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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