Viral Infections: Persistence, Latency, and Immune Evasion
1. Defective-Interfering Particles and Persistent Infections
2. Viral Nucleic Acid Sensing by Pattern Recognition Receptors (PRRs)
Two PRR Classes Sensing Viral Nucleic Acids:
- RIG-I–like Receptors (RLRs): Recognize viral double-stranded RNA (dsRNA) present in the cytoplasm.
- Toll-like Receptors (TLRs): Specifically TLR3, TLR7, and TLR9 identify dsRNA, single-stranded RNA (ssRNA), and unmethylated CpG DNA within endosomal compartments.
3. Reasons for Lifelong HIV Infection
HIV infection remains lifelong due to:
- HIV inserts its DNA into host chromosomes, creating a stable provirus.
- Ongoing viraemia persists because the virus replicates at low levels and establishes durable infection in bone marrow–derived cells.
4. Determinants of Acute, Latent, or Persistent Viral Infection
- Viral Traits: Gene activity, apoptosis inhibition, and replication capacity.
- Host Cell Traits: Cell type, immune defenses, and receptor availability.
5. Comparing EBV Episomal Latency with $\lambda$ Phage Integrated Latency
- Epstein-Barr Virus (EBV): DNA stays episomal (circular, non-integrated), maintained by the EBNA-1 protein.
- Bacteriophage $\lambda$: DNA becomes integrated into the bacterial genome via Int-driven recombination.
6. Latency and Persistence Comparison in $\lambda$ Phage, EBV, and HIV
- $\lambda$ Phage: Decides between lytic and lysogenic states depending on cII stability. Lysogeny occurs when $\lambda$ DNA inserts into the bacterial genome via Int. Reactivation happens when UV or SOS signals eliminate the cI repressor.
- EBV: Maintains latency in B cells with DNA in episomal form. EBNA-1 preserves the episome, while LMPs promote B-cell growth.
- HIV: Does not enter latency but stays persistently active since its DNA integrates permanently into host chromosomes, producing lifelong low-level viraemia.
7. Viral Cytopathology and Immune Influence on Outcomes
Viral Damage Mechanisms:
Viral damage includes blocking host transcription (rhabdoviruses), displacing host mRNA, inability to start translation, mRNA breakdown (influenza), apoptosis, and ionic disruption.
Immune System Influence:
Immune responses like interferons can suppress viral replication, resulting in persistence rather than cell death. Certain viruses (e.g., HCMV UL37x1) inhibit apoptosis to sustain long-term infection.
8. Transmission Routes and Immunity Shaping Viral Spread
- Respiratory Viruses: Spread broadly due to frequent exposure; innate defenses include mucosal barriers.
- Fecal–Oral Viruses: Must resist stomach acid (e.g., rotavirus).
- Vector-Borne Viruses: Bypass defenses by entering through insect bites.
- Sexual and Vertical Transmission: Involve mucosal or blood contact.
Epidemiology is influenced by $\text{MID}_{50}$ and $\text{R}_0$, which determine viral contagiousness.
9. Viral Oncogenesis Mechanisms and Host Factors
Viral Interference with Cell-Cycle Regulation:
Oncogenic viruses interfere with cell-cycle regulation:
- HPV E6/E7, SV40 large T, adenovirus E1A disable Rb or p53.
- Viral DNA may integrate or persist during latency.
Host influences—age, genetics, diet, and carcinogen exposure—also play roles. Most viruses avoid killing the host cell, enabling survival and accumulation of mutations.
