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Influenza Viruses

         Ankit Chauhan


  http://ankitvkc.wordpress.com
Taxonomical Position
ā€¢ Orthomyxoviridae
              member
            ā€¢ Belongs to V Baltimore
              System Group
            ā€¢ Family consists of 5
              genera:
Influenza      - Influenzavirus A
               - Influenzavirus B
               - Influenzavirus C
               - Subtypes(N1,N2,
                 etc)
Structure
ļƒ¼ A lipid bilayer coat.
            ļƒ¼ Consists of lipids,
              Carbohydrates &
              proteins.
Enveloped   ļƒ¼ Part of host cell
              membrane.
            ļƒ¼ Picked up while leaving
              host cell.
ļƒ¼ Inside protein coat
           called CAPSID.
         ļƒ¼ Helical capsid
           symmetry.

Genome   ļƒ¼ Single stranded RNA.
         ļƒ¼ Negative sense.
         ļƒ¼ 10-15 kbp.
         ļƒ¼ Linear
         ļƒ¼ Composed of 8
           segments.
Being negative strandedā€¦

ā€¢ Genetic material is complementary
  to mRNA.
ā€¢ Virus has to convert it into mRNA.
Genome encodes 11 proteinsā€¦
ļƒ¼ Hemagglutinin (HA)
           ļƒ¼ Neuraminidase (NA)
           ļƒ¼ Nucleoprotein (NP)
           ļƒ¼ M1 or Matrix protein

Proteins   ļƒ¼ M2, ion channel protein
           ļƒ¼ NS1
           ļƒ¼ NS2(NEP)
           ļƒ¼ PA
           ļƒ¼ PB1
           ļƒ¼ PB1-F2 and
           ļƒ¼ PB2
Electron micrograph
Negatively stained H1N1
              x300,000




                          Courtesy: CDC e-Health
Hemagglutinin
ļƒ¼ Globular head,
       projected 10nm
       away from viral
HA     membrane by a
       long stalk.
     ļƒ¼ Trimer of disulfide-
       linked HA1 & HA2
       molecules.
Functionsā€¦
ļƒ¼ Mediate viral fusion with cellular membranes during
  entry.
ļƒ¼ Docking Protein.
ļƒ¼ Essential for virus assembly.
ļƒ¼ Membrane-distal globular domain possess:-
                 -Binding site for the sialic acid
         virus receptors.

                  -Sites of Antigenic variation.

                  Hemagglutinin is a spike-shaped virus
                  surface protein
HA in action
ā€œHA binds to the Sialic Acid
     Receptors on the
        host cellā€
ļƒ¼ Surface
                       glycoprotein.
                     ļƒ¼ Characterized by
Sialic Acid Receptors galactose alpha-2,6
                       & alpha-2,3 linkages
                       to a molecule of N-
                       acetyl muramic acid.
ā€œThe HA proteins of Influenza A
Viruses are primed for the
dramatic conformational changes
to allow the entry of internal virion
components into a host cell.ā€
Types of Hemagglutinin
        Type 1 HA                   Type 2 HA
Specifically target Humans         Infects Birds

 Binds to alpha-2,6 linked   Binds to alpha-2,3 linked
   sialic acid receptors        sialic acid receptor

Exception:- Pigs. They have both Human & Avian sialic
acid residue receptors. Allowing them to be infected
by both types simultaneously.
Neuraminidase
ļƒ¼ Surface Protein
                                  ļƒ¼ Releases virus from the
                                    Host cell.
                                  ļƒ¼ Cleaves
                                    terminalĀ sialic acid
                                    residues
                                    fromĀ glycanĀ structures
                                    on the surface of the
                                    infected cell.

  Crystallographic structure of
influenza A N9 neuraminidaseĀ 
M1
ļƒ¼ AĀ matrix protein.
     ļƒ¼ Forms a coat inside
       theĀ viral envelope.
M1   ļƒ¼ Binds to the
       viralĀ RNA.
     ļƒ¼ Has multiple
       regulatory
       functions.
M2 Pore
ļƒ¼ AĀ proton-selectiveĀ ion
       channelĀ protein.
     ļƒ¼ A homo-tetramer.
M2   ļƒ¼ Located in the viral
       envelope
     ļƒ¼ Activated by lowĀ pH.
     Ā 
ā€œIt enables hydrogen ions to enter the
viral particle (virion) from
theĀ endosome, thus lowering pH of the
inside of the virus, which causes
dissociation of the viral matrix protein
M1 from theĀ ribonucleoproteinĀ RNP.
This is a crucial step in uncoating of the
virus and exposing its content to
theĀ cytoplasmĀ of the host cell. .ā€
Replication
Host cell invasion and replication
by the influenza virus:-
Transmission
ļƒ¼Aerosolization
ļƒ¼Aerosolization
ļƒ¼Contaminated surfaces
Symptoms
ļƒ¼ Body aches
ļƒ¼ Extreme coldness
  andĀ fever.
ļƒ¼ Body aches, especially
  joints and throat
ļƒ¼ Extreme coldness andĀ fever
ļƒ¼ Fatigue
ļƒ¼ Headache
ļƒ¼ Irritated watering eyes
ļƒ¼ Reddened eyes, skin,
  mouth, throat and nose
ļƒ¼ Gastrointestinal symptoms
  such
  asĀ diarrheaĀ andĀ abdominal
  pain
Tropism
ā€œThe specificity of a virus for a
particular host tissue, determined in
part by the interaction of viral
surface structures with receptors
present on the surface of the host
cell.ā€™ā€™
Receptor specificity determines cell tropism of influenza
viruses in differentiated cultures of human airway
epithelium. Human virus preferentially infects non-ciliated
cells (left image), whereas avian virus mainly infects ciliated
cells (right image). The cultures were double-
immunostained for virus antigen (red) and for cilia of ciliated
cells (black).
Epidemics
ļƒ¼ Peak prevalence in
        winter.
      ļƒ¼ Two different flu
        seasons each year.
      ļƒ¼ 3-5 m cases of severe
Flu     illness.
      ļƒ¼ Up to 500,000 deaths
        worldwide/year.
      ļƒ¼ More than 200,000
        hospitalizations/year.
Pandemics
Name of      Date         Deaths      Subtype    Pandemic
pandemic                              involved   Severity
                                                 Index
Asiatic       1889ā€“1890   1 million   H2N2       NA
(Russian) Flu                         Possibly
1918 flu      1918ā€“1920   20 to 100   H1N1       5
pandemic                  million
(Spanish flu)
Asian Flu    1957ā€“1958    1 to 1.5    H2N2       2
                          million

Hong Kong    1968ā€“1969    0.75 to 1   H3N2       2
Flu                       million

2009 flu     2009ā€“Present H1N1        H1N1       Above 5
pandemic
ā€œFlu virus-a slippery customerā€.
ā€¢ The main types of influenza viruses in humans. Solid
  squares show the appearance of a new strain,
  causing recurringĀ influenza pandemics. Broken lines
  indicate uncertain strain identifications
Influenza A HA and NA Subtypes
H1                            N1
H2                            N2
H3            Other Animals
                              N3
H4            Other Animals   N4
H5            Other Animals   N5
H6                            N6
H7            Other Animals
                              N7   Other Animals
H8                            N8   Other Animals

H9                            N9
H10
H11
H12
H13
H14
H15
                                             50
H16
Mutation
ļƒ¼Antigenic drift
2 types
          ļƒ¼Antigenic shift
ļƒ¼ RandomĀ mutationsĀ in the
          genes
        ļƒ¼ Changes theĀ antigensĀ of
Drift     the virus.
        ļƒ¼ Virus evade the immune
          system.
        ļƒ¼ Associated with Epidemic.
ļƒ¼ 2 different strains
          combine to form a new
          subtype.Ā 
Shift   ļƒ¼ New subtype has
          mixture of the
          surfaceĀ antigensĀ of the
          two original strains.
Distinguishing symptoms
How to conceptualize the god
   damn reassortment?
Numbersā€¦
Prevention & Control
ļƒ¼Vaccination
             ļƒ¼ Developing
Prevention    vaccine depending
              upon the
              circulating strain.
Administration of a vaccine
                          during the 1976 New Jersey
                          immunization project, for
                          Influenza A (swine flu).
                          Use of a jet injector during
                          the 1976 New Jersey
                          Influenza A immunization
                          project. 45 million adults in
                          the United States received a
                          vaccine containing the
                          A/New Jersey/76
                          influenzavirus ("swine flu"
                          virus).Ā 

Courtesy:- CDC e-health
Control
ļƒ¼Hand washing
ļƒ¼Avoiding
 spitting
ļƒ¼Covering the nose and
 mouth when sneezing
 or coughing
ļƒ¼Use alcohol-based
 hand rubs/antiseptic
 solutions.
ļƒ¼Use of masks in public
 places.
Treatment
M2        ļƒ¼Amanatadine
inhibitors   ļƒ¼Rimantadine
ā€¢ TheĀ antiviral
  drugsĀ block a
  viralĀ ion
  channelĀ (M2
  protein) and
  prevent the virus
  from infecting
  cells.
ļƒ¼Oseltamivir (trade
Neuraminidase name Tamiflu
   inhibitors ļƒ¼ZanamivirĀ (trade
               name Relenza)
ā€œNeuraminidase
inhibitors are
designed to halt the
spread of the virus
in the body by
 blocking the active
site of
neuraminidase.ā€
Relative Costs of 5-Day Treatment Courses


          Amantadine: $3.70
          Rimantadine: $20.40

          Oseltamivir: $63.40
          Zanamivir: $51.40
Most of All,
ā€œAvoid adopting any
 misconceptions and stay
 informed about the Doā€™s and
 Donā€™ts while the prevalence of
 any kind of flu.ā€
References
ā€¢ Lecture on Virology (Spring 2008) by Derek Wood,
  Astt. Prof. of Biology, Seattle Pacific University, U.S.
   (Podcast available on iTunes Store).

ā€¢ The Structure of H5N1 Influenza Virus
  Glycoproteins, lecture by Sir John Skehel, National
  Institute for Medical Research (NIMR), U.K. Dated
  13th Dec;2006. (Podcast available on iTunes Store).

ā€¢ Principles of Virology by S.J. Flint et. Al.
Thanks

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Everything you should know about Influenza virus!

  • 1. Influenza Viruses Ankit Chauhan http://ankitvkc.wordpress.com
  • 3. ā€¢ Orthomyxoviridae member ā€¢ Belongs to V Baltimore System Group ā€¢ Family consists of 5 genera: Influenza - Influenzavirus A - Influenzavirus B - Influenzavirus C - Subtypes(N1,N2, etc)
  • 5. ļƒ¼ A lipid bilayer coat. ļƒ¼ Consists of lipids, Carbohydrates & proteins. Enveloped ļƒ¼ Part of host cell membrane. ļƒ¼ Picked up while leaving host cell.
  • 6. ļƒ¼ Inside protein coat called CAPSID. ļƒ¼ Helical capsid symmetry. Genome ļƒ¼ Single stranded RNA. ļƒ¼ Negative sense. ļƒ¼ 10-15 kbp. ļƒ¼ Linear ļƒ¼ Composed of 8 segments.
  • 7. Being negative strandedā€¦ ā€¢ Genetic material is complementary to mRNA. ā€¢ Virus has to convert it into mRNA.
  • 8. Genome encodes 11 proteinsā€¦
  • 9. ļƒ¼ Hemagglutinin (HA) ļƒ¼ Neuraminidase (NA) ļƒ¼ Nucleoprotein (NP) ļƒ¼ M1 or Matrix protein Proteins ļƒ¼ M2, ion channel protein ļƒ¼ NS1 ļƒ¼ NS2(NEP) ļƒ¼ PA ļƒ¼ PB1 ļƒ¼ PB1-F2 and ļƒ¼ PB2
  • 10.
  • 11. Electron micrograph Negatively stained H1N1 x300,000 Courtesy: CDC e-Health
  • 12.
  • 14. ļƒ¼ Globular head, projected 10nm away from viral HA membrane by a long stalk. ļƒ¼ Trimer of disulfide- linked HA1 & HA2 molecules.
  • 15. Functionsā€¦ ļƒ¼ Mediate viral fusion with cellular membranes during entry. ļƒ¼ Docking Protein. ļƒ¼ Essential for virus assembly. ļƒ¼ Membrane-distal globular domain possess:- -Binding site for the sialic acid virus receptors. -Sites of Antigenic variation. Hemagglutinin is a spike-shaped virus surface protein
  • 17. ā€œHA binds to the Sialic Acid Receptors on the host cellā€
  • 18. ļƒ¼ Surface glycoprotein. ļƒ¼ Characterized by Sialic Acid Receptors galactose alpha-2,6 & alpha-2,3 linkages to a molecule of N- acetyl muramic acid.
  • 19.
  • 20. ā€œThe HA proteins of Influenza A Viruses are primed for the dramatic conformational changes to allow the entry of internal virion components into a host cell.ā€
  • 21. Types of Hemagglutinin Type 1 HA Type 2 HA Specifically target Humans Infects Birds Binds to alpha-2,6 linked Binds to alpha-2,3 linked sialic acid receptors sialic acid receptor Exception:- Pigs. They have both Human & Avian sialic acid residue receptors. Allowing them to be infected by both types simultaneously.
  • 23. ļƒ¼ Surface Protein ļƒ¼ Releases virus from the Host cell. ļƒ¼ Cleaves terminalĀ sialic acid residues fromĀ glycanĀ structures on the surface of the infected cell. Crystallographic structure of influenza A N9 neuraminidaseĀ 
  • 24. M1
  • 25. ļƒ¼ AĀ matrix protein. ļƒ¼ Forms a coat inside theĀ viral envelope. M1 ļƒ¼ Binds to the viralĀ RNA. ļƒ¼ Has multiple regulatory functions.
  • 27. ļƒ¼ AĀ proton-selectiveĀ ion channelĀ protein. ļƒ¼ A homo-tetramer. M2 ļƒ¼ Located in the viral envelope ļƒ¼ Activated by lowĀ pH. Ā 
  • 28. ā€œIt enables hydrogen ions to enter the viral particle (virion) from theĀ endosome, thus lowering pH of the inside of the virus, which causes dissociation of the viral matrix protein M1 from theĀ ribonucleoproteinĀ RNP. This is a crucial step in uncoating of the virus and exposing its content to theĀ cytoplasmĀ of the host cell. .ā€
  • 30. Host cell invasion and replication by the influenza virus:-
  • 33.
  • 35.
  • 36.
  • 38. ļƒ¼ Body aches ļƒ¼ Extreme coldness andĀ fever. ļƒ¼ Body aches, especially joints and throat ļƒ¼ Extreme coldness andĀ fever ļƒ¼ Fatigue ļƒ¼ Headache ļƒ¼ Irritated watering eyes ļƒ¼ Reddened eyes, skin, mouth, throat and nose ļƒ¼ Gastrointestinal symptoms such asĀ diarrheaĀ andĀ abdominal pain
  • 39.
  • 41. ā€œThe specificity of a virus for a particular host tissue, determined in part by the interaction of viral surface structures with receptors present on the surface of the host cell.ā€™ā€™
  • 42. Receptor specificity determines cell tropism of influenza viruses in differentiated cultures of human airway epithelium. Human virus preferentially infects non-ciliated cells (left image), whereas avian virus mainly infects ciliated cells (right image). The cultures were double- immunostained for virus antigen (red) and for cilia of ciliated cells (black).
  • 44. ļƒ¼ Peak prevalence in winter. ļƒ¼ Two different flu seasons each year. ļƒ¼ 3-5 m cases of severe Flu illness. ļƒ¼ Up to 500,000 deaths worldwide/year. ļƒ¼ More than 200,000 hospitalizations/year.
  • 46. Name of Date Deaths Subtype Pandemic pandemic involved Severity Index Asiatic 1889ā€“1890 1 million H2N2 NA (Russian) Flu Possibly 1918 flu 1918ā€“1920 20 to 100 H1N1 5 pandemic million (Spanish flu) Asian Flu 1957ā€“1958 1 to 1.5 H2N2 2 million Hong Kong 1968ā€“1969 0.75 to 1 H3N2 2 Flu million 2009 flu 2009ā€“Present H1N1 H1N1 Above 5 pandemic
  • 47.
  • 48. ā€œFlu virus-a slippery customerā€.
  • 49. ā€¢ The main types of influenza viruses in humans. Solid squares show the appearance of a new strain, causing recurringĀ influenza pandemics. Broken lines indicate uncertain strain identifications
  • 50. Influenza A HA and NA Subtypes H1 N1 H2 N2 H3 Other Animals N3 H4 Other Animals N4 H5 Other Animals N5 H6 N6 H7 Other Animals N7 Other Animals H8 N8 Other Animals H9 N9 H10 H11 H12 H13 H14 H15 50 H16
  • 52. ļƒ¼Antigenic drift 2 types ļƒ¼Antigenic shift
  • 53. ļƒ¼ RandomĀ mutationsĀ in the genes ļƒ¼ Changes theĀ antigensĀ of Drift the virus. ļƒ¼ Virus evade the immune system. ļƒ¼ Associated with Epidemic.
  • 54. ļƒ¼ 2 different strains combine to form a new subtype.Ā  Shift ļƒ¼ New subtype has mixture of the surfaceĀ antigensĀ of the two original strains.
  • 55.
  • 56.
  • 57.
  • 59. How to conceptualize the god damn reassortment?
  • 60.
  • 62.
  • 63.
  • 64.
  • 66. ļƒ¼Vaccination ļƒ¼ Developing Prevention vaccine depending upon the circulating strain.
  • 67. Administration of a vaccine during the 1976 New Jersey immunization project, for Influenza A (swine flu). Use of a jet injector during the 1976 New Jersey Influenza A immunization project. 45 million adults in the United States received a vaccine containing the A/New Jersey/76 influenzavirus ("swine flu" virus).Ā  Courtesy:- CDC e-health
  • 68.
  • 72. ļƒ¼Covering the nose and mouth when sneezing or coughing
  • 73. ļƒ¼Use alcohol-based hand rubs/antiseptic solutions.
  • 74. ļƒ¼Use of masks in public places.
  • 76. M2 ļƒ¼Amanatadine inhibitors ļƒ¼Rimantadine
  • 77. ā€¢ TheĀ antiviral drugsĀ block a viralĀ ion channelĀ (M2 protein) and prevent the virus from infecting cells.
  • 78.
  • 79.
  • 80. ļƒ¼Oseltamivir (trade Neuraminidase name Tamiflu inhibitors ļƒ¼ZanamivirĀ (trade name Relenza)
  • 81. ā€œNeuraminidase inhibitors are designed to halt the spread of the virus in the body by blocking the active site of neuraminidase.ā€
  • 82.
  • 83.
  • 84. Relative Costs of 5-Day Treatment Courses Amantadine: $3.70 Rimantadine: $20.40 Oseltamivir: $63.40 Zanamivir: $51.40
  • 86. ā€œAvoid adopting any misconceptions and stay informed about the Doā€™s and Donā€™ts while the prevalence of any kind of flu.ā€
  • 87. References ā€¢ Lecture on Virology (Spring 2008) by Derek Wood, Astt. Prof. of Biology, Seattle Pacific University, U.S. (Podcast available on iTunes Store). ā€¢ The Structure of H5N1 Influenza Virus Glycoproteins, lecture by Sir John Skehel, National Institute for Medical Research (NIMR), U.K. Dated 13th Dec;2006. (Podcast available on iTunes Store). ā€¢ Principles of Virology by S.J. Flint et. Al.
  • 88.