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Influenza Michelle Lin Classic Flu Symptoms Infection Incubation (1-2 days) Symptoms (1-2 weeks) Betts, Robert, Stanley Chapman, and Robert Penn. A Practical Approach to Infectious Diseases. 5. Philadelphia: Lippincott Williams and Wilkins, 2003. 278-287. Print. Image: http://www.answers.com/topic/influenza Who is at Risk? Image: http://www.asklubo.com/en/health/what-to-do-if-i-have-a-terrible-cold-while-being-pregnant Image: http://oursicksociety.blogspot.com/2011/05/caring-for-elderly.html Image: http://breastfriendscafe.co.uk/2011/01/getting-baby-diagnosed-with-reflux/ Image: http://lightitupecig.com/aboutus.aspx Van-Tam, Jonathon, and Chloe Sellwood. Introduction to Pandemic Influenza. Oxfordshire, UK: CABI, 2010. 3-12. Print. Modes of Flu Transmission 3 Basic Modes: • Direct • Airborne • Indirect Van-Tam, Jonathon, and Chloe Sellwood. Introduction to Pandemic Influenza. Oxfordshire, UK: CABI, 2010. 3-12. Print. Image: http://www.medicinenet.com/influenza/article.htm The Taxonomy of Influenza Virus • Orthomyxoviridae family • Genera (Types) – A, B, C – Antigenic differences Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 29-38. Print Image: http://www.aht.org.uk/cms-display/science_eqflu.html Structure of Influenza Virus • • • • Spherical Enveloped Matrix protein Membrane proteins • Nucleocapsid • 8 -ssRNAs Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 29-38. Print Image: http://micro.magnet.fsu.edu/cells/viruses/influenzavirus.html The viral genome is composed of segmented negative-sense RNA Influenza A virus RNA segments and the proteins they encode RNA segment (no. of nucleotides) Gene product (no. of amino acids) Molecules per virion 1 (2341) Polymerase PB2 (759) 30–60 2 (2341) Polymerase PB1 (757) 30–60 3 (2233) Polymerase PA (716) 30–60 4 (1778) Haemagglutinin (566) 500 5 (1565) Nucleoprotein (498) 1000 6 (1413) Neuraminidase (454) 100 7 (1027) Matrix protein M1 (252) 3000 Matrix protein M2 (97) 20–60 8 (890) Non-structural proteins •NS1 (230) – •NS2 (121) 130–200 Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 29-38. Print Image: http://www.annualreviews.org/doi/full/10.1146/annurev.micro.62.081307.162746 Image: http://www.rapidreferenceinfluenza.com/chapter/B978-0-7234-3433-7.50009-8/aim/influenza-virus-structure RNA-dependent RNA Polymerase synthesizes RNA from RNA 3’ 5’ 3’ 5’ 5’ 3’ 3’ 5’ Li, Mei-Ling, Bertha Ramirez, and Robert Krug. "RNA-dependent activation of primer RNA production by influenza virus polymerase: different regions of the same protein subunit constitute the two required RNA-binding sites." EMBO Journal. 17 (1988): 5844-5852. Web. 6 Mar. 2012. <http://www.nature.com/emboj/journal/v17/n19/full/7591278a.html>. Kawaoka, Yoshihiro. Influenza Virology: Current Topics. Norfolk: Caister Academic Press, 2006. 1-24. Print. Image: http://www.pnas.org/content/107/25/11153/F1.expansion.html Hemagglutinin (HA) assists in viral entry Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 29-38. Print "Molecule of the Month: Hemagglutinin." RCSB PDB Molecule of the Month. 2012: n. page. Web. 6 Mar. 2012. <http://www.rcsb.org/pdb education_discussion/molecule_of_the_month/download/Hemagglutinin.pdf>. Image: http://www.rapidreferenceinfluenza.com/chapter/B978-0-7234-3433-7.50009-8/aim/influenza-virus-structure Image: http://home.cc.umanitoba.ca/~hultin/chem2220/Support/CoolStuff/Influenza/Neuraminidase.htm M2 is a membrane ion channel protein M2 Membrane Channel Image: http://wenliang.myweb.uga.edu/mystudy/virology/ScienceOfVirology/Entry(penetration).html Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 29-38. Print Neuraminidase (NA) assists in viral exit Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 29-38. Print Image: http://www.virology.ws/2009/05/04/influenza-virus-attachment-to-cells/ Image: http://www.interactions.org/sgtw/2006/0510/avianflu_more.html Life Cycle of Influenza Virus Image: http://www.ch.ic.ac.uk/local/projects/sanderson/immunology.htm Van-Tam, Jonathon, and Chloe Sellwood. Introduction to Pandemic Influenza. Oxfordshire, UK: CABI, 2010. 18-21. Print Anti-Influenza Drugs Block a Step in the Replication Cycle Betts, Robert, Stanley Chapman, and Robert Penn. A Practical Approach to Infectious Diseases. 5. Philadelphia: Lippincott Williams and Wilkins, 2003. 278-287. Print. Van-Tam, Jonathon, and Chloe Sellwood. Introduction to Pandemic Influenza. Oxfordshire, UK: CABI, 2010. 23-24. Print Image: http://www.nature.com/nbt/journal/v28/n3/fig_tab/nbt0310-239_F1.html Antigenic Drift and Shift Contribute to the Genetic Variability of Influenza virus Van-Tam, Jonathon, and Chloe Sellwood. Introduction to Pandemic Influenza. Oxfordshire, UK: CABI, 2010. 23-24. Print Image: http://quizlet.com/2514798/micro-ch22c-flash-cards/ Annual Vaccines are Used to Prevent Influenza • Inactivated vs. Live-attenuated • New each season "Vaccine Selection for the 2011-2012 and 2012-2013 Influenza Seasons." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 23 Feb 2012. Web. 6 Mar 2012. <http://www.cdc.gov/flu/about/qa/vaccine-selection.htm>. Nicholson, Karl., Robert Webster, et al. Textbook of Influenza. Oxford: Blackwell Science Ltd, 1998. 3-16. Print. Image: http://topnews.us/content/226598-preparedness-flumist-program-season Image: http://www.flushots2010.net/