Picornavirus
Picornavirus
Picornavirus
- Small icosahedral (20 sides), naked ss positive sense, linear, covalently linked to VPg
- POLIO
- INSENSITIVE TO ETHER
COXACHIE
- ORHPAN
- RHINO, ENTEROVIRUS
- RIBONULCIEC ACID
- One side = 3 surface subunits VP1, 2, 3 major antibody sites (epitopes) VP4 internal
- Each virion 60 subunits
- Polio to aseptic meningitis to common cold
- Each pentameric vertex = canyon (protects against antibodies)
- Replication
- Entry then RNA release
- VPg removed from RNA and goes to ribosomes
- Enzymes shut off host protein synthesis
- Viral RNA translation continues instead, since +ss = mRNA
- Ready to translate coat protein and replication protein
- Viral encoded cysteine proteases cleave polypeptide to capsid and nonstructural
protein
- SYnthesis of RNA initiated by RNA polymerase creating minus strands as
template for more positive strands
- Positive strands coupled with VPg = new provirions
- Package into capsids
- Host cell lysis and infect other host
- Multiplication cycle: 5-10 hrs
- 47 genera, 110 species
- Genus: ECHAP
- Enterovirus:
- Enterovirus A-D (Coxsackievirus, Echo, Enterovirus, Poliovirus)
- Rhinovirus A-C
- Cardiovirus - encephalomyocarditis virus
- Hepatovirus - hepatovirus A
- Aphtovirus - foot-and-mouth dse
- Parechovirus - human parechovirus A
- Neurologic, vesicular and skin, cardio, muscular, ocular, GI, respi, other
- Subclinical more common than clinical dses
- Poliomyelitis (7-14 days, 3-35 days)
- Portal of entry: Mouth
- Multiplication: tonsils, neck LN, peyer’s patches, SI
- Excreted in stools for weeks
- Antibodies appear early
- Spread across peripheral nerves to lower motor neurons to spinal cord and
brain
- Does not multiply in muscle
- Nerve cell destruction
- 1. Mild disease - MC, nonsecific
- 2. Nonparalytic - stiffness and pain in back and neck, rapid & complete recovery,
may advance to paralysis
- 3. Paralytic - flaccid paralysis, 6 months max recovery with residual paralysis
- 4. Progressive postpoliomyelitis muscle atrophy - physiologic and aging changes
Coxsackievirus A & B
- IP: 2-9 days
- Aseptic meningitis, common colds
- A: cutaneous, herpangina (vesicles), hand foot and mouth (vesicular rash and ulcer),
acute hemorrhagic conjunctivitis
- B: cardiac, pleurodynia, myalgia, myocarditis, gen infantile dse, aseptic meningitis
Rhinovirus
- Common cold, MC
- URT syndrome
- Half of asthma exacerbations
- Enters URT → 2-4 days IP - acute illness 7 days
- High titers = maximal illness
- Nonproductive cough 2-3 weeks
- Amt of virus = severity (direct)
- Rare in LRT dse
- Nonspecific, URT, LRT, others (otitis media, sinusitis)
Minor picorna
- Echovirus (aseptic meningitis)
- Parechovirus
- Enterovirus 70 (acute hemorrhagic conjunctivitis)
- Hepatitis A virus (Diarrhea, liver dse, jaundice ) MC, thru ingestion, more severe in
adults, IP 4 months
POLIOVIRUSES
- Throat, rectal, blood
- Culture (3-6 days), molecular, serology
COXSACKIE
- Throat, blood + stool, nasal, CSF, conjunctiva
- Culture (5-14 days), molecular (reverse transcriptase), serology
ECHOVIRUS
- Throat, rectal, blood + CSF, stools
ENTEROVIRUS
- Nasopharyngeal swab, stool, csf, blood
- Culture, molecular (reverse transcriptase), serology
RHINOVIRUS
- Swabof nasopharyngeal or bronchial secretions
- Culture, molecular
PARECHOVIRUS
- Nasopharyngeal swab, bronchoalveolar lavage, blood, CSF, stool
- Culture (most HPeV frow poor or not at all), molecular, serology