Viral disease

Viral disease
Classification and external resources
MeSH D014777

These are tables of the clinically most important[1]viruses. A vast number of viruses cause infectious diseases, but these are the major ones[citation needed].

Structural characteristics

Basic structural characteristics, such as genome type, virion shape and replication site, generally share the same features among virus species within the same family. There are currently 21 families of viruses known to cause disease in humans.

There are five double stranded DNA families: three are non enveloped (Adenoviruses, Parvovirus and Polyomavirus) and two are enveloped (Herpesvirus and Poxvirus). All the non enveloped families have icosahedral nucleocapsids.

There is one family of partly double stranded DNA viruses: the Hepadnaviridae. These viruses are enveloped.

There is one family of single stranded DNA viruses that infect humans: the Parvoviridae. These viruses are non enveloped.

There are seven positive single stranded RNA families: three non enveloped (Astrovirus, Calicivirus and Picornavirus) and four enveloped (Coronovirus, Flavivirus, Retrovirus and Togavirus). All the non enveloped families have icosahedral nucleocapsids.

There are six negative single stranded RNA families: Arenavirus, Bunyavirus, Filovirus, Orthomyxovirus, Paramyxovirus and Rhabdovirus. All are enveloped with helical nucleocapsids.

There is one family with a double stranded RNA genome: the Reoviridae.

There are two additional viruses (Hepatitis D and Hepatitis E) which have not yet been assigned to a family but are clearly distinct from the other families infecting humans.

There is one family and one genus of viruses known to infect humans that have not been associated with disease: the family Anelloviridae and the genus Dependovirus. Both of these taxa are non enveloped single stranded DNA viruses.

Useful rules of thumb

Among the human infecting families there are a number of rules that may assist physicians and medical microbiologists/virologists.

As a rule DNA viruses replicate within the nucleus while RNA viruses replicate within the cytoplasm. Exceptions are known to this rule: poxviruses (DNA viruses) replicate within the cytoplasm and orthomyxoviruses and hepatitis D virus (RNA viruses) replicate within the nucleus.

Four families have segmented genomes: Bunyavirus, Orthomyxovirus, Arenavirus and Reovirus (acronym BOAR). All are RNA viruses.

Three families are transmitted by arthropods: Bunyavirus, Flavivirus and Togavirus. All are RNA viruses.

Only one family of enveloped viruses causes gastroenteritis (Coronaviridae). All other viruses associated with gastroenteritis are non enveloped.

Comparison table of clinically important virus families and species
Family Baltimore group Important species[1] envelopment[1] Virion shape[1] Replication site[1]
Adenoviridae dsDNA Adenovirus non-enveloped icosahedral nucleus
Herpesviridae dsDNA Herpes simplex, type 1, Herpes simplex, type 2, Varicella-zoster virus, Epstein-barr virus, Human cytomegalovirus, Human herpesvirus, type 8 enveloped complex nucleus
Papillomaviridae dsDNA Human papillomavirus non-enveloped icosahedral nucleus
Polyomaviridae dsDNA BK virus, JC virus non-enveloped icosahedral nucleus
Poxviridae dsDNA Smallpox enveloped complex cytoplasm
Hepadnaviridae dsDNA and ssDNA Hepatitis B virus enveloped icosahedral nucleus
Parvoviridae ssDNA Human bocavirus, Parvovirus B19 enveloped icosahedral nucleus
Astroviridae +ssRNA Human astrovirus non-enveloped icosahedral cytoplasm
Caliciviridae +ssRNA Norwalk virus non-enveloped icosahedral cytoplasm
Picornaviridae +ssRNA coxsackievirus, hepatitis A virus, poliovirus, rhinovirus non-enveloped icosahedral cytoplasm
Coronaviridae +ssRNA Severe acute respiratory syndrome virus enveloped helical cytoplasm
Flaviviridae +ssRNA Hepatitis C virus, yellow fever virus, dengue virus, West Nile virus enveloped icosahedral cytoplasm
Togaviridae +ssRNA Rubella virus enveloped icosahedral cytoplasm
Unassigned +ssRNA Hepatitis E virus enveloped icosahedral cytoplasm
Retroviridae +ssRNA Human immunodeficiency virus (HIV) enveloped icosahedral[2] nucleus
Orthomyxoviridae -ssRNA Influenza virus enveloped helical nucleus[3]
Arenaviridae -ssRNA Guanarito virus, Junin virus, Lassa virus, Machupo virus, Sabiá virus enveloped helical cytoplasm
Bunyaviridae -ssRNA Crimean-Congo hemorrhagic fever virus enveloped helical cytoplasm
Filoviridae -ssRNA Ebola virus, Marburg virus enveloped helical cytoplasm
Paramyxoviridae -ssRNA Measles virus, Mumps virus, Parainfluenza virus, Respiratory syncytial virus, Human metapneumovirus enveloped helical cytoplasm
Rhabdoviridae -ssRNA Rabies virus enveloped helical, bullet shaped cytoplasm
Unassigned -ssRNA Hepatitis D enveloped spherical nucleus
Reoviridae dsRNA Rotavirus non-enveloped icosahedral cytoplasm

Clinical characteristics

The clinical characteristics of viruses may differ substantially among species within the same family:

Type Family Transmission[1] Diseases[1] Treatment[1] Prevention[1] laboratory diagnosis[1]
adenovirus adenoviridae
  • droplet contact (mainly)
  • fecal-oral
  • venereal
  • direct contact (ocular infections)
None

None[4]

Coxsackievirus Picornaviridae fecal-oral, droplet contact Coxsackie infections None None Cell culture, antibody detection
Epstein-Barr virus Herpesviridae Saliva None None
Hepatitis A virus Picornaviridae fecal-oral acute hepatitis Immunoglobulin (post-exposure prophylaxis)
  • Vaccine
  • immunoglobulin (post-exposure prophylaxis)
  • avoid food-contamination
antibody detection
Hepatitis B virus Hepadnaviridae
  • All body fluids (blood, semen, saliva, mother's milk etc.)
  • vaccine
  • immunoglobulin (perinatal and post-exposure prophylaxis)
  • viral antigen detection
  • antibody detection
  • nucleic acid detection
Hepatitis C virus Flaviviridae
  • blood
  • (sexual)
None
  • antibody detection
  • nucleic acid detection
Herpes simplex virus, type 1 Herpesviridae direct contact with saliva and lesions None
Herpes simplex virus, type 2 Herpesviridae
  • sexually
  • birth
  • contact-avoidance with lesions
  • safe sex
cytomegalovirus Herpesviridae
  • tears
  • urine
  • semen
  • saliva
  • vaginal secretions
  • mother's milk
  • crosses placenta
  • blood
None antibody and nucleic acid detection
Human herpesvirus, type 8 Herpesviridae many in evaluation-stage None Nucleic acid and antibody detection
HIV Retroviridae
  • sexual
  • blood
  • mother's milk
AIDS HAART
  • nucleic acid,
  • p24
  • antibody detection
Influenza virus Orthomyxoviridae droplet contact
measles virus Paramyxoviridae droplet contact
  • measles
  • postinfectious encephalomyelitis
None MMR vaccine antibody detection
Mumps virus Paramyxoviridae droplet contact Mumps None MMR vaccine antibody detection
Human papillomavirus Papillomaviridae direct contact
  • Visual inspection
  • Antigen detection
  • Nucleic acid detection
Parainfluenza virus Paramyxoviridae droplet contact None None Antibody detection
Poliovirus Picornaviridae fecal-oral Poliomyelitis None Polio vaccine Antibody detection
Rabies virus Rhabdoviridae
  • Animal bite
  • droplet contact
Rabies Post-exposure prophylaxis Pre- and postexposure prophylaxis Histology (postmortem)
Respiratory syncytial virus Paramyxoviridae droplet contact, hand-to-mouth
  • bronchiolitis
  • pneumonia
  • influenza-like syndrome
  • severe bronchiolitis with pneumonia
(ribavirin)
  • hand-washing
  • avoidance
  • palivizumab in high risk individuals
antibody and antigen detection
Rubella virus Togaviridae droplet contact None MMR vaccine Antibody detection
Varicella-zoster virus Herpesviridae droplet contact Varicella:

Zoster:

  • Cell culture
  • antigen and nucleic acid detection

Folding@home

Folding@home is a distributed computing project which is researching how viruses pass through the cell membrane in the hopes of finding treatments which can prevent viral infection. The project is powered by volunteers who have donated spare CPU/GPU computing resources.

See also

References

  1. ^ a b c d e f g h i j Fisher, Bruce; Harvey, Richard P.; Champe, Pamela C. (2007). Lippincott's Illustrated Reviews: Microbiology (Lippincott's Illustrated Reviews Series). Hagerstown, MD: Lippincott Williams & Wilkins. ISBN 0-7817-8215-5.  Pages 354-366
  2. ^ Page 169 in: Neil Vasan; Le, Tao; Bhushan, Vikas (2010). First Aid for the USMLE Step 1, 2010 (First Aid USMLE). McGraw-Hill Medical. ISBN 0-07-163340-5. 
  3. ^ Fisher, Bruce; Harvey, Richard P.; Champe, Pamela C. (2007). Lippincott's Illustrated Reviews: Microbiology (Lippincott's Illustrated Reviews Series). Hagerstown, MD: Lippincott Williams & Wilkins. ISBN 0-7817-8215-5.  Page 315
  4. ^ Gray GC, Goswami PR, Malasig MD, et al. (2000). "Adult adenovirus infections:loss of orphaned vaccines precipitates military respiratory disease epidemics". Clin Infect Dis 31 (3): 663–70. doi:10.1086/313999. PMID 11017812. 
  5. ^ a b c d e Fisher, Bruce; Harvey, Richard P.; Champe, Pamela C. (2007). Lippincott's Illustrated Reviews: Microbiology (Lippincott's Illustrated Reviews Series). Hagerstown, MD: Lippincott Williams & Wilkins. ISBN 0-7817-8215-5.  Page 47