Viruses: Herpes, HIV, and Influenza
Overview of Viruses
- Types of Viruses
- dsDNA virus (Herpes)
- Disease caused: Herpes infections
- Entry, replication, and exit mechanisms
- (+) Strand RNA Virus (HIV)
- Disease caused: HIV/AIDS
- Entry, replication, and exit mechanisms
- (-) Strand RNA virus (Influenza)
- Disease caused: Influenza
- Entry, replication, and exit mechanisms
Herpes Simplex Virus (HSV)
- Types of HSV:
- HSVI: Mainly causes cold sores
- HSVII: Mainly causes genital herpes
Symptoms of Herpes Infections
- Gingivostomatitis
- Herpetic keratitis
- Genital herpes
Viral Structure of HSV
- Outside View: Contains envelopes and glycoproteins
- Inside View: Viral nucleic acid and proteins
HSV Entry
- Mechanism:
- HSV uses glycoprotein gD for cell entry
- gD binds to receptors on epithelial cells (e.g., HVEM, Nectin-1)
- Fusion of the virion with the host cell membrane
Trafficking and Transcription
- Once inside, viral capsid uses microtubules to reach the nucleus.
- Viral DNA is released into the nucleus and undergoes transcription in three stages:
- Immediate-early
- Early
- Late
HSV Replication
- Replication through rolling circle replication once it has produced initial copies.
- Linear DNA is cut and packaged for progeny virion formation.
Exit from Host Cell
- Assembly occurs at the inner nuclear membrane (INM)
- Buds through INM, fuses with the outer membrane, and releases naked capsid into cytoplasm.
- The modified virus exits via Golgi-mediated exocytosis.
HSV Latency
- HSV can remain dormant in nerve cells and reactivation leads to cold sores or genital herpes.
Human Immunodeficiency Virus (HIV)
- Member of the Retroviridae family.
- Global Estimates (2023):
- 39.9 million people living with HIV
- 1.3 million new infections annually, with significant rates in Sub-Saharan Africa.
HIV Disease Mechanism
- Infected Cells: CD4+ T cells, macrophages, dendritic cells.
- Symptom progression spans from swollen lymph glands to systemic immune deficiency.
HIV Structure
- Genome Components:
- gag: Encodes structural proteins
- pol: Encodes enzymes (reverse transcriptase, integrase)
- env: Encodes envelope proteins (gp160)
- Essential for interaction with host cell receptors (CD4 and CCR5).
Viral Life Cycle
- Entry: Virus binds to CD4 and co-receptors.
- Reverse Transcription: Utilizes reverse transcriptase to convert RNA to DNA.
- Integration: Viral DNA integrates into the host genome via integrase.
- Transcription and Translation: Produces mRNA for protein synthesis and viral genome replication.
- Budding: New virions are released from the host cell.
Antiretroviral Therapy (ART)
- HAART: Highly Active Anti-Retroviral Therapy includes:
- Entry inhibitors
- Reverse transcriptase inhibitors (NRTIs and NNRTIs)
- Protease inhibitors
- Integrase inhibitors
Influenza Virus
- Disease: Causes respiratory illness with fever, cough, fatigue, etc.
- Impact: High prevalence (10%-20% of the population) and significant annual incidence (~36 million)
- Historical Context: The 1918 pandemic resulted in approximately 20-40 million deaths.
Influenza Virus Structure
- Composition: Segmented RNA genome (8 segments)
- Contains genes for Hemagglutinin (HA), Neuraminidase (NA), Nucleoprotein, and others.
Mechanism of Action
- Hemagglutinin: Binds to sialic acid on host cells for entry.
- Neuraminidase: Essential for virus release from infected cells.
Antigenic Variability
- Antigenic Drift: Gradual mutations during replication.
- Antigenic Shift: Major changes due to reassortment of viral genomes.