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Viral diseases
Diseases Caused by Viruses

        viruses are
        everywhere in
        nature, but only a
        few cause disease
Pathogens

 Disease
 Causing
 agents
Also importantโ€ฆ

Any agent (not just viruses) that
 causes disease is a pathogen.

When a virus inserts its genetic
 material into a hostโ€™s DNA, it is
 called a provirus.

Some viruses replicate very slowly
 and only cause damage when
 the conditions are โ€œrightโ€. (cold
 sores)
Viruses are host cell specific.
     Most viruses are restricted to
      certain kinds of cells (those that
      infect plants cannot infect animal
      cells).

     Why?
     Scientists think that viruses
      originated from escaped genetic
      material from host cells.
Viruses can be beneficialโ€ฆ

Bacteriophages โ€“ attack & destroy bacteria
Baculovirus โ€“ ebola-like virus that attacks
 insects
  โ€“ Could use for pest control in crops
     โ€ข Cabbage loopers eat
       cabbage crops
     โ€ข Virus can kill pests in days
        โ€“ (itโ€™s really gross)



            โ€ฆ and then there are those that are not so goodโ€ฆ.
RNA or DNA?

Viruses with RNA
  โ€“ Human immunodeficiency virus
    (HIV)
  โ€“ Influenza viruses
  โ€“ Rabies
Viruses with DNA
  โ€“ Warts
  โ€“ Chickenpox
  โ€“ mononucleosis
Retroviruses
โ€ข Contain RNA instead of
  DNA
โ€ข Copy their RNA into DNA
  instead of DNA to RNA

โ€ข Examples: AIDS, some
  cancers
Viral Disease in Humans
   โ€ข Like bacteria, viruses produce
     disease by disrupting the bodyโ€™s
     normal equilibrium
   โ€ข Unlike bacterial diseases, viruses
     canโ€™t be treated with antibiotics
   โ€ข The best way to protect against most
     viral diseases lies in prevention by
     the use of vaccines
Viral Disease in Animals

  โ€ข Viruses produce serious
    animal disease as well
  โ€ข Ex.) Foot-and-mouth
    disease, Rous sarcoma
Viral Disease in Plants

 โ€ข Many viruses infect plants
 โ€ข Ex.) Tobacco mosaic virus,
   potato yellow dwarf virus
Viruses are responsible for a number of
             plant diseases
     โ€ข Approximately 2,000 kinds of plant diseases
       have been attributed to viruses
        โ€“ Plant viruses are responsible for the loss
          of over    15 billion dollars annually by
          reducing the yield of important
          agricultural and horticultural crops
     โ€ข Once a plant is infected the virus spreads
       slowly throughout the plant
     โ€ข In some instances, plants have been
       purposefully infected with a virus in order to
       produce traits considered desirable by
       gardeners
           โ€ข Example: Some variegation in leaves
             and flowers can be brought about by
             viruses                               16-13
A virus is responsible for the variegation and streaking in
Rembrandt tulips
Viroids and Prions

 โ€ข Scientists have
   discovered two virus-like
   particles that also cause
   disease
Viroids

โ€ข Single stranded RNA
  molecules that have no
  surrounding capsid
โ€ข Cause disease in plants
Prions

โ€ข Proteins that cause
  disease in animals
Ex.) Mad cow disease
Surgical masks provide protection against
the transmission of SARS




                                       16-21
Exterminating possibly infected chickens may protect
against bird flu




                                                  16-22
A provirus is a DNA virus that has been inserted into a
host cell chromosome.
Human Immunodeficiency Virus
          (HIV)

 Acquired Immuno Deficiency
      Syndrome (AIDS)
How Is HIV Spread?

 โ€ข Sexual contact
 โ€ข Sharing contaminated
   needles
 โ€ข Blood transfusions
 โ€ข Breast feeding (mother to
   baby)
 โ€ข Mother to baby during
   pregnancy or birth
โ€ข HIV is a retrovirus injecting the enzyme, reverse
  transcriptase into the cell to copy viral RNA into
  DNA.
Viruses are host specific โ€“ a protein on the surface of the
virus has a shape that matches a molecule in the plasma
membrane of its host, allowing the virus to lock onto the
host cell.
โ€ข HIV doesnโ€™t target just any cell, it goes right for the cells
  that want to kill it. โ€œHelper" T cells are HIV's primary target.
  These cells help direct the immune system's response to
  various pathogens.
HIV undermines the body's ability to
protect against disease by depleting T
cells thus destroying the immune
system.
 After many years ofinfect 10 battle, the body has
 The virus can a constant billion cells a
insufficient only 1.8 billion to mount an immune
day, yet numbers of T-Cells can be replaced
response against infections. At the point when the
daily.
body is unable to fight off infections, a person is said
 to have the disease AIDS.
It is not the virus or the disease that ultimately kills a
 person; it is the inability to fight off something as
 minor as the common cold.
Think about itโ€ฆ
โ€ข In the US, there is better than a 1/1000 chance
  of contracting HIV during unprotected sex
โ€ข A person can be contagious for more than 10
  years before any sign of the disease is apparent
โ€ข HIV becomes AIDS when the number of immune
  cells drops below a predetermined number
โ€ข No one dies from HIV or AIDS; people die from
  secondary infections (ranging from the common
  cold to cancer)
โ€ข More than 3 million people (size of Chicago) die
  each year
 โ€ข There are approx. 14,000 new cases of
          HIV worldwide every day
The Story of Dengue
       Virus
Dengue Virus
โ€ข   Single-stranded RNA virus
โ€ข   Causes dengue hemorrhagic fever
โ€ข   Transmitted by mosquitoes (Aedes aegypti)
โ€ข   Serotypes (DEN-1, 2, 3, 4)
Dengue Virus




Nature Structural Biology 10, 907 - 912 (2003)
Where?




World distribution of dengue viruses and their mosquito vector, Aedes aegypti, (2005)
Hepatitis virus
Viral Hepatitis - Overview
                                   Type of Hepatitis
                   A             B            C             D            E
Source of         feces         blood/       blood/         blood/      feces
virus                        blood-derivedblood-derived blood-derived
                              body fluids body fluids body fluids
Route of        fecal-oral   percutaneouspercutaneous percutaneous fecal-oral
transmission                  permucosal permucosal permucosal

Chronic            no            yes          yes           yes          no
infection

Prevention       pre/post-    pre/post- blood donor       pre/post- ensure safe
                 exposure     exposure     screening;    exposure    drinking
               immunization immunization risk behavior immunization;  water
                                          modification risk behavior
                                                        modification
Hepatitis B virus
Introduction


โ€ข approximately 350
  million people are
  infected globally with
  HBV.
High-risk groups for HBV infection

     โ€ข People from endemic regions
     โ€ข Babies of mothers with chronic HBV
     โ€ข Intravenous drug abusers
     โ€ข People with multiple sex partners
     โ€ข Hemophiliacs and other patients requiting
       blood and blood product treatments
     โ€ข Health care personnel who have contact
       with blood
     โ€ข Residents and staff members of
       institutions for the mentally retarded
Treatment

โ€ข Interferon-alpha may be effective
  for treating a chronic HBV
  infection.
โ€ข Hepatitis B immune globulin may
  be administered within a week of
  exposure and to newborn infants
  of HBsAg-positive mothers.
Hepatitis C Virus
Introduction

โ€ข The major cause of parenterally
  transmitted non A non B
  hepatitis. It eluded identification
  for many years. In 1989, the
  genome was cloned from the
  serum of an infected
  chimpanzee.
Transmission

โ€ข Blood transfusions, blood products
โ€ข organ donation
โ€ข Intravenous drug abusers
โ€ข community acquired: mechanism
  unclear. ?
โ€ข Vertical transmission ?
โ€ข sexual intercourse
Chronic Hepatitis C
Factors Promoting Progression or
Severity

        โ€ข Increased alcohol intake
        โ€ข Age > 40 years at time of infection
        โ€ข HIV co-infection
        โ€ข ?Other
          โ€“ Male gender
          โ€“ Other co-infections (e.g., HBV)
Treatment, Prevention,and Control

      โ€ข Recombinant interferon-alpha is
        the only known effective
        treatment for HCV.
      โ€ข Illicit drug abuse and transfusion
        are the most identifiable sources
        of HCV viruses.
Mumps, Measles, Influenza, and
       Poliomyelitis
Chickenpox
- Varicella
Blister-like rash on surface of
  skin and mucous
  membranes. Blisters
  usually appear first on
  trunk and face, then
  spread to almost
  everywhere else.
Kaposiโ€™s Sarcoma
Purplish lesions of a skin
cancer not usually seen in
young men                    Herpes virus
Rabies
 virus
Prevention and treatment

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076

  • 2. Diseases Caused by Viruses viruses are everywhere in nature, but only a few cause disease
  • 4. Also importantโ€ฆ Any agent (not just viruses) that causes disease is a pathogen. When a virus inserts its genetic material into a hostโ€™s DNA, it is called a provirus. Some viruses replicate very slowly and only cause damage when the conditions are โ€œrightโ€. (cold sores)
  • 5. Viruses are host cell specific. Most viruses are restricted to certain kinds of cells (those that infect plants cannot infect animal cells). Why? Scientists think that viruses originated from escaped genetic material from host cells.
  • 6. Viruses can be beneficialโ€ฆ Bacteriophages โ€“ attack & destroy bacteria Baculovirus โ€“ ebola-like virus that attacks insects โ€“ Could use for pest control in crops โ€ข Cabbage loopers eat cabbage crops โ€ข Virus can kill pests in days โ€“ (itโ€™s really gross) โ€ฆ and then there are those that are not so goodโ€ฆ.
  • 7. RNA or DNA? Viruses with RNA โ€“ Human immunodeficiency virus (HIV) โ€“ Influenza viruses โ€“ Rabies Viruses with DNA โ€“ Warts โ€“ Chickenpox โ€“ mononucleosis
  • 8. Retroviruses โ€ข Contain RNA instead of DNA โ€ข Copy their RNA into DNA instead of DNA to RNA โ€ข Examples: AIDS, some cancers
  • 9.
  • 10. Viral Disease in Humans โ€ข Like bacteria, viruses produce disease by disrupting the bodyโ€™s normal equilibrium โ€ข Unlike bacterial diseases, viruses canโ€™t be treated with antibiotics โ€ข The best way to protect against most viral diseases lies in prevention by the use of vaccines
  • 11. Viral Disease in Animals โ€ข Viruses produce serious animal disease as well โ€ข Ex.) Foot-and-mouth disease, Rous sarcoma
  • 12. Viral Disease in Plants โ€ข Many viruses infect plants โ€ข Ex.) Tobacco mosaic virus, potato yellow dwarf virus
  • 13. Viruses are responsible for a number of plant diseases โ€ข Approximately 2,000 kinds of plant diseases have been attributed to viruses โ€“ Plant viruses are responsible for the loss of over 15 billion dollars annually by reducing the yield of important agricultural and horticultural crops โ€ข Once a plant is infected the virus spreads slowly throughout the plant โ€ข In some instances, plants have been purposefully infected with a virus in order to produce traits considered desirable by gardeners โ€ข Example: Some variegation in leaves and flowers can be brought about by viruses 16-13
  • 14.
  • 15. A virus is responsible for the variegation and streaking in Rembrandt tulips
  • 16. Viroids and Prions โ€ข Scientists have discovered two virus-like particles that also cause disease
  • 17. Viroids โ€ข Single stranded RNA molecules that have no surrounding capsid โ€ข Cause disease in plants
  • 18.
  • 19. Prions โ€ข Proteins that cause disease in animals Ex.) Mad cow disease
  • 20.
  • 21. Surgical masks provide protection against the transmission of SARS 16-21
  • 22. Exterminating possibly infected chickens may protect against bird flu 16-22
  • 23. A provirus is a DNA virus that has been inserted into a host cell chromosome.
  • 24. Human Immunodeficiency Virus (HIV) Acquired Immuno Deficiency Syndrome (AIDS)
  • 25. How Is HIV Spread? โ€ข Sexual contact โ€ข Sharing contaminated needles โ€ข Blood transfusions โ€ข Breast feeding (mother to baby) โ€ข Mother to baby during pregnancy or birth
  • 26. โ€ข HIV is a retrovirus injecting the enzyme, reverse transcriptase into the cell to copy viral RNA into DNA.
  • 27. Viruses are host specific โ€“ a protein on the surface of the virus has a shape that matches a molecule in the plasma membrane of its host, allowing the virus to lock onto the host cell.
  • 28. โ€ข HIV doesnโ€™t target just any cell, it goes right for the cells that want to kill it. โ€œHelper" T cells are HIV's primary target. These cells help direct the immune system's response to various pathogens.
  • 29. HIV undermines the body's ability to protect against disease by depleting T cells thus destroying the immune system. After many years ofinfect 10 battle, the body has The virus can a constant billion cells a insufficient only 1.8 billion to mount an immune day, yet numbers of T-Cells can be replaced response against infections. At the point when the daily. body is unable to fight off infections, a person is said to have the disease AIDS. It is not the virus or the disease that ultimately kills a person; it is the inability to fight off something as minor as the common cold.
  • 30. Think about itโ€ฆ โ€ข In the US, there is better than a 1/1000 chance of contracting HIV during unprotected sex โ€ข A person can be contagious for more than 10 years before any sign of the disease is apparent โ€ข HIV becomes AIDS when the number of immune cells drops below a predetermined number โ€ข No one dies from HIV or AIDS; people die from secondary infections (ranging from the common cold to cancer) โ€ข More than 3 million people (size of Chicago) die each year โ€ข There are approx. 14,000 new cases of HIV worldwide every day
  • 31. The Story of Dengue Virus
  • 32. Dengue Virus โ€ข Single-stranded RNA virus โ€ข Causes dengue hemorrhagic fever โ€ข Transmitted by mosquitoes (Aedes aegypti) โ€ข Serotypes (DEN-1, 2, 3, 4)
  • 33. Dengue Virus Nature Structural Biology 10, 907 - 912 (2003)
  • 34. Where? World distribution of dengue viruses and their mosquito vector, Aedes aegypti, (2005)
  • 36. Viral Hepatitis - Overview Type of Hepatitis A B C D E Source of feces blood/ blood/ blood/ feces virus blood-derivedblood-derived blood-derived body fluids body fluids body fluids Route of fecal-oral percutaneouspercutaneous percutaneous fecal-oral transmission permucosal permucosal permucosal Chronic no yes yes yes no infection Prevention pre/post- pre/post- blood donor pre/post- ensure safe exposure exposure screening; exposure drinking immunization immunization risk behavior immunization; water modification risk behavior modification
  • 38. Introduction โ€ข approximately 350 million people are infected globally with HBV.
  • 39. High-risk groups for HBV infection โ€ข People from endemic regions โ€ข Babies of mothers with chronic HBV โ€ข Intravenous drug abusers โ€ข People with multiple sex partners โ€ข Hemophiliacs and other patients requiting blood and blood product treatments โ€ข Health care personnel who have contact with blood โ€ข Residents and staff members of institutions for the mentally retarded
  • 40. Treatment โ€ข Interferon-alpha may be effective for treating a chronic HBV infection. โ€ข Hepatitis B immune globulin may be administered within a week of exposure and to newborn infants of HBsAg-positive mothers.
  • 42. Introduction โ€ข The major cause of parenterally transmitted non A non B hepatitis. It eluded identification for many years. In 1989, the genome was cloned from the serum of an infected chimpanzee.
  • 43. Transmission โ€ข Blood transfusions, blood products โ€ข organ donation โ€ข Intravenous drug abusers โ€ข community acquired: mechanism unclear. ? โ€ข Vertical transmission ? โ€ข sexual intercourse
  • 44. Chronic Hepatitis C Factors Promoting Progression or Severity โ€ข Increased alcohol intake โ€ข Age > 40 years at time of infection โ€ข HIV co-infection โ€ข ?Other โ€“ Male gender โ€“ Other co-infections (e.g., HBV)
  • 45. Treatment, Prevention,and Control โ€ข Recombinant interferon-alpha is the only known effective treatment for HCV. โ€ข Illicit drug abuse and transfusion are the most identifiable sources of HCV viruses.
  • 46. Mumps, Measles, Influenza, and Poliomyelitis
  • 47. Chickenpox - Varicella Blister-like rash on surface of skin and mucous membranes. Blisters usually appear first on trunk and face, then spread to almost everywhere else.
  • 48. Kaposiโ€™s Sarcoma Purplish lesions of a skin cancer not usually seen in young men Herpes virus
  • 50.

Editor's Notes

  1. RCSB PDB, 2008 Information about the dengue virus
  2. RCSB PDB, 2008 About dengue virus and how it infects humans to cause dengue fever.
  3. RCSB PDB, 2008 Elelctron micrograph showing the structure of dengue virus
  4. RCSB PDB, 2008 Areas in the world that are affected by dengue viral fever are shown in red
  5. 3
  6. Measles is a viral infection with an incubation period of 8-14 days. It is uncommon in the first year of life. Starts with running nose, reddened watery eyes, cough and rising temperature. White (Koplik) spots appear on inside of cheeks on 3rd-4th day. A blotchy red rash starts behind ears and spreads to face and body. Measles is a potentially serious illness, which can include high fever, and complications such as eye and middle ear infection, deafness, croup, pneumonia and, more rarely, brain damage. Call the doctor. Keep child cool. Give plenty of drinks, and a prescribed dose of paracetamol to reduce fever. Call doctor again if further symptoms develop. Poliomyelitis and its symptoms: Poliomyelitis (polio) is a highly infectious disease caused by a virus. It invades the nervous system, and can cause total paralysis in a matter of hours. The virus enters the body through the mouth and multiplies in the intestine. Initial symptoms are fever, fatigue, headache, vomiting, stiffness in the neck and pain in the limbs. One in 200 infections leads to irreversible paralysis (usually in the legs). Among those paralysed, 5%โ€“10% die when their breathing muscles become immobilized. Persons at risk of polio: Polio mainly affects children under five years of age. In 1988, the forty-first World Health Assembly, consisting then of delegates from 166 Member States, launched a global initiative to eradicate polio by the end of the year 2000. This followed the certification of the eradication of smallpox in 1980, progress during the 1980s towards elimination of the poliovirus in the Americas, and Rotary Internationalโ€™s commitment to raise funds to protect all children from the disease. Progress: Overall, in the 15 years since the Global Polio Eradication Initiative was launched, the number of cases has fallen by over 99%, from an estimated more than 350 000 cases in 1988 to 1919 reported cases in 2002 (as of 16 April 2003). In the same time period, the number of polio-infected countries was reduced from 125 to 7. In 1994, the World Health Organization (WHO) Region of the Americas (36 countries) was certified polio-free, followed by the WHO Western Pacific Region (37 countries and areas including China) in 2000 and the WHO European Region (51 countries) in June 2002. Widely endemic on five continents in 1988, polio is now found only in parts of Africa and south Asia. Progress from 2001 to 2002 includes a reduction in polio-endemic countries from ten to seven. Over 500 million children were immunized in 93 countries during 266 supplementary immunization activities (SIAs). Globally, polio surveillance improved in 2002, as reflected in an increase in acute flaccid paralysis (AFP) rates from 1.6 in 2001 to 1.9 in 2002, representing even better detection of AFP cases. Despite these achievements, the Polio Eradication Initiative faced an increase in global cases in 2002 over 2001. In 2002, 1919 cases were reported (as of 16 April 2003), compared to 483 in 2001. This increase can be attributed to an epidemic in India, and a further increase in cases in Nigeria.