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Chapter 10 VIRUSES Scientists Grow Human Muscle That Contracts Like The Real Thing In what's being hailed as a medical first, researchers at Duke University announced this week that they had bioengineered human skeletal muscle tissue capable of contracting like the real thing. The scientists said the lab-grown tissue could become a powerful new tool for studying diseases like muscular dystrophy. In addition, it could facilitate the development of specialized drugs to treat these diseases--and eliminate the need to test the drugs on humans, which can be risky. “One of our goals is to use this method to provide personalized medicine to patients,” Dr. Nenad Bursac, a professor of biomedical engineering at the university and one of the researchers, said in a written statement. “We can take a biopsy from each patient, grow many new muscles to use as test samples and experiment to see which drugs would work best for each person.” Other scientists praised the research. "This breakthrough allows one to rapidly screen a large number of drugs on normal and diseased human muscle cells, facilitating development of therapies for neuromuscular diseases," To create the lab-grown muscle, Bursac and his colleagues extracted muscle "precursor" cells from human tissue and then multiplied the cells 1,000-fold in a dish full of nutrients. Then they mixed the cells with a nourishing gel and placed them into a 3D mold, which encouraged the cells to line up and fuse into muscle fibers. The moment of truth came when researchers watched as they stimulated the fibers with electrical impulses and a range of drugs, including cholesterol-lowering statins and the performance-enhancing drug clenbuterol. Sure enough, the researchers said, the muscle reacted to these stimuli just like native human tissue. Next, the researchers hope to create artificial muscle tissue from stem cells taken from skin or blood samples. That would eliminate the need to collect the cells via biopsy, which can be tricky with patients suffering from certain diseases. HIV cure 'likely lies in targeting dormant virus reserves‘ HIV inserts itself directly into the DNA of our immune cells. AIDS develops when the virus hijacks cell machinery and replicates itself, gradually weakening our immunity. Anti-HIV therapy interrupts the hijacking but does not touch intact virus that remains dormant. Now, a new study shows how lurking pools of dormant HIV may hold the secret to curing the disease. In the case of HIV, it inserts itself into the DNA of a type of white blood cell called CD4 T lymphocytes. These cells are involved in triggering immune responses. When HIV inserts itself into the DNA of CD4 T cells, one of two things can happen. Either it becomes active and hijacks the cell to make copies of itself that then invade and take over other cells (and this eventually kills the host cell); or it lies dormant, the only sign of its presence being a tiny fragment of foreign DNA in the cell's genome. As anti-HIV drugs only target the active infection - when the virus is taking over cell machinery and making copies of itself - the dormant virus lies untouched and continues lurking in the dormant pool, ready to wake up at any time. First author Lillian Cohn, a graduate student in the Molecular Immunology Lab at the Rockefeller University, says: "If a patient stops taking antiretrovirals, the infection rebounds. It is truly amazing that the virus can give rise to AIDS 20 years after the initial infection."Tests showed HIV in expanded clones could not hijack cells and replicate Altogether, the team tested 75 viral sequences they found in the expanded clones to see if they had the potential to go on to the hijacking stage and produce more virus. None could, so they concluded it was highly unlikely that viable dormant virus was lurking in cloned cells. Meanwhile, in December 2014, Medical News Today learned of a study that found as HIV evolves to become resistant to the host's natural immunity, this adaptation may also slow its ability to cause AIDS. What are Viruses? • Obligate intracellular parasites • Viral components – Nucleic acids – Capsid – Envelope Flu Attack How A Virus Invades Your Body http://www.youtube.com/watch?v=Rpj0emEGShQ&feature=related Components of Viruses What are Viruses? • Obligate intracellular parasites Enveloped icosahedral virus • Viral components – Nucleic acids – Capsid – Envelope H and N of influenza, (such as, H5N1) Fig. 10.1 The components of an animal virus (a herpesvirus) Virus Classification • 108 families so far – Pathogens for all life forms • Classification based upon – – – – – Nucleic acid type Single strand vs. double strand chromosome + versus – single strand Enveloped versus “naked“ RNA genomes occur only in viruses Envelopes-enveloped viruses have a typical bilayer membrane outside of their capsids. The proteins of the membrane are typically derived from viral genes information whereas, the lipid is synthesized by the cellular machinery (i.e., there are no viral genes that code for the lipid moiety of the viral envelope). Envelopes often have glycoprotein projections termed spikes that are very important for attachment of the virus to a host cell receptor. Enveloped viruses are relatively sensitive to environmental insults such as drying, pH, freezing and thawing and many types of disinfectant , and are easily damaged whereas, non-enveloped viruses or naked viruses are often quite resistant to these insults. Hence, enveloped viruses are rarely spread via fomite (inanimate object) Fortunately HIV is an enveloped virus-Fortunate because that assures that it cannot survive very well outside the body. http://www.youtube.com/watch?v=NKoZfHLQu5M Herpes simplex virus envelopment and release http://www.youtube.com/watch?v=bgj1YpevA6A&feature=related Host range and specificity of viruses.-The host range of a virus refers to the spectrum of hosts that a virus can infect. Most viruses are limited to only one host and to only specific cells and/or tissues of that host. –(e.g., Polio)- exceptions, e.g, rabiesvirus Viral specificity is determined mainly by whether or not a virus can attach to a cell. Attachment depends on the presence of specific receptor sites on the surfaces of host cells and on specific attachment structures on viral capsids (polio) or envelopes (H1N1; HIV)-flu, immunodefeciency virus. Specificity also depends on whether the host can supply the appropriate enzymes and other proteins the virus needs to replicate Additionally, virus specificity, refers to the specific kinds of cells a virus can infect, e.g, papillomaviruses, which cause warts, can only infect skin cells. Hepatoma virus, rabies virus, liver and nerve cells respectively. In contrast, cytomegalovirus (CMV) can cross placenta salivary glands, GI tract, liver, lungs and other organisms. CMV is an important virus that attacks the fetus. Classification of Viruses. Currently the International Committee on Taxonomy of Viruses (ICTV) requires that the English common name, rather than a Latinized binomial term, be used to designate a viral species. For example, for rabies virus and HIV would be: family: rabies virus= Family: Rhabdoviridae; genus: Lyssavirus ; species: rabies virus HIV=Family: Retroviridae, genus: Lentivirus; species: human immunodeficiency virus (HIV). Scientists seek to weaponize new family of bacteria to fight malaria By genetically modifying bacteria that they found to be uniquely associated with disease-carrying mosquitoes, scientists hope to create a new weapon to prevent transmission of malaria. The team isolated the bacterial strains from larvae of the mosquito Anopheles arabiensis, one of the most important spreaders of malaria in sub-Saharan Africa and surrounding areas. Thorsellia bacteria seem to be uniquely associated with diseasecarrying mosquitoes When we discovered the first species of Thorsellia in a Kenyan malaria mosquito and decided to name the unique bacterium after Thorsell, we did not know that it would prove to be so common in mosquitoes." Since first discovering Thorsellia bacteria in Kenyan malaria mosquitoes, the scientists have also isolated strains from mosquitoes spreading malaria in Africa, Brazil, India and Iran, and in mosquitoes spreading West Nile virus in the US. It is unusual to find a new family of bacteria in this part of the family tree - it has only happened once before in the last 50 years. "We are looking for bacteria that live in the mosquito gut and which grow quickly when the mosquito has taken a blood meal. The idea is to genetically modify these bacteria to produce substances that stop malaria parasite development." Scientists seek to weaponize new family of bacteria to fight malaria By genetically modifying bacteria that they found to be uniquely associated with disease-carrying mosquitoes, scientists hope to create a new weapon to prevent transmission of malaria. The team isolated the bacterial strains from larvae of the mosquito Anopheles arabiensis, one of the most important spreaders of malaria in sub-Saharan Africa and surrounding areas. Thorsellia bacteria seem to be uniquely associated with diseasecarrying mosquitoes When we discovered the first species of Thorsellia in a Kenyan malaria mosquito and decided to name the unique bacterium after Thorsell, we did not know that it would prove to be so common in mosquitoes." Since first discovering Thorsellia bacteria in Kenyan malaria mosquitoes, the scientists have also isolated strains from mosquitoes spreading malaria in Africa, Brazil, India and Iran, and in mosquitoes spreading West Nile virus in the US. It is unusual to find a new family of bacteria in this part of the family tree - it has only happened once before in the last 50 years. "We are looking for bacteria that live in the mosquito gut and which grow quickly when the mosquito has taken a blood meal. The idea is to genetically modify these bacteria to produce substances that stop malaria parasite development." Emerging Viruses Emerging Viruses- viruses that were previously endemic (low levels of infection in localized areas) or had “crossed species barriers”. 1. Polio virus- stable + stranded RNA virus-endemic with isolated cases. Growth of cities, crowding, pressure on the sanitary systems became a major health problem until vaccines were discovered. The outbreaks in the US were largely due to the superb sanitation system we developed. 2. HIV- likely came from crossover of SIV (simian immunodeficiency virus). 3. Hanta virus. Emerging problem in the southwest USA. ?----rodents---increased rodent population---feces--infection of humans 4. SARS (severe acute respiratory syndrome)- Coronavirus-that can cause severe upper respiratory disease and has a mortality rate of about 10% 5. Bird flu. H5N1- currently a major potential health problem 6. West Nile virus- It mainly infects birds, but is known to infect humans, horses, dogs, cats, bats, chipmunks, skunks, squirrels, and domestic rabbits. The main route of human infection is through the bite of an infected mosquito. 7. Might add Ebolavirus Based on recent history it is quite likely that the next emerging disease will be a virus. Let us examine the strategy of replication of RNA viruses Strategy of positive stranded RNA virus replication- both retrovirus and non-retrovirus Fig. 10.13 Replication of RNA viruses What is the strategy of a negative single stranded virus? negative How a negative stranded virus (rhabdovirus) replicates Viral Replication General characteristics of replication 1. Adsorption 2. Penetration 3. Synthesis 4. Maturation 5. Release Replication of bacteriophages d’Herelle and Twort given credit for identifying and naming bacteriophage (eaters of bacteria) Properties of bacteriophages 1. Either double-stranded or single-stranded RNA or DNA 2. Can be relatively simple or complex in structure 3. Can be used in antibacterial therapy because they are quite specific and can work against antibiotic resistant bacteria. Phage resistance can readily be overcome by selection. Russians routinely use phage therapy with very good results. Bacteriophage Therapy – from Biotech Journal Bacteriophage therapy has many advantages over antibiotics. Bacteriophages are highly specific, where as antibiotics kill all bacteria without specificity, beneficial bacteria (e.g. in the intestinal tract) that perform crucial functions for the human body are also affected by antibiotics and harmful pathogens can then grow more easily. Secondary infections like the Pseudomonas species or Clostridium dificile develop in this way and cause severe diarrhea and colon infections. Bacteriophages can specifically target the harmful bacterium, eliminate it, and leave the beneficial bacteria intact. Bacteriophages cannot cause disease to humans, animals, or plants; they can only cause harm to bacteria. Furthermore, for almost all known bacterial species there exists one or more bacteriophages specific to that species. The bacteriophage therapy is currently being used to treat post-burn bacterial infections, which are a major problem for those recovering from the trauma of third-degree burns. Within 24 hours, burn patients can start suffering from opportunistic bacterial attacks. As an alternative to treating post-burn bacterial infections by antibiotics, bacteriophages have been in use in certain parts of the world, such as at Tbilisi in Georgia and in Poland, and this approach has now been more widely recognized. Results have shown that bacteriophage therapy has an 80% success rate against Enterococcus infections and up to 90% against Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli and Klebsiella pneumoniae. Pseudomonas aeruginosa is the most common post-burn infection, and it is known to be notoriously resistant to a variety of antibiotics. For the most effective treatment of post-burn infections, a cocktail of bacteriophages is sprayed at the site of burns, this will reduce the chance of the bacteria developing resistance against the different bacteriophages. Bacteriophage solutions or aerosols can also be used to treat the surfaces and instruments in operating rooms as well as the skin of the surgical patient (prior to surgery). The above use not withstanding problems exist with the use of phage: 1. resistance 2. immunological response Fig. 10.8 Escherichia coli attacked by bacteriophage capsid with nucleic acid inside Tail sheath ATP-mediated contraction Fig. 10.10 Bacteriophages Start http://www.youtube.com/watch?v=OxvqhneAX40 &feature=related Fig. 10.11 Replication of a virulent bacteriophage Bacteria exchange food via nanotubes A new study shows that some bacteria can form nanotubes between single cells that allow the cells to exchange essential nutrients or metabolites with each other. Now, writing in the journal Nature Communications, a team of scientists from several German research centers - including the Max Planck Institute for Chemical Ecology in Jena - reveals that bacteria exchange nutrients directly with each other through nanotubes strung between single cells. Their study investigates two species of bacteria: the gut microbe Escherichia coli, and the soil bacterium Acinetobacter baylyi. The scientists found that when cultured together, the bacteria were able to cross-feed each other - supplying to the other the amino acids that the other could not produce for itself. Then, they grew the two species of bacteria very close together but separated them with a filter so amino acids could not pass between them via the culture medium and there was no direct contact between the cells of the two species. In the second experiment, the bacteria died. The team concludes it showed that direct contact between cells is necessary for nutrient exchange and for both strains to thrive. When they looked at the culture containing the two species mixed together under an electron microscope, the researchers saw tiny filamentous nanotubes connecting individual cells. These were enabling the cells to exchange metabolites with each other. When the missing amino acid was introduced to the culture, the bacteria did not form nanotubes, suggesting that they only do so when they are "hungry" for the required nutrient, explains Kost. FOLLOWING SLIDE SHOWS THE NANOTUBES IN E. COLI Replication of a virulent DNA bacteriophage 1. Adsorption- specific proteins in the phage tail fibers bind to specific receptor sites on the host cells. The fibers bend and allow the pins to touch the cell surface. 2. Penetration- The enzyme lysozyme (characterized by Sir Alexander Fleming), weakens the bacterial cell wall. And allows the viral DNA to be “injected” into the cytoplasms (either directly or into the periplasmic space and then into the cytoplasm). 3. Synthesis- once the phage DNA enters the cell the phage genes take control of the host cell’s metabolic machinery. Phage DNA is transcribed to mRNA, using the host cell’s machinery. The mRNA translated on host ribosomes, then directs the synthesis of capsid proteins and viral enzymes such as DNA polymerase that replicates the phage DNA. 4. Maturation - the parts of the phage are put together in a certain order but essentially it is a rapid process of assembly 5. Release- the enzyme lysozyme, which is coded for by a phage gene, breaks down the cell wall allowing viruses to escape. In the process The time from adsorption to release is called the burst time; it varies from 20 to 40 minutes depending on the phage. The number of new virions released from each bacterial host represents the viral yield, or burst size. Phage growth and the estimation of phage numbers The eclipse period represents the time after penetration through the biosynthesis of mature phages. The latent period represents the time after penetration through the release of mature phages. The number of viruses per infected cell is the viral yield or burst size. Fig. 10.12 Growth curve for a bacteriophage The number of bacteriophages in a sample is assayed by spreading the sample out over a lawn of solid bacterial growth. When the phages replicate and destroy the bacterial cells, they leave a clear spot, called a plaque, in the lawn. The number of plaques corresponds roughly to the number of phages that were initially present in the sample. Fig. 10.13 Plaque assay http://www.youtube.com/watch?v=_J9-xKitsd0&NR=1 lysogeny is very important for toxin production since in many instances the phage carries the toxin gene Fig. 10.15 Replication of a temperate bacteriophage Replication of a temperate (lysogenic) bacteriophage Insertion of a lambda phage into a bacterium alters the genetic characteristics of the bacterium. Two genes present in the prophage produce proteins that repress virus replication. The prophage also contains another gene that provides “immunity to infection by another phage. This process called lysogenic conversion, prevents the adsorption or biosynthesis of phages of the types whose DNA is already carried by the lysogen and Lysogenic conversion can be of medical significance because the toxic effects of some bacterial infections are caused by the prophages they contain, e.g., Corynebacterium diphtheriae and Clostridium botulinum which contain prophage that code for their respective toxins. Replication of Animal Viruses DNA Animal Viruses Stages of animal virus infection with a DNA virus Adsorption penetration Synthesis Maturation Release • Chromosome replication in host cell nucleus • Cytoplasmic ribosomes for viral mRNA translation • Viral proteins must return to nucleus for maturation phase • Early vs. late transcription How do viruses avoid digestion by lysosomes? • Use RNAdependent RNA polymerase • Cytoplasmic chromosomal replication and protein synthesis • + strands always needed for mRNA Synthesis. In picronavirus the (+) strand acts as mRNA. HIV budding from T-4 lymphocyte Fig. 10.17a Replication of RNA viruses-Polio • Use RNAdependent DNA polymerase (Reverse transcriptase) • + strand chromosome acts as template for ds DNA provirus • Later transcription of provirus allows for virus production Synthesis. In the retroviruses, such as HIV, the two copies of (P) sense RNA do not act as mRNA but rather they are transcribed into ssDNA with the help of reverse transcriptase. HIV budding from T-4 lymphocyte Fig. 10.17b Replication of RNA viruses-HIV Adsorption Figure 10.16 Viral recognition of an animal host cell a) Rhinoviruses have “canyons,: or depressions in the capsid that attach to specific membrane proteins on the host cell membrane b) HIV has specific envelope spikes (viral glycoproteins) that attach to a membrane protein receptor on the surface of specific host immune defense cells. http://student.ccbcmd.edu/courses/bio141/lecguide/unit3/viruses/adsorp_ev_fl.html Rhinovirus (non-envelope) type attachment HIV (envelope) type attachment Fig. 10.18 Viral recognition of an animal host cell From a practical standpoint 100 different cold viruses suggests 100 different serotypes which in turn suggest 100 different capsid proteins. Structure of the human rhinovirus capsid is seen in this image released to Reuters on February 12, 2009. Researchers who mapped the DNA of more than 100 different cold viruses have discovered one explanation for why they can inflict misery so quickly, and believe they may find ways to design drugs to fight them. A key finding is that rhinoviruses can swap genetic material. That means two cold strains infecting the same person may recombine to form a new strain with new properties, complicating the quest for a medicine or vaccine that would remain effective. The U.S. cost of hospitalizations, doctors visits, loss of work productivity, skipped school days and over-the- counter "remedies" is estimated at $60 billion. New HIV drug growing problem of resistance to older HIV drugs. FDA approved A new type of HIV drug, designed for people who are resistant to other treatments, has been approved by the US authorities. Roche, the makers of Fuzeon are confident it will also win European approval within weeks. Fuzeon is the first of a new class of drugs known as fusion inhibitors. It is designed to combat the growing problem of resistance to older HIV drugs. Unlike existing drugs that work inside the cell, Fuzeon blocks HIV from entering healthy human immune cells. "It highlights that whilst there is still no cure for HIV, medical and scientific research is still offering longer and healthier lives for those fortunate enough to have access to them. Maturation- The cellular site of maturation (or assembly) of viruses depends on the virus type. Human adenovirus nucleocapsids are assembled in the cell nucleus, Whereas viruses such as HIV are assembled at the inner surface of the host’s cell plasma membrane as are many of the enveloped RNA viruses. Other enveloped viruses bud through host nuclear (herpes simplex) endoplasmic reticulum, golgi or plasma membrane. envelope nucleocapsid http://www.youtube.com/watch?v=bgj1YpevA6A Budding Release- The budding of new virions through a membrane may or may not kill the host cell. Many viruses kill host cells (such as, polioviruses, rabies, measles, chickenpox, HIV) Other viruses do not (most retroviruses, except HIV, do not kill the infected cells, adenoviruses do not kill the host cell). Death Toll From C. Difficile Is Raised The deadly bacterial infection Clostridium difficile is estimated to have afflicted almost half a million Americans and caused 29,000 deaths in 2011, according to a study by the Centers for Disease Control and Prevention published Wednesday in The New England Journal of Medicine. The estimate is drawn from laboratory testing and reporting in 10 states and is larger than previous figures based on narrower data sources. C. difficile causes severe diarrhea and colon damage and is linked to overuse of antibiotics. The study estimated that 24 percent of cases occurred in hospitals and 40 percent began in nursing homes or community health care settings. CDC innvestigates deadly bacteria’s link to doctors’ offices The Centers for Disease Control is raising a red flag that a potentially deadly bacteria may be lurking in your doctor's office. The bacteria, C. difficile, is typically found in hospitals, but a study out Wednesday reports a substantial number of people contracted the bug who hadn't been in a hospital, but had recently visited the doctor or dentist. The bacteria can cause deadly diarrhea, according to the CDC, with infections on the rise. The new report shows nearly half a million Americans infected in various locations in one year, with 15,000 deaths directly attributed to C. diff. In a 2013 study, researchers found C. diff present in six out of seven outpatient clinics tested in Ohio, including on patients' chairs and examining tables. The CDC is so concerned that they're starting a new study to try to assess nationally whether people are getting C. diff in doctors' offices. In the meantime, patients should wash their hands after visiting the doctor's office -- with soap and water, because alcohol-based gels don't get rid of C.diff. The CDC study, published Wednesday in The New England Journal of Medicine, said 150,000 people who had not been in the hospital came down with C. diff in 2011. Of those, 82% had visited a doctor's or dentist's office in the 12 weeks before their diagnosis. The CDC is hoping its new study will help determine cause and effect, because it's possible the patients had C. diff to begin with and went to the doctor to get help. It's also possible that antibiotics prescribed during the doctor's visit, and not microbes at the doctor's office, caused the infection. Latent Viral Infections i) cold sores or fever blisters due to herpes simplex virus ii) chicken pox/zoster Lysogenic phage was an early model for latency Viruses and Teratogenesis Teratogenesis is the induction of defects during embryonic development. A teratogen is a drug or other agent that induces such defects. Certain viruses are known to act as teratogens and can be transmitted across the placenta and infect the fetus. The earlier in pregnancy the embryo is infected, the more extensive the damage is likely to be. Three human virusescytomegalovirus (CMV), herpes simplex virus (HSV) types 1 and 2 and rubella- account for a large number of teratogenic effects. CMV infections are found in about 1% of live births(approximatly 4 million babies are born in the US each year); of those, about 1 in 10 eventually die from the CMV infection with most defects being neurological in nature. HSV infections are usually acquired at or shortly after birth. Rubella virus infections in the mother during the first 4 months of pregnancy are most likely to result in fetal defects referred to as rubella syndrome and include: deafness, damage to there sense organs, heart and other circulatory defects, and mental retardation. Viruslike Agents: Viroids. 1. Each viroids consists of a single circular RNA molecule of low molecular weight 2. Viroids exist inside cells as particles of RNA without capsids or envelopes 3. Viroid RNA does not produce proteins 4. RNA is always copied in the cell nucleus 5. Viroid particles are not apparent in infected tissues without the use of special techniques to identify nucleotide sequences. Viroids are plant pathogens that consist of a short stretch (a few hundred nucleobases) of highly complementary, circular, single-stranded RNA without the protein coat that is typical for viruses. Viroids are usually transmitted by seed or pollen. Infected plants can show distorted growth. The first viroid to be identified was the Potato spindle tuber viroid (PSTVd). Some 33 species have been identified. Prions- cause slow but progressive dementing illness in humans[ Creutzfeldt-Jakob disease (human form of mad cow disease) Kuru (Blumberg and Gajdusek-Nobel Prize) scrapie in sheep bovine spongiform encepholophaty (BSE) also known as Mad Cow disease Stanley Prusiner proposed that the infectious agent of prion diseases is a small proteinaceous infectious particle which he termed a prion. In 1997 he received a Nobel Prize for his efforts. The U.S. healthcare system: worst in the developed world Prions have the following characteristics: 1. Resistant to inactivation by heating to 90C which will inactivate essentially all known viruses 2. Infection not sensitive to irradiation 3. Not destroyed by enzymes that digest DNA or RNA 4. Sensitive to protein denaturing agents Helix and b-sheet Helical structure harmless form harmful form Antibodies can recognize the difference between harmless and harmful form as well as between random CJD prion and mad cow prion. Figure 10.24 Protein structure model of the two forms of the prion protein (PRP Viruses and Cancer Cancer is an uncontrolled, invasive growth of abnormal cells. Local accumulation of cells is known as a tumor and a neoplasm can be benign (wart-papillomavirus) or malignant when the cells invade and interfere with the functioning of surrounding normal tissues. Malignant tumors and their cells can metastasize, or spread, to other tissues in the body. F. Peyton Rous discovered that a virus could cause sarcomas (connective tissue cancers) cancer in animals. The virus was name the Rous Sarcoma virus (RSV). Human cancer viruses Epstein-Barr virus (EBV) also called human herpesvirus 4 (HHV-4), is best known as the cause of infectious mononucleosis but is also a predisposing factor for Burkitts lymphoma a malignant tumor that causes swelling and eventual destruction of the jaw. Several human papillomaviruses have been shown to have a strong correlation with some human cancers (genital warts in particular). A vaccine against papillomavirus (Gardasil) is currently in use. Genital Herpes simplex virus has also been positively correlated with cervical cancer- although this result is somewhat controversial. How Cancer Viruses Cause Cancer In the case of DNA tumor viruses, which can exist as proviruses, the major cytopathic effect CPE is the uncontrollable division of the infected cells know as neoplastic transformation. Example: SV40 virus T antigen. SV40 is believed to suppress the transcriptional properties of the tumor-suppressing p53 in humans through the SV40 Large T antigen and SV40 small T antigen. p53 is responsible for initiating regulated cell death (“apoptosis"), or cell cycle arrest when a cell is damaged. A mutated p53 gene may contribute to uncontrolled cellular proliferation, leading to a tumor. Many of the RNA tumor viruses, which are almost all retroviruses, contain shortened versions of cellular growth genes. The ability of these RNA tumor viruses to replicate is dependent upon cellular proliferation. Hence, tumor production. This slide shows the way a normal cell sends a growth signal. The arrows point to genes shown to be carried by some tumor viruses. They are termed "protooncogenes". The viral"oncogenes" (oncogne=cancer causing) are shortened versions of the protooncogenes and they lack "on/off" (typically associated with phosphorylation/ dephosphorylation control and therefore cannot be turned off. I do not expect you to learn this slide only understand the point that viral oncogenes are often unregulated normal cellular proliferation genes (i.e., protooncogenes). Human cancer is thought to often be mediated by a double mutation (in a single cell)- 1, a growth promoting gene like src and 2, a cell cycle regulatory gene like p53. This particular tumor is caused by a papillomavirus (DNA tumor virus). Integration of the provirus causes synthesis of viral replication proteins that promote host cell divisions, leading to cancer. In the 1980s, this winner of the Nobel Prize for Medicine, Harald zur Hausen, and his co-workers discovered that specific types of human papillomaviruses (HPV) cause cervical cancer. Shortly after, scientists were able to elucidate how these pathogens cause cell transformation and promote cancer. The main culprits, as is known today, are the two viral oncogenes, E6 and E7, which switch off two key cancer brakes in infected mucosal cells. Oncogene E6 prevents cells from undergoing programmed cell death, or apoptosis, while E7 blocks a protective mechanism of cells which normally inhibits replication of the genetic material and, thus, slows down cell growth-cell cycle inhibitor. Fig. 10.22 Malignant tumor formation