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Virology

TermDefinition
Baltimore classification Group I -> dsDNA (herpes, pox, adeno, papilloma), Group II -> ssDNA (parvo), Group III -> dsRNA (rota/reo), Group IV -> +ve ssRNA (picorna, flavi, corona), Group V -> -ve SSRNA (orthomyxo, filo, paramyxo, rhabdo), Group VI -> +ve ssRNA (retro)
DNA double/single stranded viruses All ds except for parvovirus (ssDNA)
DNA linear viruses All linear except for hepadna (incomplete circular) and papilloma/polyoma (supercoiled circular)
DNA enveloped viruses All without envelope except for herpes/hepadna/poxvirus -> acquire envelopes from host nuclear membrane
DNA icosahedral capsid viruses All have icosahedral capsids except for poxvirus (complex)
DNA virus replication location All replicate in nucleus except for poxvirus (carries own DdRPol)
Parvovirus Only ssDNA virus -> group II Baltimore -> B19 virus infecting canine RBCs
Papillomavirus dsDNA -> skin/genitals -> synthesise factors to stimulate cell mitosis (dNTP increase) -> HPV 6/11 -> cell proliferation (warts), HPV 16/18 -> DNA/capsid protein synthesis but mitosis continues (cervical cancer) -> genetically engineered vaccine
Adenovirus dsDNA -> respiratory tract -> synthesise factors to stimulate cell mitosis (dNTP increase) -> acute respiratory disease, pneumonia, conjunctivitis
Hepadnavirus dsDNA -> genital, iatrogenic (blood transfusion) -> circular partially dsDNA -> reverse transcription but no integration -> HBV -> acute resolving jaundice, chronic at birth (90%) or children (10%), male > female, subunit vaccine against HBsAg
Herpesvirus dsDNA -> respiratory tract, sexual contact -> synthesise factors to stimulate cell mitosis (dNTP increase) -> virally encoded enzyme expression (thymidine K, thymidylate K, ribont reductase - dNTP synthesis)
Poxvirus dsDNA -> skin -> variola (small pox), vaccinia (milder smallpox) -> encode decapping enzymes (remove virus/host mRNA 5' caps), viral encoded enzyme expression, infected cell secretes EGF/B18, cytoplasmic eosinophilic inclusion bodies
HHV-1 dsDNA -> respiratory secretions/saliva -> temporal lobe encephalitis, latency in trigeminal ganglia (primary cold sores, reactivated cold sores)
HHV-2 dsDNA -> sexual contact/perinatal -> herpes genitalis, neonatal herpes, viral meningitis
HHV-3 dsDNA -> varicella-zoster virus -> respiratory secretion/vesicle fluid -> encephalitis, pneumonia, latency in dorsal root/trigeminal ganglia (primary chickenpox, reactivated shingles - post-herpetic neuralgia) -> CN V1 -> herpes zoster ophthalmicus
HHV-4 dsDNA -> Epstein-Barr virus -> respiratory secretion, saliva -> infect B cells via CD21 (immune complex uptake/retention) -> secrete vIL-10 (Th2 and B cell production) -> mononucleosis (hepatosplenomegaly), lymphoma (Burkitt/nasopharyngeal carcinoma)
HHV-5 dsDNA -> HCMV -> congenital, blood transfusion, sexual contact -> immunocompetent mononucleosis, immunocompromised infection (pneumonia, oesophagitis, 'owl eye' intranuclear inclusion bodies)
HHV-6/7 dsDNA -> saliva -> roseola infantum -> high feveres -> seizures -> diffuse macular rash (trunk -> extremities) -> children <2 yrs
HHV-8 dsDNA -> sexual contact -> Karposi sarcoma (endothelial neoplasm) -> HIV/AIDS/transplant patients -> dark violaceous plaques/nodules -> vascular proliferations
RNA double/single stranded viruses All ss except for reovirus (dsDNA)
RNA -ve stranded viruses Arenavirus, bunyavirus, paramyxovirus (parainfluenza, RSV respiratory synctial virus, measles, mumps), orthomyxovirus, filovirus, rhabdovirus, deltavirus
Which viral strands are infectious? DNA genome and +ve RNA are infectious -> don't need host machinery, purified -ve RNA are non-infectious (need packaged RdRP)
RNA linear viruses All linear except for arenavirus, bunyavirus, deltavirus
RNA virus replication location All replicate in cytoplasm except for retro (HIV/visna) and influenza
RNA enveloped viruses All enveloped except for reo, picorna, hepe, calcivirus
Picornavirus +ve ssRNA -> alimentary canal, respiratory tract, orofaecal -> poliovirus, rhinovirus, HAV
Poliovirus +ve ssRNA picornavirus -> orofaecal, respiratory tract -> protease cleaving cap binding complex component, RNA has IRES near 5' end -> detected by ribosomes and translated -> Salk (purified/inactivated) vaccine, Sabin (live-attenuated) vaccine
HAV +ve ssRNA picornavirus -> orofaecal/direct contact -> infects oropharynx/intestine epithelial cells -> bloodstream -> hepatocyte/liver macrophages (Kupffer cells) -> acute jaundice (90% asymptomatic, 80% adults acute hepatitis), live attenuated vaccine
HBV dsDNA hepadnavirus -> genital, iatrogenic (blood transfusion) circular partially dsDNA -> reverse transcription but no integration -> HBV -> acute resolving jaundice, chronic at birth (90%) or children (10%), male > female, subunit vaccine against HBsAg
HCV +ve ssRNA flavivirus -> blood products, body fluids -> polyprotein w/ IRES + proteolytic cleavage -> acute infection, asymptomatic chronic infection >70% (10-20% cirrhosis, 1-5% cancer) -> no vaccine -> anti-viral drugs (NS2/3 proteases, NS5A/B RNA Pol)
HDV -ve ssRNA deltavirus -> HBV coinfection (injection drug use, blood products) -> requires HBV for replication -> HBV vaccine effective treatment
HEV +ve ssRNA hepevirus -> orofaecal -> high pregnancy mortality rate, cholestasis
Flavivirus +ve ssRNA -> arbovirus, injection drug use -> HCV, yellow fever (Aedes) -> short liver damage, 1st vaccine, dengue (Aedes) -> 80% asymptomatic, West Nile (Aedes) -> menigoencephalitis, Zika (Aedes) -> pregnancy (fetal microcephaly), sexual contact
Rubella +ve ssRNA togavirus -> arbovirus -> face rash to body -> swollen lymph nodes -> transmittable by respiratory system week before/after rash appearance
Retrovirus +ve ssRNA (Baltimore VI) -> sexual contact, body fluid, pregnancy -> HIV, RSV -> produce spliced transcripts (tat/rev)
HIV +ve ssRNA retrovirus -> gag p24 protein (target Ag for HIV protein-based diagnosis), diploid genome, HIV enzymes injected into cell, ribonuclease degrades vRNA PAMP -> AIDS (CD4+ cell count drop via CTL lysis -> recover -> severe drop, no vaccines
Enfurvitide HIV antiviral drug -> biomimetic peptide binding to gp41 -> prevents formation of fusion pore
Azidothymidine HIV antiviral drug -> thymidine analogue phosphorylated by cellular K -> incorporated into vDNA by v reverse transcriptase -> terminate chain growth
Saquinivir HIV antiviral drug -> Gag protease inhibitor -> HIV remains immature -> prevent spread
Acyclovir HSV antiviral drug -> nucleoside analogue -> not phosphorylated by cellular kinases by phosphorylated by HSV thymidine kinase -> NTP incorporated into vDNA by HSV DNA Pol -> chain termination -> selective for infected cells (virus TK and DNA Pol)
Orthomyxovirus -ve ssRNA -> respiratory tract -> influenza -> 8RNA segments, HA/NA glycoproteins, M2 ion channel, virus RdRP PB1/2/PA packaged w/in virion -> nuclear replication -> influenza vaccine -> subunit/live-attenuated -> genetically engineered by growing virus i
Measles -ve ssRNA paramyxovirus -> respiratory tract -> induces infected cell to fuse w/ surrounding uninfected cells -> Koplik's spots (oral cavity white spots), red rash (face) spreads to body (maculopapular),
Mumps -ve ssRNA paramyxovirus -> respiratory tract -> 1/3 asymptomatic -> goitre (parotitis), deafness
Rhabdovirus -ve ssRNA -> zoonosis, bite -> cytopathic effect -> Negri bodies in cerebellar Purkinje cells (DOPA producing neurons) -> encephalitis -> death
Filovirus -ve ssRNA -> body fluids, blood products -> Ebola (fever -> diarhhoea -> decreased liver/kidney function -> haemorrhagic fever -> hypovolaemic shock) -> IV fluid treatment, Marburg haemorrhagic fever (similar to Ebola but no vaccines/antiviral treatment)
Amantadine Influenza antiviral drug -> inhibits M2 ion channel -> prevents endosomic acidfication -> prevents capsid uncoating
Tamiflu Influenza antiviral drug -> against NA -> prevent cleavage of host sialic acid -> prevent new virion release
Raltegravir HIV antiviral drug -> inhibits integrase enzyme -> prevents viral dsDNA from being incorporated into host DNA
Created by: vykleung
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