Podcast
Questions and Answers
What type of genome do poxviruses possess?
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?
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?
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?
How was smallpox transmitted among individuals?
What evidence suggests that smallpox has been known to humans for thousands of years?
What evidence suggests that smallpox has been known to humans for thousands of years?
What was the first outpatient AIDS clinic in the United States?
What was the first outpatient AIDS clinic in the United States?
Which event marked the first public acknowledgment of AIDS by a U.S. President?
Which event marked the first public acknowledgment of AIDS by a U.S. President?
What is the primary function of the gp120 protein in HIV?
What is the primary function of the gp120 protein in HIV?
What characterizes the chronic phase of HIV infection?
What characterizes the chronic phase of HIV infection?
What is the mutation rate of HIV during replication compared to human DNA?
What is the mutation rate of HIV during replication compared to human DNA?
What leads to the opportunistic infections in AIDS patients?
What leads to the opportunistic infections in AIDS patients?
What is the principal reason HIV is not easily cleared from the body?
What is the principal reason HIV is not easily cleared from the body?
TB is considered a leading cause of death among which population?
TB is considered a leading cause of death among which population?
What function does HIV protease serve in the viral life cycle?
What function does HIV protease serve in the viral life cycle?
What is the primary focus of antiretroviral therapy (ART) in HIV treatment?
What is the primary focus of antiretroviral therapy (ART) in HIV treatment?
What does HAART stand for in HIV treatment?
What does HAART stand for in HIV treatment?
Which of the following statements about PrEP is correct?
Which of the following statements about PrEP is correct?
What is a significant challenge in the treatment of HIV regarding latent viruses?
What is a significant challenge in the treatment of HIV regarding latent viruses?
What is one of the goals set for 2040 regarding HIV/AIDS?
What is one of the goals set for 2040 regarding HIV/AIDS?
What does U=U represent in the context of HIV treatment?
What does U=U represent in the context of HIV treatment?
Which antiretroviral drug was the first approved for HIV treatment?
Which antiretroviral drug was the first approved for HIV treatment?
What is one of the key reasons why a vaccine for HIV has been difficult to develop?
What is one of the key reasons why a vaccine for HIV has been difficult to develop?
What is the primary risk associated with Dengue virus secondary infections?
What is the primary risk associated with Dengue virus secondary infections?
Which characteristic is true about the dengue disease symptoms?
Which characteristic is true about the dengue disease symptoms?
What role do Fc gamma receptors play in dengue virus infections?
What role do Fc gamma receptors play in dengue virus infections?
Which statement is accurate regarding the current understanding of the dengue vaccine?
Which statement is accurate regarding the current understanding of the dengue vaccine?
What similarities exist between dengue and Zika viruses?
What similarities exist between dengue and Zika viruses?
Which of the following describes a key characteristic of RSV?
Which of the following describes a key characteristic of RSV?
What is the common transmission route for RSV?
What is the common transmission route for RSV?
What is the role of Wolbachia in combating DENV infections?
What is the role of Wolbachia in combating DENV infections?
How does the live attenuated DENV vaccine work?
How does the live attenuated DENV vaccine work?
What is the significance of molecular clock analysis in the context of DENV?
What is the significance of molecular clock analysis in the context of DENV?
What is the significance of reassortment in influenza viruses?
What is the significance of reassortment in influenza viruses?
Which pandemic was characterized by a significant impact on younger age groups, particularly in 2009?
Which pandemic was characterized by a significant impact on younger age groups, particularly in 2009?
Why is the H5N1 avian influenza virus considered highly pathogenic in domestic poultry?
Why is the H5N1 avian influenza virus considered highly pathogenic in domestic poultry?
What leads to the vertical transmission of endogenous retroviruses?
What leads to the vertical transmission of endogenous retroviruses?
What percentage of individuals over 50 years old had antibodies neutralizing the 2009 H1N1 strain?
What percentage of individuals over 50 years old had antibodies neutralizing the 2009 H1N1 strain?
What major change in immunogenicity can occur due to reassortment?
What major change in immunogenicity can occur due to reassortment?
What is a potential consequence of the HPAI spread beyond birds?
What is a potential consequence of the HPAI spread beyond birds?
What does the term 'endogenization of a virus' refer to?
What does the term 'endogenization of a virus' refer to?
What aspect of the 1918 H1N1 outbreak is significant regarding its immunogenicity?
What aspect of the 1918 H1N1 outbreak is significant regarding its immunogenicity?
What has been identified as a significant barrier to zoonosis in viral infections?
What has been identified as a significant barrier to zoonosis in viral infections?
What was unique about the 1918 influenza virus compared to previous strains circulating in humans?
What was unique about the 1918 influenza virus compared to previous strains circulating in humans?
Which of the following best describes antigenic drift?
Which of the following best describes antigenic drift?
What is a significant challenge in developing effective influenza vaccines?
What is a significant challenge in developing effective influenza vaccines?
Which population group has historically experienced the highest mortality rate from influenza?
Which population group has historically experienced the highest mortality rate from influenza?
What is the primary mechanism behind antigenic shift in influenza viruses?
What is the primary mechanism behind antigenic shift in influenza viruses?
Why did the 1918 influenza pandemic lead to a massive increase in mortality among healthy adults?
Why did the 1918 influenza pandemic lead to a massive increase in mortality among healthy adults?
What is the function of the HA protein in influenza viruses?
What is the function of the HA protein in influenza viruses?
Which of the following statements is true regarding avian influenza infections in humans?
Which of the following statements is true regarding avian influenza infections in humans?
Which of the following best describes the spread of the 1918 influenza pandemic?
Which of the following best describes the spread of the 1918 influenza pandemic?
What was a notable impact of the 1918 influenza pandemic on indigenous populations in Alaska?
What was a notable impact of the 1918 influenza pandemic on indigenous populations in Alaska?
What is one reason the poliovirus vaccine has been successful in eradicating polio?
What is one reason the poliovirus vaccine has been successful in eradicating polio?
Which characteristic best describes the measles virus?
Which characteristic best describes the measles virus?
Which protein on the measles virus is crucial for binding to host cell receptors?
Which protein on the measles virus is crucial for binding to host cell receptors?
What phenomenon occurs due to the depletion of memory lymphocytes during a measles infection?
What phenomenon occurs due to the depletion of memory lymphocytes during a measles infection?
How does measles virus contribute to 'immune amnesia'?
How does measles virus contribute to 'immune amnesia'?
What is the estimated basic reproduction number (R0) for measles virus?
What is the estimated basic reproduction number (R0) for measles virus?
What is a significant historical outcome associated with the measles epidemic in the Faroe Islands?
What is a significant historical outcome associated with the measles epidemic in the Faroe Islands?
What response was initiated in California following the Disneyland measles outbreak?
What response was initiated in California following the Disneyland measles outbreak?
What is the main vector responsible for the transmission of dengue virus?
What is the main vector responsible for the transmission of dengue virus?
What type of vaccine is the measles vaccination?
What type of vaccine is the measles vaccination?
What is a common complication associated with measles infection?
What is a common complication associated with measles infection?
Which disease is caused by a flavivirus and can lead to hemorrhagic fever?
Which disease is caused by a flavivirus and can lead to hemorrhagic fever?
What crucial factor allows dengue virus to replicate in both humans and mosquitoes?
What crucial factor allows dengue virus to replicate in both humans and mosquitoes?
What is a significant barrier to achieving herd immunity for measles?
What is a significant barrier to achieving herd immunity for measles?
What was the purpose of variolation?
What was the purpose of variolation?
Who is credited with developing the first vaccine and what was its source?
Who is credited with developing the first vaccine and what was its source?
What differentiates inactivated poliovirus (IPV) from attenuated oral poliovirus (OPV)?
What differentiates inactivated poliovirus (IPV) from attenuated oral poliovirus (OPV)?
What percentage of the global population is still not immune to smallpox?
What percentage of the global population is still not immune to smallpox?
What is a significant risk associated with the use of the oral poliovirus vaccine (OPV)?
What is a significant risk associated with the use of the oral poliovirus vaccine (OPV)?
Why was the development of HeLa cell lines important for poliovirus research?
Why was the development of HeLa cell lines important for poliovirus research?
What is a key characteristic of picornaviruses?
What is a key characteristic of picornaviruses?
Which viral disease was eradicated globally by 1980?
Which viral disease was eradicated globally by 1980?
What type of disease can monkeypox exhibit in humans?
What type of disease can monkeypox exhibit in humans?
What is one of the most critical factors contributing to poliovirus's success as a pathogen?
What is one of the most critical factors contributing to poliovirus's success as a pathogen?
What factor aids in the transmission of MPOX in certain populations?
What factor aids in the transmission of MPOX in certain populations?
What significant development did Jonas Salk contribute to vaccine history?
What significant development did Jonas Salk contribute to vaccine history?
Which characteristic of the cowpox vaccine made it effective against smallpox?
Which characteristic of the cowpox vaccine made it effective against smallpox?
What is the most significant factor for RSV vaccine development?
What is the most significant factor for RSV vaccine development?
Which population is most susceptible to severe RSV illness?
Which population is most susceptible to severe RSV illness?
How does the RSV F glycoprotein behave during the fusion process?
How does the RSV F glycoprotein behave during the fusion process?
What role does neuraminidase (NA) play in influenza virus infection?
What role does neuraminidase (NA) play in influenza virus infection?
What type of influenza virus primarily causes seasonal epidemics and pandemics?
What type of influenza virus primarily causes seasonal epidemics and pandemics?
How does vaccination of pregnant women impact infants regarding RSV?
How does vaccination of pregnant women impact infants regarding RSV?
What seasonal pattern is observed with RSV infections?
What seasonal pattern is observed with RSV infections?
What is a potential risk associated with the original RSV vaccine?
What is a potential risk associated with the original RSV vaccine?
Influenza's segmented genome allows for what critical evolutionary event?
Influenza's segmented genome allows for what critical evolutionary event?
What triggers a cytokine storm during severe influenza infections?
What triggers a cytokine storm during severe influenza infections?
Which of the following is true regarding the influenza life cycle?
Which of the following is true regarding the influenza life cycle?
Which statement accurately describes the seasonal pattern of influenza infection?
Which statement accurately describes the seasonal pattern of influenza infection?
What is the primary host range for influenza viruses?
What is the primary host range for influenza viruses?
In RSV vaccine development, which protein is favored for immunization?
In RSV vaccine development, which protein is favored for immunization?
What is the primary characteristic of the HIV virus?
What is the primary characteristic of the HIV virus?
How is the Koala Retrovirus (KoRV) primarily transmitted?
How is the Koala Retrovirus (KoRV) primarily transmitted?
Which cell type is primarily targeted by HIV?
Which cell type is primarily targeted by HIV?
What is the significance of syncytin in mammalian biology?
What is the significance of syncytin in mammalian biology?
What role does the co-receptor play in HIV infection?
What role does the co-receptor play in HIV infection?
What did Howard Temin and David Baltimore discover that earned them the Nobel Prize?
What did Howard Temin and David Baltimore discover that earned them the Nobel Prize?
Which group of HIV is responsible for the majority of cases globally?
Which group of HIV is responsible for the majority of cases globally?
What is the mode of transmission for HIV?
What is the mode of transmission for HIV?
What complicates the entry of HIV into host cells?
What complicates the entry of HIV into host cells?
Which of the following statements about endogenous viral elements (EVEs) is true?
Which of the following statements about endogenous viral elements (EVEs) is true?
Which of the following is a consequence of CD4+ T cell depletion due to HIV?
Which of the following is a consequence of CD4+ T cell depletion due to HIV?
Endogenization in KoRV allows for which of the following processes?
Endogenization in KoRV allows for which of the following processes?
Which of the following accessory proteins is associated with the HIV viral life cycle?
Which of the following accessory proteins is associated with the HIV viral life cycle?
Which viral characteristic is linked to the slow progression of HIV-related disease?
Which viral characteristic is linked to the slow progression of HIV-related disease?
What transmission event likely led to HIV's transfer from chimpanzees to humans?
What transmission event likely led to HIV's transfer from chimpanzees to humans?
Flashcards
What are poxviruses?
What are poxviruses?
Poxviruses are a family of large, enveloped viruses with a linear double-stranded DNA genome.
Where do Poxviruses replicate?
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?
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?
What is Smallpox?
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How is Smallpox transmitted?
How is Smallpox transmitted?
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R0 (Basic Reproduction Number)
R0 (Basic Reproduction Number)
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Measles
Measles
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Herd immunity
Herd immunity
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Subacute Sclerosing Panencephalitis (SSPE)
Subacute Sclerosing Panencephalitis (SSPE)
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Immunosuppression
Immunosuppression
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Immune Amnesia
Immune Amnesia
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Measles Vaccine
Measles Vaccine
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Flaviviruses
Flaviviruses
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Dengue
Dengue
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Zika
Zika
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Yellow Fever
Yellow Fever
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Microneedle Vaccination
Microneedle Vaccination
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Poxviruses
Poxviruses
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Smallpox
Smallpox
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Attenuated Virus
Attenuated Virus
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Inactivated Poliovirus Vaccine (IPV)
Inactivated Poliovirus Vaccine (IPV)
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Oral Poliovirus Vaccine (OPV)
Oral Poliovirus Vaccine (OPV)
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Variolation
Variolation
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Vaccination
Vaccination
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Cross-species Transmission
Cross-species Transmission
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Marburg Virus
Marburg Virus
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Poliovirus
Poliovirus
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Picornaviridae
Picornaviridae
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Contact Tracing
Contact Tracing
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Post-Polio Syndrome
Post-Polio Syndrome
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HeLa Cells
HeLa Cells
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Monkeypox (MPOX)
Monkeypox (MPOX)
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Attenuation
Attenuation
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Vaccine-derived Poliovirus (VDPV)
Vaccine-derived Poliovirus (VDPV)
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What is Dengue?
What is Dengue?
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What are the types of Dengue Virus?
What are the types of Dengue Virus?
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What is Antibody-dependent Enhancement (ADE)?
What is Antibody-dependent Enhancement (ADE)?
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What is Zika Virus?
What is Zika Virus?
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What is Respiratory Syncytial Virus (RSV)?
What is Respiratory Syncytial Virus (RSV)?
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What is the genome structure of RSV?
What is the genome structure of RSV?
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What are the symptoms of an RSV infection?
What are the symptoms of an RSV infection?
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Can you get RSV more than once?
Can you get RSV more than once?
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What is Wolbachia?
What is Wolbachia?
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How do Zika antibodies affect dengue?
How do Zika antibodies affect dengue?
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What is Orthomyxoviridae?
What is Orthomyxoviridae?
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What is reassortment?
What is reassortment?
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What is HA?
What is HA?
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What is sialic acid?
What is sialic acid?
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What is NA?
What is NA?
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What is budding?
What is budding?
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What is immunity?
What is immunity?
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What is a cytokine storm?
What is a cytokine storm?
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What is antigenic drift?
What is antigenic drift?
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What is vaccine-enhanced disease?
What is vaccine-enhanced disease?
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What is influenza A?
What is influenza A?
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What is influenza A?
What is influenza A?
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What is an inactivated influenza vaccine?
What is an inactivated influenza vaccine?
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What is an inactivated influenza vaccine?
What is an inactivated influenza vaccine?
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What is an inactivated influenza vaccine?
What is an inactivated influenza vaccine?
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Influenza Reassortment
Influenza Reassortment
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Immunogenicity
Immunogenicity
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Cross-reactive Immunity
Cross-reactive Immunity
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H5N1 Avian Influenza
H5N1 Avian Influenza
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Retrovirus
Retrovirus
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HERVs
HERVs
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Endogenization
Endogenization
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Paleoviruses
Paleoviruses
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Central Dogma of Biology
Central Dogma of Biology
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Somatic Cell
Somatic Cell
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Antigenic Shift
Antigenic Shift
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Antigenic Drift
Antigenic Drift
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1918 Pandemic
1918 Pandemic
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Cross-reactive Immune Response
Cross-reactive Immune Response
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Hemagglutinin (HA)
Hemagglutinin (HA)
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Immune Escape
Immune Escape
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Zoonosis
Zoonosis
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Sialic Acid Differences
Sialic Acid Differences
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Seasonal Influenza Evolution
Seasonal Influenza Evolution
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Ward 86
Ward 86
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HIV (Human Immunodeficiency Virus)
HIV (Human Immunodeficiency Virus)
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Integration
Integration
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Reverse Transcriptase
Reverse Transcriptase
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High Mutation Rate of HIV
High Mutation Rate of HIV
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Acute HIV Infection
Acute HIV Infection
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Chronic HIV Infection
Chronic HIV Infection
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HIV Protease
HIV Protease
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Opportunistic Infections
Opportunistic Infections
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Tuberculosis (TB) in People with HIV
Tuberculosis (TB) in People with HIV
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KoRV (Koala Retrovirus)
KoRV (Koala Retrovirus)
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Endogenized copies
Endogenized copies
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Co-option of viral sequences
Co-option of viral sequences
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Syncytin
Syncytin
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Lentivirus
Lentivirus
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AIDS (Acquired Immunodeficiency Syndrome)
AIDS (Acquired Immunodeficiency Syndrome)
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CD4+ T cell
CD4+ T cell
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Simian Immunodeficiency Virus (SIV)
Simian Immunodeficiency Virus (SIV)
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Co-receptor
Co-receptor
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What is Antiretroviral Therapy (ART)?
What is Antiretroviral Therapy (ART)?
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What is Treatment as Prevention (TasP)?
What is Treatment as Prevention (TasP)?
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What is Pre-Exposure Prophylaxis (PrEP)?
What is Pre-Exposure Prophylaxis (PrEP)?
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What is the "95-95-95" goal?
What is the "95-95-95" goal?
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What does "U=U" stand for?
What does "U=U" stand for?
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What is a latent HIV reservoir?
What is a latent HIV reservoir?
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What is the CCR5-Δ32 mutation?
What is the CCR5-Δ32 mutation?
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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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