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What type of genome do Picornaviruses have?
ssRNA, + (sense) strand (treated as if it's mRNA)
Why is a + strand RNA virus directly infectious?
Because it is treated as mRNA – host ribosomes can translate it immediately upon entry (no need to bring an RNA polymerase!)
Does Picornavirus have an envelope or naked capsid?
Naked capsid (no envelope)
What is the shape of the Picornavirus capsid?
Icosahedral with symmetrical subunits
Where does Picornavirus replication occur in the host cell?
Cytoplasm
Can Enterovirus survive at low pH (pH 3-9) ?
YES (pH 3-9)
How is Enterovirus transmitted?
Fecal-oral and respiratory
At what temperature does Enterovirus grow best?
Above 33°C
Does Enterovirus have a specific tissue preference?
Depends on the virus (different enteroviruses target different tissues)
Can Rhinovirus withstand low pH?
NO
How is Rhinovirus transmitted?
Respiratory and fomites (contaminated surfaces)
At what temperature does Rhinovirus grow best?
< 33°C (prefers cooler temperatures of the upper respiratory tract)
What tissue does Rhinovirus infect?
Respiratory tract
What determines which cells a Picornavirus (Enterovirus/Rhinovirus) can infect?
Specific tissue receptors on the cell surface (virus-receptor binding is highly specific)
How do Picornaviruses take over the host cell?
Inhibit cellular RNA and protein synthesis (shut down host production)
Viral mRNAs out-compete cellular mRNA (viral messages win the race)
What advantage do viral mRNAs have over cellular mRNAs during Picornavirus infection?
Viral mRNAs out-compete cellular mRNA for the host's translation machinery
How is the + strand RNA genome of a Picornavirus translated?
Translated into one long polypeptide (polyprotein) → then cleaved into individual proteins (structural, enzymatic, etc.)
How long does it take to complete Picornavirus protein synthesis?
10-15 minutes (very fast!)
Why is the Picornavirus + strand RNA immediately infectious?
Because it is treated as mRNA – host ribosomes can translate it directly without any viral enzymes needed first
What are the three main types of Enteroviruses?
Poliovirus, Coxsackievirus, Echovirus
How are Enteroviruses transmitted?
Fecal-oral and respiratory droplets
What are the three portals of entry for Enteroviruses?
Intestinal mucosa
Respiratory mucosa
Oropharynx
Where do Enteroviruses first multiply after entry?
Lymph nodes and tonsils
Where do Enteroviruses spread after initial replication?
Reticuloendothelial system → liver, spleen, lymphoid tissue
How are Enteroviruses shed from the body?
Feces (into environment)
Oropharynx (respiratory droplets)
What type of effect do Enteroviruses have on cells?
Cytolytic (destroy tissue)
What factors determine the pathology of an Enterovirus infection?
Serotype
Dose
Tissue tropism
Portal of entry
Age
State of health
Do Enteroviruses generally cause GI disease?
NO – DO NOT generally cause GI disease (important exception!)
What is the protective immune response against Enteroviruses?
Antibodies (IgA) – mucosal immunity
How does Poliovirus enter the body?
GI tract (contaminated water) OR respiratory tract
What are the 4 levels of disease severity for Poliovirus infection?
Asymptomatic
Abortive poliomyelitis (minor)
Non-paralytic polio
Paralytic polio (major illness)
In asymptomatic Poliovirus infection, where is the virus restricted?
Gut or oropharynx (no spread beyond entry sites)
What are the symptoms of abortive poliomyelitis?
Fever, headache, malaise (minor illness)
Is abortive poliomyelitis infectious?
YES – infectious!
What complication can non-paralytic polio cause?
Aseptic" meningitis (viral meningitis)
What does "aseptic" meningitis mean?
Meningitis caused by virus (not bacteria) – so no bacteria seen on culture
How does Poliovirus reach the spinal cord in paralytic polio?
From blood or skeletal muscle → travels to spinal cord → innervating nerves → brain
What happens to neurons in paralytic polio?
Neurons are destroyed (cytolytic!)
What determines the severity of paralysis in paralytic polio?
Extent of nerve damage (more damage = more severe paralysis)
How many wild strains of Poliovirus exist?
Three (Types 1, 2, and 3)
Put the Poliovirus disease spectrum in order from mildest to most severe
Asymptomatic (virus restricted to gut/oropharynx)
Abortive poliomyelitis (fever, headache, malaise – infectious)
Non-paralytic polio (aseptic meningitis)
Paralytic polio (neurons destroyed → paralysis)
What are the two types of polio vaccines?
Inactivated virus (Salk, 1955)
Oral live attenuated virus (Sabin) – CURRENT VACCINE
What are the 3 advantages of the Sabin (oral) vaccine over the Salk vaccine?
Less expensive
Easier to administer (oral vs. injection)
Lifelong immunity
What happens to attenuated viruses in the Sabin vaccine?
They grow but are altered and do NOT cause infection
What unique feature does the oral Sabin vaccine have regarding viral shedding?
Attenuated virus is shed – which IMMUNIZES OTHERS! (passive immunization of contacts)
What is herd immunity?
When enough people get immunized → difficult for virus to spread → creates protection for unvaccinated individuals
What percentage of the population needs to be vaccinated to achieve herd immunity for Polio?
80% of the population
What is the most common viral infection in humans?
Rhinovirus
What are the characteristics of Rhinovirus? (size, effect, envelope)
One of the smallest viruses, lytic, non-enveloped
How many different serotypes of Rhinovirus exist?
200 different serotypes
Can you get lifelong immunity to Rhinovirus?
NO – immunity is rare (too many serotypes!)
How does Rhinovirus enter the body?
Eyes, mouth, nose
Where does Rhinovirus replicate?
Upper respiratory tract (NOT GI tract)
Why doesn't Rhinovirus infect the GI tract?
It is acid labile (cannot survive stomach acid)
What temperature does Rhinovirus grow best at?
33°C (cooler temperature of the upper respiratory tract)
How many infectious particles are needed to start a Rhinovirus infection?
1 infectious particle is sufficient!
What is the progression of symptoms in a Rhinovirus infection?
Sneezing → Runny nose → Obstruction → Cough
Is there a vaccine for Rhinovirus?
NO – not a good candidate because there are too many serotypes (200!)
Are experimental drugs and over-the-counter treatments reliable for Rhinovirus?
NO – not proven reliable
What are ways to prevent Rhinovirus?
Cover your mouth
Wash your hands
Disinfect surfaces
What family does Influenza belong to?
Orthomyxovirus
Does Influenza have an envelope?
YES – ENVELOPED
What type of genome does Influenza have?
ssRNA negative (anti-sense) strand
What unique ability does Influenza's segmented genome allow?
Reassortment – segments can shuffle and mutate → FORMS NEW STRAINS
Why is reassortment dangerous for humans?
It creates new strains that our immune system may not recognize (antigenic shift)
How many types of Influenza infect humans?
Three – Influenza A, B, and C
How is Influenza spread?
Respiratory droplets and on surfaces
How long can Influenza survive on surfaces?
Up to 1 day
What specific cells does Influenza infect and kill?
Ciliated cells on the respiratory tract
Why is killing ciliated cells significant?
Ciliated cells are the 1st line of defense of the respiratory tract (they sweep out mucus and debris)
What are the two major envelope proteins of Influenza A?
Hemagglutinin (HA)
Neuraminidase (NA)
What is the function of hemagglutinin?
Attachment and fusion of envelope
What is the function of neuraminidase?
Mucus hydrolysis and release from host cell
How are Influenza viruses named?
Based on the two envelope proteins (Type A/B/C followed by H and N subtypes)
How many types of hemagglutinin (H) exist?
16 types (H1, H2, etc.)
How many types of neuraminidase (N) exist?
9 types (N1, N2, etc.)
What is an example of a formal Influenza name?
A / Spanish / H1N1
(Type / Name / H#N#)
Where is the Influenza nucleocapsid injected?
Into the cytoplasm
What is the replication pathway for Influenza RNA?
Anti-sense (- strand RNA) → + strand (mRNA) → protein
What enzyme must Influenza encode because it has a negative-sense RNA genome?
RNA dependent-RNA polymerase (host cells don't have this enzyme!)
How long does it take for Influenza to replicate and release new virions?
8 hours
What was the 2009 pandemic virus?
Swine flu – Influenza A (different H and N than traditional H1N1)
What conditions allow a new pandemic strain of Influenza to emerge?
Co-infection of a host with 2 or more Influenza strains
Reassortment of genes creates a new strain
What is reassortment?
The shuffling of gene segments when a host is co-infected with two or more Influenza strains → creates a new strain with a novel combination of H and N
Why is reassortment more dangerous than mutation (drift)?
Reassortment creates a completely new combination of H and N that no one has immunity to, whereas drift is just small changes to existing strains
What is the first clue for diagnosing Influenza?
Note the season the illness occurs! (Influenza is seasonal)
What are the common symptoms of Influenza?
Fever, malaise, chills, aches (systemic symptoms)
What are the 3 methods used for Influenza culture (though not often done)?
Cytopathology
Genetics
Serology
What is the RAPID INFLUENZA DIAGNOSTIC TEST and how long does it take?
A rapid test that gives results in 15 minutes
Can the flu vaccine cause the flu?
NO – VACCINE CANNOT CAUSE FLU!
What type of immunity does the flu vaccine provide?
Antibody-mediated protection (specific to H and N types)
Which flu types are included in the vaccine?
Influenza A (specific H/N types like H1N1, H2N3, etc.) AND Type B
What are the two types of flu vaccines?
Killed viral vaccine (injectable)
Live/attenuated vaccine (nasal spray – FluMist)
What family does Measles belong to?
Paramyxoviridae
What genera does Measles belong to?
Morbillivirus
How many serotypes of Measles exist?
One serotype
Does Measles have an envelope?
YES – Enveloped
What is the shape of the Measles nucleocapsid?
Helical
What type of genome does Measles have?
Negative (-) ssRNA (not segmented)
What enzyme must Measles encode?
RNA-dependent RNA polymerase (host cells don't have this)