human astro virus mustafa ppt

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    Presenter: M. S. Rahman

    Moderator: Dr. Varsha A. Singh

    Human Astro viruses

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    Acute diarrhea (AD) -Two billion cases in childrenper year worldwide

    Human astro virus (HAstV) third ,after rotavirus group A

    (RVA) and noro virus (NoV)

    Recently novel astro virus strains isolated from humans have

    een associated !ith diseases other than gastroenteritis"

    Introduction

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    #$%&- 'irst identified y Appleton, Higgins,

    adeley and osgrove

    #$*+- aul and Appleton visualied astrovirus

    using appropriate immunological reagentsight traditional serotypes have een identified

    in humans

    History

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    Under 5 years old -9.9% of the 6.9 milliondeaths (2011)

    e.ico ity- /0& diarrhoea episodes among +#1

    children (#* months old)

    2rail- 1/ cases in +331"45 - in a primary immunodeficiency unit at

    Ne!castle 6eneral Hospital

    hina- //& infants !ith diarrhoea in 7uhan 8pain- 1"$ 9 in children"

    5orea -#3,03/ stool samples ( +331 to +33*) #"* 9

    Epidemiology

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    Novosiirs:- 01 (&"* 9) ;anuary to Decemer

    +33%

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    Family- Astroviridae

    Two genera-

    1.Mamoastrovirus(MAstVs)

    2.Avastrovirus(AAstVs)

    Classification

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    { {Mamalian Ast VIncludeBovine AstVFeline AStVHumanAstV(Genotype 1-8)

    Ovine AstVMink AstVPorcine AstV

    Avian Astrovirusinclude

    Duck AstV1Turky Astv1 &2Avian Nephritis

    Virus(ANV)

    Classification based onthe host of origin

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    Single-stranded, positive-sense RNA

    NonenvelopedSize- 2830 nm in diameterShape-small, roundRough, hairy, irregular edge, smooth marginDistinctive five- or six-pointed star-like appearance(astron means star in Greek)

    Symmetry- T=3 icosahedral symmetry studded withglobular dimeric spikes

    30 vertices

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    Structure of astro virus

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    CapsidMultidomain protein

    Conserved N-terminal RegionHighly variable C-terminalRegion

    BasicDomain

    S Domain P1 Domain

    P2Domain AcidicDomain

    Viral genome and CapsidShell

    Spikes

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    Linear, Single-stranded, positive-sense RNA

    5-terminus is linked to a VPg protein-

    Acts as a primer during RNA synthesis

    -terminus has a poly!A" tract-

    Nuclear e#port, translation and sta$ility o% mRNA

    Genome Structure

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    Viral Genome

    ORF1a ORF1b ORF2

    Viral nonstructuralproteins & VPg

    RNA-dependentRNA polymerase

    Capsidprotein

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    Fecaloral route

    Person-to-person contact.

    Vomit and environmental surfaces (such ashand-mouth contact)

    Consumption of shellfish (faecally

    contaminated)

    Mode of Transmission

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    Attachment o% Virus to &nterocytes

    &ndocytosis to host cell

    'ncoating and release o% RNA into the cytoplasm

    (ranslationReplication proteins

    Replication

    dsRNA genome!&R"

    (ranscription

    mRNAs)ne* ssRNA!+" genomes

    (ranslation

    Viral replication and Pathogenesis

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    apsid protein precursor + .)/0L

    Assem$ly o% ne* virus 1nhi$its complement activation

    /aturation $y host e#tracellular proteases

    ell destruction and release o% Virus

    /aladsorption o% %luids and electrolytes

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    Winter season in temperate regions

    Rainy season in tropical regions

    Developing countries - poor sanitation

    Seasonal Variation

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    Last between 2 and 4 daysGIT-watery diarrhoea, vomiting,

    abdominal painsOthers-Headache, fever, anorexia

    Immunocompromised and elderly -significant disease

    Sign and symptoms

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    Sample: FeacesElectron microscopyEnzyme immunoassays

    Astrovirus Capsid ELISAReverse transcription-polymerase chainreaction (RT-PCR)

    Nucleic acid dot-blot hybridization testOne step test

    Lab Diagnosis

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    For the qualitative detection of Astrovirus antigens

    @he memrane pre-coated !ith monoclonal antiodies against

    Astrovirus antigens on the test line region

    sample reacts !ith the particle coated !ith anti-Astrovirus

    antiodies pre-dried on the test strip

    6enerate a coloured line

    One step test

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    Lab diagnosis

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    Humoral immune response

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    Control measures:Removal of common source of infection(e.g., ill food handler or contamination of a

    water supply)Interruption of person-to-persontransmission.

    Treatment:Patients may require fluidreplacement.

    Prevention and treatment

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    NO VACCINE

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    Thank You

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