Herpes - infections

Содержание

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CLASSIFICATION Family : Herpesviridae Genus : Simplexvirus Subfamily : Alphaherpesvirinae Species

CLASSIFICATION

Family : Herpesviridae
Genus : Simplexvirus
Subfamily : Alphaherpesvirinae
Species : a) Herpes Simplex

Virus 1 (HSV 1)
b) Herpes Simplex Virus 2 ( HSV 2)
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MORPHOLOGY Large , enveloped viruses containing double stranded DNA Virion :

MORPHOLOGY

Large , enveloped viruses containing double stranded DNA
Virion : 120-300nm in

diameter
Icosadeltahedral protein capsid (average 100nm) consisting of 162 capsomeres, with core containg DNA genome
Amorphous proteinaceous layer : the tegument
Animation
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RESISTANCE Sensitive to: Acid Solvents Detergents Drying

RESISTANCE

Sensitive to:
Acid
Solvents
Detergents
Drying

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ANTIGENIC STRUCTURE HSV 1 & HSV 2 differentiated by serologi typing

ANTIGENIC STRUCTURE

HSV 1 & HSV 2 differentiated by serologi typing and

by DNA homology
Distinguished by cultivation on chick embro, by neuro virulence, clinical manisfestation, susceptibility to antiviral agents
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TRANSMISSION Generally transmitted by direct contact of lips or genitals when

TRANSMISSION

Generally transmitted by direct contact of lips or genitals when the

sores are present, or also when no sores are present (known as viral shedding)
Present in semen, vaginal fluids, and saliva
Herpes may be transmitted during childbirth, which can be fatal to the infant.
Transmission occurs while passing through the birth canal and the risk of infection is minimal if there are no symptoms or exposed blisters during delivery.
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CELLULAR ENTRY Entry of HSV into the host cell involves interactions

CELLULAR ENTRY

Entry of HSV into the host cell involves interactions of

several viral glycoproteins with cell surface receptors. The virus particle is covered by an envelope which, when bound to specific receptors on the cell surface, will fuse with the cell membrane and create an opening, or pore, through which the virus enters the host cell.
The sequential stages of HSV entry are analagous to those of other viruses. At first, complementary receptors on the virus and cell surface bring the two membranes into proximity. In an intermediate state, the two membranes begin to merge, forming a hemifusion state. Finally, a stable entry pore is formed through which the viral envelope contents are introduced to the host cell.
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Replication In the case of Herpes virus, initial interactions occur when

Replication

In the case of Herpes virus, initial interactions occur when glycoprotein

C, on the surface of the viral envelope, binds to a cell surface particle, heparan sulfate. Glycoprotein D binds specifically to the herpesvirus entry mediator receptor (HVEM), thus providing a strong, fixed attachment to the host cell. These interactions bring the membrane surfaces into mutual proximity and allow for other surface glycoproteins to interact.
Once bound to the HVEM, glycoprotein D changes its conformation and interacts with glycoproteins H and L, which form a complex. The interaction of these membrane proteins results in the hemifusion state. Afterward, glycoprotein B interaction with the glycoprotein H and L complex creates an entry pore.Glycoprotein B interacts with host cell surface glycosaminoglycans.
Animation
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REPLICATION After the viral envelope contents of capsid with tegument proteins

REPLICATION

After the viral envelope contents of capsid with tegument proteins has

entered the cell via the entry pore, the viral particles migrate to the nucleus, where the genome is replicated using enzymes from the host cell. Upon entering the cell, an α-TIF protein also joins the viral particle and aids in immediate early transcription.The virion host shutoff protein (VHF-UL41) is very important to viral replication. This enzyme shuts off protein synthesis in the host, degrades host mRNA, helps in viral replication, and regulates gene expression of viral proteins. While the viral genome immediately travels to the nucleus, the VHF protein remains in the cytoplasm.
The packaging of the viral particles, which include the genome, core and the capsid, occur in the nucleus. In the nucleus, cleavage of genome concatemers occurs and these are placed into pre-formed capsids. The viral envelope is acquired from the nuclear envelope, more specifically the inner lamellae of the membrane
Animation
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REPLICATION

REPLICATION

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LATENT INFECTION Especially in neurons, Herpes may persist in a quiescent

LATENT INFECTION

Especially in neurons, Herpes may persist in a quiescent but

persistent form known as latent infection.
During latent infection of a cell, Herpes virus express Latency Associated Transcript (LAT) RNA.
LAT is known to regulate the host cell genome and interferes with natural cell death mechanisms.
By maintaining the host cells, LAT preserves a reservoir for the virus, which allows later recurrences to produce further infections.
Animation
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ENCAPSIDATION AND EGRESS The procapsid proteins (UL18, UL19 and UL38) assemble

ENCAPSIDATION AND EGRESS

The procapsid proteins (UL18, UL19 and UL38) assemble around

scaffolding proteins (UL26 and UL26.5) that are then digested away. 
The empty capsid incorporates DNA by means of the action of cleavage/packaging proteins
The capsid migrates to the nuclear membrane and buds into the lumen between the inner and outer nuclear membrane.
This enveloped virion then enters the cytoplasm through fusion with the outer nuclear membrane.
Animation
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ENVELOPMENT & RELEASE Viral glycoproteins are translated from HSV RNA on

ENVELOPMENT & RELEASE

Viral glycoproteins are translated from HSV RNA on the

rough endoplasmic reticulum then transported to the golgi body in vesicles to continue the glycosylation process.  The glycoproteins are then transported in vesicles to the nuclear or plasma membrane.
The HSV capsid associates with tegument proteins then acquires a mature envelope by budding into an exocytotic vesicle. The enveloped infectious virion migrates to the virus modified membrane and is released outside of the cell.
Animation
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LABORATORY DIAGNOSIS Microscopical Scrapings of lesion: examined microscopically for multinucleated giant

LABORATORY DIAGNOSIS

Microscopical
Scrapings of lesion: examined microscopically for multinucleated giant cell whose

nuclei contain eosinophilic inclusions (Cowdry type A inclusions)
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Laboratory diagnosis Virological Rapid,definitive determination HSV is made by demonstrating in

Laboratory diagnosis

Virological
Rapid,definitive determination HSV is made by demonstrating in tissue :
a)

viral antigen : - immunofluorescence
- immunoperoxidase method
b) DNA : - in situ hybridization
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Laboratory diagnosis Serological Only useful for diagnosing primary HSV infection &

Laboratory diagnosis

Serological
Only useful for diagnosing primary HSV infection & epidemiological studies
Not

useful for diagnosing recurrent disease due to a significant rise in Ab titers are not usually accompany recurrent disease
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TREATMENT Anti HSC drugs like acyclovir, vidarabine, idoxuridine and trifluridine Act

TREATMENT

Anti HSC drugs like acyclovir, vidarabine, idoxuridine and trifluridine
Act as

inhibitors of viral DNA synthesis
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Vesiculobullous eruption Herpetic Whitlow (HSV 1)

Vesiculobullous eruption

Herpetic Whitlow (HSV 1)

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HSV in situ hybridization

HSV in situ hybridization