● $BlogItemTitle$> @ Tuesday, October 28, 2008 ●
Lecture 3!
Hepadnaviridae
Family:
-Human Hepatitis B Virus
-Duck Hepatitis B virus
-Ground Squirrel Hepatitis Virus
-Snow Goose Virus
-Woodchuck Hepatitis Virus
-Wooley monkey virus
Unique Features:
-Non-segmented
-Single molecule of open circular, partially double-stranded DNA containing extensively overlapping genes
Morphology:
-Virions consists of an envelope and nucleocapsid.
-Capsid enveloped by sensitive lipoprotein.
-Envelope has no surface projections.
-Nucleocapsid is round, isometric and has icosahedral symmetry.
-Capsid surface structure reveals concentric rings.
-Capsid consists of 180 capsomers.
Pathogenesis:
-Acute or chronic liver infection depending on age.
-Only about 5% to 10% of Immuno-competent adults infected with HBV develop chronic hepatitis B
Clinical Features(Acute):
-Loss of appetite, nausea, vomiting, fever, abdominal pain and jaundice(skin and white part of eyes turn yellow).
-90-95% of acutely infected adults recover but 5-10% become chronically infected.
(Chronic):
-Potentially infectious patients have no symptoms upon laboratory testing.
-Others will have clinically apparent chronic hepatitis.
-Some goes on to develop cirrhosis.
-Hepatocellular carcinoma(primary liver cancer).
Lab Dignosis:
-Detectable HBsAG in acute infection
-IgM antibodies against core antigen are detectable in serum.
-IgG antibodies against core are produce.
-After acute infection resolves, IgG antibodies againt core antigent persist and IgM antibodies and HBsAg become undetectable.
-Most people that had resolved acute infection, continues to have IgG antibodies againt core antigen for life.
-Acutely infected Individuals whom do not clear HBV will continue to have serum HBsAG and diagnosis of hepatitis B is confirmed, prognosis is assessed, by liver biopsy.
Control:
-Post 1987 babies all vaccinated against HBV.
-Avoid risky sexual behaviour.
Herpesviridae
Alphaherpes: Herpes Simplex 1 virus, Herpes Simplex 2 virus, Varicella Zooster virus
Betaherpes: Cytomegalovirus, Human Herpes Type 6, Human Herpes Type 7
Gemmaherpes: Epstein Barr virus, Human Herpes Type 8
Unique features:
-Virus remain latent until reactivation(stress, Long exposure to sunlight, during menstrual period).
-Virus hide in nerves tissue. May cause brain damage to child if passed from mother to baby during birth.
Genome:
-Concentric Virion
-Linear ds DNA
-Three origin of replication
Herpes simplex viruses
Pathogenesis:
-HSV1(cold sores)
-HSV2(genital herpes)
Clinical features:
Herpes Simplex
-Cold sores: Blisters around mouth for 1 week. Affect eyes and gum.
-Genital herpes: Blisters, burning sensation, discharge for 1- 3 weeks.
Control:
-Do not kiss or have sexual contact
Varicella zoster virus
Pathogenesis:
-Respiratory tract, pharynx
-Herpes zoster(shingles)
Clinical features:
-Fever
-Lesion all over body
-Scarring
-May affect nervous system(Guillain Baiire syndrome)
Control:
-Vaccine available
-Avoid infected people
Cytomegalovirus
Pathogenesis:
-Virus in urine, saliva, semen, cervical secretion and breast milk
Clinical Features:
-prolonged high fever, chills, severe tiredness, a generally ill feeling, headache, and an enlarged spleen.
-lung problems, poor weight gain, swollen glands, rash, liver problems, and blood problems.
Control:
-Practice good personal hygiene
- Avoid mouth contact with the body fluids of young children.
Human Herpes type 6
Pathogenesis:
-production of a functional chemokine and chemokine receptors
-depletion of CD4 T lymphocytes via direct infection of intra-thymic progenitors and by apoptosis induction
-widespread in infants between 6 months and 2 years of age
Clinical features:
-minority of infants develop roseola infantum
-undifferentiated febrile illness is more common
Epstein Barr virus
Pathogenesis
-Nasopharynx, salivary gland
Clinical features:
-Fever
-Lesion all over body
-Scarring
-May affect nervous system(Guillain Barre syndrome)
Control:
-Do not kiss and stop sexual activity
Lab Diagnosis:
-Virus culture
-Antigen Test: EIA
-Blood test
References:
http://www.ncbi.nlm.nih.gov/ICTVdb/ICTVdB/00.030.htm
http://www.dhpe.org/infect/cytomegalo.html
http://www.virology.net/Big_Virology/EM/herpes_thumb.gif
http://images.google.com.sg/imgres?imgurl=http://stdgen.northwestern.edu/stdgen/bacteria/hhv2/herpes.diagram.jpg&imgrefurl=http://stdgen.northwestern.edu/stdgen/bacteria/hhv2/herpes.html&usg=__tJlP74zN2myNOpGTBzOvCD8ASYc=&h=228&w=221&sz=23&hl=en&start=2&tbnid=cf11IGpTQNsvVM:&tbnh=108&tbnw=105&prev=/images%3Fq%3Dherpesviridae%26gbv%3D2%26hl%3Den%26sa%3DG