MIDTERM 2/4
Pathogenesis of Viral Infections and Diseases
Understanding Viral Infections
Viral infection does not equal disease. = NOT SYNONYMOUS
Some are subclinical infections (also known as asymptomatic or inapparent).
Virulence: Quantitative measure of a virus’s pathogenicity (can be pathogenic or non-pathogenic).
Expressed in relative terms (e.g., "more virulent than...").
To cause disease viruses must:
Infect their host.
Spread within the host.
Cause damage to target tissues.
Virus Propagation
For viruses to propagate:
They must be shed in secretions/excretions into the environment.
Taken up by another host or vector.
Passed congenitally from mother to offspring.
Viral Virulence and Host Factors
Viruses exhibit significant differences in virulence.
Variation exists in infection outcomes among individual animals.
Viral virulence determinants are often multigenic.
Determinants of host resistance/susceptibility are multifactorial (host and environmental factors).
Molecular Technologies in Virulence Mapping
Application of molecular technologies has enhanced understanding of virulence and resistance determinants:
Whole-genomic sequencing and the mapping of genetic factors.
Virus Strain Differences:
Quantitative and qualitative differences affect:
Rate/yield of viral replication.
Lethal dose (LD).
Infectious dose (ID).
Organ/tissue tropism.
Extent of host cell damage.
Mode and efficacy of viral spread.
Disease characteristics induced.
Assessment of Viral Virulence
Comparative analysis requires equal factors:
Infecting dose of the virus, host age, sex, condition, and immune status.
Conducted using inbred animals but generalizations require caution.
Assessment methods:
Disease causation, death rate, specific clinical sign identification, lesions.
LD50: Dose causing death in 50% of subjects.
ID50: Dose causing infection in 50% of subjects.
E.g., Ectromelia virus strain data:
BALB/c mice: ID50: 2 virions; LD50: 5 virions.
C57BL/6 mice: ID50: 2 virions; LD50: 1 million virions.
Infection Severity and Lesion Distribution
Additional assessments include:
Severity of infection.
Location and distribution of histological/ultrastructural lesions.
Genetic Basis of Viral Virulence
Progress in molecular biology aids in identifying genetic factors tied to virulence.
Genetic sequencing elucidates potential virulence determinants.
Host Resistance/Susceptibility
Viral infections are generally less pathogenic in natural hosts than in exotic/introduced species.
Example: Myxoma virus causes benign fibroma in natural hosts but fatal infection in European rabbits.
Some zoonoses are severe in humans but mild in reservoirs.
Critical Receptors and Host Range
Expression of receptors on target cells is crucial for host resistance/susceptibility.
More conserved receptors correlate with a wider host range.
E.g., Rabies virus uses sialylated gangliosides and acetylcholine receptors; infection is often restricted to myocytes, neurons, and salivary gland cells.
Viral Attachment Changes
Changes in viral attachment can lead to the emergence of variant viruses with altered tropism.
Example: Porcine respiratory coronaviruses evolved from transmissible gastroenteritis virus due to significant deletions in spike protein coding.
Mechanisms of Viral Infection
Routes of Virus Entry
Via respiratory tract, gastrointestinal tract, skin, and other routes (e.g., genital tract, conjunctiva).
Respiratory Route
Mucociliary blanket protects respiratory tract:
Mucus traps inhaled virions, and cilia moves them upward for expulsion.
Larger particles trapped in nasal cavity; smaller particles reach alveoli.
Gastrointestinal Route
Viruses can enter via contaminated food/drink.
Defenses include stomach acidity, mucus, antimicrobial enzymes, bile, and immune mechanisms.
Enteric pathogens primarily infect GI epithelial cells and M cells in Peyer’s patches and are often acid-bile resistant.
Skin Entry
Skin serves as a mechanical barrier due to keratin and protective attributes.
Breaches in skin increase viral infection risk: insect bites, cuts, etc.
Viruses can remain confined or disseminate widely post-infection.
Other Entry Routes
Conjunctival entry through tears, and genital route transmission via small abrasions during sexual activity.
Mechanisms of Spread and Infection of Target Organs
Viruses may expand through lymphatic and bloodstream routes.
Immediate access can occur without direct replication by navigating leukocytes.
Spread Example - Canine Distemper
Initial exposure via aerosol, then replication in lymphoid tissues, leading to primary and secondary viremia extensions across various organ systems.
Clinical signs appear at peak viral shedding; potential lethality follows from immune suppression and secondary infections.
Pathological Changes in Infected Cells
Vacuolation, ballooning degeneration, syncytium formation, and different forms of inclusion bodies.
Inclusion Bodies and Viral Signs
Abnormal structures forming within infected cells made of viral proteins.
Negri bodies in nerve cells are characteristic indicators of rabies.