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Flashcards based on lecture notes about viruses and antiviral drugs.
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What does the genome of a (+)ssRNA virus mimic?
Host mRNA
Where do enveloped (+)ssRNA viruses typically make polyproteins?
At the ER
What enzymes chop up long viral polyproteins into individual proteins?
Host and viral proteases
What enzyme is required to transcribe the genome of a (+)ssRNA virus?
RDRP (RNA-dependent RNA polymerase)
What are the two RNA products of RdRp?
(-)ssRNA intermediates and (+)ssRNA genomes
What is the initial genome replication sequence?
+ssRNA -> -ssRNA -> +ssRNA
What type of drug is Ribavirin?
Nucleoside analog
What is Ribavirin's mechanism of action?
It is phosphorylated and activated in cells, then incorporated into viral RNA during genome replication and induces hypermutation
What viruses are targeted by Ribavirin?
Influenza, Hepatitis C, Polio, Measles, Yellow fever, West Nile, and Dengue Viruses
What bases can Ribavirin bind to?
Uracil (U) or Cytosine (C)
What does Ribavirin cause in viruses that depend on RdRp?
Lethal hypermutation
How is Hepatitis C transmitted?
Via blood from host to host
What disease can Hepatitis C cause?
Hepatitis (liver disease), which can sometimes progress to hepatocellular carcinoma (liver cancer)
What is a possible treatment for Hepatitis C and what has made it easier to treat?
Liver transplants are often necessary, but it's challenging to prevent disease in new liver. New anti-HCV drugs can be more than a treatment, there is potential for a cure. Since 2011, Hepatitis C has been treated with direct acting antivirals. They directly target Hep C replication and the cure rate is about 95%
How is Hepatitis C transmitted?
Unprotected sex, blood, bodily fluid exposure, and IV drug use
What is the treatment regimen for Hepatitis C with direct acting antivirals?
A 12-week regimen with treatment through oral tablets
What is the name of the drug used for Hep C?
Sofosbuvir
What is Sofosbuvir's mechanism of action?
It is a pro-drug that is converted into triphosphate form by cellular enzymes, incorporated into growing HCV RNA molecule and inhibits the viral RNA dependent RNA polymerase (RdRp) causing chain termination
What happens when Sofosbuvir blocks the RdRp?
You're preventing copying of the genome into the (-)ssRNA strand intermediates and the copying again to return to (+)ssRNA. This means there will be no viral RNA synthesis meaning replication is stopped.
Where is the (+)ssRNA of coronavirus is directly translated in the host cell?
Cytoplasm
What are the key features of coronavirus RNA that mimic mRNA?
5' cap and 3' poly A tail
Where is the RdRp found on the coronavirus?
Only on the longer polyprotein after cleavage
What does Paxlovid target in COVID-19?
The 3CL protease
What does Paxlovid do?
Prevents the 3CL protease from cleaving RdRp from the polyprotein, preventing RNA synthesis and virus replication
What is a reading frame in translation?
Starts with and AUG codon to encode methionine and continues until stop codon
What is a frameshift?
Ribosomes can get confused and slip off the triplet codon and moves to a different reading frame
What causes ribosomal frameshifting?
An RNA pseudoknot
Why does frameshifting have to occur in coronaviruses?
Because the RdRp for its replication is only found in the extended, frameshifted RNA genome
How does Remdesivir inhibit RdRp?
By causing chain termination which prevents viral RNA synthesis
Where are Coronavirus transmembrane proteins localized?
ER
What are Replication Organelles made from?
Viral proteins and stolen ER membranes
What are the two functions of RdRp inside viral replication organelles?
Copies the genome (+ssRNA genome to -ssRNA intermediate to +ssRNA product) and makes shorter 'sub-genomic' +ssRNAs that encode structural proteins like the spikes
What do crown-shaped pores of replication organelles do?
Allow ribonucleotides in, and lets viral RNAs exit to be translated into cytoplasm or full-length genomes to be packaged into new viral particles
What does HA bind to in Influenza virus?
Sialic acid, which promotes attachment and entry
What is neuraminidase (NA)?
An enzyme that cleaves sialic acid from the cell surface allowing progeny influenzas viruses to escape the cell and spread to new hosts
How are influenza subtypes classified?
Based on antigenically distinct HA and NA glycoproteins
What are the natural reservoir hosts for influenza A virus?
Birds (except H17N10 and H18N11 which circulate in bats)
Which influenza A virus strains currently circulate in human populations?
H1N1 and H3N2
What type of influenza viruses only circulate in humans?
Influenza B viruses
What are the currently circulating influenza B virus strains?
'Victoria' and 'Yamagata' lineages
What are the key differences between antigenic drift and antigenic shift?
Antigenic Drift is rapid mutation and selection of new strains that escape neutralizing antibodies. Antigenic Shift is spillover events from animal hosts into humans, and the segmented genome that allows swapping of genetic material between viruses
What is attached to each (-)ssRNA genome segment in influenza?
Viral RdRp
What is the function of RdRp in influenza?
To decode (-)ssRNA into viral mRNAs with 5' caps and poly(A) tails, (+)ssRNA replication intermediates and (-)ssRNA genomes copies
Why is the influenza RdRp significant for vaccine mismatches?
It is error-prone, which supports rapid evolution resulting in antigenic drift and frequent vaccine mismatches
Who discovered the concept of zoonotic spillover of influenza virus from birds to humans?
Rob Webster
What is antigenic shift?
Abrupt, major change, it can cause entirely new viruses, not recognized by the immune system
How are influenza vaccines created?
Clone selected HA and NA genes into plasmids, combine with 6 remaining 'standard' genome segments \nInsert 8 plasmids into cells, harvest hybrid viruses that have correct HA/NA antigens at the surface and use them to inoculate eggs
Why are eggs used for influenza vaccine production?
They are a rich environment for virus replication and the egg fluid contains the virus
What strains are included in the current influenza vaccine?
Quadrivalent with strains of Flu A, H1N1 and H3N2, and Flu B, Victoria and Yamagata
How are virus capsids typically built?
From sub-assemblies
How do Non-enveloped viruses escape the cell?
By killing the cell (breaking out)
Where do viruses acquire organelle membranes?
By budding into an internal membrane, followed by Exocytosis
How do glycoproteins HA and NA get to the cell surface?
HA and NA proteins bear hydrophobic signal sequences, and are translated/processed in the ER (protein synthesis), and proceed to the Golgi which sends them to be embedded into the plasma membrane
How do Tamiflu and Relenza keep influenza virus tethered to the cell surface?
Drugs that are neuraminidase inhibitors
Where do Herpesviruses go through secondary envelopment?
Golgi
How is the coronavirus genome translated?
Directly by ribosomes into polyprotein, and being made amongst the poly protein is the RdRp that can replicate RNA
Where does assembly happen for coronaviruses?
At the ERGIC, when the full-length genomic + ssRNA, coated with N, binds to viral structure glycoproteins and 'buds' into the ERGIC
What cells does HIV directly infect?
T helper cells
What receptors do HIV use on T helper cells?
CD4 and chemokine coreceptor or CCR5
What is characteristic of reverse transcriptase in HIV?
Very poor proofreading activity which causes random errors
What grabs hold of the double stranded DNA of HIV and carries it through a nuclear pore into the nucleus?
Integrase
What makes HIV a lifelong infection?
Integrase makes a cut in the host DNA and allows the HIV DNA to be inserted into the host chromosome
What digests the polyprotein chain is HIV virion maturity?
Protease enzymes