Infectious Diseases: Viruses Overview

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Questions and Answers

What characterizes gp120 that allows it to escape immune response?

  • It reduces the viral load significantly.
  • It binds to CD4 cells more effectively. (correct)
  • It is highly glycosylated, creating a glycan shield.
  • It has a stable structure that does not change.

What is the consequence of CD4 cell destruction during HIV infection?

  • Development of AIDS. (correct)
  • Decreased viral load.
  • Increase in T cell count.
  • Improved immune response.

Which type of therapy involves a combination of three different antiretroviral drugs?

  • cART (correct)
  • Prophylactic therapy
  • Initial treatment
  • Monotherapy

What occurs during the budding stage of HIV replication?

<p>gag proteins bind RNA. (D)</p> Signup and view all the answers

What is a common opportunistic infection associated with AIDS?

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

How does MHC class I downregulation contribute to HIV's immune evasion?

<p>It decreases the recognition of infected cells. (D)</p> Signup and view all the answers

What is the geographical origin of HIV?

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

How many pills are typically needed daily to control HIV using cART?

<p>1 pill (B)</p> Signup and view all the answers

What is a key characteristic of viruses regarding their replication?

<p>They only replicate within a host cell. (C)</p> Signup and view all the answers

What structures encapsulate the viral nucleic acids?

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

How does a virus enter a host cell?

<p>Through an receptor-mediated attachment. (B)</p> Signup and view all the answers

What is the viral replication cycle's first step?

<p>Entry of the nucleocapsid into the cell. (B)</p> Signup and view all the answers

What is a virion?

<p>The complete virus particle including nucleic acids and protein coat. (D)</p> Signup and view all the answers

What process can lead to the release of new virus particles from a host cell?

<p>Budding or lysis. (A)</p> Signup and view all the answers

What is an essential component that viruses lack for independent replication?

<p>A complete translation system. (D)</p> Signup and view all the answers

Which of the following statements about viral envelopes is true?

<p>Envelopes are acquired from the host cell membrane. (A)</p> Signup and view all the answers

What is the initial step of dengue virus entry into a host cell?

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

What type of antibodies can cause antibody-dependent enhancement (ADE) during a heterologous infection?

<p>Non-neutralizing antibodies (D)</p> Signup and view all the answers

Which protein is involved in the replication process of the dengue virus?

<p>NS5 (B)</p> Signup and view all the answers

What is the role of the 3' UTR in the dengue virus genome?

<p>It generates subgenomic flavivirus RNA (sfRNA) (A)</p> Signup and view all the answers

What happens to the dengue virus after receptor-mediated endocytosis?

<p>Acidification leads to a conformational change (A)</p> Signup and view all the answers

Dengue virus exists as how many serotypes?

<p>4 (B)</p> Signup and view all the answers

What is a major drawback of the treatment approach used for the London patient?

<p>It only works for CCR5 strains. (B)</p> Signup and view all the answers

What is one of the characteristics of the innate immune response?

<p>It occurs within hours of infection. (B), It is less specific than the adaptive response. (C)</p> Signup and view all the answers

What is the primary interaction when the dengue virus first attaches to a host cell?

<p>All of the above (D)</p> Signup and view all the answers

What is the role of PKR in the antiviral response?

<p>It phosphorylates eIF2-alpha to an inactive form. (B)</p> Signup and view all the answers

Which of the following statements is true about the translation of the viral polyprotein?

<p>It occurs at the membrane of the rough endoplasmic reticulum (A)</p> Signup and view all the answers

How does the OAS/RNaseL system contribute to the antiviral state?

<p>By degrading viral RNA. (A)</p> Signup and view all the answers

What type of receptor recognizes non-self nucleic acids during viral infections?

<p>RIG-I-like receptors. (A)</p> Signup and view all the answers

What is true about the adaptive immune response?

<p>It produces antibodies that can prevent new infections. (C)</p> Signup and view all the answers

What is a consequence of the high treatment costs in certain therapies?

<p>Limited patient access due to affordability. (D)</p> Signup and view all the answers

What is NOT a function of interferon-stimulated genes (ISGs)?

<p>Promote cell division. (B)</p> Signup and view all the answers

What is a primary function of biofilm formation?

<p>Facilitates nutrient trap for microbial growth (D)</p> Signup and view all the answers

How does biofilm formation contribute to self-defense against the immune system?

<p>By preventing phagocytosis by immune cells (C)</p> Signup and view all the answers

What is a characteristic of the tuberculosis bacterium regarding its growth?

<p>Divides every 24 hours (C)</p> Signup and view all the answers

What is a significant property of the cell wall of tuberculosis bacteria?

<p>Lipid-rich and impermeable (A)</p> Signup and view all the answers

Which of the following is true about antibiotic effects on biofilm formation?

<p>Suboptimal concentrations of antibiotics can promote biofilm formation (C)</p> Signup and view all the answers

What role does interferon gamma play in the immune response against tuberculosis?

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

What is a challenge in developing vaccines for non-typable Haemophilus influenzae?

<p>No effective vaccine has been developed yet (B)</p> Signup and view all the answers

Which of the following statements is true regarding the transmission of tuberculosis?

<p>It is transmitted through aerosols (C)</p> Signup and view all the answers

What is the primary target cell for Mycobacterium tuberculosis infection?

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

Why are alveolar macrophages considered the first line of defense against M.tuberculosis?

<p>They reside in alveolar spaces and are readily accessible. (C)</p> Signup and view all the answers

What unique ability does M.tuberculosis have regarding alveolar macrophages?

<p>It prevents phagosome-lysosome fusion. (B)</p> Signup and view all the answers

How does M.tuberculosis evade immune detection within alveolar macrophages?

<p>By exploiting the anti-inflammatory environment of AM. (A)</p> Signup and view all the answers

What role do alveolar macrophages serve concerning nutrients for M.tuberculosis?

<p>They provide access to essential nutrients like iron and fatty acids. (D)</p> Signup and view all the answers

Which of the following is a characteristic behavior of alveolar macrophages in regard to inflammation?

<p>They suppress inflammatory responses under normal conditions. (C)</p> Signup and view all the answers

What factor does M.tuberculosis utilize to detoxify reactive oxygen and nitrogen species produced by alveolar macrophages?

<p>Inhibition of the reactive species production (B)</p> Signup and view all the answers

Why might M.tuberculosis be able to survive and replicate inside alveolar macrophages?

<p>Due to the permissive environment provided by alveolar macrophages. (C)</p> Signup and view all the answers

Flashcards

What is a virus?

A tiny infectious agent that's made up of genetic material (RNA or DNA) wrapped in a protein coat.

What is a nucleocapsid?

The virus's genetic material (RNA or DNA) that contains the instructions for making more viruses.

What is a viral envelope?

The outer layer of some viruses, made from the host cell's membrane.

What is the viral replication cycle?

The process by which a virus enters a host cell, replicates, and then releases new viruses.

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What is budding (in the context of viruses)?

The process by which a virus is released from a host cell without destroying the cell.

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What is lysis (in the context of viruses)?

The process by which a virus is released from a host cell by destroying the cell.

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What is a virus receptor?

The molecule on the surface of a host cell that a virus binds to in order to enter the cell.

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Are viruses able to replicate independently?

A virus cannot replicate on its own, it needs to infect a host cell.

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Viral Budding

The process by which a virus leaves a host cell without killing it.

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HIV Maturation

A stage in the HIV lifecycle where the viral proteins are cut into smaller, functional pieces by a protease enzyme.

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CD4+ T Cell

A type of immune cell that plays a crucial role in fighting HIV.

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Glycan Shield

A substance that helps HIV escape the immune system by masking the virus from antibodies.

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Immune Dysfunction

A state where the immune system is weakened, leading to vulnerability to opportunistic infections.

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cART (Combination Antiretroviral Therapy)

An HIV therapy that combines multiple drugs to target different stages of the virus's life cycle.

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AIDS (Acquired Immunodeficiency Syndrome)

The point at which a person with HIV develops a weakened immune system and is susceptible to opportunistic infections.

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Opportunistic Infections

A group of infections that commonly occur in people with weakened immune systems, especially those with AIDS.

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Antibody-dependent enhancement (ADE)

A type of immune response to Flaviviruses, such as Dengue, where pre-existing antibodies bind to the virus, but instead of neutralizing it, they enhance its entry into host cells, potentially leading to a more severe infection.

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Viral Fusion

The process of a virus entering a host cell by fusing with the cell's membrane.

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Subgenomic Flavivirus RNA (sfRNA)

A non-coding RNA produced from the 3' untranslated region (UTR) of Flavivirus genomic RNA. It is thought to play a role in inhibiting the host's immune response.

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Polyprotein Cleavage

The polyprotein encoded by Flaviviruses is cleaved into individual proteins by both viral and host proteases. This process is essential for the maturation and function of viral proteins.

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Flaviviruses

A family of viruses containing a positive-sense single-stranded RNA genome, typically enveloped, and with a characteristic spiky surface. They include viruses such as Dengue, Zika, and Yellow Fever.

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DC-SIGN (Dendritic Cell-Specific Intercellular adhesion molecule-3-Grabbing Non-integrin)

A receptor expressed on dendritic cells, which can be used by Flaviviruses to enter these cells.

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Envelope Protein of Flaviviruses

A protein on the viral envelope that undergoes conformational changes in acidic environments, enabling the virus to fuse with the cell's membrane.

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Flavivirus Genomic RNA

The viral genome, a single-stranded RNA molecule of positive polarity, that serves as a template for both translation and replication.

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Antiviral Immunity

The process by which a virus is eliminated from the body by the immune system, preventing future infections.

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Adaptive Immune Response

Type of immune response that is rapid and specific to re-infection, it relies on prior exposure.

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Innate Immune Response

Type of immune response that's always ready to fight, even without prior exposure.

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Interferons (IFNs)

A group of proteins crucial for fighting viruses, acting as messengers that initiate antiviral responses.

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Type 1 IFN

A type of interferon produced by all cells and crucial for activating antiviral responses.

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Interferon-Stimulated Genes (ISGs)

A family of genes that are switched on by interferons, helping the cell combat viral infections.

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Protein Kinase R (PKR)

A protein that blocks translation initiation, inhibiting viral protein synthesis by recognizing double-stranded RNA (dsRNA).

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RNase L

An enzyme that degrades viral RNA, effectively shutting down viral replication.

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What is a biofilm?

A community of bacteria that live together in a slime-like matrix. They stick to surfaces and can be found in various environments like your teeth!

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Why are biofilms so resistant?

Biofilms can resist physical force, antibiotics, and even phagocytosis by immune cells.

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How do bacteria benefit from living in a biofilm?

Bacteria inside a biofilm communicate with each other, share nutrients, and even exchange genetic information.

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What is tuberculosis?

It's a type of bacterial infection that affects the lungs and can spread throughout the body. It's caused by a slow-growing bacterium with a unique, waxy cell wall.

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How does Tuberculosis spread?

Tuberculosis spreads through the air when an infected person coughs or sneezes. It's a common infection, but most people who get infected don't get sick.

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Why are some people more likely to get sick from tuberculosis than others?

If a person's immune system is weakened, they are at a higher risk of developing active TB.

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How does the immune system fight off tuberculosis?

The immune system uses both physical barriers and cells to fight off tuberculosis infection.

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What is the role of interferon gamma in fighting tuberculosis?

Interferon gamma, a crucial immune molecule, activates macrophages, which are immune cells that engulf and kill bacteria. A defect in this molecule can make you highly susceptible to Mycobacterial infections.

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Why are alveolar macrophages the primary target for Mycobacterium tuberculosis infection?

Alveolar macrophages are the primary target cells for Mycobacterium tuberculosis infection. These are specialized immune cells located in the alveoli of the lungs, where they engulf bacteria as part of the innate immune response.

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Why is the alveolar macrophage a permissive niche for M. tuberculosis?

M. tuberculosis can survive and replicate within alveolar macrophages, creating a permissive environment that allows it to evade the host's immune system.

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How does M. tuberculosis evade the host's immune response within the alveolar macrophage?

To avoid detection by the immune system, M. tuberculosis has mechanisms to inhibit the fusion of phagosomes with lysosomes, the digestive organelles of the macrophage. This allows the bacteria to survive inside these compartments.

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How does M. tuberculosis access nutrients inside the alveolar macrophage?

M. tuberculosis can obtain essential nutrients, such as iron and fatty acids, from within the macrophage, which it uses to grow and persist. The macrophage's lipid accumulation can further fuel the bacteria's metabolism.

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How does M. tuberculosis manipulate the host's inflammatory response?

M. tuberculosis can suppress the inflammatory response under normal conditions, preventing excessive lung damage. This anti-inflammatory environment benefits the bacteria by allowing it to evade host defenses.

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How does M. tuberculosis protect itself from the macrophage's bactericidal mechanisms?

M. tuberculosis can detoxify reactive oxygen and nitrogen species produced by alveolar macrophages, which are normally bactericidal. This detoxification allows the bacteria to survive and multiply within the macrophage.

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Can M. tuberculosis survive in epithelial cells?

M. tuberculosis can survive in epithelial cells but finds the conditions less favorable for replication compared to alveolar macrophages.

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How does the early immune response in the lung benefit M. tuberculosis?

Early in infection, alveolar macrophages exhibit anti-inflammatory characteristics to prevent excessive lung damage. This anti-inflammatory environment is advantageous for M. tuberculosis, allowing it to replicate intracellularly.

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Study Notes

Infectious Diseases - Background

  • Viruses are "a piece of bad news wrapped in a protein" or "a package of misinformation"
  • They are small, obligatory intracellular infectious agents.
  • Viruses replicate only in a host cell and rely on the host for energy, metabolism, lipids, and protein synthesis.
  • They do not grow or divide.
  • Viruses are obligate intracellular parasites, having genomes for reproduction but not complete translation systems.

Infectious Diseases - Terms

  • Virion: physical virus particle
  • Capsid: protein shell surrounding viral nucleic acids
  • Nucleocapsid: capsid + nucleic acid
  • Envelope: lipid membrane surrounding the capsid (not all viruses have an envelope).

Replication Cycle

  • Viruses enter cells by binding to receptors on the cell surface.
  • The nucleocapsid releases viral nucleic acids that are then replicated.
  • New RNA and capsid proteins are created
  • The new viruses are then released via budding through the membrane or via cell lysis.

Virus Classification

  • Viruses are extremely diverse but classify into 7 genome types (Baltimore classification)
  • The classification criteria include:
    • Nucleic acid type (DNA or RNA)
    • Strandedness (single or double)
    • Transcription strategy (how the RNA is used to make proteins).
    • Symmetry of capsid (icosahedral, helical, or complex)
    • Presence of envelope (enveloped or naked)

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