Retroviral Diseases
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Questions and Answers

Herpesviruses are part of our ______ makeup

genetic

West Nile virus causes ______

encephalitis

Human pegivirus causes ______

encephalitis

Zika virus is found in Brazil, China, Thailand, ______, and Polynesia

<p>Columbia</p> Signup and view all the answers

SARS-CoV-2 causes ______

<p>NeuroCOVID</p> Signup and view all the answers

Neurotropic viruses primarily impact the ______ of the brain.

<p>neural cells</p> Signup and view all the answers

A common neurological infection associated with HIV is ______.

<p>HIV-associated neurocognitive disorder (HAND)</p> Signup and view all the answers

A neurovirological disease caused by JC virus is ______.

<p>Progressive Multifocal Leukoencephalopathy (PML)</p> Signup and view all the answers

Emerging neurovirological infections include ______ and SARS-CoV-2.

<p>human pegivirus</p> Signup and view all the answers

Multiple sclerosis is a ______ disease.

<p>virus-associated</p> Signup and view all the answers

The shrinkage of the brain reflects the loss of ______

<p>neurons</p> Signup and view all the answers

Machine learning identifies ______ factors that control the virus replication

<p>restriction</p> Signup and view all the answers

MAN1B1 could be a potential biomarker for ______/HIV neurovirulence

<p>HAND</p> Signup and view all the answers

Unlike HERPES and rabies which infect the ______, this virus infects microglial cells and perivascular macrophages

<p>neurons</p> Signup and view all the answers

Both host and viral factors contribute to ______ and the eventual occurrence of HIV-associated neurocognitive disorders

<p>neurodegeneration</p> Signup and view all the answers

Typically no enhancement or edema ______ infects * the cortex where neurons are.

<p>JC virus</p> Signup and view all the answers

Mottled or ground glass appearance ______ the cortex.

<p>spares</p> Signup and view all the answers

Pathology of PML: Myelin pallor/ ______ of cortex.

<p>sparing</p> Signup and view all the answers

JCV infection of astrocytes and oligodendrocytes: ______ astrocytes.

<p>giant</p> Signup and view all the answers

Treatment of PML: Indirect Treatment Options - They are non-specific anti-retrovirus and using ______ therapy to boost their immune function.

<p>anti-retroviral</p> Signup and view all the answers

Retroviruses are used as tools in labs for gene delivery and treatment of people deficient in certain genes. We use __________ to convert RNA to cDNA and perform PCR.

<p>reverse transcriptase</p> Signup and view all the answers

About _______ of the human genome is comprised of retroviruses.

<p>8%</p> Signup and view all the answers

HIV-1 and HIV-2 originated in ________ Africa, specifically the Democratic Republic of Congo.

<p>central</p> Signup and view all the answers

HIV-1 is believed to have been transmitted from non-human primates to humans through _________.

<p>xenoinfection</p> Signup and view all the answers

In North America, it takes approximately _______ years to develop AIDS after the primary HIV infection.

<p>10</p> Signup and view all the answers

Neurons in the brain can regenerate, but ______ cannot regenerate.

<p>astrocytes</p> Signup and view all the answers

The blood-brain barrier is unique because viruses and cells cannot readily ______.

<p>traverse</p> Signup and view all the answers

Microglia are key players in brain inflammation and produce cytokines, free radicals, and ______.

<p>MMPs</p> Signup and view all the answers

The end goal of damaging a neuron is the damage of ______ which produce myelin for insulation.

<p>oligodendrocytes</p> Signup and view all the answers

Neurotropic retroviruses primarily impact the ______ of the brain.

<p>neurons</p> Signup and view all the answers

What are some major concerns regarding neurotropic viral infections?

<p>The development of drug resistant viruses, the increasing number of immunocompromised human populations, the rising number of diseases previously considered rare.</p> Signup and view all the answers

What is a unique aspect of CNS infections?

<p>The brain is an immune privileged organ, with blood-brain barrier protection.</p> Signup and view all the answers

Why is education, surveillance, and the development of new drugs and vaccines essential?

<p>To prevent and treat resurging infections and emerging neurological infectious diseases.</p> Signup and view all the answers

What are the clinical diagnoses of patients LE-1 and LE-2?

<p>Leukoencephalitis</p> Signup and view all the answers

What are the presenting symptoms and signs of patient LE-1?

<p>Weight loss (22lb), Bilateral vision loss, Memory loss, Fatigue, Ataxia, Right knee effusion, Central vertigo, Horizontal diplopia, Left facial droop</p> Signup and view all the answers

What is the age of patient LE-2?

<p>61</p> Signup and view all the answers

What are some symptoms of neurological diseases associated with COVID-19?

<p>Loss of smell and taste, encephalopathy, strokes, seizures</p> Signup and view all the answers

What is the concentration of SARS-CoV-2 receptors in the brain?

<p>Brain stem</p> Signup and view all the answers

What is the prevalence range of encephalitis outbreaks?

<p>Between 3.5 and 7.5 per 100,000</p> Signup and view all the answers

What is the role of microglia in brain inflammation?

<p>They produce cytokines, free radicals, and contribute to brain inflammation</p> Signup and view all the answers

What is the cause of shrinkage of the brain in HIV patients?

<p>Loss of neurons</p> Signup and view all the answers

What are the neurological symptoms associated with HIV-associated neurocognitive disorders?

<p>Increasing forgetfulness, slowed cognition, motor activity with poor concentration, irritability, apathy, gait ataxia, tremor, hyperreflexia, parkinsonian symptoms</p> Signup and view all the answers

What is the role of microglial cells and perivascular macrophages in HIV infection?

<p>They are infected by the virus</p> Signup and view all the answers

What is the potential biomarker for HIV-associated neurovirulence?

<p>MAN1B1</p> Signup and view all the answers

What is the role of lentiviruses in the lab?

<p>Lentiviruses are used as tools in labs for gene delivery and treatment of people deficient in certain genes.</p> Signup and view all the answers

What is the function of reverse transcriptase?

<p>Reverse transcriptase is used to convert RNA to cDNA and perform PCR.</p> Signup and view all the answers

What is the average time it takes to develop AIDS after the primary HIV infection in North America?

<p>It takes approximately 10 years to develop AIDS after the primary HIV infection in North America.</p> Signup and view all the answers

What are some common neurological disorders associated with HIV?

<p>Some common neurological disorders associated with HIV are HIV-associated neurocognitive disorders (HAND), memory loss, Alzheimer's-like symptoms, and motor abnormalities.</p> Signup and view all the answers

What are the two main components of the central nervous system (CNS)?

<p>Neurons (+ axons) and glial cells (astrocytes, oligodendrocytes, endothelial cells, and microglia/macrophages)</p> Signup and view all the answers

What are the two main components of the peripheral nervous system (PNS)?

<p>Neurons (+ axons) and Schwann cells</p> Signup and view all the answers

What is the function of astrocytes in the brain?

<p>Astrocytes release cytokines and play a critical role in forming the blood-brain barrier</p> Signup and view all the answers

What is the role of microglia in brain inflammation?

<p>Microglia produce cytokines, free radicals, and proteases, and are involved in phagocytosis, antigen presentation, and cytotoxicity</p> Signup and view all the answers

What are some examples of common neurological infections mentioned in the text?

<p>HSV, VZV, HIV, WNV, rabies, N. meningitides, S. pneumoniae, M. tuberculosis, Cryptococcus neoformans, Histoplasmosis, Coccidiomycosis, Malaria, Toxoplasma gondi, Cysticercosis, Creutzfeldt-Jakob disease</p> Signup and view all the answers

How did viral infections make their way to humans?

<p>Through direct infection, spread through animals (such as bats, dogs, skunks, and foxes), and non-human primates</p> Signup and view all the answers

Are viral infections mentioned in the text acute or chronic?

<p>Both acute and chronic infections are mentioned</p> Signup and view all the answers

What are some factors that contribute to the emergence of new infections?

<p>Susceptible populations (poverty, war, famine, immunosuppression), disrupted environments (climate change, economic development), altered human and animal contact (rapid and frequent global movement of animals and humans)</p> Signup and view all the answers

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