Top Banner
Chapter 13 Characteriz ing and Classifying Viruses, Viroids, and Prions
90

Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Dec 15, 2015

Download

Documents

Zakary Frail
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Chapter 13

Characterizing and Classifying

Viruses, Viroids, and

Prions

Page 2: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• Virus– Minuscule, acellular infectious agent having

either DNA or RNA– Causes many infections of humans, animals,

plants, and bacteria– Causes most of the diseases that plague the

industrialized world

.

10/15/11 MDufilho 2

Page 3: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• Cannot carry out any metabolic pathway• Neither grow nor respond to the

environment• Cannot reproduce independently• Recruit the cell’s metabolic pathways to

increase their numbers• No cytoplasmic membrane, cytosol,

organelles (with one exception)• Have extracellular and intracellular state

10/15/11 MDufilho 3

Page 4: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• Extracellular State– Called virion– Protein coat (capsid) surrounding nucleic acid– Nucleic acid and capsid also called

nucleocapsid– Some have phospholipid envelope– Outermost layer provides protection and

recognition sites for host cells• Intracellular State

– Capsid removed– Virus exists as nucleic acid

10/15/11 MDufilho 4

Page 5: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.1 Virions-overview

10/15/11 MDufilho 5

Page 6: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• Genetic Material of Viruses– Show more variety in nature of their genomes

than do cells– Primary way scientists categorize and classify

viruses– May be DNA or RNA, but never both

–dsDNA, ssDNA, dsRNA, ssRNA– Linear and segmented or single and circular– Much smaller than genomes of cells

10/15/11 MDufilho 6

Page 7: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.2 The relative sizes of genomes

Partial genomeof E. coli

Viralgenome

10/15/11 MDufilho 7

Page 8: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• Hosts of Viruses– Most viruses infect only particular host’s cells

– Affinity of viral surface proteins for proteins on host cell

– May be so specific they infect only particular kind of cell in a particular host

– Generalists – infect many kinds of cells in many different hosts

10/15/11 MDufilho 8

Page 9: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.3 Hosts of viral infections-overview

10/15/11 MDufilho 9

Page 10: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.4 Sizes of selected virions

Red blood cell(10,000 nm in diameter)

E. coli (bacterium)(1000 nm 3000 nm)

Poliovirus(30 nm)

Bacteriophage MS2(24 nm)

Bacteriophage T4(50 nm 225 nm)

Smallpox virus(200 nm 300 nm)

Tobacco mosaic virus(15 nm 300 nm)

Bacterialribosomes(25 nm)

10/15/11 MDufilho 10

Page 11: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• Capsid Morphology– Capsids

– Provide protection for viral nucleic acid– Means of attachment to host’s cells– Composed of proteinaceous subunits called

capsomeres– Capsomere made of single or multiple types of

proteins

– Three basic shapes - helical,polyhedral,complex

10/15/11 MDufilho 11

Page 12: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.5 The shapes of virions-overview

10/15/11 MDufilho 12

Page 13: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.6 Bacteriophage T4-overview

10/15/11 MDufilho 13

Page 14: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Characteristics of Viruses

• The Viral Envelope– Acquired from host cell during viral replication

or release– Envelope is portion of membrane system of host

– Composed of phospholipid bilayer and proteins– Some proteins are virally coded glycoproteins

(spikes)

– Envelope’s proteins and glycoproteins often play role in host recognition

10/15/11 MDufilho 14

Page 15: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.7 Enveloped virion-overview

10/15/11 MDufilho 15

Page 16: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Table 13.2 Families of Human Viruses

10/15/11 MDufilho 16

Page 17: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Replication

• Lysogeny– Modified replication cycle

– Infected host cells grow and reproduce normally for generations before they lyse

– Temperate phages– Prophages – inactive phages

– Lysogenic conversion results when phages carry genes that alter phenotype of a bacterium

10/15/11 MDufilho 17

Page 18: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Replication

• Replication of Animal Viruses– Same basic replication pathway as

bacteriophages

– Differences result from– Presence of envelope around some viruses– Eukaryotic nature of animal cells– Lack of cell wall in animal cells

10/15/11 MDufilho 18

Page 19: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Replication

• Replication of Animal Viruses– Attachment of animal viruses

– Chemical attraction– Animal viruses do not have tails or

tail fibers– Have glycoprotein spikes or other

attachment molecules that mediate attachment

– Uncoating– Direct penetration– Membrane fusion

10/15/11 MDufilho 19

Page 20: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Replication

• Replication of Animal Viruses– Synthesis of animal viruses

– Requires different strategy depending on its nucleic acid

– DNA viruses often enter the nucleus– RNA viruses often replicate in the cytoplasm– Must consider

– How mRNA is synthesized

– What serves as template for nucleic acid replication

10/15/11 MDufilho 20

Page 21: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.13 Synthesis of proteins and genomes in animal RNA viruses-overview

10/15/11 MDufilho 21

Page 22: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Replication

• Replication of Animal Viruses– Assembly and release of animal viruses

– Most DNA viruses assemble in nucleus– Most RNA viruses develop solely in cytoplasm– Number of viruses produced depends on type of

virus and size and initial health of host cell– Enveloped viruses cause persistent infections– Naked viruses are released by exocytosis or lysis

10/15/11 MDufilho 22

Page 23: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.14 The process of budding in enveloped viruses

Envelopedvirion

Budding ofenveloped virus

Viral capsid

Viral glycoproteins

Cytoplasmicmembraneof host

10/15/11 MDufilho 23

Page 24: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Replication

• Replication of Animal Viruses– Latency of animal viruses

– When animal viruses remain dormant in host cells– May be prolonged for years with no viral activity– Some latent viruses do not become incorporated

into host chromosome– Incorporation of provirus into host DNA is

permanent

10/15/11 MDufilho 24

Page 25: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

The Role of Viruses in Cancer

• Animal’s genes dictate that some cells can no longer divide or are prevented from unlimited division

• Genes for cell division “turned off” or genes inhibiting division “turned on”

• Neoplasia – Uncontrolled cell division in multicellular animal – Mass of neoplastic cells is tumor

• Benign vs. malignant tumors– Metastasis– Cancers

10/15/11 MDufilho 25

Page 26: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.16 The oncogene theory of the induction of cancer in humansNormal state:

DNAProtooncogene

Represses

Gene for repressor

mRNA

Repressor Result: No cancer

First “hit”:

Virus inserts promoter

DNAOncogene Gene for repressor

Represses mRNA

Repressor Result: Still no cancer

Second “hit”:

DNAOncogene

mRNA

Virus inserts into represssor gene

Protein Causes cell division Result: Cancer

No repressorprotein because

gene is segmented

10/15/11 MDufilho 26

Page 27: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

The Role of Viruses in Cancer

• Environmental factors that contribute to the activation of oncogenes– Ultraviolet light

– Radiation

– Carcinogens

– Viruses

© 2012 Pearson Education Inc.

10/15/11 MDufilho 27

Page 28: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

The Role of Viruses in Cancer

• Viruses cause 20–25% of human cancers– Some carry copies of oncogenes as part of their

genomes– Some promote oncogenes already present in host– Some interfere with tumor repression– Specific viruses are known to cause ~15% of

human cancers– Burkitt’s lymphoma– Hodgkin’s disease– Kaposi’s sarcoma– Cervical cancer

10/15/11 MDufilho 28

Page 29: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Are Viruses Alive?

• Some consider them complex pathogenic chemicals

• Others consider them the least complex living entities– Use sophisticated methods to invade cells

– Have the ability to take control of their host cell

– Are able to replicate themselves

10/15/11 MDufilho 29

Page 30: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

• Characteristics of Viroids– Extremely small, circular pieces of RNA that

are infectious and pathogenic in plants

– Similar to RNA viruses, but lack capsid

– May appear linear due to H bonding

10/15/11 MDufilho 30

Page 31: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.20 The RNA strand of the small potato spindle tuber viriod (PSTV)

Genome of bacteriophage T7 PSTV

10/15/11 MDufilho 31

Page 32: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 13.21 One effect of viroids on plants

10/15/11 MDufilho 32

Page 33: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

• Characteristics of Prions– Proteinaceous infectious agents– Cellular PrP protein

– Made by all mammals– Normal structure with -helices called cellular PrP

– Prion PrP– Disease-causing form with -pleated sheets called

prion PrP– Prion PrP changes shape of cellular PrP so it

becomes prion PrP

10/15/11 MDufilho 33

Page 34: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

ANIMATION Prions: Overview

10/15/11 MDufilho 34

Page 35: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

• Characteristics of Prions– Normally, nearby proteins and polysaccharides

force PrP into cellular shape

– PrP mutations result in formation of prion Pr

10/15/11 MDufilho 35

Page 36: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

ANIMATION Prions: Characteristics

10/15/11 MDufilho 36

Page 37: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

• Characteristics of Prions– Prion diseases

– Fatal neurological degeneration, fibril deposits in brain, and loss of brain matter

– Large vacuoles form in brain – Characteristic spongy appearance

– Spongiform encephalopathies

– Prions only destroyed by incineration or autoclaving in 1 N NaOH

10/15/11 MDufilho 37

Page 38: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Other Parasitic Particles: Viroids and Prions

ANIMATION Prions: Disease

10/15/11 MDufilho 38

Page 39: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Skin and Wounds

• Herpes Infections– Signs and symptoms

– Slow spreading skin lesions– Recurrence of lesions is common

– Pathogen and virulence factors– Caused by human herpesviruses 1 and 2– Produce various proteins that act as virulence factors

– Pathogenesis– Painful lesions caused by inflammation and cell death– Cause fusion of cells to form syncytia

10/15/11 MDufilho 39

Page 40: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 19.11 Oral herpes lesions

10/15/11 MDufilho 40

Page 41: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral STDs

• Genital Herpes– Signs and symptoms

– Small blisters on or around the genitals or rectum

– Pathogen and virulence factors– Human herpesvirus 2 causes most cases– Virus can become latent in nerve cells

– Pathogenesis– Herpesvirus kills epithelial cells at infection site– Blisters may form at sites far from initial infection

site– Babies can become infected during birth10/15/11 MDufilho 41

Page 42: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 24.12 Herpes lesions of the eyes and skin-overview

10/15/11 MDufilho 42

Page 43: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Skin and Wounds

• Herpes Infections– Epidemiology

– Spread between mucous membranes of mouth and genitals

– Herpes infections in adults are not life threatening

– Diagnosis, treatment, and prevention– Diagnosis made by presence of characteristic

lesions– Immunoassay reveals presence of viral antigens– Chemotherapeutic drugs help control the disease

but do not cure it10/15/11 MDufilho 43

Page 44: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Skin and Wounds

• Warts– Benign epithelial growths on the skin or mucous

membranes– Can form on many body surfaces

– Various papillomaviruses cause warts

– Most warts are harmless

– Transmitted via direct contact and fomites

– Diagnosed by observation

– Various techniques to remove warts – New warts can develop due to latent viruses

10/15/11 MDufilho 44

Page 45: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 19.13 Various kinds of warts--lesions caused by papillomaviruses-overview

10/15/11 MDufilho 45

Page 46: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 24.13 Genital warts

10/15/11 46MDufilho

Page 47: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral STDs

• Genital Warts– Signs and symptoms

– Warts on the genitalia and surrounding areas– Large growths called condylomata acuminata

may form

– Pathogen– Caused by human papillomaviruses (HPV)– HPV can cause various cancers

10/15/11 47MDufilho

Page 48: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral STDs

• Genital Warts– Pathogenesis and epidemiology

– HPVs invade skin or mucous membranes during sex

– Most common STD in the U.S.

– Diagnosis, treatment, and prevention– Diagnosis made by presence of warts– Variety of methods available to remove warts– Vaccine available against HPV strain associated

with cervical cancer

10/15/11 48MDufilho

Page 49: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Skin and Wounds

• Chickenpox and Shingles– Signs and symptoms

– Chickenpox characterized by lesions on the back and trunk that spread across body

– Shingles lesions localized to skin along an infected nerve

– Pathogen– Varicella-zoster virus (VZV) causes both diseases

– Pathogenesis– Infected dermal cells cause rash characteristic of

chickenpox– Virus becomes latent in nerve ganglia

– Reactivated VZV causes shingles

10/15/11 MDufilho 49

Page 50: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Skin and Wounds

• Chickenpox and Shingles– Epidemiology

– Chickenpox occurs mostly in children– Disease is more severe in adults

– Risk of shingles increases with age

– Diagnosis, treatment, and prevention– Diagnosis based on characteristic lesions– Treatment based on relief of symptoms– Vaccine available against chickenpox

10/15/11 MDufilho 50

Page 51: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Skin and Wounds

• Other Viral Rashes– Erythema infectiosum

– Caused by an erythrovirus of family Parvoviridae– Respiratory disease that manifests as a rash – Also referred to as fifth disease

– Roseola– Caused by human herpesvirus 6 (HHV-6)– Characterized by a rose-colored rash

– Coxsackievirus infection– Caused by coxsackie A viruses– Produces lesions like those from herpes infections – Also causes hand-foot-and-mouth disease

© 2012 Pearson Education Inc.

10/15/11 MDufilho 51

Page 52: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 19.16 A case of erythema infectiosum (fifth disease)

10/15/11 MDufilho 52

Page 53: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Nervous System

• Viruses more readily cross the blood-brain barrier

• Occur more frequently than bacterial and fungal infections

• Include meningitis, polio, rabies, and encephalitis

10/15/11 53MDufilho

Page 54: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Nervous System

• Viral Meningitis– Signs and symptoms

– Similar to those of bacterial meningitis– Usually milder than those of bacterial or fungal

meningitis

– Pathogens and virulence factors– 90% of cases caused by viruses in the genus

Enterovirus

– Pathogenesis– Damage to cells in the meninges triggers

meningitis10/15/11 54MDufilho

Page 55: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Nervous System

• Viral Meningitis– Epidemiology

– More common than bacterial and fungal meningitis

– Spread via respiratory droplets and feces

– Diagnosis, treatment, and prevention– Diagnosed by characteristic signs and

symptoms in the absence of bacteria in the CSF– No specific treatment exists

10/15/11 55MDufilho

Page 56: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Nervous System

• Arboviral Encephalitis– Arboviruses are arthropod-borne viruses

– Transmitted via blood-sucking arthropods (e.g., mosquitoes)

– Mosquito-borne arboviruses can cause arboviral encephalitis

– As zoonotic diseases, they rarely affect humans

– Arboviruses usually cause mild, coldlike symptoms

– Can cause if cross the blood-brain barrier

10/15/11 56MDufilho

Page 57: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Table 20.2 Characteristics of Arboviral Encephalitis Diseases and Viruses in the United States

10/15/11 57MDufilho

Page 58: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 20.15 Transmission of six encephalitis arboviruses

Domestic fowls

Wild birds

Mosquitoesare vectors.

Humanscan be infected

via mosquito bites.

Small mammalsare hosts for VEE and

California viruses only.

Horses,and rarely other

domestic mammalsare hosts for equine viruses. Birds are hosts for

all six encephalitisarboviruses.

Encephalitis arbovirusescan overwinter insidemosquito eggs.

10/15/11 58MDufilho

Page 59: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 20.16 Human West Nile virus encephalitis in the United States

Time (months/years)

Reported cases

Annual deaths

Nu

mb

er o

f re

po

rted

cas

es

(299)

(9)

(264)

(84)(86) (43)

(30)

(124)

10/15/11 59MDufilho

Page 60: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Nervous System

• Arboviral Encephalitis– Diagnosis based on signs and symptoms

– Confirmed by presence of arbovirus-specific antibodies in CSF

– Treatment is supportive

– Prevention involves limiting contact with mosquitoes– Use netting and insect repellents– Eliminate stagnant water

– Vaccines for horses available against EEE, WEE, VEE, and WNV

10/15/11 60MDufilho

Page 61: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Cardiovascular and Systemic Diseases

• Infectious Mononucleosis– Signs and symptoms

– Severe sore throat and fever occur initially – Followed by swollen lymph nodes, fatigue,

appetite loss

– Pathogen and virulence factors– Epstein-Barr virus (EBV or HHV-4) is the

causative agent– EBV establishes latent infection in host– EBV implicated in number of other diseases

10/15/11 61MDufilho

Page 62: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 21.13 Diseases associated with Epstein-Barr virus

Diseasesof EBV Oral hairy leukoplakia* Burkitt’s lymphoma (shown)

Chronic fatigue syndrome*Nasopharyngeal cancer

Asymptomatic Infectiousmononucleosis

State ofcellularimmunity

*EBV implicated, not proven

Lacking Poor Normal Vigorous

10/15/11 62MDufilho

Page 63: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Cardiovascular and Systemic Diseases

• Infectious Mononucleosis– Pathogenesis and epidemiology

– Transmission occurs via saliva– EBV infects B lymphocytes– Majority of adults have antibodies against EBV

– Diagnosis, treatment, and prevention– Diagnosed by presence of large, lobed B

lymphocytes and neutropenia– Treatment focuses on relieving symptoms– Prevention is difficult since EBV occurrence is

widespread10/15/11 63MDufilho

Page 64: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Cardiovascular and Systemic Diseases

• Cytomegalovirus Disease– Signs and symptoms

– Asymptomatic in most cases– Complications in neonates and immunodeficient

individuals– Pathogen and virulence factors

– Caused by Cytomegalovirus– Pathogenesis and epidemiology

– Transmit by direct contact with body fluids or transplacentally

– One of the most common infections of humans– Diagnosis, treatment, and prevention

– Fomivirsen is administered for eye infections– No vaccine is available

10/15/11 64MDufilho

Page 65: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 21.14 An abnormally enlarged “owl’s eye” cell indicates Cytomegalovirus (CMV) infection

“Owls eye” cell

10/15/11 65MDufilho

Page 66: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Cardiovascular and Systemic Diseases

• African Viral Hemorrhagic Fever– Signs and symptoms

– Fever and fatigue – Minor petechiae progress to severe internal

hemorrhaging– Pathogens and virulence factors

– Caused by Ebolavirus or Marburgvirus– Pathogenesis and epidemiology

– Occurs primarily in Africa– Transmitted via contact with bodily fluids of

infected individual

10/15/11 66MDufilho

Page 67: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 21.17 Filamentous Ebolavirus

10/15/11 67MDufilho

Page 68: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 21.18 Sites in which locally acquired cases of Marburg and Ebola viruses have occurred

Marburg

Ebola10/15/11 68MDufilho

Page 69: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Cardiovascular and Systemic Diseases

• African Viral Hemorrhagic Fever– Diagnosis, treatment, and prevention

– Diagnosis based on characteristic symptoms and presence of virus in the blood

– Treatment involves fluid and electrolyte replacement

– Vaccines are being studied for their effectiveness in humans

10/15/11 69MDufilho

Page 70: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Upper Respiratory System

• Common Cold– Signs and symptoms

– Sneezing, runny nose, congestion, – sore throat, malaise, and cough

– Pathogens and virulence factors– Enteroviruses (rhinoviruses) are the most

common cause– Numerous other viruses cause colds

– Pathogenesis– Cold viruses replicate in and then kill infected

cells

10/15/11 70MDufilho

Page 71: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Upper Respiratory System

• Common Cold– Epidemiology

– Rhinoviruses are highly infective– Spread by coughing/sneezing, fomites, or

person-to-person contact

– Diagnosis, treatment, and prevention– Signs and symptoms are usually diagnostic– Pleconaril can reduce duration of symptoms– Hand antisepsis is important preventive measure

10/15/11 71MDufilho

Page 72: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Influenza– Signs and symptoms

– Sudden fever, pharyngitis, congestion, cough, myalgia

– Pathogens and virulence factors– Influenza virus types A and B are the causative

agents– Mutations in hemagglutinin and neuraminidase

produce new strains– Occurs via antigenic drift and antigenic shift

10/15/11 72MDufilho

Page 73: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 22.12 Influenzavirus budding from a cell

HemagglutininNeuraminidase

Envelope

ssRNAmoleculein helicalcapsid

10/15/11 73MDufilho

Page 74: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Influenza– Mutations in hemagglutinin and neuraminidase

produce new strains– Occurs via antigenic drift and antigenic shift– Named by type (A or B), location and date or

original identification– Example – A/Singapore/1/80 (H1N2)

– If isolated from an animal, that is included – Hong Kong flu or swine flu

– Asia is major site of antigentic shift

10/15/11 74MDufilho

Page 75: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 22.13 The development of new strains of flu viruses-overview

10/15/11 75MDufilho

Page 76: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 22.11 A scene from the flu pandemic of 1918-19

10/15/11 76MDufilho

Page 77: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Influenza– Pathogenesis

– Symptoms produced by the immune response to the virus

– Flu patients are susceptible to secondary bacterial infections

– Virus causes damage to the lung epithelium

– Epidemiology– Transmitted via inhalation of viruses or by self-

inoculation– Complications occur most often in the elderly,

children, and individuals with chronic diseases10/15/11 77MDufilho

Page 78: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Influenza– Diagnosis, treatment, and prevention

– Signs and symptoms during a community-wide outbreak are often diagnostic

– Treatment involves supportive care to relieve symptoms

– Oseltamivir and zanamivir can be administered early in infection

– Prevent by immunization with a multivalent vaccine

10/15/11 78MDufilho

Page 79: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Severe Acute Respiratory Syndrome (SARS)– Signs and symptoms

– High fever, shortness of breath, and difficulty breathing

– Later develop dry cough and pneumonia– Pathogen and virulence factors

– Caused by a coronavirus called SARS virus– Pathogenesis and epidemiology

– SARS virus spreads via respiratory droplets– Diagnosis, treatment, and prevention

– Diagnosis based on signs and symptoms of SARS– Treatment is supportive10/15/11 79MDufilho

Page 80: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 22.14 The face of SARS

10/15/11 80MDufilho

Page 81: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Respiratory Syncytial Virus Infection– Most common childhood respiratory disease

– Signs and symptoms– Fever, runny nose, and coughing in babies or

immunocompromised individuals– Mild coldlike symptoms in older children and adults

– Pathogen– Respiratory syncytial virus (RSV)

– Pathogenesis– Virus causes syncytia to form in the lungs– Immune response to RSV further damages the lungs10/15/11 81MDufilho

Page 82: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 22.15 A syncytium forms when RSV triggers infected cells to fuse with uninfected cells

Multinucleatedsyncytium

Newlyinfected cell

Nucleus

RSV

Infectedhost cell

UninfectedcellNewly

infected cell

Infectedhost cell

Multinucleatedsyncytium

RSV

10/15/11 82MDufilho

Page 83: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Lower Respiratory System

• Respiratory Syncytial Virus Infection– Epidemiology

– Transmission occurs via close contact with infected persons

– Diagnosis, treatment, and prevention– Diagnosis made by immunoassay– Supportive treatment for young children– Prevention includes aseptic technique of health

care and day care employees

10/15/11 83MDufilho

Page 84: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Digestive System

• Viral Gastroenteritis– Signs and symptoms

– Similar to bacterial gastroenteritis– Pathogens and pathogenesis

– Caused by caliciviruses, astroviruses, and rotaviruses– Epidemiology

– More cases occur in winter– Diagnosis, treatment, and prevention

– Serological test distinguishes among viruses– Treatment is based on fluid and electrolyte

replacement– Vaccine for rotavirus exists10/15/11 84MDufilho

Page 85: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 23.13 Some viruses causing gastroenteritis-overview

10/15/11 85MDufilho

Page 86: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 23.14 Deaths from rotaviral diarrhea are most common in developing countries

1000 deaths

10/15/11 86MDufilho

Page 87: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Digestive System

• Viral Hepatitis– Signs and symptoms

– Jaundice, abdominal pain, fatigue, vomiting, appetite loss

– Symptoms may occur years after initial infection – Host immune response causes much of the liver

damage– Pathogen and pathogenesis

– Hepatitis A virus (HAV) – Hepatitis B virus (HBV)– Hepatitis C virus (HCV)– Hepatitis delta virus (HDV)– Hepatitis E virus (HEV)

10/15/11 87MDufilho

Page 88: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Table 23.2 Comparison of Hepatitis Viruses

10/15/11 88MDufilho

Page 89: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Viral Diseases of the Digestive System

• Viral Hepatitis– Diagnosis, treatment, and prevention

– Initial diagnosis made by observation of jaundice, enlarged liver, or fluid in the abdomen

– Serological testing can identify viral antigens– HBV diagnosed by presence of viral proteins in

body fluids– Supportive care for symptoms– Prevent with good hygiene and protected sex or

abstinence– Vaccines are available against HAV and HBV

10/15/11 89MDufilho

Page 90: Chapter 13 Characterizing and Classifying Viruses, Viroids, and Prions.

Figure 23.15 The three types of viral particles produced by hepatitis B viruses-overview

10/15/11 90MDufilho