Virology Fundamentals

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Questions and Answers

A virus is minimally composed of which two components?

  • A protein-containing capsid and a lipid envelope.
  • A genome consisting of either DNA and a protein-containing capsid.
  • A lipid envelope and enzymes required for the initial steps in viral replication.
  • A genome consisting of either RNA or DNA and a protein-containing capsid. (correct)

What is the primary function of a virion's delivery system?

  • To mutate the host cell's DNA.
  • To bypass the host cell's immune system.
  • To protect the viral genome and enable the virus to bind to host cells. (correct)
  • To synthesize proteins within the host cell.

Why do different species within a closely related group of viruses produce significantly distinct clinical pathologies?

  • Because of the random mutations that occur during transcription.
  • Because of the varying levels of herd immunity in different populations.
  • Due to a diversity of structural and functional characteristics. (correct)
  • Due to the constant rate of viral evolution.

Which of the following characteristics is NOT used to define virus families?

<p>The presence or absence of a protein sheath. (A)</p> Signup and view all the answers

What factors contribute to the division of virus families into genera and species?

<p>Differences in host range, serologic reactions, and amino acid sequences of viral proteins. (B)</p> Signup and view all the answers

What term is used to describe viruses of the same species isolated from different geographic locations that differ in nucleotide sequence?

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

What does the one-step growth curve represent in the context of viral replication?

<p>The overall change in the amount of infectious virus in a single cell over time. (A)</p> Signup and view all the answers

What is a key characteristic of the viral replication process?

<p>It is obligately intracellular. (C)</p> Signup and view all the answers

Which of the following best explains why shingles typically manifests with painful vesicles?

<p>The virus migrates along sensory nerves, causing damage that results in painful vesicles. (B)</p> Signup and view all the answers

Why are antiviral drugs like acyclovir and famciclovir recommended for immunocompromised individuals with shingles?

<p>To accelerate the healing process and reduce the severity and duration of the outbreak. (D)</p> Signup and view all the answers

What characteristic of influenza viruses most significantly contributes to the ongoing need for updated vaccines?

<p>Their high mutation rate, leading to antigenic variation. (D)</p> Signup and view all the answers

How does antigenic shift in influenza A contribute to pandemic outbreaks?

<p>It results in a virus with significantly altered antigens, against which most people have little or no immunity. (A)</p> Signup and view all the answers

What is the primary role of animal reservoirs, such as pigs in rural China, in the emergence of novel influenza strains?

<p>They provide a location where viral reassortment can occur, leading to significant antigenic changes. (A)</p> Signup and view all the answers

Why is recombination between human and avian influenza strains a major concern for public health?

<p>It can lead to the emergence of novel influenza strains with pandemic potential. (D)</p> Signup and view all the answers

What role does the host cell RNA polymerase play in the replication cycle of a virus that integrates its DNA into the host genome?

<p>It transcribes viral mRNAs and progeny (+) strand RNA genomes from the integrated DNA. (B)</p> Signup and view all the answers

Which factor primarily determines whether an influenza outbreak becomes a localized epidemic or a widespread pandemic?

<p>The degree of antigenic shift exhibited by the influenza virus. (B)</p> Signup and view all the answers

Where does the assembly of nucleocapsids typically occur for most RNA viruses?

<p>In the cytoplasm, where viral nucleic acid replication takes place. (C)</p> Signup and view all the answers

How do naked viruses typically achieve release of progeny virions from the host cell?

<p>Through disintegration of the dying cell, resulting in a passive release. (C)</p> Signup and view all the answers

What is the most accurate description of antigenic drift in influenza viruses?

<p>A gradual accumulation of mutations in the viral genes, leading to minor antigenic changes. (D)</p> Signup and view all the answers

What is the role of matrix proteins in the maturation of enveloped viruses?

<p>To specifically associate with viral glycoproteins and bind to nucleocapsids. (A)</p> Signup and view all the answers

How does the replication mechanism of enveloped viruses influence the release of progeny viruses?

<p>Progeny viruses are released continuously while replication proceeds within the cell. (B)</p> Signup and view all the answers

Why are viruses containing lipid envelopes more prone to damage in harsh environments compared to non-enveloped viruses?

<p>Because the lipid envelope is susceptible to disruption. (D)</p> Signup and view all the answers

A researcher is studying a newly discovered virus. Initial findings indicate the virus is non-enveloped and demonstrates high stability in various environmental conditions. Which transmission route is MOST likely for this virus?

<p>Fecal-oral route (B)</p> Signup and view all the answers

A student is learning about viral replication and makes the statement: 'All enveloped viruses acquire their envelopes exclusively by budding through the plasma membrane.' Which of the following correctly evaluates the student's statement?

<p>Incorrect, because viruses can also acquire envelopes by budding through internal cell membranes like the endoplasmic reticulum or nucleus. (B)</p> Signup and view all the answers

What is the direct consequence of the loss of structural components during the uncoating phase of a virus's life cycle?

<p>Inability of the viral particle to infect other cells, corresponding to the eclipse period. (B)</p> Signup and view all the answers

How does genome size generally influence a virus's dependence on the host cell for replication functions?

<p>Smaller genomes typically result in greater dependence on the host cell for replication functions. (A)</p> Signup and view all the answers

What is a primary challenge that RNA viruses must overcome to replicate their genome within eukaryotic host cells?

<p>The absence of host cell RNA polymerase that can use viral RNA as a template. (C)</p> Signup and view all the answers

In the context of eukaryotic mRNA translation, how do RNA viruses overcome the limitation of single polypeptide production from a single initiation site, given their need to express multiple proteins?

<p>Through various unique mechanisms grouped into broad replication patterns that allow expression of multiple proteins from a single RNA molecule. (C)</p> Signup and view all the answers

How do larger DNA viruses, exemplified by poxvirus, generally differ from smaller DNA viruses, like polyomavirus, in their replication strategy?

<p>Larger DNA viruses provide almost all enzymatic and regulatory molecules needed for a complete replication cycle. (B)</p> Signup and view all the answers

If a newly discovered virus relies heavily on host cell enzymes for its replication, what can be inferred about its genome?

<p>The virus likely has a small genome and limited coding capacity. (D)</p> Signup and view all the answers

What distinguishes the uncoating process of enveloped viruses from that of non-enveloped viruses?

<p>Enveloped viruses begin uncoating during penetration, while non-enveloped viruses uncoat only after entering the cytoplasm. (B)</p> Signup and view all the answers

Consider a hypothetical RNA virus with a single RNA molecule capable of coding for only one protein. How could this virus still ensure the production of both an RNA-dependent RNA polymerase and a capsid protein?

<p>By encoding a polyprotein that is later cleaved into two functional proteins. (B)</p> Signup and view all the answers

In Type II viruses, what are the two primary mechanisms by which the synthesis of multiple viral proteins is achieved?

<p>The viral genome is a polycistronic molecule, or the viral genome is segmented. (D)</p> Signup and view all the answers

What is the critical control element in the Type II replication scheme that shifts the synthesis from (+) strand mRNAs to progeny (-) strand RNA molecules?

<p>The sequestering of (+) strand RNA molecules by newly synthesized viral proteins. (A)</p> Signup and view all the answers

What unique challenge do segmented genome viruses face during replication, beyond the challenges faced by unsegmented viruses?

<p>Assuring that all segments are incorporated into the progeny virions. (A)</p> Signup and view all the answers

Why do Type III viruses require a virus-coded RNA-dependent RNA polymerase (transcriptase) located in a subviral core particle?

<p>Because eukaryotic cells lack an enzyme capable of transcribing dsRNA. (D)</p> Signup and view all the answers

In Type III viruses, what is the dual role of the (+) RNA transcripts produced by the viral transcriptase?

<p>They serve as both mRNA for translation and as templates for (-) strand RNA synthesis. (D)</p> Signup and view all the answers

What is the key enzyme used by Type IV viruses to convert their (+) strand RNA genome into double-stranded DNA?

<p>An RNA-dependent DNA polymerase (reverse transcriptase) contained in the virion. (A)</p> Signup and view all the answers

Consider a mutation in a Type II virus that prevents the newly synthesized viral proteins from interacting with the (+) strand RNA molecules. What is the most likely outcome?

<p>Reduced synthesis of progeny (-) strand RNA molecules. (D)</p> Signup and view all the answers

A researcher is studying a novel virus with a segmented dsRNA genome. They observe that during infection, the viral RNA segments are transcribed within a subviral particle. Which known virus type does this most closely resemble?

<p>Type III: Viruses with a dsRNA genome. (B)</p> Signup and view all the answers

In Type I viral replication, what is the initial role of the infecting parental (+) ssRNA molecule immediately after uncoating?

<p>mRNA for direct translation of viral proteins. (B)</p> Signup and view all the answers

For a Type I virus with a (+) ssRNA genome, what is the purpose of synthesizing the complementary (-) ssRNA strand?

<p>To serve as a template for synthesizing additional (+) ssRNA strands. (A)</p> Signup and view all the answers

How does a Type II virus with a (-) ssRNA genome overcome the initial challenge of not being able to directly translate its genome upon entering a host cell?

<p>It carries its own RNA-dependent RNA polymerase within the virion. (B)</p> Signup and view all the answers

Why can't the (-) ssRNA genome of a Type II virus be translated directly upon entering a host cell?

<p>Host ribosomes cannot recognize and bind to (-) ssRNA. (D)</p> Signup and view all the answers

What is a key difference in the replication strategy between Type I (+) ssRNA viruses and Type II (-) ssRNA viruses regarding the viral RNA-dependent RNA polymerase?

<p>Type II viruses package the polymerase in the virion, while Type I viruses synthesize it after infection. (A)</p> Signup and view all the answers

Which function is common to both the (+) ssRNA of Type I viruses and the complementary (+) strand intermediate produced during Type II virus replication?

<p>Serving as mRNA for protein synthesis. (B)</p> Signup and view all the answers

Consider a mutation that inactivates the protease domain of the polyprotein produced by a Type I (+) ssRNA virus. What is the most likely consequence of this mutation?

<p>Production of non-functional viral proteins due to lack of proper processing. (A)</p> Signup and view all the answers

A researcher is studying a novel RNA virus and determines that the viral genome is (-) ssRNA. Based on the information above, what would be the most reasonable hypothesis regarding the virus's replication strategy?

<p>The infecting virus particle contains viral RNA-dependent RNA polymerase. (B)</p> Signup and view all the answers

Flashcards

Virus

Infectious agent with a genome (RNA or DNA) and a protein capsid for protection.

Virion

A virus particle, complete with its genome and protective capsid.

Viral Replication

Obligately intracellular process by which viruses reproduce inside host cells, using host machinery.

Virus Families

Groups of viruses are classified based on nucleic acid type/structure, replication strategy, capsid symmetry, and presence/absence of envelope.

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Virus Genus

A more specific classification level within a virus family based on specific properties.

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Virus Species

A further classification within a genus, where isolates from different locations may vary in nucleotide sequence.

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Virus Strains

Variations of the same virus species from different geographic locations but differing on a nucleotide sequence.

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One-Step Growth Curve

Graph showing changes in infectious virus amount over time within a single infected cell population.

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Uncoating Initiation (Enveloped Viruses)

The first step of uncoating for enveloped viruses; occurs during penetration.

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Eclipse Period (Viral Growth)

Period when the virus loses its ability to infect, corresponding to the uncoating phase.

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Viral Genome Size & Host Dependence

Smaller viruses rely more on the host cell for replication functions.

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Polyomavirus Replication Strategy

These divert host cell processes to replicate the virus.

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RNA Virus Challenges

Viruses must replicate their RNA genome and produce viral proteins in eukaryotic host cells.

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RNA-Dependent RNA Polymerase Need

Host cells lack RNA polymerase that can use viral RNA as a template.

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Eukaryotic mRNA Translation

Eukaryotic mRNAs translate into a single polypeptide from one initiation site.

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RNA Virus Protein Requirements

RNA viruses must express the genetic information for multiple proteins like RNA-dependent RNA polymerase and capsid proteins.

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Type I Viruses

RNA viruses with (+) polarity that use a (-) strand intermediate for replication.

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(+) ssRNA Roles

The infecting parental RNA molecule acts as mRNA and template for (-) strand synthesis.

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Polyprotein Processing

Synthesis of a long protein chain that is then cut into individual functional proteins.

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RNA-dependent RNA Polymerase

Enzyme that uses RNA to create more RNA.

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Type II Viruses

Viruses with (-) polarity that replicate via a (+) strand intermediate.

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(-) Strand Genome Challenge

Genomes that must be converted to (+) strands before protein synthesis can occur.

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(-) Strand Virus Strategy

The virus brings its own polymerase into the cell to transcribe the (-) strand into (+)

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Viral (-) Strand Genome Functions

  1. Provide information for protein synthesis, and 2) Serve as templates for replication.
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First Synthetic Event After (-) Strand Virus Infection

Transcription of (+) strand mRNAs from the parental viral (-) strand RNA template.

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Polycistronic Genome

The viral genome is one molecule, from which transcription produces a number of mRNAs.

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Segmented Genome

The viral genome is composed of a number of different RNA molecules

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Control Element in Type II Replication

Shift from synthesis of (+) strand mRNAs to production of progeny (-) strand RNA molecules.

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Shift from (+) to (-) Strand Synthesis

Occurs through sequestering of (+) strand RNA molecules by interaction with newly synthesized proteins.

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Type III Viral Genome

dsRNA genome is segmented, with each segment coding for one polypeptide.

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Transcriptase in Type III Viruses

Virus-coded, RNA-dependent RNA polymerase (transcriptase) located in a subviral core particle.

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Reverse Transcriptase Function

Conversion of a (+) strand RNA to a double-stranded DNA accomplished by reverse transcriptase.

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Viral Integrase

Viral enzyme that integrates viral DNA into the host cell's genome.

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Nucleocapsid Assembly Site

The location within the host cell where viral components assemble.

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Naked (Unenveloped) Viruses

Viruses lacking a lipid envelope, released upon cell disintegration.

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Enveloped Viruses

Viruses with a lipid envelope, acquired by budding through the host cell membrane.

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Virus-Specific Glycoproteins

Viral proteins that displace cellular proteins on the host cell membrane during viral replication.

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Matrix Proteins

Viral proteins that link nucleocapsids to virus-specific glycoproteins during the budding process.

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Viral Budding

Process by which enveloped viruses acquire their lipid envelope from the host cell membrane.

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Enveloped Virus Transmission

Viruses transmitted via respiratory, parenteral (e.g., injection), or sexual routes due to their sensitivity to harsh environments.

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Postherpetic Neuralgia

Painful condition following a shingles outbreak, due to sensory nerve damage.

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Shingles (Zoster)

Reactivation of the chickenpox virus (varicella-zoster virus), often in older adults, causing a painful rash.

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Shingles Treatments

Antiviral drugs used to treat shingles in immunocompromised individuals (examples: acyclovir, vidarabine, famciclovir).

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Influenza (Flu)

Respiratory disease caused by orthomyxoviruses.

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Influenza Virus Groups

Classification of influenza viruses based on antigens (H and N) on their protein coats.

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Antigenic Variation

Changes in the antigenicity of influenza viruses.

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Antigenic Drift

Small changes in the antigenicity of influenza viruses.

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Antigenic Shift

Large, abrupt changes in the antigenicity of influenza viruses.

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Study Notes

  • A virus is an infectious agent made of a genome (RNA or DNA) and a capsid protein.
  • Many viruses have an envelope composed of a protein-containing lipid bilayer which distinguishes groups of viruses and complete virus particle combining these structural elements is called a virion.
  • Virions function as delivery systems that protect the genomes and facilitate host cell binding and the payload includes the viral genome and enzymes needed for viral replication.
  • The pathogenicity of a virus depends on structural and functional characteristics, and related viruses can produce distinct clinical pathologies.
  • Viruses are divided into groups based on the type and structure of nucleic acid, the replication strategy, capsid symmetry, and the presence/absence of a lipid envelope.
  • Differences within a virus family, including properties like host range, serologic reactions, amiino acid sequences of vital proteins, and nucleic acid homology, are the basis for genera division
  • Viral species isolated from various geographic locations may have different nucleotide sequences and are referred to as strains.

The one-step growth curve and viral replication

  • The one-step growth curve represents the change in the amount of infectious virus in a single cell infected by a single virus particle
  • Data is obtained by following events in a large, synchronously infected cell population, with the experimental conditions manipulated to obtain synchronicity.
  • The basic features of infectious cycles are consistent for all viruses, with time scale and progeny virus yield varying among virus families
  • The one-step growth curve begins with the eclipse period, followed by exponential growth.

The eclipse period

  • After the initial attachment of a virus to the host cell, its ability to infect other cells disappears which is called the eclipse period
  • The eclipse period represents the time elapsed from the initial entry and disassembly of the parent viruses to the assembly of the first progeny virion.
  • There is active synthesis of virus components during the eclipse period for most human viruses in a range of 1-20 hours

Exponential growth

  • The number of progeny virus particles produced in the infected cell increases exponentially over some time, then reaches a plateau where no additional increase in virus yield occurs
  • The maximum yield per cell is characteristic and reflects the balance between the rate at which virus is constructed, and the rate at which cells lose their ability to produce new virus particles
  • The yield may range from 100 to 10,000 virions per cell for 8 - 72 hours or longer.

Steps in the replication cycle

  • The replication process in sequence involves virus attachment to the host cell, leading to penetration and uncoating of the viral genome, which is then followed by gene expression and replication and ultimately ending in assembly and release of viral progeny.

Adsorption

  • Adsorption occurs when there is initial attachment of a viral particle to a host cell that involves an interaction between specific molecular structures on the virion surface and receptor molecules in the host cell that recognize those vital structures
  • Some viruses have specialized structures for attachment, like glycoprotein spikes found in viral envelopes(rhabdoviruses) while other viruses uses the unique folding of capsid proteins such as picornavirus
  • Multiple copies of these molecular attachment structures are distributed around the surface of the virus, and in some cases, neutralizing viral infectivity occurs through antibody binding
  • Receptors molecules on the host cell membrane are specific to each virus family
  • Cellular membrane receptors for growth factors serve as receptors for particular viruses, these virus receptors are present only on specifically differentiated cells or each unique animal species.
  • The presence or absence of host-cell receptors is an important determinant of tissue specification within a sustainable host species and also for the susceptibility/resistance of a species on a given virus.

Penetration

  • Penetration occurs when the virion begins the passage from the surface of the host cell to across the membrane and into the cytoplasm
  • Animal cells can be penetrated by viruses via receptor-mediated endocytosis as well as direct membrane fusion.
  • Receptor-mediated endocytosis involves the cell internalizing compounds using serum lipoproteins and regulatory molecules, except the invading virus particles are bound to the host cell surface receptor in place of a normal ligament
  • Cell membrane invaginates, enclosing the virion in/as an endocytic vesicle or endosome, the release of the version of the cytoplasm is either depending on one or more viral molecules or whether the virus is an enveloped membrane to which it then fuses (releasing the new capsid into the cytoplasm)
  • Membrane fusion occurs with enveloped viruses entering a host cell by fusing their envelopes with the plasma membrane with one or more glycoproteins promoting this fusion
  • During fusion, the new capsid is free inside the cytoplasm, where the vital membrane remains associated with the plasma

Uncoating

  • Refers to the stepwise disassembly of the version that allows the expression of the viral genes that carry out the replication
  • For enveloped viruses, the penetration process itself is the first form of uncoating and generally speaking most forms of an coding occur within the cell depend on enzymes, but complex viruses require newly synthesizes viral proteins for the process
  • Loss of viral proteins during encoding leads to the loss of the virus particles' ability to infect creating an eclipse period, or viral genes beginning expression during the cycle

Genome replication for DNA and RNA viruses

  • Each virus family differs in significant ways from all others in terms of macromolecular events composing the replication cycle, with the variation in viral genomes giving rise to great differences in the number of proteins the virus can code
  • Smaller viral genomes depend on the host cell more for viral replication, small DNA viruses can produce 1-2 replication-related gene products, thus diverting cell process to those for viral replication, while larger DNA viruses provide virtually all enzymatic and regulatory molecules for a cycle
  • Viral replication cycle in DNA starts with the 1st step of Transcription of early genes, then Replication of the virus which activates the proteins in translation, the Progeny of DNA activates assembly via nucleocapids

Genome replication for RNA viruses

  • RNA must overcome the two following problems: the need to replicate the vital and how the viral particles produce numerous proteins in Eukaryotic host cells. First, there is no host cell RNA polymerase that synthesize viral complementary RNA, also the translations can only occur at a single intiation(single polypeptide) where viruses often need several including capsid proteins
  • RNA overcomes this with four categories for replication:
    • I Viruses with a single-stranded genome (ssRNA) are (+) polarity that replicates via complementary RNA
      • Viral Replication, where the infecting original RNA-molecule acts as both a mRNA and a synthesyis for the complementary strand
      • Because origianl RNA is made of messenger polarity, it is translated after uncoating with celluar lysosomes with a protein cut by proteolytic processing by polymerase
      • ssRNA is template to synthesize viral RNA polymerase to synthesize complementary ssRNA (-), with progeny serving as a template for progeny (+)
    • II: (-) Polarity that replicates via complementary (+) strand
      • Viral Genomes here have two functions, protein synthesis, and templates for replication.
      • Complementary (+) strands are needed as intermediate due to (-) lack the ability to complete goals
      • The viruses are two-fold as (-) cannot be translated, thus viral RNA/polymerase is not synthesized immediately
    • III Viruses:
    • DNA RNA Genome:
      • Eukaryotic cells are unable to transcribe DNA genomes
      • The (-) strand is made of RNA Transcriptase (RNA polymerase depending from viral-code)
      • The virons consist of protein, and DNA.
      • RNA Trasncriptate are for both translation, and templates for (-) synthesis/ strands ending (+) formation. -IV: strand DNA/ replicated DNA intermediate.
      • Uses Polymerase( reverse transcriptase)
      • The viral uses viral integrase, the MRNA transcription ( host/ cell polymerase)

Assembly

  • The nucleocapsids take place where the viral nuclei is (cytoplasm -RNA,nucleus DNA)
  • DNA cells require nucleus synthesis/cytosol for assembly via self assemble for nuclei acid to connect with capids

Naked Viruses

  • Completed at point of virion, disassembly of the cell is what causes distribution

Enveloped Virus

  • Virus-specific glycoproteins - Cellular/host membrane causes the cell to have some version of viral/antigen specific
  • Association with matrix protein and bonding with nucleocapaids/maturation for membrane
  • Consequence: released continuously during replication(cell membrane looses integrity) and virus is proceeded
  • most infectious are Extracelluar (membrane budding = internal cell such innerplasmic/nucleus
  • If exposed to harsh damage lipids can be transferred by respiratory ways, where non enveloped have greater resilience

Viral infections and their effects on host

  • Responses may varry such as having no effect( antigen specificity, latency cell alteration), or cell death
  • Progeny, and infection are categorized using different methods:
    • A) Without - Abortive caused by cells lacking enzymes, promoter, replication. They lack permissiveness
    • B) Infaction without virus, genetic defects/replication problems, cell death
    • C) With - cell is antigenic and releases and allows infection of progeny, doesn't harm cell.
    • D) Latency - with no replication of the progen and in the future can release such virus, in cell chromosome.
      • Cells are turned into tumor and transformed
      • Increased efficieny for synthetic precursor/enzymes
      • Much of cells shut down, then the cell becomes lytic

Diseases with specific viral infections

  • Chickenpox(Varicella) - highly contagious in skin disease primarly (2-7) year of age (4 million in US) via Herpesviridae family through repiratory routes (Varcia-zoster)

    • Attacment requires 6 types of glycoprotein that target respiratory/epithelial cells
    • Recognition results in homoral cellular immuntiy after (10-23) days, small vesicles are produced/rupture with scars (figure38.1) in 10 day/intesity
    • Vaccine (varivax) / Acylovir reduces illness
    • viral is still presnet though, existing via a domant DNA in cell ganglia/nerves.
    • immune compormised causes activation/painful vesicels/ replcaiton
  • Influenza - respatory( flu) with orthromxy virus

    • A,B,C in groups of H & N antigens
    • The viruses are frequnency for the antigens for minor "drift" but major shift happens more
    • Antigen occurs yearly in A,B, and unverified in C
    • china has close pigs that can transfer the infection via human, pigs, back to pigs
      • recombination = antigenic
    • 1918, in 20 million cases: disaster - espanola
    • Asian, hong kong virus are still present via inhilation/digestion
    • in 1 to 2 incubtation = adherance
      • neruominidases for host and viral adhesion.
    • hem agglitium ( spikes), membrane of cells bulde ( receptos, via endocytosis
      • hydrophobic extrend to member after contact: RNA ncueocapsid release- cytosol
    • chills, ,fever, death by epithelical cells , 3 -7 days to subside
    • infections are very likely, by secondary
    • flutgen , virus is able to detect and take over a cell in (10-25) minutes
      • tamiflu /relenza attacks the enzyme, by blocking cell movement(aspirn)
      • inactive vacciens for chronics younger than 14 prevent disease
    • The strains for epidmnic influenza A are H2N and H3N2 hemagglutinin/neuromindase surface glycoproteins
    • A= 1-%or in winter
    • B = 3 % all flu cases in the US

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