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neoplasia
loss of cell cycle regulation leading to uncontrolled proliferation
anaplasia
cellular reversion to a less differentiated state
metastatis
spread of cancerous cells throughout body
oncogenes
cancer-causing genes
oncogene sources
mutated proto-oncogenes or from virus itself (oncovirus)
carcinogenesis
a complex multistep process, often involving oncogenes
oncovirus example
HPV16/18, with dsDNA, are associated with cervical and anogenital cancer
virus-associated cancer mechanisms
viral proteins bind tumour suppressing (regulatory) proteins in the host cell, oncovirus carries oncogene, altered cell regulation, promoter or enhancer insertion next to cellular oncogene
HPV protein examples
E6 promotes destruction of the host’s p53 which is responsible for triggering voluntary apoptosis. E7 binds to Rb which normally halts cell replication in case of faulty DNA
oncogene example
v-sis induces PD growth factor overexpression
promoter or enhancer insertion result
overexpression of a cellular protein
viroid
closed circular ssRNA pathogens with a few hundred nucleotides and no genes encoded. replication requires host DDRP. cause of many plant diseases
satellites (virusoids)
do not encode their own capsids, and parasitize a helper virus for genetic material and replication
virusoid genome
usually ssRNA, and do not encode their own RDRP
virusoid effects on helper virus
modulate up or down symptoms caused by helper host. alter (usually down) accumulation of helper viral DNA
virusoid example
chronic bee-paralysis satellite virus, parasitizes CBPV which causes hairlessness and susceptibility to bullying. CBPSV effect unknown
virusoids in hepatitis
hepatitus d (HDV), is helped by hepatitus B (HBV), and uses the HBV capsid
HDV acquisition
co-infection with HBV through blood/sexual contact, or super-infection of HBV-having individual
HDV effect
greatly exacerbates HBV infection
prion
proteinaceous infectious particle, an etiologic agent in neurodegenerative diseases
prion examples
scrapie (sheep), bovine spongiform encephalopathy, creutzfeldt-jakob disease (CJD) & variant vCJD, kuru (human)
prion protein forms
PrPC (normal) or PrPSc (abnormal)
prion agent effect
PrPSc interacts with normal PrPC, corrupting its conformation and causing generation of more PrPSc. PrPC molecules crosslink, stimulating neuronal apoptosis
antiviral drugs take advantage of
virus nucleic acid synthesis, virus-specific enzymes, life cycle processes such as entry and exit
influenza HA
haemagglutinin, used to bind to host
influenze internalization
endocytosis, endosome acidification. low pH prompts opening of M2 channel, which allows H+ into viral capsid.
H+ effect on influenza genome
disassociates matrix protein M1 from viral genome. this is needed to unpack the viral genome (ribonucleoprotein, RNP)
amantadine/rimantadine
prevent M2 from opening, so virion is not acidified. M1 stays stuck to RNP, genome is not unpacked
influenza exit
budding. envelope sticks to viral receptor containing sialic acid. neuraminidase digests the sialic acid, releasing virion
oseltamivir (tamiflu)/zanamivir
neuraminidase inhibitors. do not cure influenza, but shorten course of illness.
adenine arabinoside (vidarabine)
adenosine analogue, which competes for DNA polymerase active site, causing faulty DNA synthesis.
adenine arabinoside (vidarabine) use
treatment of herpes simplex virus (HSV 1&2), and Varicella roster virus (chicken pox, shingles)
acyclovir & varacyclovir
acyclovir is a guanosine analogue. valacyclovir is the oral prodrug form.
cidofovir
cytosine analogue
cidofovir use
broad anti-viral, used for herpesviruses, poxviruses, adenoviruses, papovavirus family
foscarnet
pyrophosphate analogue, blocks splitting of dNTP during DNA polymerization. dNTP hydrolysis provides energy for polymerization
HIV life cycle
attachment via 2 receptors, fusion, uncoating, reverse transcription, integration, transcription (RNA & mRNA), polyprotein translation (gene expression), budding & maturation
HAART cocktail
highly active anti-retroviral therapy. 3-4 drugs targeting various stages in HIV life cycle
RT inhibitors
nucleoside (NRTI) or non-nucleoside (NNRTI). inhibit reverse transcriptase
protease inhibitors (PI)
mimic peptide bond that is normally attacked by protease
integrase inhibitors
prevent HIV genome from integrating
fusion inhibitors
prevent HIV entry into cells. allow HIV to bind to CD4 but not fuse to membrane