Patterns of viral infection
Transcription
Patterns of viral infection
cytocidal (lytic) infections outcome: cell death ( ytocidal) long lasting (perzistent) outcome: continuous viral presence in the infected cell; active replication or persistence of (non) integrated genome ( outcome: malignant alteration ) cell transformation ! # $ " % % & ' ) * + ( . ) ' , -." ' / " + + % V4 CD4 binding site Tk1 (CTL epitope) T1 C3 Neutralization epitope V3 NeutraliĊĦu i V5 C4 Penetration Fusion C2 C1 T2 V1 NH2 V2 Outside Inside COOH CPE V1, V2, V3, V4, V5 C1, C2, C3, C4 Hypervariable region Less variable region Conserved region Variable regions Conserved regions ! ! " " # " # 0 * (1 HIV/) & " " PATTERNS OF VIRAL INFECTIONS VIRAL PATHOGENESIS $ % " & 2 / ' " 3 "( " / ! ! ( ) ' "( "# * + , - . * ( !+$ ! ' "( "# " " /* 0 # ! 1 /% , - " 4 "2 3 " '' ' ' + "! 5 ' " - multigenic 6/% , 4% , * 7 8 - multigenic 9/% 7 $ : *0 *0 $ 0 1 /% + $ Host susceptibility - multifactorial 6/ * ' $ % " ! ! 7 VIRAL PATHOGENESIS , 45 -4 645 / VIRAL PATHOGENESIS " 0 # 7 $ ! 4 4 4 4 4 4 conjunctiva Gastrointestinal (ingestion) skin Urogenital (sexual) Respiratory (inhalation) Blood, products, transplantation Vertical Viral entry + 3 " 2 8 8 8 8 8 94 4 # 66° ) Viral entry 2 3 ( 2 8 8 8 # ! Viral entry : 2 8 8 87 # Viral entry &# 2 8 8 87 # Viral entry ; 2 8 8 87 # VIRAL PATHOGENESIS -4 & * $ " dissemination entry Primary site dissemination Secondary site shedding shedding VIRAL PATHOGENESIS 64!* : TYPES OF VIRAL INFECTION LOCAL GENERALIZED (SYSTEMIC) Local infection incub ation Symptoms at site of entry recovery Systemic infection incubation Symptoms Immune resp innate 0 2 Specific 4 6 days Immunopathogenesis 8 10 12
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