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,
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.
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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