4. Replication:
infection:
Inside nucleus, get envelope from budding of nuclear membrane
Tegument: present between envelope and capsid, contains
regulatory proteins.
Latent infections, acute infections followed by latency, during
immunodeficiency it reactivates.
E.g, HSV-1,same as of acute but acute and latency is different in
VZ-V
5. How latency
occurs in HSV
andCMV
Shortly after HSV infects neurons, LATS (latency associated
transcripts , non-coding regulatory RNA) form, that
suppresses viral replication.
CAUSE: unknow, but fever chills, and sunlight can cause this.
6. Continued….
CMV form microRNA, they stop replication of mRNA, also they
code a protein that inhibits apoptosis of infected cells, so they
attain latency
7. Clinical
Symptoms
Vesicular Rash: formed by HSV-1,2, andVZV. Formed in both,
start and reactivation.
Primary infection is more severe, not caused by CMV and EBV
Multinucleated giant cells: formed by four HSV’s , HSV1,2, CMV,
VZV, detected byTzank smear, taken by genital vesicle.
https://universe84a.com/collection/tzanck-smear-test-postive/
8. Types of HSV
3 types of HSV exist
1. Alpha herpes (HSV 1,VZV)
2. Beta Herpes( CMV’s , human HV6)
3. Gamma herpes ( EBV, human HV8)
VZV EBV
9. Alpha herpes
beta herpes
gamma herpes
Infects epithelial cells and neurons
Infect and attain latency in tissues
Infect and attain latency in lymphoid
cells
Some herpes viruses
may also cause cancer
10. Epstein-barr
virus
Cause Burkitt’s lymphoma
Nasopharyngeal carcinoma
Can also cause cancer in animals
Symptoms and transmission:
Sexual transmission (HSV2 ), saliva (HSV 1), fever, rash (starting
from trunk towards head) in series o f conversions of papules to
vesicles to pustules to crusts
They are mild in children and severe in adult.
11. VZV
Causes shingles, vesicles along sensory nerve
pain during and after vesicles
Post therapeutic neuralgia
Use vaccine for prevention
No vaccine for HSV
12. CMV
Genital/congenital abnormalities
Pneumonia, is common in children
Cause: seizures, microcephaly, jaundice,
Treatment: ganciclovir, no vaccine, shedding in urine.