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Viruses & Human Health . Viral diseases are difficult to treat because : No drug is available to kill viruses in the body 2. Some viruses are lysogenic can remain dormant for years (hide inside cells) ex. a) Herpes Simplex Virus I (HSV I) (cold sores ) b) HIV
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SBI3C Viruses & • Human Health
SBI3C Viral diseases are difficult to treat because: No drug is available to kill viruses in the body 2. Some viruses are lysogenic can remain dormant for years (hide inside cells) ex.a) Herpes Simplex Virus I (HSV I) (cold sores) b)HIV some viruses are cause cells to become cancerous (AIDS) (genitalwarts) (cervical cancer) ex.Human Papiloma Virus (HPV) 2
SBI3C Protection Against Viral Diseases • vaccines: only true protection against viral diseases • people are given a dead or weakened form • of the virus • builds up an army of WBC’s & antibodies to • kill the living virus immediately before it • can reproduce • ex. polio vaccine, • hepatitis B vaccine SBI3C 3
SBI3C Viral Uses In Medicine 1. Viral Vectors • Viruses can be used for gene therapy as “carriers” • Viral core is removed & • desired human gene is added • Virus is mixed with living • cells • Virus attaches to human host • cell & injects the human gene i.e. acts like a microscopic hypodermic needle SBI3C 4
SBI3C Worldwide HIV Distribution Note: Total exceeds 100 percent due to rounding. Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
SBI3C Structure of HIV
SBI3C • AIDS • HIV (Human Immunodeficiency Virus) • virus that causes AIDS • RNA core (retrovirus) • can only infect helper T cells (type of white blood cell) • cannot survive outside the body because • glycoprotein membrane around its capsid dries • out • can only be transmitted from 1 bodily fluid to another • ex. 1. blood to blood: needles, transfusions, • toothbrushes • 2. semen & vaginal secretions • breast milk SBI3C 8
SBI3C Transmission of AIDS (Worldwide) Blood 18,000 Semen 11,000 Vaginal Fluid 7,000 Amniotic Fluid 4,000 Saliva 1 Average number of HIV particles in 1 mL of these body fluids • HIV in Body Fluids
SBI3C Life Cycle of HIV Lysogenic Cycle HIV+ Lytic Cycle AIDS
SBI3C HIV positive: • virus is in its lysogenic cycle (dormant) • patient is not sick, but is a carrier of the virus • can infect others AIDS (Acquired Immunodeficiency Syndrome) • patient has symptoms of the disease (begins when HIV enters the lytic cycle) • WBC’s are being destroyed Early symptoms: night sweats, diarrhea, cold symptoms 11
SBI3C AIDS Associated Disease Late Symptoms • Gastrointestinal: Cause most of illness and death of late AIDS • Symptoms: • Wasting (extreme weight loss) • Abdominal pain • Infections of the mouth and esophagus • Respiratory: 70% of AIDS patients • develop serious respiratory problems • Bronchitis • Pneumonia • Tuberculosis • Lung cancer SBI3C 12
SBI3C More AIDS Associated Disease • Skin Disorders: 90% of AIDS patients develop skin or mucous membrane disorders • Herpes • Thrush • Eye Infections: 50-75% patients develop eye conditions. • Dry eye syndrome SBI3C 13
SBI3C The ultimate fate of a patient with AIDS patient dies from other infections due to a lack of immune response ex. pneumonia cancer
SBI3C Transmission of AIDS (Worldwide)
SBI3C “When you have sex with someone, you are having sex with everyone they have ever had sex with.” Former US Surgeon General C. Everett Koop
SBI3C Drug Therapy • Reverse Transcriptase Inhibitors: Competitive enzyme inhibitors. Example: AZT, ddI, ddC • Protease Inhibitors: Inhibit the viral proteases. Prevent viral maturation • Problem with individual drug treatments: Resistance • Drug Cocktails: A combination of: • One or two reverse transcriptase inhibitors • One or two protease inhibitors • Drug cocktails have been very effective in suppressing HIV replication and prolonging the life of HIV infected individuals, but are not considered to be a cure
Homework • Read ‘Sex Slaves for Science’ article • Answer questions 1 – 11
SBI3C Viral Uses In Medicine • Oncolytic viruses used in targeted cancer treatment • Choose a nonpathogenic virus that can infect human cells is chosen ex. Vaccinia(cowpox) • Allow this virus to attack human tumour cells • After reproducing, viruses released kill host cancer cell i.e. lytic cycle • New viruses infect neighbouring tumour cells • Also stimulate immune system, bringing WBC’s in to help kill cancer cells Note: cancer is caused by a mutated ‘stop’ gene results in uncontrollable cell division 20
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SBI3C AIDS History • 1950s: Blood samples from Africa have HIV antibodies • 1976: First known AIDS patient died • 1980: First human retrovirus isolated (HTLV-1) • 1981: First reports of “Acquired Immuno- deficiency Syndrome” • 1983: Virus first isolated in France (LAV) • 1984: Virus isolated in the U.S. • 1985: Development and implementation of antibody test to screen blood donors SBI3C 22
SBI3C History - continued • 1986: Consensus name Human Immunodeficiency Virus (HIV-1) Related virus (HIV-2) identified • 1992: AIDS becomes the leading cause of death among adults ages 25 - 44 in the U.S. • 1997: Mortality rates of AIDS starts to decline due to the introduction of new drug cocktails • 2005: World Health Organization (WHO) predicts up to 40 million infected individuals • More than 22 million have already died 23
SBI3C HIV Prevalence Worldwide Adults Ages 15-49 with HIV 15.01% - 34.0% 5.01% - 15.0% 1.01% - 5.0% 0.51% - 1.0% 0.0% - 0.5% Not available Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006