Principles of Virology, Volume 2

Principles of Virology, Volume 2
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Principles of Virology , the leading virology textbook in use, is an extremely valuable and highly informative presentation of virology at the interface of modern cell biology and immunology. This text utilizes a uniquely rational approach by highlighting common principles and processes across all viruses. Using a set of representative viruses to illustrate the breadth of viral complexity, students are able to under-stand viral reproduction and pathogenesis and are equipped with the necessary tools for future encounters with new or understudied viruses. This fifth edition was updated to keep pace with the ever-changing field of virology. In addition to the beloved full-color illustrations, video interviews with leading scientists, movies, and links to exciting blogposts on relevant topics, this edition includes study questions and active learning puzzles in each chapter, as well as short descriptions regarding the key messages of references of special interest.  Volume I: Molecular Biology  focuses on the molecular processes of viral reproduction, from entry through release.  Volume II: Pathogenesis and Control  addresses the interplay between viruses and their host organisms, on both the micro- and macroscale, including chapters on public health, the immune response, vaccines and other antiviral strategies, viral evolution, and a brand new chapter on the therapeutic uses of viruses. These two volumes can be used for separate courses or together in a single course. Each includes a unique appendix, glossary, and links to internet resources. Principles of Virology, Fifth Edition , is ideal for teaching the strategies by which all viruses reproduce, spread within a host, and are maintained within populations. This edition carefully reflects the results of extensive vetting and feedback received from course instructors and students, making this renowned textbook even more appropriate for undergraduate and graduate courses in virology, microbiology, and infectious diseases.

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S. Jane Flint. Principles of Virology, Volume 2

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

VOLUME II Pathogenesis and Control. PRINCIPLES OF. Virology

About the Instructor Companion Website

Preface

What’s New

Principles Taught in Two Distinct, but Integrated Volumes

Volume I: The Science of Virology and the Molecular Biology of Viruses

Volume II: Pathogenesis, Control, and Evolution

Acknowledgments

About the Authors

Key of Repetitive Elements

1 Infections of Populations: History and Epidemiology

LINKS FOR CHAPTER 1

Introduction to Viral Pathogenesis

PRINCIPLES Introduction to viral pathogenesis

A Brief History of Viral Pathogenesis. The Relationships among Microbes and the Diseases They Cause

BOX 1.1. DISCUSSION. Why viruses may not fulfill Koch’s postulates

The First Human Viruses Identified and the Role of Serendipity

BOX 1.2. BACKGROUND. Mosquito control measures

New Methods Facilitate the Study of Viruses as Causes of Disease

Viral Epidemics in History

BOX 1.3. METHODS. Nanopore sequencing

Epidemics Shaped History: the 1793 Yellow Fever Epidemic in Philadelphia

Tracking Epidemics by Sequencing: West Nile Virus Spread to the Western Hemisphere

Zoonotic Infections and Epidemics Caused by “New” Viruses

The Economic Toll of Viral Epidemics in Livestock

Population Density and World Travel Are Accelerators of Viral Transmission

Focus on Frontline Health Care: Ebolavirus in Africa

Emergence of a Birth Defect Associated with Infection: Zika Virus in Brazil

Epidemiology

Fundamental Concepts. Incidence versus Prevalence

BOX 1.4. DISCUSSION. Video games model infectious-disease epidemics

Prospective and Retrospective Studies

BOX 1.5. TERMINOLOGY. Morbidity, mortality, incidence, and case fatality

Mortality, Morbidity, and Case Fatality Ratios

R-naught (R0)

Methods Used by Epidemiologists

Surveillance

BOX 1.6. METHODS. The use of statistics in virology

BOX 1.7. BACKGROUND. Descriptive epidemiology and the discovery of human immunodeficiency virus

BOX 1.8. METHODS

Network Theory and Practical Applications

Parameters That Govern the Ability of a Virus to Infect a Population

Geography and Population Density

BOX 1.9. DISCUSSION. A virus on the move

Climate

BOX 1.10. EXPERIMENTS. Temperature influences the transmission of influenza virus

BOX 1.11. BACKGROUND

BOX 1.12. DISCUSSION. Plant virus epidemiology

Perspectives

BOX 1.13. DISCUSSION. This moment in time: the SARS-CoV-2 pandemic

REFERENCES. Books

Review Articles

Papers of Special Interest

STUDY QUESTIONS

2 Barriers to Infection

LINKS FOR CHAPTER 2

Introduction

An Overview of Infection and Immunity. A Game of Chess Played by Masters

PRINCIPLES Barriers to infection

BOX 2.1. TERMINOLOGY. Is it evasion or modulation?

Initiating an Infection

Successful Infections Must Modulate or Bypass Host Defenses

Skin

Respiratory Tract

BOX 2.2. EXPERIMENTS. Dermal damage increases immunity and host survival

BOX 2.3. DISCUSSION. In praise of mucus

Alimentary Tract

BOX 2.4. EXPERIMENTS. Olfactory neurons: front-line sentinels

BOX 2.5. EXPERIMENTS. Commensal bacteria aid virus infections in the gastrointestinal tract

Eyes

Urogenital Tract

Placenta

Viral Tropism

BOX 2.6. DISCUSSION. Is intuition a host defense?

Accessibility of Viral Receptors

Other Host-Virus Interactions That Regulate the Infectious Cycle

BOX 2.7. DISCUSSION. A mechanism for expanding the tropism of influenza virus is revealed by analyzing infections that occurred in 1940

Spread throughout the Host

BOX 2.8. DISCUSSION. Gender differences in infection and disease

Hematogenous Spread

BOX 2.9. TERMINOLOGY. The viruses in your blood

Neural Spread

BOX 2.10. TERMINOLOGY. Infection of the nervous system: definitions and distinctions

Organ Invasion

Entry into Organs with Sinusoids

Entry into Organs That Lack Sinusoids

BOX 2.11. TERMINOLOGY. Which direction: anterograde or retrograde?

Organs with Dense Basement Membranes

Skin

Shedding of Virus Particles

Respiratory Secretions

Saliva

Feces

BOX 2.12. DISCUSSION. A ferret model of influenza virus infection ignites irrational fears

Blood

Urine

Semen

Milk

Skin Lesions

Tears

Perspectives

BOX 2.13. DISCUSSION. Chicken pox parties

REFERENCES. Books

Review Articles

Papers of Special Interest

STUDY QUESTIONS

3 The Early Host Response: Cell-Autonomous and Innate Immunity

LINKS FOR CHAPTER 3

Introduction

PRINCIPLES The early host response: cell-autonomous and innate immunity

BOX 3.1. WARNING. Everything is intertwined

The First Critical Moments: How Do Individual Cells Detect a Virus Infection?

BOX 3.2. TERMINOLOGY. Intrinsic or innate?

Cell Signaling Induced by Viral Entry Receptor Engagement

Receptor-Mediated Recognition of Microbe-Associated Molecular Patterns

Toll-Like Receptors (TLRs)

BOX 3.3. TRAILBLAZER. Toll receptors: the fruit fly connection

BOX 3.4. BACKGROUND. Plants produce proteins that are both “detectors” and “alarms”

RIG-I-Like Receptors (RLRs)

Cytoplasmic DNA Sensors

Viral proteins antagonize pattern recognition receptors

BOX 3.5. EXPERIMENTS. A viral DNA sensor moonlights as a sensor for the RNA virus influenza A virus

Cell-Intrinsic Defenses

Apoptosis (Programmed Cell Death)

BOX 3.6. DISCUSSION. A new function for oncoproteins of DNA tumor viruses

BOX 3.7. TERMINOLOGY. What to do with the second “p”?

Apoptosis Is a Defense against Viral Infection

Viral Gene Products That Modulate Apoptosis

Apoptosis Is Monitored by Sentinel Cells

Programmed Necrosis (Necroptosis)

Autophagy

Epigenetic Silencing

Host Proteins That Restrict Virus Reproduction (Restriction Factors)

Targeting Viral Genomes

BOX 3.8. EXPERIMENTS. Epigenetic silencing of unintegrated retroviral DNA

Deaminases

Targeting Genome Synthesis

Targeting Trafficking of Viral Components

Targeting Release of Virus Particles

Targeting Everything: TRIM, a Family of Divergent Antiviral Proteins

RNA Interference

CRISPRs

The Continuum between Intrinsic and Innate Immunity

Secreted Mediators of the Innate Immune Response

BOX 3.9. BACKGROUND. Ancient mechanisms of immunity

Overview of Cytokine Functions

BOX 3.10. EXPERIMENTS. O-linked sugars as very early warning signals

Interferons, Cytokines of Early Warning and Action

BOX 3.11. TERMINOLOGY. Infiltration and inflammation

BOX 3.12. TRAILBLAZER. The interferon system is crucial for antiviral defense

Type I IFN Synthesis

BOX 3.13. DISCUSSION. A gut feeling about a new interferon type

BOX 3.14. DISCUSSION. Switching IFN-β transcription on and off

IFN Signaling

IFN Produces an Antiviral State

Some IFN-Induced Gene Products and Their Antiviral Actions

RNase L and 2′ -5′ -oligo(A) Synthetases

Regulators of the IFN Response

Viral Gene Products That Counter the IFN Response

Chemokines

The Innate Immune Response

Monocytes, Macrophages, and Dendritic Cells

Complement

The Complement Cascade

BOX 3.15. DISCUSSION. The complement system has four major biological functions

“Natural Antibody” Protects against Infection

Regulation of the Complement Cascade

Natural Killer Cells

NK-Cell Recognition of Infected Cells: Detection of “Missing Self” or “Altered Self” Signals

MHC Class I Receptors on NK Cells Produce Inhibitory Signals

Viral Proteins Modulate NK-Cell Actions

NK-Cell Memory

Other Innate Immune Cells Relevant to Viral Infections

Neutrophils

γδ Cells

Innate Lymphoid Cells

Perspectives

REFERENCES. Books

Reviews

Classic Papers

Selected Papers

STUDY QUESTIONS

4 Adaptive Immunity and the Establishment of Memory

LINKS FOR CHAPTER 4

Introduction

Attributes of the Host Response. Speed

PRINCIPLES Adaptive immunity and the establishment of memory

Diversity and Specificity

Memory

BOX 4.1. TERMINOLOGY. Pathogens, antigens, and epitopes

Self-Control

Lymphocyte Development, Diversity, and Activation

The Hematopoietic Stem Cell Lineage

BOX 4.2. TERMINOLOGY. Leukocytes and lymphocytes

The Two Arms of Adaptive Immunity

The Major Effectors of the Adaptive Response: B and T Cells

B Cells

T Cells

BOX 4.3. METHODS. Flow cytometry

Box 4.4. DISCUSSION. The well-protected thymus

Diverse Receptors Impart Antigen Specificity to B and T Cells

BOX 4.5. DISCUSSION. Convergent evolution of host proteins that bind to viral epitopes

Events at the Site of Infection Set the Stage for the Adaptive Response

Acquisition of Viral Proteins by Professional Antigen-Presenting Cells Enables Production of Proinflammatory Cytokines and Establishment of Inflammation

The Inflammasome and Cytokine Release

Inflammation

Activated Antigen-Presenting Cells Leave the Site of Infection and Migrate to Lymph Nodes

BOX 4.6. BACKGROUND. Infection of the sentinels: dysfunctional immune modulation

Antigen Processing and Presentation. Professional Antigen-Presenting Cells Induce Activation via Costimulation

Presentation of Antigens by Class I and Class II MHC Proteins

Cytotoxic T Cells Recognize Infected Cells by Engaging MHC Class I Receptors

BOX 4.7. TRAILBLAZER. Virology provides Nobel Prize-winning insight: MHC restriction

Th Cells Recognize Professional Antigen-Presenting Cells by Engaging MHC Class II Receptors

Lymphocyte Activation Triggers Massive Cell Proliferation

BOX 4.8. DISCUSSION. Influence of MHC alleles on human partnership and sexual satisfaction

The CTL (Cell-Mediated) Response

CTLs Lyse Virus-Infected Cells

Control of CTL Proliferation

BOX 4.9. BACKGROUND. Interferon γ signaling

BOX 4.10. METHODS. Measuring the antiviral cellular immune response

Control of Infection by CTLs without Killing

Rashes and Poxes

BOX 4.11. DISCUSSION. The immune system within the brain

The Humoral (Antibody) Response. Antibodies Are Made by Plasma Cells

Types and Functions of Antibodies

Virus Neutralization by Antibodies

Antibody-Dependent Cell-Mediated Cytotoxicity: Specific Killing by Nonspecific Cells

Immunological Memory

Perspectives

REFERENCES. Books

Reviews

Classic Papers

Selected Papers

STUDY QUESTION PUZZLE

5 Patterns and Pathogenesis

LINKS FOR CHAPTER 5

Introduction

Animal Models of Human Diseases

PRINCIPLES Patterns and pathogenesis

BOX 5.1. BACKGROUND. A 2,500-year-old smallpox case study

BOX 5.2. WARNING. Of mice and cells

BOX 5.3. METHODS. Genetically engineered mouse models for studying viral pathogenesis

BOX 5.4. WARNING. The dangers of inbreeding

Patterns of Infection

Incubation Periods

Mathematics of Growth Correlate with Patterns of Infection

Acute Infections

BOX 5.5. METHODS. Mathematical approaches to understanding viral population dynamics

BOX 5.6. DISCUSSION. Norovirus: the “two-bucket virus”

BOX 5.7. DISCUSSION. Poliovirus escape antibodies

Acute Infections Pose Common Public Health Problems

Persistent Infections

Multiple Cellular Mechanisms Promote Viral Persistence

Modulation of the Adaptive Immune Response Can Perpetuate a Persistent Infection

Persistent Infections May Be Established in Tissues with Reduced Immune Surveillance

Persistent Infections May Be Established in Cells of the Immune System

Examples of Viruses That Cause Persistent Infections

BOX 5.8. TERMINOLOGY

Latent Infections

Herpes Simplex Virus

BOX 5.9. DISCUSSION. The hygiene hypothesis: why people vary in their response to herpes simplex virus infection

BOX 5.10. DISCUSSION

Epstein-Barr Virus

BOX 5.11. DISCUSSION. Epstein-Barr virus, depression, and pregnancy

Abortive Infections

Transforming Infections

Viral Virulence

Measuring Viral Virulence

BOX 5.12. TERMINOLOGY. Measures of viral virulence

Approaches To Identify Viral Genes That Contribute to Virulence

BOX 5.13. EXPERIMENTS. Viral virulence is dependent on multiple parameters

Viral Virulence Genes

BOX 5.14. TERMINOLOGY. Four classes of viral virulence genes

Gene Products That Alter Virus Reproduction

BOX 5.15. EXPERIMENTS. Inadvertent creation of a more virulent poxvirus

Noncoding Sequences That Affect Virus Reproduction

Gene Products That Modify Host Defense Mechanisms

Gene Products That Enable the Virus To Spread in the Host

BOX 5.16. DISCUSSION

Pathogenesis

Infected Cell Lysis

Immunopathology

Immunopathological Lesions

Superantigens “Short-Circuit” the Immune System

Damage Mediated by Free Radicals

Immunosuppression Induced by Viral Infection

Oncogenesis

Molecular Mimicry

Perspectives

BOX 5.17. EXPERIMENTS. Viral infections promote or protect against autoimmune disease

REFERENCES. Books

Reviews

Papers of Special Interest

STUDY QUESTIONS

6 Cellular Transformation and Oncogenesis

LINKS FOR CHAPTER 6

Introduction

Properties of Transformed Cells. Cellular Transformation

PRINCIPLES Cellular transformation and oncogenesis

BOX 6.1. TERMINOLOGY. Some cancer terms

BOX 6.2. BACKGROUND. Genetic alterations associated with the development of cancer

BOX 6.3. BACKGROUND. Telomeres, telomerase, and cellular immortality

Properties That Distinguish Transformed from Normal Cells

Control of Cell Proliferation. Sensing the Environment

Integration of Mitogenic and Growth-Promoting Signals

Regulation of the Cell Cycle

The Cell Cycle Engine

Oncogenic Viruses

Discovery of Oncogenic Viruses. Retroviruses

BOX 6.4. EXPERIMENTS. A cancer virus with genomic features of both papillomaviruses and polyomaviruses

Oncogenic DNA Viruses

BOX 6.5. DISCUSSION. Walleye dermal sarcoma virus, a retrovirus with a unique transmission cycle

Recent Identification of Oncogenic Viruses

Common Properties of Oncogenic Viruses

Viral Genetic Information in Transformed Cells. State of Viral DNA

BOX 6.6. DISCUSSION. A polyomavirus that contributes to development of Merkel cell carcinoma in humans

Identification and Properties of Viral Transforming Genes

BOX 6.7. TRAILBLAZER. Identification of the transforming proteins of simian virus 40

BOX 6.8. TRAILBLAZER. Preparation of the first oncogene probe

The Origin and Nature of Viral Transforming Genes

Functions of Viral Transforming Proteins

Activation of Cellular Signal Transduction Pathways by Viral Transforming Proteins

Viral Signaling Molecules Acquired from the Cell. The Transduced Cellular Genes of Acutely Transforming Retroviruses

Viral Homologs of Cellular Genes

Alteration of the Production or Activity of Cellular Signal Transduction Proteins. Insertional Activation by Nontransducing Retroviruses

Viral Proteins That Alter Cellular Signaling Pathways

BOX 6.9. DISCUSSION. Transformation by remote control?

Alteration of the Activities of Cellular Signal Transduction Molecules

Disruption of Cell Cycle Control Pathways by Viral Transforming Proteins

Abrogation of Restriction Point Control Exerted by the RB Protein. The Restriction Point in Mammalian Cells

Viral Proteins Prevent Negative Regulation by RB and Related Proteins

Production of Virus-Specific Cyclins

Inactivation of Cyclin-Dependent Kinase Inhibitors

Transformed Cells Increase in Size and Survive

Mechanisms That Permit Survival of Transformed Cells

Viral Inhibitors of the Apoptotic Cascade

Integration of Inhibition of Apoptosis with Stimulation of Proliferation

Inactivation of the Cellular Tumor Suppressor p53

Tumorigenesis Requires Additional Changes in the Properties of Transformed Cells

Inhibition of Immune Defenses

Other Mechanisms of Transformation and Oncogenesis by Human Tumor Viruses

Nontransducing Oncogenic Retroviruses: Tumorigenesis with Very Long Latency

Oncogenesis by Hepatitis Viruses. Hepatitis B Virus

Hepatitis C Virus

Perspectives

REFERENCES. Chapters in Books

Review Articles

Papers of Special Interest

STUDY QUESTIONS

7 Vaccines

LINKS FOR CHAPTER 7

Introduction

The Origins of Vaccination. Smallpox: a Historical Perspective

PRINCIPLES Vaccines

Worldwide Vaccination Programs Can Be Dramatically Effective

Box 7.1. BACKGROUND. Whither the milkmaid?

Eradicating a Viral Disease: Is It Possible?

BOX 7.2. BACKGROUND. The current U.S. smallpox vaccine

BOX 7.3. DISCUSSION. Should laboratory stocks of smallpox virus be destroyed?

BOX 7.4. TRAILBLAZER. Rinderpest virus: the other eradicated virus

National Programs for Eradication of Agriculturally Important Viral Diseases Differ Substantially from Global Programs

BOX 7.5. DISCUSSION. The poliomyelitis eradication effort: should vaccine eradication be next?

Vaccine Basics. Immunization Can Be Active or Passive

Active Vaccination Strategies Stimulate Immune Memory

BOX 7.6. EXPERIMENTS. A historical example that underscores the principle of long-lasting immune memory

Protection from Infection or Protection from Disease?

Vaccines Must Be Safe, Efficacious, and Practical

BOX 7.7. DISCUSSION. The public’s view of risk-taking is a changing landscape

BOX 7.8. DISCUSSION. National vaccine programs depend on public acceptance of their value

BOX 7.9. METHODS. Development of new delivery vehicles for vaccines

The Fundamental Challenge

The Science and Art of Making Vaccines

BOX 7.10. DISCUSSION. Delivering vaccines to people in hard-to-reach locations

BOX 7.11. TERMINOLOGY. Live and let die

Inactivated Virus Vaccines

BOX 7.12. WARNING. Amplification of influenza virus in eggs leads to mutations that limit antigenicity

Attenuated Virus Vaccines

BOX 7.13. BACKGROUND. Shingles vaccines

BOX 7.14. DISCUSSION. Vaccine adverse event reporting

Subunit Vaccines

BOX 7.15. DISCUSSION. Plant-based vaccines

BOX 7.16. DISCUSSION. Accidental infections “in the wild”

Virus-Like Particles

BOX 7.17. TRAILBLAZER. Development of the first anticancer vaccine

Nucleic Acid Vaccines

BOX 7.18. DISCUSSION. Should men be encouraged to get the human papillomavirus vaccine?

Vaccine Technology: Delivery and Improving Antigenicity. Adjuvants Stimulate an Immune Response

Delivery and Formulation

Immunotherapy

The Ongoing Quest for an AIDS Vaccine

Perspectives

REFERENCES. Books

Historical Papers and Books

Reviews

Selected Papers

STUDY QUESTION PUZZLE

8 Antiviral Drugs

LINKS FOR CHAPTER 8

Introduction

A Brief History of Antiviral Drug Discovery

PRINCIPLES Antiviral drugs

Discovering Antiviral Compounds

The Lexicon of Antiviral Discovery

Screening for Antiviral Compounds. Viral targets

Host targets

Mechanism-Based Screens

Cell-Based Screens

High-Throughput Screens

Sources of Chemical Compounds Used in Screening

Computational Approaches to Drug Discovery. Structure-Assisted Drug Design

Genome Sequencing and Other Advances Expose New Targets for Antiviral Drugs

In Silico Drug Discovery via Virtual Screening

BOX 8.1. EXPERIMENTS. An allosteric antiviral by in silico design

The Difference between “R” and “D” Antiviral Drugs Are Expensive To Discover, Develop, and Bring to the Market

BOX 8.2. DISCUSSION. New drugs, new mechanisms—no interest?

BOX 8.3. TERMINOLOGY. Clinical trials

Antiviral Drugs Must Be Safe

Drug Formulation and Delivery

Drug Resistance

Examples of Antiviral Drugs

Inhibitors of Virus Attachment and Entry

BOX 8.4. TERMINOLOGY. What’s in a name?

Maraviroc (Selzentry), Human Immunodeficiency Virus Type 1 Attachment Inhibitor

Enfuvirtide (Fuzeon), Human Immunodeficiency Virus Type 1 Fusion Inhibitor

Amantadine (Symmetrel), Inhibitor of Influenza A Virus Uncoating

Inhibitors of Viral Nucleic Acid Synthesis

Herpesvirus DNA Polymerase Inhibitors

Cidofovir (Vistide), a Broad-Spectrum Antiviral

Azidothymidine (Retrovir), Human Immunodeficiency Virus Type 1 Reverse Transcriptase Inhibitor

Lamivudine (Epivir), Hepatitis B Virus Reverse Transcriptase Inhibitor

Ribavirin (Virazole), an Inhibitor of RNA Viruses

Inhibitors of Hepatitis C Virus RNA Polymerase

Nonnucleoside Inhibitors of Human Immunodeficiency Virus Type 1 Reverse Transcriptase

Foscarnet (Foscavir), Nonnucleoside Inhibitor of Herpesvirus DNA Synthesis

Baloxavir Marboxil (Xofluza), Inhibitor of Influenza Virus mRNA Synthesis

Inhibitors of Hepatitis C Virus NS5A Protein

Inhibitors of Human Immunodeficiency Virus Type 1 Integrase

Inhibition of Viral Polyprotein Processing and Assembly

Human Immunodeficiency Virus Type 1 Protease Inhibitors

Inhibitors of Hepatitis C Virus Protease

Inhibition of Virus Particle Release. Influenza Virus Neuraminidase Inhibitors

Expanding Targets for Antiviral Drug Development

BOX 8.5. EXPERIMENTS. Inhibitors of influenza virus neuraminidase: development and impact

Attachment and Entry Inhibitors

Nucleic Acid-Based Approaches

Proteases and Nucleic Acid Synthesis and Processing Enzymes

Virus Particle Assembly

Microbicides

Two Stories of Antiviral Success

Combination Therapy

BOX 8.6. EXPERIMENTS. Highly specific, designed inhibitors may have unpredicted activities

Challenges Remaining

Perspectives

BOX 8.7. DISCUSSION. What price drugs?

REFERENCES. Books

Reviews

Papers of Special Interest

Websites

STUDY QUESTIONS

9 Therapeutic Viruses

LINKS FOR CHAPTER 9

Introduction

Phage Therapy. History

PRINCIPLES Therapeutic viruses

Some Advantages and Limitations of Phage Therapy

Applications in the Clinic and for Disease Prevention

BOX 9.1. DISCUSSION. Phage therapy rescues dying patient

Future Prospects

Oncolytic Animal Viruses. From Anecdotal Reports to Controlled Clinical Trials

BOX 9.2. WARNING. Before standardization of clinical trials: some early studies of human viruses to treat cancer in humans

BOX 9.3. DISCUSSION. Multiple mechanisms might contribute to the tumor cell-selective reproduction of ONYX-015 and similar viruses

Rational Design of Oncolytic Viruses

Tumor Cell-Selective Reproduction

Strategies for Increasing Cell Lysis

Promoting Antitumor Immune Responses

BOX 9.4. DISCUSSION. An Achilles’ heel of cancer cells

Two Clinically Approved Oncolytic Viruses. Oncorine

BOX 9.5. BACKGROUND. Corporate struggles and the failure to develop ONYX-015 in the United States

Talimogene Laherparepvec

Future Directions

Gene Therapy. Introduction

Retroviral Vectors. Beneficial Features for Gene Therapy

BOX 9.6. WARNING. Fatality in a gene therapy trial

Overcoming the Limitations of First-Generation Vectors

BOX 9.7. WARNING. Inadvertent insertional activation of a cellular gene during gene transfer

Examples of Clinical Success

CAR T Cells for Cancer Immunotherapy

Other Applications of Retroviral Vectors

Adenovirus-Associated Virus Vectors

Developing and Improving AAV Vectors

Clinical Trials

BOX 9.8. EXPERIMENTS. Reconstruction of an ancestral adenovirus-associated virus

Other Applications of AAV Vectors

Future Prospects

Vaccine Vectors

DNA Viruses. Adenovirus Vectors

Poxvirus Vectors

Adenovirus-Associated Virus Vectors

RNA Viruses. Vesicular Stomatitis Virus Vectors

Flaviviruses and Alphaviruses

Newcastle Disease Virus Vectors

Perspectives

REFERENCES. Review Articles

Papers of Special Interest

Blog Posts

STUDY QUESTIONS

10 Virus Evolution

LINKS FOR CHAPTER 10

Virus Evolution

How Do Virus Populations Evolve?

Two General Virus Survival Strategies Can Be Distinguished

PRINCIPLES Evolution

Large Numbers of Viral Progeny and Mutants Are Produced in Infected Cells

RNA Virus Evolution

DNA Virus Evolution

The Quasispecies Concept

Sequence Conservation in Changing Genomes

The Error Threshold

Genetic Bottlenecks

Genetic Shift and Genetic Drift

Exchange of Genetic Information

BOX 10.1. EXPERIMENT. Does Muller’s ratchet ever occur in nature?

Fundamental Properties of Viruses That Constrain Evolution

Two General Pathways for Virus Evolution

BOX 10.2. BACKGROUND. Reassortment of influenza virus genome segments

Evolution of Virulence

BOX 10.3. BACKGROUND. Evolution by nonhomologous recombination and horizontal gene transfer

BOX 10.4. DISCUSSION. An unexpected constraint on evolution: selection for transmission and survival within a host

The Origin of Viruses. When and How Did They Arise?

Evolution of Contemporary Eukaryotic Viruses

RNA Viruses

The Protovirus Hypothesis for Retroviruses and Relatives

DNA Virus Origins

BOX 10.5. BACKGROUND. Discovery of virus giants: the largest known viral particles and genomes

Host-Virus Relationships Drive Evolution

DNA Virus–Host Relationships. Papillomaviruses and Polyomaviruses

Herpesviruses

RNA Virus-Host Relationships

(–) Strand RNA Viruses

(+) Strand RNA Viruses

The Host–Virus “Arms Race”

BOX 10.6. EXPERIMENTS. A classic experiment in virus evolution: deliberate release of rabbitpox virus in Australia

BOX 10.7. EXPERIMENTS. Host-virus arms race and the transferrin receptor

Lessons from Paleovirology

Endogenous Retroviruses

BOX 10.8. EXPERIMENTS. Retrovirus lineage traced to the Paleozoic Era

DNA Fossils Derived from Other RNA Viral Genomes

Endogenous Sequences from DNA Viruses

BOX 10.9. BACKGROUND. Retroviral Env proteins and evolution of the placenta

Short- versus Long-Term Rates of Viral Evolution

Perspectives

BOX 10.10. BACKGROUND. The world’s supply of human immunodeficiency virus genomes provides remarkable opportunity for selection

REFERENCES

Review Articles

Papers of Special Interest

STUDY QUESTIONS

11 Emergence

LINKS FOR CHAPTER 11

The Spectrum of Host-Virus Interactions

Stable Interactions

PRINCIPLES Emergence

The Evolving Host-Virus Interaction

The Dead-End Interaction

The Resistant Host

BOX 11.1. DISCUSSION. An evolving virus infection: the West Nile virus outbreak

Encountering New Hosts: Humans Constantly Provide New Venues for Infection

Common Sources for Animal-to-Human Transmission

BOX 11.2. DISCUSSION. Why do bats harbor so many viruses?

Viral Diseases That Illustrate the Drivers of Emergence. Poliomyelitis: Unexpected Consequences of Modern Sanitation

Introduction of Viruses into Naïve Populations

BOX 11.3. DISCUSSION. Enterovirus D68, a reemerging pathogen associated with childhood paralysis

Hantavirus Pulmonary Syndrome: Changing Animal Populations

Severe Acute and Middle East Respiratory Syndromes (SARS and MERS): Zoonotic Coronavirus Infections

BOX 11.4. DISCUSSION. Zika virus: new patterns of disease?

The Contribution to Emergence of Mutation, Recombination, or Reassortment

Canine Parvoviruses: Cat-to-Dog Host Range Switch by Two Amino Acid Changes

Influenza Epidemics and Pandemics: Escaping the Immune Response by Reassortment

New Technologies Uncover Previously Unrecognized Viruses

Hepatitis Viruses in the Human Blood Supply

BOX 11.5. DISCUSSION. Avian influenza viruses: scientific and societal implications of transmissibility experiments using animal models

A Revolution in Virus Discovery

BOX 11.6. BACKGROUND. Discovery of hepatitis C virus, a triumph of persistence

Perceptions and Possibilities

Virus Names Can Be Misleading

All Viruses Are Important

Can We Predict the Next Viral Pandemic?

BOX 11.7. DISCUSSION. Viral infections as agents of war and terror

Preventing Emerging Virus Infections

Perspectives

REFERENCES. Books

Review Articles

Papers of Special Interest

STUDY QUESTIONS

12 Human Immunodeficiency Virus Type 1 Pathogenesis

LINKS FOR CHAPTER 12

Introduction. Worldwide Impact of AIDS

HIV-1 Is a Lentivirus. Discovery and Characterization

PRINCIPLES HIV-1 pathogenesis

BOX 12.1. DISCUSSION. Lessons from the discovery of the AIDS virus

Distinctive Features of the HIV-1 Reproductive Cycle and the Functions of HIV-1 Proteins

BOX 12.2. TRAILBLAZER. The earliest records of HIV-1 infection

The Regulatory Proteins Tat and Rev

The Accessory Proteins

BOX 12.3. BACKGROUND. Evolution of tetherin antagonism

The Viral Capsid Counters Intrinsic Defense Mechanisms

BOX 12.4. BACKGROUND. Virus tropism and animal models for HIV-1

Entry and Transmission. Entry into the Cell

Entry into the Body

Transmission in Human Populations

The Course of Infection

The Acute Phase

The Asymptomatic Phase

The Symptomatic Phase and AIDS

Effects of HIV-1 on Other Tissues and Organs

Effects of HIV-1 Infection on the Nervous System

Virus Reproduction. Dynamics in the Absence of Treatment

Dynamics of Virus Reproduction during Treatment

Latency

Immune Responses to HIV-1. Innate Response

Humoral Responses

HIV-1 and Cancer

Kaposi′s Sarcoma

B-Cell Lymphomas

Anogenital Carcinomas

Prospects for Treatment and Prevention. Antiviral Drugs

BOX 12.5. BACKGROUND. The Berlin patient

Confronting the Problems of Persistence and Latency

Gene Therapy Approaches

BOX 12.6. DISCUSSION. CCR5 is the target in the first CRISPR-Cas-edited human embryos

Immune System-Based Therapies

Antiviral Drug Prophylaxis. Preexposure Prophylaxis (PrEP)

Postexposure Prophylaxis (PEP)

Perspectives

REFERENCES. Books

Reviews

Research Articles of Historical Interest

Highlights

Websites

STUDY QUESTIONS

13 Unusual Infectious Agents

LINKS FOR CHAPTER 13

Introduction

Viroids

Replication

PRINCIPLES Unusual infectious agents

BOX 13.1. DISCUSSION. Why do viroids infect only plants?

BOX 13.2. DISCUSSION. Viroids and mutation rates

Sequence Diversity

Movement

Pathogenesis

Satellite Viruses and RNAs

Replication

Pathogenesis

Hepatitis Delta Virus

Prions and Transmissible Spongiform Encephalopathies

Scrapie

BOX 13.3. EXPERIMENTS. Hepatitis delta-like viruses in birds and snakes

Physical Properties of the Scrapie Agent

Human TSEs

Hallmarks of TSE Pathogenesis

Prions and the prnp Gene

BOX 13.4. EXPERIMENTS. Detection of Creutzfeldt-Jakob prions in nasal brushings and urine

Prion Strains

BOX 13.5. EXPERIMENTS. Structure of an infectious prion

Bovine Spongiform Encephalopathy

Chronic Wasting Disease

BOX 13.6. EXPERIMENTS. Prions in plants

Treatment of Prion Diseases

Perspectives

REFERENCES. Reviews

Papers of Special Interest

STUDY QUESTIONS

APPENDIX Epidemiology and Pathogenesis of Selected Human Viruses

Adenoviruses

Arenaviruses

Bunyaviruses

Caliciviruses

Coronaviruses

Filoviruses

Flaviviruses

Flaviviruses

Flaviviruses

Hepadnaviruses

Herpesviruses

Herpesviruses

Herpesviruses

Orthomyxoviruses

Papillomaviruses

Paramyxoviruses

Paramyxoviruses

Picornaviruses

Picornaviruses

Picornaviruses

Polyomaviruses

Poxviruses

Reoviruses

Reoviruses

Retroviruses

Retroviruses

Rhabdoviruses

Togaviruses

Togaviruses

Glossary

Index

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FIFTH EDITION

Jane Flint

.....

Viremia is of diagnostic value to monitor the course of infection in an individual over time, and epidemiologists use the detection of viremia to identify infected individuals within a population. Frequently, it may be difficult, or technically impossible, to quantify infectious particles in the blood, as is the case for hepatitis B virus. In these situations, the presence of characteristic viral proteins, such as the reverse transcriptase for human immunodeficiency virus type 1, and the presence of the viral genome provide surrogate markers for viremia.

However, the presence of infectious virus particles in the blood also presents practical problems. Infections can be spread inadvertently in the population when pooled blood from thousands of individuals is used for therapeutic purposes (transfusions) or as a source of therapeutic proteins (gamma globulin or blood-clotting factors). We have learned from unfortunate experience that bloodborne viruses, such as hepatitis viruses and human immunodeficiency virus type 1, can be spread by contaminated blood and blood products. The World Health Organization estimates that, as of 2000, inadequate blood screening resulted in 1 million new human immunodeficiency virus type 1 infections worldwide . Careful screening for these viruses in blood supplies before transfusion into patients is now standard procedure. However, sensitive detection methods and stringent purification protocols are useful only when we know what we are looking for; as-yet-undiscovered viruses may still be transmitted through the blood supply (Box 2.9).

.....

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