Viruses and Prions What is a Virus? Outline of Lecture • Viral basics and interesting facts • Three interactions with host • Influenza, herpes, genital warts • HIV-AIDS • Prions • Discussion question--can viruses be beneficial? Questions welcome anytime! 1. Viruses are obligate intracellular, molecular parasites 2. Very small and infectious 3. The virus genome--either of DNA or RNA 4. Viral genome directs the production of new virus particles Fig. 13.2. Figure 13.3 Fig. 13.03 A. Naked virus B. Enveloped virus. Many animal viruses…. Spike proteins are also often “attachment proteins” that attach to specific sites host cell. Envelope derived from host plasma membrane… Specialized Transduction Vaccinia Virus Edward Jenner First vaccine Result = horizontal gene transfer Fig. 13.11 Different Interactions with Host Influenza (pp. 586-588) > Highly mutable virus - changes antigens very quickly Fig. 13.4 (modified) > Many animal reservoirs 1. Host cell bursts 2. Host cell survives, genome modified, Viral leakage 3. Host cell survives genome modified, new host characteristics Influenza Herpes HPV Influenza (flu) virus is a ss, RNA, enveloped virus (Fig. 23.21) that infects cells of the respiratory tract. Continually evolving The Neuraminidase (N) protein on the viral surface hydrolyzes the host mucous coating allowing the Variants (via mutations and genetic rearrangement) of last year’s virus Hemagglutinin (H) to bind to protein receptors on mucosal cells H changes slightly New strain(s) every year H becomes new antigen not recognized by last year’s antibodies The virus is taken up and H fuses with the membrane New “shot” every year causing the viral RNA to be released into the cytoplasm Influenza--Humanity evolution arms race Major rearrangements (antigenic shift) "antigenic drift" = year to year minor variations (mutations) in the viral membrane proteins "antigenic shift" = major changes in these proteins Major change was cause of deadly pandemics (e.g. 1918 and 1957) -more than one strain of flu -infect a single cell at the same time Thus during assembly of the viruses -eight different segments of the viral genome -mixed and matched into new viruses -major new antigenic presentation See Possible genetic rearrangement among duck, swine and human flu viruses (probably in pigs) Fig. 23.22 > Influenza caused worst world pandemic in 1918-1919, killing over 20 million people (about 80% of the American casualties during WWI) Herpes > Viruses are inhaled or ingested. Spread via sneezing and coughing See Fig. 14.13 !Results in fever, chills, headache, aches !Most of the symptoms are caused by virus lysis (bursting) cells of the respiratory tract !leads to secondary infections by bacteria and other viruses > Death occurs due to secondary infections > 10,000-40,000 deaths due to flu every year Genital Warts HPV of genital warts are related to HPVs that cause cancer probably most common sexually transmitted disease. (pp. 654-655) HPV-16 Cause = human papillomavirus (HPV) in the USA = 7% of all cancers in females naked viruses resistant to drying At least 50 different HPVs cause tumors (malignant and/or benign) Warts are benign tumors --> cervical cancer (5000 deaths annually). PAP test detects early. HPVs are ds DNA viruses incorporated into host chromosome or becomes plasmid cause infected cell to multiply more rapidly than normal --> tumor HPV Prevention/Treatment Cancer causing Papillomaviruses code for proteins that inhibit anti-oncogenes Worrisome pandemic of genital warts --> Cancer causing forms just as easily transmitted as wart-causing Both often both found in women with cervical cancer • No sex with people with warts (duh) • Condoms • Avoid sex with people with multiple partners • PAP tests regularly • Wart removal DOES NOT cure cancer causing infection HIV pp. 739-749 The Toll of AIDS More than 33 million people infected worldwide 16 million have died !First described in 1981-83 !Epidemiologists predicted a blood-borne virus Fourth leading cause of death in the world. !1984 - Gallo linked a retrovirus to immunodeficiency syndrome, AIDS Fig. 29.1 AIDS pandemic as of 2001 Fig. 29.9. Percentage of AIDS cases in women in the USA. Human Immunodeficieny Viruses Retrovirus - ss RNA infect mononuclear phagocytes HIV targets cells with CD4 receptors See Fig. 29.3. Life Cycle of HIV Fig. 29.6 The Three Phases of HIV Disease HIV infection--most infected cells show •no lysis (bursting) •no latency (integrated genome, no virus produced) •accumulating and releasing viral products (integrated genome) Fig. 29.8 Blood levels of •HIV virus--red •circulating HIV RNA--green •CD4 cells--blue Epidemiology of HIV Transmitted via: • sexual intercourse • blood and blood products • mother to infant Vaccine? No vaccine for HIV (yet) HIV constantly changing its proteins (evolution) “Sloppy” reverse transcriptase-->high mutation rates-->high evolution rate Problems with HAART Treatment Antiviral “cocktails” Drug toxicity and inconvenience. HAART = “highly active anti-retroviral therapy” = Expense. Mixture of inhibitors: Viral Drug Resistance. -reverse transcriptase (e.g. AZT) Residual Virus Replication. HIV continues to replicate because drugs do not penetrate all tissues/compartments. PLUS Long-Lived Reservoirs of Virus Infection. -protease Combined therapy especially effective. Why? Prions - infectious protein particles - cause diseases in animals and humans - Prions--the only infectious agents that do NOT contain any nucleic acids - Cause brain diseases in -sheep (scrapie) -cows (mad cow disease, BSE) -humans (Kuru and Creutzfeld-Jakob disease) -elk/deer (Chronic Wasting Disease) (see Table 14.12). - Result of prion diseases = holes in brain tissue, sponge-like appearance (thus "spongiform encephalitis") - All caused by exposure to brains - Kuru was figured out by Gajdusek - spread via burial ceremonies - people smeared brains of dead relatives on their bodies Mad Cow Disease BSE -bovine spongiform encephalopathy (BSE) -British added ground up sheep & cows to cattle feed latent period up to 15 years -cattle then ground up and fed to humans (burgers!) ? long time before full impact on people in Britain is known -Prions are not destroyed by cooking detected recently (2003) in a cow in the USA -incidence of Creutzfeld-Jakob disease in humans recently increased in Britain Clin Lab Med. 2002 Dec; 22(4):849-862 Emerging Infectious Diseases Vol. 10, Number 6, June 2004 Variant Creutzfeldt-Jakob disease and bovine spongiform encephalopathy. Belay, E.D., and L.B. Schonberger. Abstract: Strong epidemiologic and laboratory evidence indicate that a novel, variant form of Creutzfeldt-Jakob disease (vCJD) first reported in the United Kingdom in 1996 is causally linked with bovine spongiform encephalopathy (BSE). BSE was first identified in the early 1980s in the United Kingdom, and has since spread to other European countries and recently to Japan and Israel. Although the United Kingdom BSE epizootic is on the decline, widespread exposure of humans to infected cattle products may have already occurred, raising concerns about the ultimate magnitude of the vCJD outbreak which, as of October 2002, has already affected 138 patients worldwide, including 128 patients in the United Kingdom. Chronic Wasting Disease and Potential Transmission to Humans E.D. Belay, R. A. Maddox, E.S. Williams, M. W. Miller, P. Gambetti, and L.B. Schonberger Chronic wasting disease (CWD) of deer and elk is endemic in a tri-corner area of Colorado, Wyoming, and Nebraska, and new foci of CWD have been detected in other parts of the United States. Although detection in some areas may be related to increased surveillance, introduction of CWD due to translocation or natural migration of animals may account for some new foci of infection. Increasing spread of CWD has raised concerns about the potential for increasing human exposure to the CWD agent. The foodborne transmission of bovine spongiform encephalopathy to humans indicates that the species barrier may not completely protect humans from animal prion diseases. Conversion of human prion protein by CWD-associated prions has been demonstrated in an in-vitro cell-free experiment, but limited investigations have not identified strong evidence for CWD transmission to humans. More epidemiologic and laboratory studies are needed to monitor the possibility of such transmissions. Figure. Chronic wasting disease among free-ranging deer and elk by county, United States. How do prions cause disease and replicate without nucleic acids? First idea--inducers or repressors of gene expression The latest theory--recruit proteins similar to themselves in the membranes of brain cells From: E.D. Belay, R. A. Maddox, E.S. Williams, M. W. Miller, P. Gambetti, and L.B. Schonberger. 2004. Chronic Wasting Disease and Potential Transmission to Humans Emerging Infectious Diseases 10(6), June 2004 Proposed mechanism for prion replication Beneficial Microbes - prions line up next to similar proteins that line brain cells - cause a shift in their tertiary structure to the prion form - causes the outer lining of brain cells to become rigid and cavity forming……. • • • • • • Cyanobacteria--atmospheric O2 Rhizobium--N fixation, soil fertility Rumen flora--digest cellulose in horses E.coli and others--protective intestinal flora Mitochondrion--ATP Etc. Fig 14.22 Discussion Question Are viruses always harmful? Are they ever beneficial? Brainstorm ideas •Small groups •3 to 5 people per group •5 minutes to meet •Compile group’s ideas--spokesperson QUESTION: in what ways could viruses be beneficial? Ideas • Protection against disease – Vaccinia • Ecological – Australian rabbits and viral eco-control • Host modification – Turn on anti-oncogenes – Manipulate gene expression • As vectors – Transfer useful genes to other hosts – Gene therapy • Target viruses to kill tumor cells
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