Backlec 12:Viral Molecular Biology: Structure, Replication, Entry, and Pathogenesis
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Viral Structure and Classification
Capsid and Nucleocapsid
The capsid is a protein shell that protects the viral nucleic acid genome from enzymatic degradation. The nucleocapsid consists of the capsid together with the genome. Viruses can be classified as naked viruses (lacking an envelope) or enveloped viruses (possessing a lipid membrane derived from the host cell).
Capsid protein: Encases and protects the viral genome.
Viral receptor-binding protein: Facilitates attachment to host cells.
Genome types: Viruses may have single-stranded RNA (ssRNA), double-stranded RNA (dsRNA), or DNA genomes.

Example: HIV is an enveloped virus, while poliovirus is a naked virus.
Viral Replication Cycle
Attachment
Viruses attach to host cells via specific proteins on their surface that bind to corresponding receptor molecules on the host cell membrane. This receptor specificity determines the host range and tissue tropism of the virus.
Lock-and-key interaction: Ensures only certain cells are susceptible to infection.
Example: HIV binds to CD4 receptors on T-helper cells; rhinoviruses bind to ICAM-1 receptors on respiratory cells.

Entry (Penetration)
Viruses enter host cells through several mechanisms:
Membrane Fusion: Enveloped viruses fuse their membrane with the host cell membrane, releasing the viral core into the cytoplasm.

Endocytosis: Viruses are engulfed by the cell, forming a vesicle that transports the virus inside.

Genetic Injection: Bacteriophages inject their genetic material into bacteria, leaving the capsid outside.

Uncoating
After entry, the virus sheds its protein coat to release its genetic material. Uncoating is often triggered by the acidic environment within cellular vesicles.

Replication and Biosynthesis
Viruses hijack the host cell's machinery to produce viral proteins and replicate their genome. DNA viruses typically replicate in the nucleus, while most RNA viruses replicate in the cytoplasm.
Viral protein production: Viral genome directs synthesis of viral enzymes and structural proteins.
Genome replication: Host ribosomes and polymerases are used to make new viral genomes.

Assembly (Maturation)
New viral proteins and genomes are assembled into immature virus particles. This process may occur in the nucleus or cytoplasm, depending on the virus.

Release (Egress)
Viruses exit the host cell by two main mechanisms:
Lysis: Host cell bursts, releasing viruses and killing the cell.
Budding: Enveloped viruses acquire their membrane by budding from the host cell, allowing continued virus production.

Molecular Hurdles of the Host Cell
Barriers to Viral Infection
Eukaryotic cells present several molecular hurdles to viral infection:
Receptors and polymerases: Host cells lack viral-specific polymerases; viruses encode their own RNA-dependent RNA polymerases.
Actin remodeling: Actin cytoskeleton affects viral entry, movement, and egress.
Ribosome and mRNA compatibility: Host translation machinery is restricted to monocistronic RNAs; viruses use alternative splicing, segmented genomes, or polyproteins.
Virus–host mRNA competition: Viruses evolve mechanisms to dominate protein synthesis in the host cell.

Genetic Diversity and Mutation
Error-Prone RNA Polymerases
RNA viruses mutate rapidly because their RNA polymerases lack proofreading ability, leading to high genetic diversity and adaptability.
Mutation rate: Higher in RNA viruses than DNA viruses.
Implication: Rapid evolution and emergence of new viral strains.
Antiviral Therapies
Targets for Antiviral Drugs
Effective antiviral drugs must target essential viral processes without being toxic to the host. Common targets include viral polymerases, proteases, and entry mechanisms.
Specificity: Drugs must distinguish viral from host functions.
Example: Reverse transcriptase inhibitors for HIV.
Mechanisms of Viral Entry and Spread in the Body
Preferred Routes of Entry
Viruses enter hosts through skin or mucous membranes, including the respiratory tract, gastrointestinal tract, genital tract, conjunctiva, and placenta.
Respiratory tract: Most frequent route; viruses enter via inhaled droplets.
Gastrointestinal tract: Viruses must resist acidic conditions; entry via contaminated food or water.
Genital tract: Entry through abrasions or infection of reproductive cells.
Conjunctiva: Entry via the eye's surface tissue.
Placenta: Bloodborne viruses can cross to the fetus.

Respiratory Tract Entry
Viruses such as rhinoviruses, coronaviruses, and influenza viruses commonly enter via the respiratory tract.

Gastrointestinal Tract Entry
Viruses entering through the gastrointestinal tract must survive harsh digestive conditions. Common examples include norovirus and rotavirus.

Genital Tract Entry
Sexually transmitted viruses infect through the genital tract, often via micro-abrasions or direct infection of epithelial cells.

Conjunctiva Entry
The conjunctiva is a thin, transparent tissue covering the eye. Viruses can cause conjunctivitis and other ocular diseases.

Other Routes of Entry
Viruses may enter through skin breaches, bone marrow or organ transplants, transfusions, or iatrogenic induction.
Mechanisms of Viral Spread and Pathogenesis
Routes of Transmission
Viruses spread between hosts via respiratory droplets, gastrointestinal (fecal-oral) route, skin breaches, genital contact, and vertical transmission (mother to child).
Vertical transmission: Includes transplacental, perinatal, and postnatal routes.
Zoonosis: Transmission from animals to humans; bushmeat is a major source.
Viral Infections and Pregnancy
Viruses can cross the placenta, causing severe outcomes such as spontaneous abortion, stillbirth, neonatal death, or congenital malformations.

Spread Within the Host
Viruses may spread locally or systemically after entry:
Local spread: Virus spreads to neighboring cells via extracellular release or cell fusion.
Systemic spread: Dissemination via bloodstream (hematogenous spread) or nerves (neurotropic spread).

Virus Exit: Shedding
Shedding and Zoonosis Potential
Viruses are shed from their routes of entry or primary replication sites. Zoonotic viruses with segmented genomes are emerging pathogens (e.g., hantaviruses, arenaviruses, SARS, MERS, rabies, Ebola).
Survival of Viruses in the Environment
Factors Affecting Survival
Virus survival depends on composition, presence in human/animal wastes, temperature, humidity, and pH. Enteric viruses are more stable in water than bacteria.
Human Viruses in Water Environments
Humans are exposed to enteric viruses via contaminated shellfish, crops irrigated with wastewater, and polluted recreational/drinking water.
Groundwater Safety
Groundwater can be contaminated by viruses, as illustrated by outbreaks such as the 2007 norovirus incident in Wisconsin.

Patterns of Viral Disease
Types of Viral Infection
Viral infections can follow four patterns:
Acute infection: Rapid onset and resolution.
Acute infection followed by persistent latent infection: Virus remains dormant and can reactivate.
Chronic infection: Continuous shedding of virus.
Slow infection: Gradual progression over time.