AG

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.