Sunday, August 18, 2013

Viral Replication


Requirements for viral replication:
1- Viruses multiply only in living cells, redirect host cell biosynthetic processes for the synthesis of viral components.
2- Host cell must provide:
         energy, 

         synthetic machinery,
 low molecular weight precursors for synthesis of viral proteins   &                  nucleic  acids. 
3- Viral nucleic acids carries genetic specificity code for all virus specific macromolecules. Therefore the virus must be able to produce usable mRNA.
The stages of viral replication include:
1) Attachment (adsorption).
2) Penetration (viropexis).
3) Uncoating.
4) Expression of viral genome &  synthesis of viral components.
5) Assembly (morophogenesis) & maturation.
6) Release.
   
1. Attachment (adsorption):
•         Interaction of virion with specific receptor on surface of host cell.
•         Host cell receptor differ for different viruses but generally they are glycoproteins located on host cell.                                          
•         Some cases virus bind to protein sequences (e.g. picornavirus), & other oligosaccharide ( orthomyxovirus & paramyxovirus).
•         The receptor binding reflect a configurational homologies between virus surface structure & cell surface components.
•         The presence & distribution of receptors are important determinant in cell tropism.  
Examples of viral receptors:                                                                                                   
•         Human immunodefeciency virus bind to CD4 receptor of the immune system.
•         Epistein-Barr virus bind to CD21 receptor on B cell.
2. Penetration to host cell ( viropexis) :
•         The process by which the virus particle taken up inside the infected cell called penetration (engulfment).
   
     The virus can enter the cell by several mechanisms :
    1- Direct penetration:
       only the viral genome transfer through the plasma cell membrane.
     2- Receptor mediated endocytosis:
    transfer of the entire viral particle across the cell membrane by endocytosis ( endosome).
    3- Fusion of the virion envelope with host cell plasma membrane:
    fusion between the plasma membrane & the envelope releasing the nucleocapsid inside the cell cytoplasm.
3. Uncoating
•         The removal of capsid & core proteins, liberating viral nucleic acid, is termed uncoating.
•         With exception of poxviruses, the process utilizes preexisting cellular proteases, poxvirus uncoating requires the synthesis of a new poxvirus-coded protease.
•         By this process virion disrupted & loss it is infectivity.
•          This phase of viral growth cycle is called the eclipse period; its duration varies depending on both the particular virus & the host cell.
•         This period is followed by rapid accumulation of infectious progeny virus particles.
4. Expression of viral genomes & synthesis of viral components.
•         Here specific mRNA transcribed from viral NA for successful expression & duplication of genetic information.
•         Then viruses use cell components to translate the mRNA.
•         Mechanism of transcription:
    1- Directly transcription of mRNA without intermediates like most DNA viruses ( adenoviruses, herpesviruses).
    2- Viral NA serve as mRNA  example in +ss RNA viruses (picornaviruses).
    3- Virion carry RNA polymerase to synthesis mRNA, RNA viruses of this type are called negative strand viruses( negative sense ), example rotaviruses.
    4- Virion contains reverse transcriptase in which viral RNA code for complementary DNA, like retroviruses (HIV).
The intracellular sites where events of viral replication take place:
Ø The viral protein is synthesized in cytoplasm on ribosomes ( composed of viral specific mRNA & host cell ribosome).
Ø Viral DNA is usually replicated in the nucleus.                         
Ø Viral RNA generally replicated in the cytoplasm.
5- Assembly, maturation & release:
    Newly synthesized viral genome & capsid assemble together to form progeny viruses.
    After formation of complete virions, the viral particles released from the cells.
    Mechanism of viral release from the host cell:
     1- Host cell lysis:
     referred to as the lytic cycle, which results in the death of the host cell, the non enveloped viruses released in this way.
    2- Budding through cytoplasmic membranes:                    
      Enveloped virus mature & released by budding process.
   The virus specific envelope glycoproteins are inserted into cellular membranes, & viral nucleocapsids bud through the membrane at these sites & acquire the envelope.
    Sometime viral maturation is inefficient process, excess amount of viral components accumulate & lead to the formation of inclusion bodies in the cells.








Schematic diagram of the whole steps in viral replication
Pathogenesis of viral disease
Steps in viral pathogenesis:
1- Viral entry into the host.
2- Primary viral replication.
3- Viral spread.
4- Cell and tissue tropism.
5- Cellular injury.
6- Viral shedding.
7- Host immune response.
1.Entry into the Host:
•               Skin:                                                      
Most viruses which infect via the skin require a breach in the physical integrity of this effective barrier ( cuts or abrasions) Many viruses employ vectors (ticks, mosquitoes or vampire bats to breach the  barrier).
     Example: Papillomaviruses, rabies virus.
•         Respiratory tract:The respiratory tract and all other mucosal surfaces possess immune defense mechanisms like secretary IgA  as well as non-specific inhibitory mechanisms (cilliated epithelium, mucus secretion, lower temperature) which viruses must overcome.                                                           Example: influenza virus, rhinoviruses.                       
•         Gastrointestinal tract: hostile environment because of gastric acid, bile salts. Example: enteroviruses, rotavirus.
•         Genitourinary tract: Relatively less hostile than the above.                                  HIV, HSV type 2. 
•         Conjunctiva: an exposed site and relatively unprotected.  HSV type 1. 
Virus may enter directly into the bloodstream by needles    ( Hepatitis B, HIV      
2- Primary Replication
•         Site of entry may be the site of replication as well, they produce disease at the portal of entry & have no systemic spread.
•         Example of localized infection:
          Respiratory tract like influenza viruses.              
          Gastrointestinal tract such as rotaviruses.                                           
          Epidermis like Papillomaviruses.                                                
•          Example of systemic Infections:                                                           
     Site of entry  primary replication, spread & secondary Replication:  
     Enteroviruses,  enter through the intestinal epithelium then to the  lymphoid tissues, & then to C.N.S.    
     Herpesviruses,  enter through the oropharynx or genitourinary tract then in local nerve ending, C.N.S.
3- Viral spread :
Apart from direct cell-cell contact, there are 2 main mechanisms for viral spread :
    1- Via the bloodstream :                                                                The presence of virus in the blood is called viremia.
Virus may get into the bloodstream by:
     direct inoculation e.g. Arthropod vectors,
     blood transfusion
     I.V. drug abuse
     spread from site of primary replication.                               
The virus may travel the blood:               
Free in the plasma (Togaviruses, Enteroviruses), or in association with: platelets (HSV),lymphocytes (EBV, CMV),monocytes (Lentiviruses).
     2- Via the nervous system: some cases neural spread is involved like:         rabies virus reach the brain to cause the disease,herpes simplex virus moves to the ganglia to initiate latent infection .


4- Cell & tissue tropism :
•         Tropism - the ability of a virus to replicate in specific cells or tissues.
•         This organ & cell specificities, reflect the presence of specific surface receptors for the virus.
•         Receptors it is the components of cell membrane with which the viral surface ( capsid or envelope) can specifically interact & initiate infection.
•         Example
    HIV bind to CD4 of T cells,  oliovirus (gut epithelium - neurons in spinal cord & brain) .     


5- Cellular injury:
•         Destruction of viral infected cells (viral replication, or immune response to virally infected cells) in the tissues are responsible for the development of clinical illness.
•         As a result of viral replication, cellular cytopathic effects develop & cell death.
•         Sometime cell is not damaged by the virus & result in persistent infection.
•         Some tissue like intestinal epithelium can rapidly regenerate & withstand extensive damage better than others such as brain.
•         Some time as a result of viral infection there is transformation of the infected cell,  which later on can lead to neoplasia, this kind of viruses is call oncogenic virus.
6- Viral shedding:
•         It represent the time at which an infected individual is infectious to contacts.
•         Viral discharge into the environment, to maintain a viral infection in population of hosts.
•         Shedding usually occur from the body surfaces involved in viral entry:
           Respiratory tract: influenza virus.
           Gastrointestinal tract: Rotaviruses.
           Genital tract: HSV-2.
•         Shedding occur at various stage of disease depending on particular agent involved.


7- Host immune response:
•         Has a major impact on the outcome of the viral infection.
•         The most prominent is the induction of interferons, which induced soon after viral infection.
•         Interferons inhibit viral replication, before specific humoral & cell mediated immunity begin.
•         Virus encoded proteins serve as good targets for immune response.
•         Virus infected cells lysed by cytotoxic T lymphocyts.
•         Humoral immunity protect the host against re-infection, neutralizing antibody block the initiation of viral infection.

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