Слайд 1ROTAVIRUSES
by
WINDA ZULAIHA SHAHABUDIN
GROUP 24
Слайд 3Morphology
Family Reoviridae
70-85 nm diameter
Nearly spherical icosahedral particle
Non-enveloped,
double-shelled viruses
Wheel-like distinct appearance under EM
Слайд 4Genome
11 segments of double-stranded RNA
structural viral proteins (VP):
outer/inner capsids: VP4 and VP7core: VP2, VP6, VP1, VP3
nonstructural proteins
(NSP): NSP1-5
Слайд 6Classification
defined by cross-neutralization
with polyclonal antibodies of
antigenic
specificities (glycoproteins)
VP4 antigen: P serotype;
8 human rotaviruses
VP7 antigen: G serotype; 10 human rotaviruses
commonly found strains: P[8]G1; P[8]G3; P[8]G4;
and P[4]G2
Слайд 7Classification
Distribution of rotavirus strains from a global collection of 2,748
strains. "Others" includes strains that were not typable.
Слайд 8Replication
Attached to cell receptors contained sialic acid
Internalized and uncoated via
endolysosomes
Early transcription by viral RNA polymerase occurs inside sub-viral particle
Resulted in synthesis of (+) mRNAs and are translated in the cytoplasm.
Reassortment occurs during Early transcription.
Слайд 9Replication
Secondary transcription occurs in cytoplasm in later
infection in a conservative fashion.
Uncapped non-polyadenylated transcripts
Particles assemble in
the cytoplasm 6-7 h after infection
Budding from the E.R. into internal spaces & are
eventually released when the cell lyses.
Слайд 11Pathogenesis
infect upper two-third of duodenal epithelial cell
infectious particles are
released to intestinal lumen
and undergo further replication
in distal areas
cause severe diarrhea, vomiting and abdominal pain
among children
2 days incubation with 3-8 days watery diarrhea
death of over 600,000 children annually worldwide
Слайд 13Epidemiology
Primary transmission mode is
fecal-oral
ingestion of contaminated
food or water and contact with contaminated surfaces
Annual epidemics occurring
from November to April
high rates of illness among infants and children below 2 years old, but mild among adults
Слайд 14Epidemiology
Rotavirus causes the highest level of diarrhea among developed and
developing countries
Слайд 15Epidemiology
Average time of peak rotavirus activity in the contiguous 48
states,
United States, July 1991 to June 1997.
Слайд 16Epidemiology
Estimated global distribution of the 800,000 annual deaths caused by
rotavirus diarrhea.
Слайд 17Diagnosis and Treatment
Antigen Enzyme Immunoassay (EIA) of stool specimens
RT-PCR;
not commonly done
Non-specific treatment: oral rehydration therapy to
prevent dehydration
Intravenous fluid is required in severe infant cases
Immunization by vaccines
Слайд 18Diagnosis and Treatment
A Doctor Examining a Dehydrated Child
Слайд 19Rotavirus vaccine
Monovalent Vaccines
- Live attenuated vaccine derived
from nonhuman host rotaviruses such as bovine and rhesus
Reassortant
Vaccines
- animal-human reassortants
expressing VP7 proteins used as immunogens such
as rhesus-human reassortant or
bovine-human reassortant vaccines
Слайд 20Rotavirus vaccine
Production of reassortant
tetravalent vaccine with
VP7 serotype 1-4 specificity
co-infection of RRV with HRV serotype
1,2, and 3
safe and immunogenic
Слайд 21
PREVENTION
CDC program
1) Hand washing
2) Proper sanitation
3) Safe drinking water and
food
“Boil it, cook it, peel it, or forget it”