provide protection against a variety of HPV types, and routine vaccination for both males and females is recommended.
Oncogenic Viruses
- Oncogenic viruses can cause various cancers.
- They can either be DNA or RNA Oncogenic viruses.
- DNA oncogenic viruses include EBV, HBV (hepatitis B virus), HPV (human papillomavirus), and HHV-8.
- RNA oncogenic viruses include HCV (hepatitis C virus) and HTLV-1 (human T-cell lymphotropic virus-1).
- Viruses themselves are not the sole cause of cancer, and other factors (co-factors), such as chronic inflammation or immunosuppression, are necessary for cancer development.
Viral Infections (general)
- Viruses can cause both productive and abortive viral infections.
- Productive infection occurs in cells in which the virus can replicate successfully, resulting in the production of new viral particles.
- Abortive infection occurs when the virus cannot replicate in the cell but may cause some early viral gene expression.
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Description
This quiz covers the basics of DNA viruses, focusing on the Herpesviridae family. Learn about the structure, transmission, and latency of herpes viruses, along with their clinical signs. Test your knowledge on the intricate details and characteristics of these important pathogens.