MODULE 1-3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES OUTLINE I. II. III. IV. V. Introduction Learning outcomes Introduction to Virology Diagnostic Virology Prevention of Diseases with the use of Vaccines INTRODUCRTION / OVERVIEW • • • Viruses o Nucleic acids which can either be DNA or RNA. No mechanism to reproduce themselves, so they have to get inside the host cell and dictate the host cell to produce its own kind. Three kinds of viruses: o animal virus o plant virus o bacterial virus (bacteriophage (named as such bc it affects the bacteria)) • • • • NON-ENVELOPED • INTRODUCTION TO VIROLOGY VIRUSES • filterable agent • obligate intracellular parasite o cannot reproduce outside the cell. o Thus, multiples inside the cell Dmitri Ivanowski o One who discovered viruses through his study of mosaic disease in tobacco. Contain single type of nucleic acid, either DNA or RNA Contain a protein coat o sometimes enclosed by an envelope of lipids, proteins, and carbohydrates that surround the nucleic acid o • • • can pass through filters Viruses contain only those components necessary to invade and then utilize host cell machinery for their replication. o LEARNING OUTCOMES At the end of the module, the student must be able to: 1. Describe the morphology and physiology of viruses 2. Discuss the diseases caused by viruses. 3. Discuss the methods of collection and examination of specimen to isolate and identify the viruses. 4. Discuss the importance of controlling the growth and spread of viruses. 5. Establish quality assurance in Virology. BASIC STRUCTURE Icosahedral o solid, many geometric sides Helical forms o 20 triangular faces with 12 apexes Complex o Variable in size A virus can be enveloped or non-enveloped That’s why they don’t survive outside the cell and for their small size, they heavily rely on the host cell to multiply. • They consist of two primary components: o Capsid ▪ an external protein coat o DNA or RNA ▪ a core nucleic acid ❖ In the case of coronavirus, what kind of nucleic acid is inside the virus? RNA. • Nucleocapsid o Nuclide acid core + capsid Viral capsid o Made up of Capsomers ▪ An accumulation of small, identical building blocks of protein o The configuration and arrangement of these capsomers defines the overall shape of the nucleocapsid which is either helical or icosahedral. o An icosahedron is a regular polyhedron with 20 equilateral triangular faces and 12 vertices. • VIRUS SIZE • • Viruses range in size from ~20nm to 300nm. This means that the majority of viruses can only be seen through the electron microscope. DOROTEO, MEGARA C. | 3CMT-4 1 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES ENVELOPED • Many viruses possess an additional covering external to the capsid known as the envelope. • Inserted into the envelope are viral encoded proteins known as "spikes" • Can take on a variety of shapes due to the more fluid nature of the envelope. VIRAL STRUCTURE AND NOMENCLATURE NUCLEIC ACID • • • • Either DNA or RNA Perpetuation of species In plants: viroid Configurations of nucleic acid o Single stranded o Double stranded o Single stranded circular CAPSID • • • • Protein polypeptide of similar composition Not for identification Basis for identification Each repetitions → capsomere CAPSOMERE • • • Potent Ag Defense factor to produce immunity Used for identification ENVELOPE BACTERIOPHAGE • Also known simply as a phage • a virus that attacks and infects bacteria. • The infection may or may not lead to the death of the bacterium, depending on the phage and sometimes on conditions. • Each bacteriophage is specific to one form of bacteria. • • • • Not virus coded, not part of the genome Part of the P.M. of the host Retained by the presence of exocytosis Functions together with capsomere o Adsorption o Identification VIRAL INVASION BASIS OF CLASSIFICATION OF VIRUS • • • • • • nature of the nucleic acid structure of the nucleic acid genome characteristics presence or absence of cell divided envelope symmetry of the nucleic acid # of capsomere/diameter of the helix MINOR CRITERIA • • • Susceptibility to ether Symptomatology Host range RECOGNITION • • • PENETRATION • VIRUS TAXONOMY Taxonomic Characteristics • • For example, the family Picornaviridae, the cause of such diseases as Hepatitis A and polio, are single stranded RNA viruses with icosahedral capsid symmetry. These viruses do not have an envelope and infect only animal cells DOROTEO, MEGARA C. | 3CMT-4 Host cell receptors must match the virus recognition sites for the virus to subsequently absorb into the host cell. Most virus receptors is surface glycoproteins. The distribution of these receptors plays a crucial role in the tissue and host cell specificity of animal viruses. Viral entry into host cells through one of the following methods: o Endocytosis ▪ active cellular process by which nutrients and other molecules are brought into a cell o Fusion ▪ viral envelope fuses with the plasma membrane and releases the capsid into the host cell's cytoplasm. o Nucleic acids translocation. ENDOCYTOSIS • During endocytosis, the entire virus is engulfed by the cell and enclosed in a vacuole or vesicle. 2 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES FUSION • With direct fusion, the virus fuses with the cell membrane of the host cell. ➢ ➢ NUCLEIC ACID TRANSLOCATION • With some non-enveloped viruses, the capsid adheres to the cell membrane and the nucleic acid is translocated into the cell. ➢ ➢ ➢ The mRNA transcript moves into the cytoplasm of the host cell and is translated on host cell ribosomes. The complex viruses such as the adeno, herpes and poxvirus must direct the synthesis of their own DNA dependent DNA polymerase in order to replicate their DNA. Smaller DNA viruses can use host cell DNA dependent DNA polymerase The DNA dependent DNA polymerase migrates to the host cell nucleus. The virus DNA can now be replicated. ➢ A short segment of the double stranded DNA is opened (replication bubble). ➢ A DNA dependent DNA polymerase (HOST POLYMERASE OR VIRUS CODED POLYMERASE) then replicates the DNA by synthesizing and adding complementary nucleotides to the parent strand. VIRAL REPLICATION RNA VIRUS REPLICATION • DNA VIRUS REPLICATION DOUBLE STRANDED DNA ➢ The double-stranded DNA enters the host cell nucleus. ➢ Most viruses use the host cell DNA dependent RNA polymerase to make mRNA. ➢ What steps are involved in this process? o The viral DNA enters the nucleus. ➢ Most viruses use the host cell DNA dependent RNA polymerase to form a mRNA transcript. DOROTEO, MEGARA C. | 3CMT-4 • RNA viruses enter the host cell already in an RNA form and the virus cycle occurs entirely in the cytoplasm. RNA viruses bring with them one of the following genetic messages: o a positive sense genome o a negative sense genome o a dsRNA o ssRNA which is converted to DNA (latent retroviruses) RNA VIRUS REPLICATION POSITIVE SENSE ssRNA VIRUSES • Examples of positive sense ssRNA viruses: o Polio o Hepatitis A • With these viruses, the RNA can be read directly by the host cell ribosomes. • In other words, the virus RNA is the messenger. 3 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES RNA VIRUS REPLICATION REPLICATION AND EXPRESSION A. Viral genome and reverse transcriptase enter cell. • • VIRION RELEASE Mechanisms of virion release differ between naked and enveloped viruses. Non-enveloped and complex viruses that reach maturity in the cell cytoplasm or nucleus are released by lysis of the host cell. • Enveloped viruses are released by budding or exocytosis from the membrane of the cytoplasm, nucleus, endoplasmic reticulum, or vesicles. • The nucleocapsid attaches itself to the inside of the membrane and is pinched off with its envelope. B. Single-stranded DNA copy is synthesized by reverse transcriptase • C. RNA degraded; second DNA strand synthesized • D. DNA circulates (unintegrated provirus) or integrates into host cell genome (integrated provirus) • • • • The area of the cellular membrane where budding is to occur first acquires a cluster of viral glycoprotein spikes which displaces host cell proteins. The lipid and carbohydrate components of the envelope are those of the host cell. MODE OF TRANSMISSION OF A VIRUS Respiratory Fecal Oral Close Contact Arthropod/animal bite EFFECTS OF VIRAL INFECTION CYTOPATHIC EFFECT (CPE) DIRECT • lysis of motor neurons can cause loss of function of the corresponding muscle • Example: polio virus CYTOPATHIC EFFECT (CPE) INDIRECT 1. influenza v. damages the respiratory epithelium, and ciliary activity is severely damaged. • Result = accumulation of bacteria that normally would be eliminated by ciliary action. ▪ Staph, strep, Hemophilus adhere to respiratory tissue and cause disease. 2. AIDS virus affects immune cells, so patients die not because of AIDS but because of secondary infections. • DOROTEO, MEGARA C. | 3CMT-4 Affects T helper cells, especially the CD4 and it lowers in number, there will be and 2ndary infection. 4 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES INCLUSION BODY FORMATION • • • Replication of virus in nucleus or cytoplasm results in the formation of viral and cellular products. These accumulations which maybe nucleic acids, proteins can be stained and referred to as inclusions bodies. Ex. Rabies virus - negri bodies • • • CELL FUSION (SYNCYTIA FORMATION) • • • • Enveloped viruses (herpes v. paramyxovirus, and AIDS v.) release specific proteins that become incorporated into the cytoplasmic membrane of the infected cell. These proteins act like magnets on the infected cell and attract uninfected cells on their surface. Repetition of the process results in aggregation of several infected cells. These aggregated cells eventually fuse, producing a giant multinucleated cell or syncytium. • • Human Papilloma virus o known to cause warts involving hands and other parts of the body. o may cause uterine cancer Oncogenic RNA virus o Belong to group called retrovirus Human T lymphotropic virus (HTLV) o causes of certain leukemias and lymphomas in humans. o One HTLV is the cause of AIDS, a disease that predisposes its patients to cancer Hepatitis B virus o 300M people in Asia are carriers of Hep. B virus. o A carrier is 100x greater in acquiring liver cancer than that of a noncarrier. Hepatitis C virus o Major cause of chronic hepatitis o potential cause of liver cancer DIAGNOSTIC VIROLOGY 1. 2. 3. 4. Detection of viral molecules o a. proteins o b. nucleic acids Microscopy Culture Serology DIRECT DETECTION ANTIGEN • • Syncytial cell make the Ab. • CHANGES IN SURFACE ANTIGENS • Enveloped as well as nonenveloped viruses insert novel antigen into the cell membrane of the infected cells. o These novel antigens make the cell a target for immunological destruction by virus-specific antibody INTERFERON PRODUCTION • • Some cells infected by virus can produce a protein called interferon. Interferon has the capacity to prevent in infection of healthy cells. VIRUSES AND CANCER • • Oncogenic viruses are found within several groups of DNA-containing viruses o Adenovirus o Herpesvirus o Poxvirus o Papovavirus Herpesvirus o Epstein-Barr virus is the only herpes virus that is associated with certain neoplasm o EBV has affinity for lymphocytes. o It was isolated from patients afflicted with Burkitt's lymphoma and nasopharyngeal ca. DOROTEO, MEGARA C. | 3CMT-4 Some viral infections can be detected by looking directly for virus in tissue. This process involves making a specific antibody against the virus in question. o Looking for the AG, so you • • The antibody is then conjugated to a tag such as a fluorescent dye (FA). If the antibody (Ab) recognizes the antigen (Ag) of the virus, they combine and can be seen directly in the tissue/sample. Examples: o HSV in brain o CMV in urine o RSV in the respiratory tract DIRECT DETECTION NUCLEIC ACID PROBES A. Nucleic acid (NA) probes are made by taking specific nucleic acid fragments from a virus.. 5 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES B. …and producing lots of these in a cloning vector, for example plasmid in a bacterium. C. The DNA is denatured to separate into its two strands. OVERVIEW OF VIRAL DISEASES • • • • • many diseases fail to produce any symptoms one virus can produce a wide spectrum of diseases different viruses may cause the same diseases disease is the outcome of the virus host interaction viral tropism • • • in vitro growth or maintenance of cells, tissues, or organ you can only culture them in living cells 2 methodological approaches o primary culture o cell line culture Cell lines o Either came from cancer cells that have been propagated for many years and these are used for some of the culture media or kidney tumor cells. It can’t grow on artificial cells • CELL CULTURE PRIMARY CULTURE D. The NA probes are then labelled with either a radioactive probe or a dye. The probe is added to a specimen and if a complementary sequence is present, they will combine. • • • • • start w organ of animal 1st in vitro culture sensitive to original isolation of virus has the same karyotype as the parent tissue derived from tissues like monkey kidney cells (MKC) and human embryonic kidney cells (HEK) and die out after few generations CELL LINE CULTURE • • E. The complex is detected by radioactivity or color. • • subculture of primary culture transformed cells that can be maintained for indefinite generations. Ex. Hela cell line- isolated from cervical carcinoma of a woman named Hela, who died in 1951. Culture serially o diploid cell line o haploid cell line Table No. 1 Cell Line Culture Characteristics Diploid Karyotype >75% normal Morphology DIRECT DETECTION Growth ANTIBODY • • As with any other infecting organism, the presence of circulating antibody in the host can be useful in detecting infection. Detection methods include: o Ab detection by complement fixation o Haemmaglutination o Radioimmunoassay o enzyme enhanced assays o neutralization DOROTEO, MEGARA C. | 3CMT-4 Contact Inhibition Passage ability Plating Efficiency pH+ HCO- tolerance Examples Fibroblast like Monolayer 1. Stationary suspension 2. Roller Yes Limited <10% Narrow range WI-38 Embryo lung HEK Haploid <75% normal EC like Fibroblast like Monolayer - suspension No >70 passages >10% Broad range HELA-2 Hep 2 FL, Vero 6 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES • CULTURE • • • Remember, viruses are intracellular parasites and require specific host cell lines to replicate. Therefore, propagation requires tissue culture. Tissue is removed from a eucaryotic organism, and the cells are grown in the laboratory. COMPONENTS OF CELL CULTURE MEDIUM • • • • • When a specimen containing a virus is added to the appropriate cell line, cytological changes occur that are characteristic for a particular virus. o These changes are referred to as the Cytopathic Effect or CPE. • Speciation of the isolate is completed by testing the organisms for specific antigens, for example Herpes simplex Type l or Herpes simplex Type 2. • Most viral laboratories will use a combination of cell lines to increase the range of viral isolation. Remember that some viruses can reproduce only in certain hosts or even only in certain organs of that host. • Vaccines o whole vaccines o split vaccines o subunit • Prevention o natural active o artificial active ❖ What kind of immunity that we get from the vaccines that we receive? Artificial active o Artificial – injected to you o Active – the body is actively participating ACTIVE (LIVE ATTENUATED) • • • • • • • Primary cell Lines o HEK o MK o Rabbit kidneys o GPK o Chick embryo Passage Diploid o HDF o WI 38 o Mrc Passage cell line human cancer cells o HATH o Hep 2 o A 549 o HeLa o Rp Passage cell lines derived from kidney cells o BGMK o Vero o RK-1 13 o BHK-21 • • • • • The virus is alive, but the potency is reduced. oral polio vaccine (trivalent) measles o Schwarz o Morbilvax o Rimevax o Ed-monstan Zagrab o Moratan Mumps o Mumpsvax o Orovax o Pariorix Rubella o Rubeaten o Rudivax o Ervevax o Gunevax MMR o MMRII o Pluserix o Trimovax Yellow fever o YFV Chicken pox o Varitrix VZ Influenza INACTIVATED RECOMBINANT • • • DOROTEO, MEGARA C. | 3CMT-4 balance salt solution AA (arg, his, lys, met, tyr, leu, val, phe, cys, iso, glu, trp and thr) vitamins and co-enzyme Group B vitamins (choline, folic acid, nicotinic acid, pyridoxal, panthotenic acid, riboflavin, inositol) PREVENTION OF DISEASES WITH THE USE OF VACCINES • • Factors for basic survival of cells o osmotic pressure 1.6 atm at 38'C NaCl o pH 7.2-7.4 o glucose o inorganic ions o gases Gene encoding for a specific protein Ag from a pathogenic microorganism is isolated and incorporated into the genome of nonpathogenic bacteria, yeast, or other cells. The GM cells are cultured in large quantities to produce the desired Ag. Influenza A/B o Varigrip o Inflexal 7 MODULE 1 - 3: INTRODUCTION TO VIROLOGY – PREVENTION OF DISEASES • • • Rabies o o o Hepa B o o o o Hepa A o Mericux Lyssavac Verorab Hepaccine Hevac B Engerix B Hb vax Havrix Table No. 2 Polio vaccines (Salk vs. Sabin) Salk Sabin inactivated Live, attenuated humoral immunity humoral/cellular IgG IgG, Th, Tc cells Tonsils-> mucosa-> lamina prevents paralytic polio propia > disease is prevented reversion (1 in a million) no reversion (this means that 1 person in a million who’ll received the vax can develop the polio bc it’s alive) Intramuscular OPV SUBUNIT VACCINES • • Consists of one or more purified components of a pathogen that can stimulate an immune response. The forms routinely used: o Toxoids ▪ Like tetanus toxoid and diphtheria toxoid (toxins that have been chemically inactivated) o Capsular polysaccharides o Purified proteins o Recombinant protein antigens POLYSACCHARIDE VACCINES • • Capsule which covers the bacterial outer membrane. If antibodies to the capsular polysaccharides are present, they can facilitate clearance of the bacteria by opsonization or complement-mediated lysis. PURIFIED PROTEIN VACCINES • • Composed of proteins from a pathogen. Ex = B. pertussis vaccine is composed of two to five proteins from B. pertussis. RECOMBINANT PROTEIN ANTIGENS • Recombinant DNA technology has made it possible to develop more highly purified vaccines. DOROTEO, MEGARA C. | 3CMT-4 8