Слайд 2CLASSIFICATION
Family : Herpesviridae
Genus : Simplexvirus
Subfamily : Alphaherpesvirinae
Species : a) Herpes
Simplex Virus 1 (HSV 1)
b) Herpes
Simplex Virus 2 ( HSV 2)
Слайд 3MORPHOLOGY
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
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Слайд 4RESISTANCE
Sensitive to:
Acid
Solvents
Detergents
Drying
Слайд 5ANTIGENIC 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
Слайд 6TRANSMISSION
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.
Слайд 7CELLULAR 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.
Слайд 8Replication
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.
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Слайд 9REPLICATION
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
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Слайд 11LATENT 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.
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Слайд 12ENCAPSIDATION 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.
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Слайд 13ENVELOPMENT & 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.
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Слайд 14LABORATORY DIAGNOSIS
Microscopical
Scrapings of lesion: examined microscopically for multinucleated giant cell
whose nuclei contain eosinophilic inclusions (Cowdry type A inclusions)
Слайд 15Laboratory diagnosis
Virological
Rapid,definitive determination HSV is made by demonstrating in tissue
:
a) viral antigen : - immunofluorescence
- immunoperoxidase method
b) DNA : - in situ hybridization
Слайд 16Laboratory 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
Слайд 17TREATMENT
Anti HSC drugs like acyclovir, vidarabine, idoxuridine and trifluridine
Act
as inhibitors of viral DNA synthesis
Слайд 20Vesiculobullous eruption
Herpetic Whitlow (HSV 1)