Viral Hepatitis and DNA Viruses (Microbiology)

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Questions and Answers

What is the primary mechanism by which Hepatitis B virus (HBV) causes liver damage?

  • CD8+ T-cell immune response (correct)
  • Accumulation of viral proteins in liver tissue
  • Direct viral lysis of hepatocytes
  • Inhibition of liver cell regeneration

Which of the following is NOT a typical symptom of Hepatitis B?

  • Dark urine
  • Pale stool
  • Yellowing of skin and eyes
  • Persistent cough (correct)

What characteristic of the Hepatitis D virus (HDV) is considered 'defective'?

  • Its transmission via blood and sexual contact
  • Its association with hepatocellular carcinoma
  • Its single-stranded RNA genome
  • Its inability to replicate without HBV (correct)

The envelope protein of Hepatitis D virus (HDV) is obtained from which source?

<p>Hepatitis B virus (HBV) (D)</p> Signup and view all the answers

What is the main difference between a co-infection and a superinfection of HDV in relation to HBV?

<p>Co-infection occurs simultaneously with HBV, while superinfection occurs later in a patient with chronic HBV. (C)</p> Signup and view all the answers

How is Hepatitis A virus (HAV) primarily transmitted?

<p>By the fecal-oral route (A)</p> Signup and view all the answers

Which of the following best describes the nature of Hepatitis A virus (HAV) RNA?

<p>Positive-sense single-stranded RNA (D)</p> Signup and view all the answers

What is a key characteristic of HAV that makes it resistant to disinfection?

<p>Its acid-stability (B)</p> Signup and view all the answers

Which of the following is a unique characteristic of the Hepatitis B virus (HBV) DNA structure?

<p>Nicked partially double-stranded circular DNA (B)</p> Signup and view all the answers

What is the primary function of the reverse transcriptase enzyme in the HBV life cycle?

<p>To synthesize DNA from an RNA intermediate (A)</p> Signup and view all the answers

Which of the Hepatitis B antigens is the basis for the subunit vaccine?

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

What role do the decoy particles produced by HBV play in infection?

<p>Interfere with the host's immune system (C)</p> Signup and view all the answers

Which of the following types of cells are responsible for targeting and destroying HBV-infected hepatocytes?

<p>CD8+ T-cells (C)</p> Signup and view all the answers

Which of the following statements is true regarding enveloped viruses, like HBV?

<p>They are more susceptible to disinfection and do not persist long periods of time outside the body. (D)</p> Signup and view all the answers

Which of the listed methods is NOT a primary route of transmission for Hepatitis B virus?

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

Which antigen is a breakdown product of the capsid antigen and can be detected during both acute and chronic HBV infections?

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

What is a key difference in transmission route between Hepatitis E (HEV) strains 1 and 2, compared to HEV strain 3?

<p>HEV-1 and HEV-2 are primarily transmitted through the fecal-oral route. (A)</p> Signup and view all the answers

Which hepatitis virus is known to have a 'quasi-enveloped' stage during its replication?

<p>Hepatitis E virus (HEV) (B)</p> Signup and view all the answers

Which of these statements is true about Hepatitis C Virus (HCV)?

<p>HCV can lead to chronic infection and liver damage, including hepatocellular carcinoma. (D)</p> Signup and view all the answers

What is the most common route of transmission for HCV, according to the text?

<p>Exposure to infected blood, such as through IV drug use (A)</p> Signup and view all the answers

Which characteristic is specific to Hepatitis A virus (HAV) compared to Hepatitis C virus (HCV)?

<p>HAV is resistant to disinfection (A)</p> Signup and view all the answers

What type of immune cell response is associated with liver damage in chronic HCV infections?

<p>Cytotoxic T-cell (CD8 T cell) response (C)</p> Signup and view all the answers

Based on the information provided, what is a significant difference between the treatment of HCV and HAV infections?

<p>Only HCV has antiviral treatments available, while HAV does not. (A)</p> Signup and view all the answers

Flashcards

Hepadnaviridae

A family of viruses that infect the liver and contain DNA, known for their unique partially double-stranded circular DNA structure.

Reverse transcriptase

The viral enzyme responsible for synthesizing DNA from RNA.

HBcAg

The core antigen of the HBV virus, found within the capsid.

HBeAg

A breakdown product of HBcAg, detectable during acute or chronic infection.

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HBsAg

The surface antigen of HBV, important for neutralizing the virus and the basis for the subunit vaccine.

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CD8+ T-cells

A type of immune cell that targets and destroys infected hepatocytes, helping clear acute hepatitis.

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Serum hepatitis

A type of hepatitis caused by HBV, characterized by a long incubation period.

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Decoy particles

Viral particles released into the bloodstream that act like decoys, distracting the host's immune system.

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HBV and Chronic Infection

Hepatitis B virus (HBV) can lead to chronic infection, liver damage, and even hepatocellular carcinoma. Chronic infection occurs in 2-6% of adults and 90% of infected infants.

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Hepatitis D Virus (HDV)

Hepatitis D virus (HDV) is a defective virus that requires the help of HBV to replicate. It is a small, circular, single-stranded RNA virus with a unique capsid.

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HDV Infection Patterns

HDV infection can occur either simultaneously with HBV (coinfection) or after a previous HBV infection (superinfection). Superinfection often leads to more severe symptoms.

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Hepatitis A Virus (HAV)

Hepatitis A virus (HAV) is a positive-sense single-stranded RNA virus that can cause acute hepatitis. It belongs to the Picornaviridae family and is transmitted through the fecal-oral route.

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HAV Transmission and Impact

HAV is resistant to disinfection and stomach acid making it easily transmissible through contaminated food or water. It causes acute hepatitis.

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Picornaviridae Family

The Picornaviridae family includes viruses that infect humans and cause various illnesses. Some examples include enteroviruses, rhinoviruses, and HAV.

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Enteroviruses

Enteroviruses are resistant to harsh environmental conditions and are transmitted through the fecal-oral route. They are part of the Picornaviridae family.

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Rhinoviruses

Rhinoviruses are another member of the Picornaviridae family and are responsible for the common cold.

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HCV Transmission

The most common mode of Hepatitis C Virus (HCV) transmission is through exposure to infected blood, often from intravenous (IV) drug use, needle sticks, or blood transfusions. It can also spread sexually or from mother to child during pregnancy or birth.

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Hepatitis C Virus (HCV) Effects

Hepatitis C Virus (HCV) can cause both acute and chronic hepatitis, with chronic cases leading to long-term liver damage, cirrhosis, liver failure, and even hepatocellular carcinoma.

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Hepatitis A Virus (HAV) Transmission

The Hepatitis A virus (HAV) is a highly contagious virus that spreads through the fecal-oral route. This means infection occurs when a person ingests contaminated food or water, like from an infected person who hasn't washed their hands properly.

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Hepatitis A Virus (HAV) Infection

Hepatitis A virus (HAV) causes acute hepatitis, which is a short-term inflammation of the liver. Unlike some other types, HAV typically doesn't lead to chronic liver disease or long-term health complications. It's also resistant to common disinfectants.

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Hepatitis E Virus (HEV) Infection

Hepatitis E virus (HEV) infection often leads to acute hepatitis, which is a short-term inflammation of the liver. While many people experience mild or no symptoms, in some cases, especially in pregnant women, HEV infection can be fatal.

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Hepatitis E Virus (HEV) and Hepatitis C Virus (HCV) Structure

Hepatitis E Virus (HEV) and Hepatitis C Virus (HCV) are both enveloped viruses. They both have genetic material in the form of single-stranded RNA (+ssRNA).

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Chronic Hepatitis C and Immune Response

Chronic Hepatitis C infection leads to the body's immune system attacking infected liver cells. These attacks, by cytotoxic T-cells (CD8 T-cells), damage the liver, eventually leading to serious conditions like cirrhosis and liver cancer (hepatocellular carcinoma).

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Study Notes

Viral Hepatitis (Microbiology)

  • The presenter, Dr. Beatrice Saviola, Ph.D., has no conflicts of interest related to the presentation.
  • The lecture focuses on hepatitis viruses, specifically HAV, HBV, HCV, HDV, and HEV.
  • Students will be able to describe the viral structural characteristics, replication processes, pathogenic processes, and disease processes for each of the hepatitis viruses.
  • Different viruses are classified as DNA or RNA viruses, and in the case of HBV, it has a unique structural DNA.

Families of DNA Viruses

  • DNA viruses are categorized by symmetry of the capsid: naked or enveloped.
  • Examples of DNA viruses include: Parvovirus, Papovavirus, Adenovirus, Herpesvirus, Poxvirus, and Hepadnavirus.
  • Each virus family has specific DNA types (ssDNA, dsDNA).
  • The viruses have specific structures (i.e., virion, envelope, genome) and replicate within the cell, which is often in the nucleus or the cytoplasm.

HBV (Hepatitis B Virus)

  • HBV is in the Hepadnaviridae family.

  • HBV is an icosahedral enveloped virus, with a unique DNA structure, a partially double-stranded circular DNA.

  • Replication of HBV's DNA uses an intermediate RNA molecule

  • HBV can cause serum hepatitis or long-incubation hepatitis.

  • Transmission can occur through sexual contact, perinatal transmission, or close contact. In the U.S., blood is a significant mode of transmission, along with drug paraphernalia, and needle exposure or sticks.

  • A vaccine is available for HBV.

  • Several antigens are produced during the infection, including HBcAg (core antigen), HBeAg (breakdown product of core antigen), and HBsAg (surface antigen). HBsAg is crucial for vaccine development.

HDV (Hepatitis D Virus)

  • HDV is a defective virus that only replicates in the presence of HBV.
  • HDV is an RNA virus that has a non-segmented single-stranded RNA genome.
  • HDV is found in late 1970s in patients with HBV.

HAV (Hepatitis A Virus)

  • HAV is an RNA virus, and it is in the Picornaviridae family.
  • It is an acid-stable, resistant virus transmitted through the fecal-oral route.
  • HAV causes acute hepatitis.
  • HAV shares similar symptoms to other forms of hepatitis.

HCV (Hepatitis C Virus)

  • HCV is a flavivirus with a single-stranded RNA genome.

  • HCV can cause both acute and chronic hepatitis.

  • HCV is transmitted through blood, and can be spread through IV drug use, or other exposure to contaminated blood.

  • Symptoms can be acute or chronic, or no noticeable symptoms.

  • Some chronic infections cause hepatocellular carcinoma or cirrhosis.

  • There is no vaccine available.

HEV (Hepatitis E Virus)

  • HEV is in the Hepeviridae family, a (+ssRNA) virus that is similar to caliciviruses.
  • It's an unenveloped virus and spreads through the fecal-oral route.
  • HEV can sometimes be fatal in pregnant women.
  • HEV can cause acute hepatitis outbreaks.
  • HEV replication goes through a quasi-enveloped stage and contains an RNA polymerase to replicate the genome, which does not transport the enzyme into the host cell.

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