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CHAPTER 37 Particles containing RNA Segments from different

REOVIRUSES, ROTAVIRUSES, & CALCIVIRUSES parental strains.


- Viral Polypeptide Self-Assembly ! Inner & Outer
----------------------------------------------------------------------- Capsid Shells
-------------------------------- - Inclusion Bodies = formed in the Cytoplasm
REOVIRUSES & ROTAVIRUSES o Closely associated with Tubular Structures
----------------------------------------------------------------------- (Microtubules & Intermediate Filaments
-------------------------------- - Single-Shelled Particle Budding !
Pseudoenvelopes removed & Outer Capsids are
REOVIRUSES added (Glycosylated)
- medium-sized; triple-layered structure - Cell Lysis ! Progeny Virion release
o Double-Shelled Particle = complete
infectious form Classification & Antigenic Properties
- Stable to heat at 50C, 3-9 pH, & Lipid Solvents - 3 distinct but related types are demonstrable by
(Ether, Chloroform) Neutralization & Hemagglutination-Inhibition
- Inactivated by 95% Ethanol, Phenol, & Chlorine Tests
- Hemagglutinin for Human O or Bovine
Erythrocytes
Virion Icosahedral, 60-80 nm, Double-Capsid Shell

Composition RNA (15%), CHON (85%) Epidemiology


- inapparent infxns r/t Serum Antibodies by Early
Genome dsRNA, Linear, Segmented (10-12), 16-27 Adulthood.
kbp - Recovered more readily from Feces than Nose/
Proteins 9 Structural CHONs, Core contains several Throat
Enzymes
Pathogenesis
Envelope None (Transient Pseudoenvelope present - Pathogenic Properties determined by CHON
during Particle Morphogenesis) Species found on the Outer Capsid of the Virion.
Replication Cytoplasm; Virions not completely Uncoated
ROTAVIRUSES
Outstanding Genetic Reassortment occurs readily - major cause of Diarrheal Illness in Human Infants
Characteristics Major Cause of Infantile Diarrhea & Young Animals.
Good Models for Molecular Studies of Viral o Human Infantile Diarrhea
Pathogenesis o Nebraska Calf Diarrhea
o Epizootic Diarhea of Infant Mice
o SA11 Virus of Monkeys
Family Reoviridae
- 15 genera (4 are infectious to Humans &
Classification
Animals):
o Orthoreovirus - 5 Species (A-E) + 2 Tentative Species (F & G)
o Rotavirus = Infantile Gastroenteritis based on Antigenic Epitopes on the Internal
o Coltivirus Structure CHON VP6.
o Orbivirus o Group A, B, & C = infect Humans (Group A
- Spinareovirinae = large spikes at 12 Vertices most frequent)
o Detected via Immunofluorescence, ELISA,
(Orthoreovirus)
- Sedoreovirinae = smooth, lacks large surface & Immune Electron Microscopy (IEM)
projections (Rotavirus) - Outer Caspid CHON VP4 & (predominantly) VP7 =
epitopes in neutralizing activity.
Replication
- particles attach to Specific Receptors on Cell
Animal Susceptibility
surfaces via Viral Hemagglutinin (1 CHON) !
Penetration - isolates recovered from newborn animals with
- Uncoating in the Lysosomes @ Cytoplasm (only diarrhea.
Outer Shell is removed) ! RNA Transcriptase - Newborns = subclinical infection (reflects
Maternal Antibodies)
activation ! mRNA Transcription
o Short terminal sequences at both ends of - Weanling Animals = overt disease
RNA Segments ! recognition signals for
Propagation in Cell Culture
Viral Transcriptase
o Contains all enzymes for Transcribing, - fastidious agents to culture
Capping, & Extruding mRNAs from Core ! - Group A Human Rotaviruses = cultivated by
penetrating with Trypsin & if low levels are
mRNA Translation
o Viral Replicase ! (-)-Sense Strand included in the Tissue Culture Medium ! cleaves
outer capsid CHON ! Uncoating
synthesis ! dsRNA Genome Segments
- Genome Reassortment occurs in cells co-infected
with different virus of the same subgroup ! Virus
Pathogenesis COLTIVIRUSES
- infects cells in the S. Intestine Villi (Gastric & - 12 segments of dsRNA (29 kbp)
Colonic Mucosa spared) - Colorado Rick Fever Virus
o sloughs into the Intestinal Lumen &
release large quantities of Virus ! Stool ------------------------------------------------------------------
(1012 particles/g) -------------------------------------
o Diarrhea r/t impaired Na+ & Glucose CALCIVIRUSES
Absorption (Villi replaced by non- ------------------------------------------------------------------
absorbing Immature Crypt Cells) -------------------------------------
- multiply in Enterocyte Cytoplasm & damage
transport mechanisms Family Calciviridiae
- NSP4 = viral enterotoxin inducing secretion via - Divided into 5 Genera:
Signal Transduction o Novovirus = Norwalk Viruses
- Viral Excretion = 2-12 days o Sapovirus = Sapporo-Like Viruses
- Normal Function restoration = 3-8 weeks o Nebovirus = Bovine Enteric Viruses
o Lagovirus = Rabid Hemorrhagic Disease
Clinical Findings Virus
- Incubation Period = 1-3 Days o Vesivirus = Vesicular Exanthem Virus
- Watery Diarrhea, Fever, Abdominal Pain, Vomiting - Genogroups GI, GII, & GIV = associated with
! Dehydration Human Gastroenteritis
o Mild = 3-8 days ! complete recovery - GII.4 = caused most Viral Gastroenteritis
o Viral Excretion (Stool) = 50 days after outbreaks.
onset of Diarrhea - Cellular Receptors are Histo-Blood Group Antigens
- Prolonged disease in children with expressed on the Mucosal Epithelia of the
Immunodeficiencies Digestive Tract.
- Adults = Seroconversion, ASx; r/t contact with - Fucosyltransferase 2 Gene = controls Secretor
Pediatric Patients Status
- EIA more sensitive than IEM; PCR for Genotyping; o Secretor (-) = resistance to Norwalk Virus
ELISA
Clinical Findings & Laboratory Diagnosis
Epidemiology - Novoviruses (Norwalk Viruses) = Epidemic Viral
- predominate during Winter Season. Gastroenteritis
- Sx Infxns = Children between 6 months & 2 years o Absence of Bacterial Pathogens
c/o Fecal-Oral o Gastroenteritis with Rapid Onset &
- ASx Infxns = < 6 months (c/o Maternal Antibodies) Recovery & Relatively Mild Systemic Signs
- 3 y.o. = 90% have Serum Antibodies o Epidemiologic Pattern of Highly
- young children can suffer up to 5 reinfections by Communicable Disease spreading rapidly
2 y.o. without predilection
- IgA/INF = important in protection against infxn. o IP = 24-48 hrs; rapid onset for 12-60 hrs
(Diarrhea, Nausea, Vomiting, Low-Grade
Treatment & Control Fever, Abdominal Cramps, Headache,
- SUPPORTIVE = correct H2O & Electrolyte Loss that Malaise)
may lead to Dehydration, Acidosis, Shock, & o Cx = Dehydration
Death o Viral Shedding = 1 month
o Fluid Replacement & Electrolyte Balance - Reverse Transcriptase PCR
restoration - Electron Microscopy (Stool Samples), IEM, ELISA
- Wastewater Tx & Sanitation (>4x increase in IgG Antibody Titer)
- Oral Live Attenuated Rhesus-Based Rotavirus
Vaccine
o Withdrawn due to Intissisception (S/E) Virion Icosahedral, 27-40 nm, Cup-Like
Depressions on Capsid
- Oral Live Attenuated Pentavalent Human-Bovine
Reassortant Rotavirus Vaccine Genome ssRNA, Linear, (+)-Sense, Non-
- Oral Live Attenuated Monovalent Human Rotavirus Segmented, 7.4-8.3 kb, Contains
Vaccine Genome-Linked CHON (VPg)

ORBIVIRUSES Proteins Polypeptides cleaved from a


precursor PolyCHON
- commonly infect Insects & transmitted to
Capsid composed of a single CHON
Vertebrates.
- 100 serotypes; none causes serious Human Envelope None
Illnesses but may cause mild fever.
- Blue-Tongue Virus (Sheep), African Horse Sickness Replication Cytoplasm
Virus
Outstanding Characteristics Cause of Non-Bacterial Epidemic
- 10 segments of dsRNA (18 kbp) Gastroenteritis
- sensitive to low pH Human Viruses are Non-Cultivable
Epidemiology & Immunity
- Waterborne, Foodborne, & Shellfish-Associated
Gastroenteritis
- Seasonal Peak during cooler months
- Person-to-Person Transmission via Fomites/
Aerosolization
- Low infectious dose (10 Virus Particles)
- Survives 10 ppm Chlorine & Heating 60C
- FECAL-ORAL SPREAD
- Most children have developed Novovirus
Antibodies by 4 y.o.

Treatment & Control


- Symptomatic Treatment, Effective Hand Washing,
Proper Disposal of Stools, Containment &
Disinfection of Soiled Areas
- Careful Food Processing & Education in Food
Handling
- Purification of Drinking Water & Swimming Pool
- NO VACCINE.

-----------------------------------------------------------------------
--------------------------------
ASTROVIRUSES
-----------------------------------------------------------------------
--------------------------------

- 28-30 nm; Star-Like Morphology (EM); (+) Sense,


ssRNA (6.4-7.4 kb)
- 2 Genera; Mamastrovirus Genus = Human Virus,
8 Serotypes
- Diarrheal Illness shed in extraordinarily large
quantities in Feces.
o Fecal-Oral Route via Contaminated Food/
Water, Person-to-Person Contact,
Contaminated Surfaces
- Pathogens for Infants & Children, Elderly
Institutionalized Patients, & Immunocompromised
Persons

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