Poxviruses and Smallpox Quiz

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Questions and Answers

What type of genome do poxviruses possess?

  • Double stranded DNA (correct)
  • Single stranded DNA
  • Single stranded RNA
  • Double stranded RNA

Which characteristic of poxviruses allows them to be viewed under light microscopy?

  • Their unusual shape
  • Their small size
  • Their large size (correct)
  • Their unique color

What mechanism do poxviruses employ to counteract the antiviral response of infected cells?

  • Blocking cell division
  • Inhibiting the production of interferons
  • Enhancing the immune response
  • Producing a decoy receptor for interferons (correct)

How was smallpox transmitted among individuals?

<p>By respiratory droplets and close contact (C)</p> Signup and view all the answers

What evidence suggests that smallpox has been known to humans for thousands of years?

<p>Ancient remains and phylogenetics (B)</p> Signup and view all the answers

What was the first outpatient AIDS clinic in the United States?

<p>Ward 86 (D)</p> Signup and view all the answers

Which event marked the first public acknowledgment of AIDS by a U.S. President?

<p>Ronald Reagan's mention in 1985 (A)</p> Signup and view all the answers

What is the primary function of the gp120 protein in HIV?

<p>Attaches to the CD4 receptor on T cells (A)</p> Signup and view all the answers

What characterizes the chronic phase of HIV infection?

<p>Low-level viremia is controlled (D)</p> Signup and view all the answers

What is the mutation rate of HIV during replication compared to human DNA?

<p>1 in 10,000 base pairs (B)</p> Signup and view all the answers

What leads to the opportunistic infections in AIDS patients?

<p>Decline of CD4 T cells (C)</p> Signup and view all the answers

What is the principal reason HIV is not easily cleared from the body?

<p>Latency of integrated proviruses (A)</p> Signup and view all the answers

TB is considered a leading cause of death among which population?

<p>People living with HIV (D)</p> Signup and view all the answers

What function does HIV protease serve in the viral life cycle?

<p>Cleaves precursor proteins for new virus assembly (C)</p> Signup and view all the answers

What is the primary focus of antiretroviral therapy (ART) in HIV treatment?

<p>To block viral replication at multiple steps (D)</p> Signup and view all the answers

What does HAART stand for in HIV treatment?

<p>Highly-active antiretroviral therapy (C)</p> Signup and view all the answers

Which of the following statements about PrEP is correct?

<p>PrEP can reduce the chances of getting HIV from sex by up to 99% (B)</p> Signup and view all the answers

What is a significant challenge in the treatment of HIV regarding latent viruses?

<p>They can reactivate when ART is discontinued (B)</p> Signup and view all the answers

What is one of the goals set for 2040 regarding HIV/AIDS?

<p>To achieve the '95-95-95' targets (D)</p> Signup and view all the answers

What does U=U represent in the context of HIV treatment?

<p>Undetectable equals untransmissible (A)</p> Signup and view all the answers

Which antiretroviral drug was the first approved for HIV treatment?

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

What is one of the key reasons why a vaccine for HIV has been difficult to develop?

<p>HIV is highly mutable and can rapidly change (A)</p> Signup and view all the answers

What is the primary risk associated with Dengue virus secondary infections?

<p>Increased symptom severity due to antibody-dependent enhancement (B)</p> Signup and view all the answers

Which characteristic is true about the dengue disease symptoms?

<p>A significant percentage of infections are asymptomatic (D)</p> Signup and view all the answers

What role do Fc gamma receptors play in dengue virus infections?

<p>They help in binding and facilitating dengue virus entry into cells (A)</p> Signup and view all the answers

Which statement is accurate regarding the current understanding of the dengue vaccine?

<p>It poses risks only to previously uninfected individuals (B)</p> Signup and view all the answers

What similarities exist between dengue and Zika viruses?

<p>Zika antibodies can cross-react with DENV, increasing severe risk (C)</p> Signup and view all the answers

Which of the following describes a key characteristic of RSV?

<p>Re-infections are common due to the variability of the virus (A)</p> Signup and view all the answers

What is the common transmission route for RSV?

<p>Direct respiratory contact (D)</p> Signup and view all the answers

What is the role of Wolbachia in combating DENV infections?

<p>It decreases DENV transmission in mosquitoes (B)</p> Signup and view all the answers

How does the live attenuated DENV vaccine work?

<p>It provides a primary infection response even in uninfected individuals (C)</p> Signup and view all the answers

What is the significance of molecular clock analysis in the context of DENV?

<p>It helps trace back DENV transmission to humans (A)</p> Signup and view all the answers

What is the significance of reassortment in influenza viruses?

<p>It leads to large changes in immunogenicity and virus evolution. (D)</p> Signup and view all the answers

Which pandemic was characterized by a significant impact on younger age groups, particularly in 2009?

<p>H1N1 Swine flu pandemic (C)</p> Signup and view all the answers

Why is the H5N1 avian influenza virus considered highly pathogenic in domestic poultry?

<p>It causes dramatic and unpredictable spread among birds. (B)</p> Signup and view all the answers

What leads to the vertical transmission of endogenous retroviruses?

<p>Infection of germ line cells. (D)</p> Signup and view all the answers

What percentage of individuals over 50 years old had antibodies neutralizing the 2009 H1N1 strain?

<p>33% (A)</p> Signup and view all the answers

What major change in immunogenicity can occur due to reassortment?

<p>Altered ability to trigger immune responses. (B)</p> Signup and view all the answers

What is a potential consequence of the HPAI spread beyond birds?

<p>It raises concerns about reassortment or mutations impacting human health. (B)</p> Signup and view all the answers

What does the term 'endogenization of a virus' refer to?

<p>Infection leading to permanent integration into host DNA. (D)</p> Signup and view all the answers

What aspect of the 1918 H1N1 outbreak is significant regarding its immunogenicity?

<p>No significant immunogenic changes occurred. (D)</p> Signup and view all the answers

What has been identified as a significant barrier to zoonosis in viral infections?

<p>Most animal viruses cannot replicate in humans. (A)</p> Signup and view all the answers

What was unique about the 1918 influenza virus compared to previous strains circulating in humans?

<p>It was closely related to avian virus sequences. (C)</p> Signup and view all the answers

Which of the following best describes antigenic drift?

<p>Point mutations in existing human influenza variants. (D)</p> Signup and view all the answers

What is a significant challenge in developing effective influenza vaccines?

<p>Predicting the circulating strains can be complex. (C)</p> Signup and view all the answers

Which population group has historically experienced the highest mortality rate from influenza?

<p>Very young children and older adults. (A)</p> Signup and view all the answers

What is the primary mechanism behind antigenic shift in influenza viruses?

<p>Reassortment of RNA segments from different strains. (D)</p> Signup and view all the answers

Why did the 1918 influenza pandemic lead to a massive increase in mortality among healthy adults?

<p>Cross reactive immune responses may have contributed to unusual severity. (A)</p> Signup and view all the answers

What is the function of the HA protein in influenza viruses?

<p>It mediates receptor binding and is a target for antibodies. (A)</p> Signup and view all the answers

Which of the following statements is true regarding avian influenza infections in humans?

<p>They can lead to severe outcomes with high viral loads. (C)</p> Signup and view all the answers

Which of the following best describes the spread of the 1918 influenza pandemic?

<p>It spread rapidly through US military troops. (B)</p> Signup and view all the answers

What was a notable impact of the 1918 influenza pandemic on indigenous populations in Alaska?

<p>Major loss of adult population and life expectancy. (C)</p> Signup and view all the answers

What is one reason the poliovirus vaccine has been successful in eradicating polio?

<p>There is no animal reservoir (C)</p> Signup and view all the answers

Which characteristic best describes the measles virus?

<p>Single-stranded negative sense RNA genome (D)</p> Signup and view all the answers

Which protein on the measles virus is crucial for binding to host cell receptors?

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

What phenomenon occurs due to the depletion of memory lymphocytes during a measles infection?

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

How does measles virus contribute to 'immune amnesia'?

<p>By eliminating the antibody repertoire globally (C)</p> Signup and view all the answers

What is the estimated basic reproduction number (R0) for measles virus?

<p>15 (A)</p> Signup and view all the answers

What is a significant historical outcome associated with the measles epidemic in the Faroe Islands?

<p>Long-lasting immunity developed for over 65 years (D)</p> Signup and view all the answers

What response was initiated in California following the Disneyland measles outbreak?

<p>Education on vaccine application for kindergartners (A)</p> Signup and view all the answers

What is the main vector responsible for the transmission of dengue virus?

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

What type of vaccine is the measles vaccination?

<p>Live attenuated vaccine (A)</p> Signup and view all the answers

What is a common complication associated with measles infection?

<p>Subacute sclerosing panencephalitis (SSPE) (B)</p> Signup and view all the answers

Which disease is caused by a flavivirus and can lead to hemorrhagic fever?

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

What crucial factor allows dengue virus to replicate in both humans and mosquitoes?

<p>Ability to use host proteases (A)</p> Signup and view all the answers

What is a significant barrier to achieving herd immunity for measles?

<p>High vaccine coverage threshold of over 90% (C)</p> Signup and view all the answers

What was the purpose of variolation?

<p>To provide immunity against smallpox (D)</p> Signup and view all the answers

Who is credited with developing the first vaccine and what was its source?

<p>Edward Jenner - Cowpox (B)</p> Signup and view all the answers

What differentiates inactivated poliovirus (IPV) from attenuated oral poliovirus (OPV)?

<p>OPV protects against intestinal infection, while IPV does not. (D)</p> Signup and view all the answers

What percentage of the global population is still not immune to smallpox?

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

What is a significant risk associated with the use of the oral poliovirus vaccine (OPV)?

<p>Development of vaccine-derived poliovirus (C)</p> Signup and view all the answers

Why was the development of HeLa cell lines important for poliovirus research?

<p>They enabled growth of the virus outside a human host. (A)</p> Signup and view all the answers

What is a key characteristic of picornaviruses?

<p>Their RNA serves both as the genome and mRNA. (B)</p> Signup and view all the answers

Which viral disease was eradicated globally by 1980?

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

What type of disease can monkeypox exhibit in humans?

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

What is one of the most critical factors contributing to poliovirus's success as a pathogen?

<p>Highly contagious and stable in the environment (C)</p> Signup and view all the answers

What factor aids in the transmission of MPOX in certain populations?

<p>Increased mobility and international travel (B)</p> Signup and view all the answers

What significant development did Jonas Salk contribute to vaccine history?

<p>Developed the inactivated polio vaccine (C)</p> Signup and view all the answers

Which characteristic of the cowpox vaccine made it effective against smallpox?

<p>It was derived from a closely related virus. (A)</p> Signup and view all the answers

What is the most significant factor for RSV vaccine development?

<p>Evasion of innate immunity (B)</p> Signup and view all the answers

Which population is most susceptible to severe RSV illness?

<p>Babies less than one year old (D)</p> Signup and view all the answers

How does the RSV F glycoprotein behave during the fusion process?

<p>Changes shape dramatically (B)</p> Signup and view all the answers

What role does neuraminidase (NA) play in influenza virus infection?

<p>It aids in the release of virions from infected cells (A)</p> Signup and view all the answers

What type of influenza virus primarily causes seasonal epidemics and pandemics?

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

How does vaccination of pregnant women impact infants regarding RSV?

<p>It offers protection against RSV (A)</p> Signup and view all the answers

What seasonal pattern is observed with RSV infections?

<p>Strong seasonality with peaks in winter (C)</p> Signup and view all the answers

What is a potential risk associated with the original RSV vaccine?

<p>Enhancement of severe disease upon infection (A)</p> Signup and view all the answers

Influenza's segmented genome allows for what critical evolutionary event?

<p>Reassortment of genes from different viruses (D)</p> Signup and view all the answers

What triggers a cytokine storm during severe influenza infections?

<p>Overproduction of cytokines by immune cells (C)</p> Signup and view all the answers

Which of the following is true regarding the influenza life cycle?

<p>Genome segments are packaged and released from the cell (C)</p> Signup and view all the answers

Which statement accurately describes the seasonal pattern of influenza infection?

<p>Infection peaks in late fall/winter in both hemispheres (D)</p> Signup and view all the answers

What is the primary host range for influenza viruses?

<p>Aquatic birds, humans, and farm animals (C)</p> Signup and view all the answers

In RSV vaccine development, which protein is favored for immunization?

<p>Prefusion F protein (A)</p> Signup and view all the answers

What is the primary characteristic of the HIV virus?

<p>It is a retrovirus that uses reverse transcriptase. (C)</p> Signup and view all the answers

How is the Koala Retrovirus (KoRV) primarily transmitted?

<p>Both horizontally and vertically. (D)</p> Signup and view all the answers

Which cell type is primarily targeted by HIV?

<p>CD4+ T cells (A)</p> Signup and view all the answers

What is the significance of syncytin in mammalian biology?

<p>It facilitates nutrient exchange between mother and fetus. (A)</p> Signup and view all the answers

What role does the co-receptor play in HIV infection?

<p>It allows gp120 to attach to the CD4 receptor. (D)</p> Signup and view all the answers

What did Howard Temin and David Baltimore discover that earned them the Nobel Prize?

<p>The existence of reverse transcriptase. (C)</p> Signup and view all the answers

Which group of HIV is responsible for the majority of cases globally?

<p>HIV Group M (A)</p> Signup and view all the answers

What is the mode of transmission for HIV?

<p>Through sexual contact, blood, and breastfeeding. (B)</p> Signup and view all the answers

What complicates the entry of HIV into host cells?

<p>The requirement for two distinct receptors. (A)</p> Signup and view all the answers

Which of the following statements about endogenous viral elements (EVEs) is true?

<p>EVEs are viral sequences integrated into a host genome. (D)</p> Signup and view all the answers

Which of the following is a consequence of CD4+ T cell depletion due to HIV?

<p>Severe immunosuppression. (D)</p> Signup and view all the answers

Endogenization in KoRV allows for which of the following processes?

<p>Vertical transmission to offspring. (A)</p> Signup and view all the answers

Which of the following accessory proteins is associated with the HIV viral life cycle?

<p>Reverse transcriptase, protease, and integrase. (A)</p> Signup and view all the answers

Which viral characteristic is linked to the slow progression of HIV-related disease?

<p>Lentivirus classification. (B)</p> Signup and view all the answers

What transmission event likely led to HIV's transfer from chimpanzees to humans?

<p>Consumption of bushmeat during butchering. (B)</p> Signup and view all the answers

Flashcards

What are poxviruses?

Poxviruses are a family of large, enveloped viruses with a linear double-stranded DNA genome.

Where do Poxviruses replicate?

Poxviruses are unique in that they replicate entirely within the cytoplasm of infected cells, unlike most other DNA viruses that use the host cell's nucleus.

How do Poxviruses evade the immune system?

Poxviruses are masters at evading the host's immune response. They do this by producing decoy receptors that bind to interferons (IFNs), preventing the activation of antiviral genes.

What is Smallpox?

Smallpox, a devastating disease caused by the variola virus, was the first human disease to be eradicated by a vaccine.

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How is Smallpox transmitted?

Smallpox transmission occurs primarily through respiratory droplets, direct contact with infected individuals, or contact with contaminated objects.

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R0 (Basic Reproduction Number)

A figure that indicates the average number of people infected by one infected person in a susceptible population.

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Measles

A type of viral infection that causes a severe rash and flu-like symptoms, known for its high contagiousness and potential for complications.

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Herd immunity

The ability of a population to resist the spread of an infectious disease due to a high proportion of immune individuals.

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Subacute Sclerosing Panencephalitis (SSPE)

A rare and fatal neurological complication of measles that can occur years after the initial infection.

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Immunosuppression

A weakening of the immune system that can occur after a measles infection.

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Immune Amnesia

The process by which measles destroys existing immune memory, making the body more susceptible to other infections.

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Measles Vaccine

A live, attenuated vaccine that provides long-lasting protection against measles.

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Flaviviruses

A family of viruses that includes dengue, Zika, and yellow fever, known for their transmission by mosquitoes.

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Dengue

A viral disease spread by mosquitoes that can cause a severe, sometimes fatal illness

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Zika

A viral disease spread by mosquitoes that can cause fever, rash, and joint pain, and in some cases, serious complications like microcephaly in newborns.

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Yellow Fever

A viral disease spread by mosquitoes that can cause fever, headache, and muscle pain.

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Microneedle Vaccination

A new method for vaccine delivery that utilizes a plastic disc equipped with microneedles.

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Poxviruses

A group of viruses that are enveloped and have a large, linear double-stranded DNA genome.

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Smallpox

A devastating viral disease that was eradicated through vaccination efforts.

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Attenuated Virus

A weakened, less virulent form of a virus used in vaccines. It replicates in the body, stimulating immunity without causing disease.

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Inactivated Poliovirus Vaccine (IPV)

A type of vaccine containing inactivated (killed), non-replicating virus. It's safe for immunocompromised individuals but requires multiple doses for full protection.

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Oral Poliovirus Vaccine (OPV)

A vaccine containing a weakened, live virus. It's effective in stimulating mucosal immunity, but can revert to a virulent form.

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Variolation

A process of intentionally infecting a person with a mild form of a disease to induce immunity to a more severe form. It's a precursor to vaccination.

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Vaccination

The process of introducing a weakened or inactive version of a pathogen into the body to stimulate an immune response and develop protection against the disease.

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Cross-species Transmission

The transmission of a pathogen from one species to another, like from animals to humans.

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Marburg Virus

A virus that causes a severe, often fatal hemorrhagic fever in humans. It's a zoonotic virus, primarily transmitted through contact with infected animals.

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Poliovirus

A highly contagious virus that infects the gastrointestinal tract, primarily through the fecal-oral route. It can cause poliomyelitis, a paralytic disease.

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Picornaviridae

A family of viruses that include poliovirus, rhinoviruses (common cold), and enteroviruses. They have single-stranded RNA genomes and are non-enveloped.

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Contact Tracing

A method used to track and monitor the spread of a disease. It involves identifying and isolating individuals who have been in contact with infected persons.

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Post-Polio Syndrome

A condition that occurs several years after recovery from polio, characterized by muscle weakness, fatigue, and pain. It affects individuals who had polio earlier in life.

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HeLa Cells

A cell line derived from cervical cancer cells taken from Henrietta Lacks in 1951. It's incredibly important in biomedical research, particularly in the development of polio vaccines.

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Monkeypox (MPOX)

A viral disease caused by the monkeypox virus, a zoonotic poxvirus. It typically presents with flu-like symptoms, rash, and swollen lymph nodes.

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Attenuation

The process of reducing the virulence of a virus, making it less harmful but still capable of inducing immunity. It involves cultivating the virus in different conditions to select weaker strains.

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Vaccine-derived Poliovirus (VDPV)

A type of poliovirus that arises from the mutation of the attenuated virus used in the oral polio vaccine. It can transmit to unvaccinated individuals and cause paralytic poliomyelitis.

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What is Dengue?

Dengue is a viral disease spread by mosquitoes, primarily Aedes aegypti and Aedes albopictus. It is a significant global health concern, with millions of infections occurring annually.

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What are the types of Dengue Virus?

The four distinct serotypes of the dengue virus (DENV-1 to DENV-4) can cause dengue fever, a flu-like illness, or more serious complications like dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS).

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What is Antibody-dependent Enhancement (ADE)?

Antibody-dependent enhancement (ADE) occurs when antibodies, instead of protecting, enhance the dengue virus infection, making it more severe and dangerous.

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What is Zika Virus?

Zika virus is a mosquito-borne disease that shares similarities with dengue virus, causing mild symptoms in most cases. However, it poses a significant threat to pregnant women, as it can lead to severe birth defects in newborns.

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What is Respiratory Syncytial Virus (RSV)?

RSV is a respiratory virus that infects the lungs and respiratory tract, causing respiratory illnesses, especially in young children. It is highly contagious and spreads through respiratory droplets.

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What is the genome structure of RSV?

The negative sense RNA genome of RSV means that the genetic information is not directly readable by the host cell. Instead, the viral RNA must be transcribed into a positive sense RNA before it can be used to produce viral proteins.

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What are the symptoms of an RSV infection?

RSV primarily infects the upper respiratory tract, causing mild symptoms in most people. However, in young children, it can lead to more severe lower respiratory tract infections, such as bronchiolitis, pneumonia, and respiratory failure.

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Can you get RSV more than once?

Re-infection with RSV is possible, as the immune response to the virus does not provide lifelong immunity.

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What is Wolbachia?

Wolbachia is a bacterium that naturally infects mosquitoes. Introducing Wolbachia into mosquito populations can reduce dengue virus transmission, providing a potential biological control method for dengue.

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How do Zika antibodies affect dengue?

Antibodies generated against Zika virus can cross-react with dengue virus, meaning they can bind to dengue virus but not necessarily neutralize it. This cross-reactivity can increase the risk of severe dengue disease following a Zika infection.

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What is Orthomyxoviridae?

A group of viruses that infect a variety of organisms, including humans, pigs, birds, and fish.

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What is reassortment?

The ability of influenza viruses to mix their genetic material, creating new strains that can be more infectious or deadly.

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What is HA?

The outer layer of a virus that helps it attach to and enter cells, also called the envelope protein.

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What is sialic acid?

A sugar molecule found on the surface of cells that influenza viruses use to bind and enter cells.

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What is NA?

A protein found on the surface of influenza viruses that helps them escape from infected cells by breaking down sialic acid.

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What is budding?

The process by which viruses are released from infected cells into the environment, spreading infection.

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What is immunity?

The ability of the body's immune system to resist infection.

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What is a cytokine storm?

The uncontrolled release of immune messengers (cytokines) that can damage tissues and lead to severe illness.

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What is antigenic drift?

A condition caused by a virus that changes its shape during infection, making it harder for the immune system to recognize and fight it.

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What is vaccine-enhanced disease?

A rare but serious condition caused by the immune system overreacting to a vaccine, leading to increased disease severity.

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What is influenza A?

The type of influenza virus that causes seasonal outbreaks of flu, usually occurring in the winter months.

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What is influenza A?

The type of influenza virus that can cause major pandemics, with the potential for widespread infection.

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What is an inactivated influenza vaccine?

An influenza vaccine that contains a weakened or inactive version of the virus, stimulating the immune system without causing illness.

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What is an inactivated influenza vaccine?

A type of influenza vaccine that contains a weakened or inactive version of the virus, which stimulates the immune system without causing illness.

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What is an inactivated influenza vaccine?

A type of influenza vaccine that contains a weakened or inactive version of the virus, stimulating the immune system without causing illness.

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Influenza Reassortment

Influenza viruses can swap gene segments when they infect the same cell. This creates new viruses with a mix of genes from both original viruses.

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Immunogenicity

The ability of a foreign substance, like an antigen, to trigger an immune response.

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Cross-reactive Immunity

The ability of the immune system to recognize and fight off pathogens based on similarities between current and past infections.

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H5N1 Avian Influenza

A type of avian influenza virus that causes severe disease in birds and can sometimes infect humans.

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Retrovirus

A virus that can integrate its own genetic material into the host cell's genome, becoming a permanent part of the host's DNA.

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HERVs

Human Endogenous Retroviruses - remnants of ancient retroviral infections integrated into the human genome.

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Endogenization

The process by which a virus integrates its genetic material into the host cell's germline, leading to transmission to offspring.

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Paleoviruses

Ancient viruses that are no longer active but whose genetic signatures can be found in the genomes of modern organisms.

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Central Dogma of Biology

The central dogma of Biology states that information flows from DNA to RNA to protein. Retroviruses reverse this flow, converting their RNA into DNA.

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Somatic Cell

Any cell in the body that is not involved in sexual reproduction.

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Antigenic Shift

A reassortment of influenza virus RNA segments from different strains, often from avian sources, resulting in a new, pandemic-causing strain with novel HA and NA.

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Antigenic Drift

Small-scale changes in the HA and NA proteins of influenza viruses due to point mutations, leading to yearly seasonal outbreaks.

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1918 Pandemic

The severe influenza pandemic of 1918, caused by a novel H1N1 strain, which killed millions worldwide. Characterised by a disproportionate mortality rate in healthy adults.

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Cross-reactive Immune Response

A phenomenon where the immune system's response to a previous influenza infection can provide protection against strains with similar HA, but can sometimes have detrimental effects.

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Hemagglutinin (HA)

The influenza surface protein that binds to host cells and is a major target for antibody recognition, also driving antigenic drift and shift

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Immune Escape

The ability of influenza viruses to mutate and evade the immune system, avoiding antibody recognition.

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Zoonosis

The phenomenon of animal-to-human transmission of infectious diseases, such as influenza, Ebola, and HIV.

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Sialic Acid Differences

Avian influenza viruses often have a distinct sialic acid preference compared to human-infecting influenza viruses, which may contribute to their higher virulence and difficulty in human-to-human transmission.

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Seasonal Influenza Evolution

Influenza A viruses frequently evolve, leading to new strains that require annual updates to influenza vaccines.

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Ward 86

The first outpatient AIDS clinic in the United States, established to provide care and support to individuals living with HIV.

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HIV (Human Immunodeficiency Virus)

The virus that causes AIDS (Acquired Immunodeficiency Syndrome).

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Integration

The process by which the HIV virus inserts its genetic material into the DNA of a host cell.

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Reverse Transcriptase

The enzyme that converts HIV's RNA into DNA, allowing the virus to integrate into the host's genome.

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High Mutation Rate of HIV

The ability of HIV to replicate rapidly and mutate frequently, making it difficult for the immune system to control.

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Acute HIV Infection

The stage of HIV infection where the virus replicates and spreads rapidly, causing flu-like symptoms in many individuals.

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Chronic HIV Infection

The stage of HIV infection following the acute phase, characterized by a gradual decline in CD4+ T cells and a slow progression of the disease.

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HIV Protease

A protein produced by HIV that is essential for the viral assembly process.

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Opportunistic Infections

A group of infections that occur more frequently in people with weakened immune systems, such as those with AIDS.

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Tuberculosis (TB) in People with HIV

The leading cause of death globally among people living with HIV.

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KoRV (Koala Retrovirus)

A virus that infects koala populations, leading to immunodeficiency and cancer. It can be transmitted vertically (from parent to offspring) and horizontally (through blood, feces, etc.).

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Endogenized copies

Viral sequences that have been incorporated into the genome of a host organism and are passed down through generations.

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Co-option of viral sequences

A process where a viral envelope protein is repurposed by the host to serve a critical function in their biology.

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Syncytin

A retroviral envelope protein that has been co-opted by mammals to create a specialized layer of cells in the placenta, crucial for nutrient and waste exchange between mother and fetus.

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Lentivirus

A family of viruses that includes HIV, characterized by their slow disease progression and single-stranded RNA genome.

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AIDS (Acquired Immunodeficiency Syndrome)

The disease caused by HIV, resulting in a weakened immune system and susceptibility to opportunistic infections.

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CD4+ T cell

A type of white blood cell that is targeted by HIV, leading to a weakened immune system.

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Simian Immunodeficiency Virus (SIV)

A type of lentivirus found in African monkeys, closely related to HIV.

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Co-receptor

A type of receptor on host cells that HIV uses, along with CD4, to enter the cell.

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What is Antiretroviral Therapy (ART)?

Antiretroviral Therapy (ART) is a combination of drugs that targets multiple steps in the HIV lifecycle, preventing the virus from replicating and spreading. It is a life-saving treatment for people living with HIV, reducing the risk of developing AIDS and extending their lifespan.

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What is Treatment as Prevention (TasP)?

Treatment as Prevention (TasP) is a strategy based on the principle that people living with HIV who achieve undetectable viral load through ART cannot transmit the virus to others. This approach is essential to prevent further HIV transmission.

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What is Pre-Exposure Prophylaxis (PrEP)?

Pre-Exposure Prophylaxis (PrEP) is a medication taken by people who are HIV-negative to prevent them from getting infected. It is highly effective in reducing the risk of HIV transmission, especially through sexual activity or injecting drug use.

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What is the "95-95-95" goal?

The "95-95-95" goal is a global target set to end AIDS as a public health threat by 2030. This means achieving 95% of people living with HIV knowing their status, 95% of those diagnosed receiving treatment, and 95% of those on treatment having undetectable viral load.

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What does "U=U" stand for?

The "U=U" (Undetectable = Untransmissible) principle signifies that people living with HIV who achieve and maintain an undetectable viral load through ART cannot transmit the virus sexually.

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What is a latent HIV reservoir?

A latent HIV reservoir refers to the HIV DNA that persists in the bodies of some individuals on ART, even with suppressed viral load. While ART effectively controls the virus, these latent reservoirs can reactivate and cause rebound viremia if treatment is discontinued.

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What is the CCR5-Δ32 mutation?

A mutation in the CCR5 gene, specifically the CCR5-Δ32 variant, prevents the HIV virus from entering immune cells. This mutation offers natural protection against most strains of HIV.

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Study Notes

Poxviruses

  • Family: Poxviridae
  • Double-stranded DNA genome
  • First vaccine developed; only human virus completely eradicated
  • Very large; 170-250 kb linear dsDNA genome
  • Replicates in the cytoplasm
  • Visible with light microscopy
  • Tightly packed genome; no introns/overlapping genes
  • Immunomodulation experts; block interferon signaling
  • Smallpox transmission: respiratory droplets, fomites/contact
  • Smallpox lethality: 30%
  • Origin: >3000 years ago in India, China, Africa; endemic in Asia by 1000 CE, Europe by 1800s
  • Phylogenetic analysis of ancient remains used to sequence and date smallpox

Poxvirus Vaccines

  • Variolation: early form of vaccination (16th century China) – dried smallpox material applied to skin/inhaled
  • Cowpox protection against smallpox (1790s Jenner): milkmaids exposed to cowpox were immune to smallpox
  • Current smallpox vaccine: live attenuated; unknown origin/attenuation history

Other Poxviruses

  • Poxviruses infect many mammals (cowpox from cows, monkeypox from small mammals)
  • Cross-species transmission can occur but human-to-human spread after transmission may be limited
  • Smallpox globally eradicated by 1980
  • Monkeypox (MPOX) is endemic in parts of Africa; recent spread in gay community (2022)

Picornaviruses (Polio)

  • Family: Picornaviridae, genus: Enterovirus
  • Single-stranded positive-sense RNA genome (8 kb)
  • Fecal-oral transmission
  • No envelope
  • Protein shells
  • Three serotypes (variants)
  • Diseases: paralysis, meningitis, “summer cold”
  • Replication: Cleaves large polyprotein; associated with lipid membranes
  • Poliovirus Replication Stages: Ingested -> oropharyngeal & intestinal mucosa -> reaches blood via lymph nodes ->enters CNS via retrograde axonal transport

Poliovirus Epidemiology and Vaccine Development

  • Most infections are mild/asymptomatic; US: 0.5-1.0% paralysis, 30% permanent, 5-10% death (respiratory failure)
  • Poliovirus: 1950s; iron lungs to aid breathing
  • Polio Vaccine Development:
    • Inactivated Poliovirus Vaccine (IPV) (Salk, 1955): killed virus (no replication); injected; induces serum antibodies but does not prevent intestinal infection
    • Oral Poliovirus Vaccine (OPV) (Sabin, 1959): live attenuated, oral, induces mucosal immunity; potential for reversion of virulence to Vaccine-Associated Paralytic Poliomyelitis (VAPP), so this is no longer used

Measles

  • Family: Paramyxoviridae, genus: Morbillivirus
  • Single-stranded negative-sense RNA genome (15-16 kb)
  • Respiratory transmission
  • Diseases: measles, subacute sclerosing panencephalitis (SSPE), immunosuppression
  • R0 (Basic Reproduction Number) for measles: 15+ (highly contagious)

Measles Characteristics

  • Genome encodes 6 proteins; hemagglutinin (binds host cells), nucleoprotein (protects genome)
  • Spreads into and out of body; infects macrophages/dendritic cells -> lymph nodes -> additional lymph tissues & organs -> airway epithelium -> released by coughing/sneezing.
  • Causes immunosuppression (immune amnesia); eradicates memory B and T cells, eliminating antibody repertoire.
  • SSPE: Rare, chronic brain infection.
  • Herd immunity: crucial for measles control, achieved through infection or vaccination. Measles virus has a high herd immunity threshold.

Measles and Vaccination

  • Live-attenuated vaccine (chicken cells), very effective, long-lasting immunity.
  • Effectiveness of vaccine: 1781 measles outbreak in the Faroe islands (no infection for 65 years) and herd immunity.
  • Disneyland 2014 outbreak spurred vaccination campaigns.
  • COVID-19 pandemic hindered measles campaigns.

Zika and Dengue Viruses

  • Family: Flaviridae, genus: Flavivirus
  • Single-stranded positive-sense RNA genome
  • Vector-borne transmission (mosquitoes)
  • Diseases: hemorrhagic fever, encephalitis
  • Dengue: 4 serotypes; antibody-dependent enhancement (ADE) increases severe disease risk in subsequent infection
  • ADE: Antibodies enhance virus entry into cells.
  • Zika: typically mild symptoms but severe outcomes in pregnant women
  • Dengue transmission: human and primate cycles (zoonotic spillover)

RSV

  • Family: Pneumoviridae, genus: Orthopneumovirus
  • Single-stranded negative-sense RNA genome
  • Respiratory transmission
  • Primarily upper respiratory tract infection in adults; lower respiratory tract in young children (pneumonia, respiratory failure)
  • RSV: strongly seasonal.
  • Immunopathogenesis: major challenge for vaccine development.
  • New RSV vaccine candidate (Moderna) in trials; effective at preventing lower respiratory disease; vaccination of pregnant women protects babies.

Influenza

  • Family: Orthomyxoviridae
  • Single-stranded negative-sense RNA genome
  • Segmented genome Various hosts (avian, human, pig, etc.)
  • Respiratory transmission
  • Seasonal and pandemic patterns—Influenza A, B, C
  • Seasonal epidemics; pandemics are caused by reassortment: causing large changes in immunogenicity
  • Antigenic drift: point mutations
  • Antigenic shift: reassortment

Ancient viruses (Retroviruses, HERVs)

  • Retroviruses convert RNA into DNA, inserting into host genome
  • Human endogenous retroviruses (HERVs): “fossil viruses”
  • Vertical transmission; present in germline
  • Co-option of viral sequences by host – Syncytin (fetal placenta)
  • Koala Retrovirus (KoRV): currently infecting koalas
  • Endogenous Prosimian Immunodeficiency Viruses (EIDVs)
  • Lentiviruses (HIV)

HIV and AIDS

  • Family: Retroviridae, genus: Lentivirus
  • Single-stranded positive-sense RNA, reverse-transcribing
  • Transmission: sexual contact, blood, breastfeeding
  • HIV lifecycle: entry, reverse transcription, integration, assembly, release
  • HIV targets CD4+ T cells (helper T cells)
  • Acute phase: flu-like symptoms, high viremia
  • Chronic phase: gradual loss of CD4+ T cells, potentially leads to AIDS – opportunistic infections
  • Antiretroviral therapy (ART): treatment to block viral replication
  • Prevention methods: PrEP (Pre-Exposure Prophylaxis)

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