Virology: Chapter 1 - The Virus

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Questions and Answers

What is the primary method of horizontal transmission of plant viruses?

  • Through mechanical means like garden tools (correct)
  • By insect vectors penetrating cell walls (correct)
  • Through infected seeds
  • Via systemic infections spreading throughout the plant

Which of the following is true about viroids?

  • They are larger than most viruses.
  • They do not code for a protein product. (correct)
  • They consist of protein and ssRNA.
  • They are responsible for neurodegenerative disorders.

What characterizes non-enveloped DNA viruses?

  • They do not possess nucleocapsids.
  • They can only induce lytic infections.
  • They have a protein coat.
  • They contain supercoiled, double-stranded, circular DNA. (correct)

Which diseases are associated with prions?

<p>Bovine spongiform encephalopathy and Creutzfeldt-Jakob disease (B)</p> Signup and view all the answers

Which family of viruses is particularly known for causing hyperplastic lesions?

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

How do viral particles facilitate systemic infection in plants?

<p>By moving through plasmodesmata (C)</p> Signup and view all the answers

What distinguishes the two subfamilies of Papovaviridae?

<p>Differences in the DNA sequences of their genes (D)</p> Signup and view all the answers

Which statement about RNA genomes of plant viruses is accurate?

<p>The majority of plant viruses have an RNA genome. (B)</p> Signup and view all the answers

What is the primary mode of transmission for HSV-1?

<p>Saliva and lesions on mucosal surfaces (A)</p> Signup and view all the answers

Which statement about HSV-2 is accurate?

<p>It is commonly found in genital tract secretions. (A)</p> Signup and view all the answers

What typically occurs in immunocompetent individuals during HSV infection?

<p>The infection remains localized because of immune response. (D)</p> Signup and view all the answers

What is a possible complication of HSV infection in the eye?

<p>Keratoconjunctivitis leading to blindness (B)</p> Signup and view all the answers

What symptom is commonly associated with primary infections of the upper body caused by HSV?

<p>Vesicles and shallow ulcers (D)</p> Signup and view all the answers

Which type of herpes simplex virus is most commonly associated with lesions below the waist?

<p>HSV-2 (A)</p> Signup and view all the answers

Which of the following is a significant risk if HSV infection spreads to the CNS?

<p>It has a mortality rate of approximately 70% if untreated. (C)</p> Signup and view all the answers

Primary genital infections with HSV usually present as:

<p>Painful ulcerative lesions (C)</p> Signup and view all the answers

Which protein is not one of the four proteins encoded by the hepatitis B viral DNA?

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

Which body fluid is NOT a source of hepatitis B virus transmission?

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

What is the typical incubation period for hepatitis B infection?

<p>1 to 6 months (B)</p> Signup and view all the answers

What characterizes the acute, icteric phase of hepatitis B infection?

<p>Dark urine and jaundice (B)</p> Signup and view all the answers

Which of the following best describes the primary infection response in most individuals to hepatitis B?

<p>Asymptomatic with resolution due to immune response (A)</p> Signup and view all the answers

What is the primary reason for the public health concern regarding hepatitis B?

<p>It leads to acute liver disease and chronic infections (D)</p> Signup and view all the answers

In which demographic is hepatitis B primarily a disease?

<p>Infants in developing nations (A)</p> Signup and view all the answers

What is the viral titer level indicated for a patient infected during acute hepatitis B infection?

<p>10^8 virus particles/mL (A)</p> Signup and view all the answers

What is the primary mode of transmission for the rubella virus?

<p>Respiratory secretions of an infected person (A)</p> Signup and view all the answers

Which of the following is a consequence of congenital rubella infection?

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

What distinguishes rubella from measles (rubeola)?

<p>Rubella presents with a generalized maculopapular rash and lymphadenopathy (C)</p> Signup and view all the answers

What is the incubation period for rubella virus infection?

<p>9-11 days (D)</p> Signup and view all the answers

Which of the following is an appropriate preventive measure for congenital rubella?

<p>Using a live attenuated rubella vaccine (D)</p> Signup and view all the answers

Which statement about the clinical features of rubella is true?

<p>Fever and malaise are common initial symptoms. (C)</p> Signup and view all the answers

What complication can occur if rubella infection happens early in pregnancy?

<p>Death of the fetus (B)</p> Signup and view all the answers

What is a major cause of post-transfusion hepatitis?

<p>IV drug users (B)</p> Signup and view all the answers

What are the first areas on the body where rashes develop in a rubella infection?

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

Which of the following is a common cutaneous disease associated with HCV infection?

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

How does hepatitis C virus primarily damage liver cells?

<p>Through host immune response and viral gene activity (C)</p> Signup and view all the answers

Which of the following statements is true regarding RNA viruses and chronic infections?

<p>Chronic infection is not typically associated with RNA viruses (B)</p> Signup and view all the answers

Which condition might prompt testing for HCV in a patient?

<p>Skin manifestations such as necrolytic acral erythema (A)</p> Signup and view all the answers

What characteristic of coronaviruses gives them their name?

<p>The solar corona-like appearance of their spike proteins (D)</p> Signup and view all the answers

Which type of virus has the largest genome among RNA viruses?

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

Approximately what percentage of HCV infections present with acute hepatitis symptoms?

<p>25% (A)</p> Signup and view all the answers

What happens during the latent period of HIV infection?

<p>90% of HIV proviruses remain transcriptionally silent. (D)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with the clinical complications during the latent period of HIV infection?

<p>Acute respiratory distress (D)</p> Signup and view all the answers

What is the likely outcome when CD4+ count falls below 200/μl in an HIV-infected patient?

<p>The patient is diagnosed with AIDS. (D)</p> Signup and view all the answers

What characterizes the replication of virus isolated during the latent period compared to that isolated later?

<p>It replicates more slowly. (C)</p> Signup and view all the answers

What can stimulate the immune response and activate HIV replication?

<p>Activation of resting T cells. (B)</p> Signup and view all the answers

Which of the following is an example of an opportunistic infection that may occur during the latent period?

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

What occurs as the immune system weakens in the progression towards end-stage AIDS?

<p>Increase in malignancies and opportunistic infections. (D)</p> Signup and view all the answers

During which phase do patients with HIV experience a relatively stable, low level of virus production?

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

Flashcards

Horizontal Transmission (Plant Viruses)

A type of virus transmission where a virus enters a plant from the external environment, often through insect vectors or contaminated tools.

Vertical Transmission (Plant Viruses)

A type of virus transmission where a virus is passed from a parent plant to its offspring through seeds or asexual propagation.

Viroids

A type of plant pathogen that consists solely of a small, circular single-stranded RNA molecule without a protein coat. It replicates using host enzymes and does not produce proteins.

Prions

A type of infectious agent that consists of a misfolded protein that can cause neurodegenerative diseases in humans and mammals. It replicates by converting normal proteins into misfolded versions.

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Papovaviridae

A family of DNA viruses that have icosahedral capsids and contain supercoiled, double-stranded, circular DNA.

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Papillomavirinae

A subfamily of Papovaviridae that infect epithelial cells and cause warts and other hyperplastic lesions.

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Papovaviruses

A group of viruses that infect epithelial cells and cause tumor formation, including both benign and malignant tumors.

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Non-Enveloped DNA Viruses

Small, non-enveloped DNA viruses that have icosahedral capsids and contain supercoiled, double-stranded, circular DNA.

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How are HSV-1 and HSV-2 transmitted?

HSV-1 and HSV-2 are spread through direct contact with virus-containing secretions like saliva, skin lesions, or respiratory secretions.

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Where are HSV-1 and HSV-2 typically found?

HSV-1 is commonly found in lesions above the waist, while HSV-2 is more common below the waist.

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How do HSV-1 and HSV-2 cause lesions?

HSV-1 and HSV-2 multiply in epithelial cells of the mucosal surface, leading to the formation of vesicles containing infectious virus.

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How does the immune system control HSV infections?

In healthy individuals, the immune system's cytotoxic T lymphocytes recognize and destroy infected cells before progeny virus is produced.

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What happens to HSV-1 and HSV-2 after an initial infection?

HSV-1 and HSV-2 can establish a lifelong latent infection in regional ganglia, allowing the virus to reactivate later.

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What are the symptoms of primary HSV-1 infection?

Primary infections of the upper body can be asymptomatic but can also manifest as gingivostomatitis in children, pharyngitis/tonsillitis in adults, and keratoconjunctivitis, which can lead to blindness.

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What can happen if HSV-1 spreads to the central nervous system?

HSV-1 infections of the central nervous system can lead to encephalitis, a serious condition with high mortality and neurological deficits.

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What are the symptoms of primary HSV-2 infection?

Primary genital herpes infections can be asymptomatic but can manifest as painful vesiculo-ulcerative lesions on the vulva, cervix, vagina in women and the penis in men.

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HBV Transmission

Hepatitis B virus infection is present in all body fluids of an infected individual.

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Incubation Period

The time between exposure to the virus and the appearance of symptoms.

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Chronic Carrier

An individual with a chronic infection, meaning they have the virus for a long time.

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Viral Titer

The number of virus particles present in a sample. A high titer means there are many virus particles.

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Hepatitis

Inflammation of the liver, usually caused by a viral infection.

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Icteric Phase

A phase of hepatitis B infection characterized by yellowing of the skin and eyes.

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Pre-icteric Phase

A phase of hepatitis B infection characterized by mild symptoms like fever and fatigue.

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Immune Response

The ability of the body's immune system to fight off infection, particularly through cell-mediated immune response.

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What family and genus does rubella virus belong to?

Rubella virus is a member of the Togaviridae family, specifically the alphavirus genus. Like alphaviruses, it has an enveloped structure with a single-stranded RNA genome.

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How is rubella virus transmitted?

Rubella virus is primarily spread through respiratory secretions, like saliva or droplets from an infected individual's cough or sneeze.

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What are the typical symptoms of rubella?

Rubella infection generally causes mild symptoms, including a characteristic rash that looks like small red spots spread across the body, and swollen lymph nodes at the back of the head.

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Why is rubella infection a serious concern for pregnant women?

Rubella infection during pregnancy can lead to serious developmental problems for the developing fetus, potentially causing damage to the heart, eyes, liver, and brain.

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What is the incubation period for rubella?

Rubella virus's incubation period is typically 9 to 11 days, meaning that's the time between exposure to the virus and the onset of symptoms.

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What is congenital rubella syndrome?

Congenital rubella syndrome occurs when a pregnant woman is infected with rubella, resulting in birth defects in the baby. These defects can include heart problems, cataracts, hearing loss, and brain damage.

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How can rubella infection be prevented?

A live attenuated rubella vaccine is included in routine childhood vaccinations to prevent rubella infection. It is not typically given to pregnant women or individuals with weakened immune systems.

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What is the Flaviviridae family?

Flaviviridae is a family of enveloped viruses with a single-stranded RNA genome. Members of this family are known for having three structural proteins.

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What are the main risk factors for Hepatitis C Virus (HCV) infection?

Hepatitis C Virus (HCV) is the main cause of post-transfusion hepatitis, affecting individuals who receive blood transfusions. It's also prevalent among intravenous drug users, those undergoing hemodialysis, and people who get tattoos.

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How can HCV be transmitted?

HCV can be transmitted through sexual contact, meaning infected individuals can spread the virus to their partners during sexual activity. Mothers infected with HCV can also pass the virus to their newborns during birth.

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Where does HCV replicate in the body?

Once HCV enters the body, it replicates within the liver cells, known as hepatocytes, and also multiplies inside immune cells like lymphocytes and macrophages.

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How does HCV damage the liver?

HCV damages liver cells through two mechanisms: direct attack by the virus's genetic material and the body's own immune response. Cytotoxic T cells, a type of immune cell, play a role in this immune response and can further harm the liver.

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What are some unique characteristics of HCV infections?

HCV is an RNA virus, which typically doesn't cause chronic infections or cancer like DNA viruses do. However, certain HCV strains have been linked to hepatocellular carcinoma, a type of liver cancer, even in the absence of liver scarring (cirrhosis). Treatment with interferon-γ (IFN-γ) has also been associated with treatment failures in certain HCV infections.

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What are the clinical outcomes of HCV infection?

Most HCV infections are asymptomatic, meaning individuals don't experience any symptoms. However, roughly 25% of HCV infections cause acute hepatitis, leading to symptoms like jaundice. Importantly, a significant proportion of individuals progress to chronic hepatitis and cirrhosis. Sadly, some of these individuals eventually develop hepatocellular carcinoma.

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What other organs can HCV affect besides the liver?

HCV can impact not only the liver but also other tissues, particularly the skin. Common skin conditions associated with HCV include mixed cryoglobulinemia, porphyria cutanea tarda, lichen planus, and necrolytic acral erythema.

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Why are skin manifestations linked to HCV significant?

Skin manifestations can sometimes be the initial sign of HCV infection. If you notice any unusual skin problems, it's crucial to get tested for HCV. Most importantly, skin issues usually improve after successful HCV treatment or when the virus is cleared from the body.

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Latent Period in HIV Infection

The period after acute HIV infection, characterized by a clinically asymptomatic state where HIV replication is controlled by the immune system, but the virus persists in a latent state within a small number of infected cells. This phase can last for several years and is marked by a decline in CD4+ cell count over time.

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CD4+ Cells

Immune cells primarily affected by HIV infection, responsible for coordinating immune responses and defending against infections. Their depletion leads to immune system impairment and vulnerability to opportunistic infections.

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HIV-specific Cytotoxic T Lymphocyte Response

A specific type of immune response involving specialized cells that directly destroy infected cells, playing a crucial role in controlling HIV replication during the latent period.

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CD4+ Count Decline

The gradual but continuous decline in the number of CD4+ cells, a defining feature of HIV progression, ultimately leading to impaired immune function and susceptibility to opportunistic infections.

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CD4+ Count below 200/μl

A key marker of HIV progression to AIDS, signifying a severely compromised immune system with a high risk of developing opportunistic infections. Once the CD4+ count falls below this level, the patient is diagnosed with AIDS.

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Opportunistic Infections

Infections that take advantage of a weakened immune system, often characteristic of AIDS progression, and frequently contribute to the decline in health and survival of individuals with advanced HIV.

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End-stage AIDS

The final stage of HIV infection, characterized by severe immune suppression and the development of life-threatening opportunistic infections. This phase is a direct consequence of the progressive decline in the number of CD4+ cells.

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AIDS-related Malignancies

A diverse group of diseases, including cancers, that occur more frequently and aggressively in people with AIDS due to the weakened immune system.

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Study Notes

Virology: Chapter 1: The Virus

  • Viruses are small infectious agents that replicate only inside living cells of other organisms.
  • Viruses can infect all life forms, from animals and plants to microorganisms, including bacteria and archaea.
  • Viruses are categorized based on their genetic material: DNA or RNA.

Introduction

  • Viruses are too small to be seen with a light microscope.
  • They are obligate intracellular parasites, meaning they require a host cell to multiply.
  • Viruses are filterable agents, able to pass through filters that retain back bacteria.
  • Viruses contain a nucleic acid genome, packaged within a protein coat (capsid). Sometimes, an envelope of lipids, proteins, and carbohydrates surrounds the capsid.
  • Viruses replicate using the host cell's machinery.
  • They do not replicate by cell division (binary fission).
  • Generally, they lack enzymes for their own metabolism.

Bacteria vs. Viruses

  • Key difference: Bacteria are living cells, while viruses are non-living entities.
  • Bacteria have cells, viruses do not.
  • Common attribute: Both can cause disease.
  • Treatment: Antibiotics target bacteria, while vaccines and antiviral medications help fight viruses.

Structure of a Virus

  • The virion consists of a nucleic acid core (genome) surrounded by a protein coat (capsid).
  • The capsid and nucleic acid together are known as the nucleocapsid.
  • Some viruses are enveloped.

Basic Virus Structure

  • DNA or RNA + protein capsid = Nucleocapsid.
  • Nucleocapsid + lipid membrane and glycoproteins = Enveloped virus
  • Nucleocapsid without the envelope = Non-enveloped virus, or naked virus.

Viral Structure

  • A virion is an intact, infectious viral particle.
  • The capsid is composed of protein subunits called capsomeres.
  • Viral symmetry can be icosahedral or helical.
  • Some have an envelope (derived from the host cell membrane).
  • Viruses contain a genome (instructions for viral functions) comprised of DNA or RNA, which may be single- or double-stranded, linear or circular.

Viral Classification

  • Viruses are classified based on the structure of their capsid.
    • Helical viruses: rod-shaped capsids (e.g., rabies virus, Ebola virus)
    • Polyhedral viruses: many-sided capsids (icosahedral) (e.g., adenovirus)
    • Enveloped viruses: covered by an envelope (e.g., influenza virus, herpes simplex virus)
    • Complex viruses: complicated structures (e.g., bacteriophages)

1-The Capsid

  • The nucleic acid of the virus is surrounded by a protein coat called the capsid.
  • The capsid is made of protein subunits called capsomeres.
  • The arrangement of capsomeres is characteristic of a specific virus type.
  • The capsid protects the viral nucleic acid and aids in attachment or entry into host cells.

2- The Envelope

  • The viral envelope usually consists of lipids, proteins, and glycoproteins often derived from the host cell membrane.
  • Enveloped viruses can be sensitive to heat and detergents, while non-enveloped viruses tend to be more stable.
  • Envelopes aid in protection of the viral genome and host cell entry.

3- Viral Symmetry

  • Viruses are classified by their capsid symmetry.
  • Icosahedral symmetry: The capsid is composed of equilateral triangles (e.g., adenoviruses, herpesviruses).
  • Helical symmetry: The capsid forms a helix around the nucleic acid (e.g., influenza virus, rabies virus). These viruses can have one or more RNA strings within the capsid.
  • Complex symmetry: A combination of both shapes described above, or a unique geometry (e.g., bacteriophages).

4- Viral Nucleic Acid, Proteins and Lipids

  • The viral genome is composed of either DNA or RNA, but never both.
  • Viral DNA can be linear or circular.
  • Viral RNA can be positive-sense, negative-sense, both, or ambiguous
  • Viruses may contain more than one piece of nucleic acid.
  • Viral proteins form the capsid, and some enveloped viruses contain lipids embedded in these membranes.
  • The viral proteins determine the virus's characteristics and allow it to infect more cells.

1-The Capsid

  • The capsid is a protein coat surrounding the virus's genome.
  • It protects the genome and facilitates the virus's attachment and entry into host cells.
  • The capsid structure can be icosahedral, helical, or complex.

Viral Multiplication (Bacteriophages)

  • Viruses reproduce by taking control of the host cell's metabolic machinery
  • Different replication cycles (lysogenic and lytic) exist for different types of viruses.
  • Lytic cycle: viral components replicate in the host cell and lyse the host cell to release the progeny virions
  • Lysogenic cycle: the phage DNA is incorporated into the host's DNA sequence (becoming a prophage) and remains inactive until conditions trigger the cell's replication to also produce progeny viruses. This maintains the virus without harming the host cell

Viral Multiplication (Animal Viruses)

  • Viruses often enter host cells by endocytosis or membrane fusion following attachment and/or penetration and uncoating, instead of direct genome injection
  • The viruses replicate in the cytoplasm or nucleus following uncoating.
  • The virus replicates via reverse transcription in some cases (e.g., HIV).

Replication Cycles in Animal Viruses

  • Attachment (adsorption), Penetration, Transcription/Replication, Translation, Assembly, Release (or budding) describe the general phases.
  • Differences exist in specific events, especially in regard to where the virion replication takes place, and how the virus is released
  • Most viruses leave the host cell by lysis, some enveloped viruses bud, some viruses maintain latency.

2- The Envelope

  • Many animal viruses have an outer envelope derived from the host cell membrane.
  • Viral glycoproteins are embedded in the viral envelope and can aid in host cell recognition and entry into the cell.

3- Viral Symmetry

Properties of Human DNA Viruses

  • Summarize structural types (e.g., shapes - spherical, brick-shaped ,polyhedral) viral size and genome nature as well as their classification (families, genera, and examples).

Properties of Human RNA Viruses

  • Summarize structural (e.g., shapes = spherical, bullet shaped) types, size and genome nature; as well as their classification ( families, genera, and examples).

Replication Cycles in Animal Viruses

2- The Envelope

3- Viral Symmetry

4- Viral Nucleic Acid, Proteins and Lipids

Lysis

Replication Cycles in Animal Viruses

2- The Envelope

3- Viral Symmetry

4- Viral Nucleic Acid, Proteins and Lipids

Viral Nucleic Acid, Proteins and Lipids

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