Tick-borne encephalitis causes: Difference between revisions

	Tick-borne encephalitis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Tick-borne encephalitis from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
MRI
CT
Other Diagnostic Studies
Treatment
Medical Therapy
Future or Investigational New Therapies
Prevention
Case Studies
Case #1
Tick-borne encephalitis causes On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Tick-borne encephalitis causes All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Tick-borne encephalitis causes
CDC on Tick-borne encephalitis causes
Tick-borne encephalitis causes in the news
Blogs on Tick-borne encephalitis causes
Directions to Hospitals Treating Tick-borne encephalitis
Risk calculators and risk factors for Tick-borne encephalitis causes

← Older edit

VisualWikitext

Latest revision as of 14:22, 10 March 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ilan Dock, B.S.

Overview

Tick-borne encephalitis is caused by a (+) ssRNA virus of the Flavivirus genus. Three subtypes of the virus exist including the Far East, European, and Siberian subtypes. The Ixodidae family of ticks is the primary vector associated with transmission, with other modes of transmission including the consumption of unpasteurized, raw milk.^[1] The virus itself is a member of the flavivirus genus with a (+) ssRNA genome enclosed in a capsid protein. The pathogenic process begins with the location of a host cell receptor. The virus is internalized through the process of endocytosis. During this time the virus hi-jacks the host cells replication machinery, in order to replicate many times within the host cell. Upon completion, the cell releases many immature virions for further progression of the disease.

Causes

Virology

Member of the Falvivirus genus
Flaviviridae family
Three subtypes: Far East, European, and Siberian
Viral strains are mostly homogeneous within infected European tick populations.
Diversity exists within viral strains carried by Siberian and Far Eastern tick populations. Thus these populations host antigenic variations and a variety of subtypes.
However the antigenic similarity within these populations allows for a generalized protection method among the different subtypes.^[2]

Genomics

(+)ssRNA genome enclosed in a capsid protein.
Genome is protected by a lipid bilayer, provided by the host or target cell.
Virus's physical attributes include a spherical particle with an approximate diameter of 50-60nm.
The genome lacks a 3'-poly(A) tail, yet provides a 5' cap.
In terms of length, the genome spans an average of 11kb.^[2]

Transmission

The Ixodidae family of hard ticks have been reported as the vector and reservoir of the Tick-borne encephalitis virus.
Other modes of transmission include the consumption of raw milk as well as vertical transmission from mother to fetus.^[1]

Viral pathway within a mammalian host

Virus replication commonly occurs within subcutaneous tissue.
Dendritic cells transport the virus to the lymph nodes.
The virus replicates at a high rate within the lymph nodes, further travelling into the bloodstream.
Lymphocytes suffer great reductions due to infection with the regional lymph nodes.
Further infection of external tissues occur within the viremic phase
The later phase results in the infection of the CNS.
Furthermore a host's immune system will add to the severity of the infection, as resulting immune response includes inflammation CD8+ T-cells infiltrating the brain.
Other immune responses such as the upregulation of proinflammatory cytokines increase the permeability of the blood-brain barrier.^[2]

References

↑ ^1.0 ^1.1 Tick-borne encephalitis transmission. http://www.cdc.gov/vhf/tbe/transmission/index.html Accessed February 5, 2016.
↑ ^2.0 ^2.1 ^2.2 Tick-borne Encephalitis Virus: A General Overview. http://cdn.intechopen.com/pdfs-wm/20866.pdf. Accessed February 4, 2016.

[Trans_CDC-1] 1.0 ^1.1 Tick-borne encephalitis transmission. http://www.cdc.gov/vhf/tbe/transmission/index.html Accessed February 5, 2016.

[Enceph_Prime-2] 2.0 ^2.1 ^2.2 Tick-borne Encephalitis Virus: A General Overview. http://cdn.intechopen.com/pdfs-wm/20866.pdf. Accessed February 4, 2016.

[1]

[2]

@@ Line 1: / Line 1: @@
 __NOTOC__
+{{Tick-borne encephalitis}}
 {{CMG}} {{AE}} {{IMD}}
-{{Tick-borne encephalitis}}
 ==Overview==
+Tick-borne encephalitis is caused by a (+) ssRNA virus of the [[Flavivirus]] genus. Three subtypes of the virus exist including the Far East, European, and Siberian subtypes. The [[Ixodidae]] family of ticks is the primary [[vector]] associated with [[transmission]], with other modes of [[transmission]] including the consumption of unpasteurized, raw milk.<ref name="Trans CDC">Tick-borne encephalitis transmission. http://www.cdc.gov/vhf/tbe/transmission/index.html Accessed February 5, 2016. </ref> The virus itself is a member of the ''[[flavivirus]]'' genus with a (+) ssRNA genome enclosed in a [[Capsid|capsid protein]]. The pathogenic process begins with the location of a host cell receptor. The virus is internalized through the process of [[endocytosis]]. During this time the virus hi-jacks the host cells replication machinery, in order to replicate many times within the host cell. Upon completion, the cell releases many immature [[virions]] for further progression of the disease.
-==Life Cycle and Spread of Tick-Borne Diseases==
+==Causes==
-[[Image:Lifecycle.jpg|left|thumb| This image displays an example of the tick lifecycle, based on stages and the months that they are most likely to occur during.]]
+===Virology===
-'''General Tick Life Cycle''' <ref name="LCT CDC”">Life Cycle of Ticks that Bite Humans (2015).  http://www.cdc.gov/ticks/life_cycle_and_hosts.html Accessed on December 30, 2015</ref>
-*A tick's life cycle is composed of four stages: ''hatching'' (egg), ''nymph'' (six legged), ''nymph'' (eight legged), and an ''adult''.
-*Ticks require blood meal to survive through their life cycle.
-*Hosts for tick blood meals include mammals, birds, reptiles, and amphibians. Ticks will most likely transfer between different hosts during the different stages of their life cycle.
-*Humans are most often targeted during the nymph and adult stages of the life cycle.
-*Life cycle is also dependent on seasonal variation.
-*Ticks will go from eggs to larva during the summer months, infecting bird or rodent host during the larval stage.
-*Larva will infect the host from the summer until the following spring, at which point they will progress into the nymph stage.
-*During the nymph stage, a tick will most likely seek a mammal host (including humans).
-*A nymph will remain with the selected host until the following fall at which point it will progress into an adult.
-*As an adult, a tick will feed on a mammalian host. However unlike previous stages, ticks will prefer larger mammals over rodents.
-*The average tick life cycle requires three years for completion.
-**Different species will undergo certain variations within their individual life cycles.
-<br>
-===Spread of Tick-borne Diseases===
-*Ticks require blood meals in order to progress through their life cycles.
-*The average tick requires 10 minutes to 2 hours when preparing a blood meal.
-*Once feeding, releases anesthetic properties into its host, via its saliva.
-*A feeding tube enters the host followed by an adhesive-like substance, attaching the tick to the host during the blood meal.
-*A tick will feed for several days, feeding on the host blood and ingesting the host's pathogens.
-*Once feeding is completed, the tick will seek a new host and transfer any pathogens during the next feeding process. <ref name="LCT CDC”">Life Cycle of Ticks that Bite Humans (2015).  http://www.cdc.gov/ticks/life_cycle_and_hosts.html Accessed on December 30, 2015</ref>
-==Transmission==
-*The ''Ixodidae'' family of hard ticks have been reported as the vector and reservoir of the Tick-borne encephalitis virus.
-*Other modes of transmission include the consumption of raw milk as well as vertical transmission from mother to fetus.
-==Virology==
 *Member of the Falvivirus genus
-*Flaviviridae family
+*[[Flaviviridae]] family
 *Three subtypes: Far East, European, and Siberian
-*Viral strains are mostly homogeneous within infected European tick populations.
+*Viral [[strains]] are mostly homogeneous within infected European tick populations.
 *Diversity exists within viral strains carried by Siberian and Far Eastern tick populations. Thus these populations host antigenic variations and a variety of subtypes.
-*However the antigenic similarity within these populations allows for a generalized protection method among the different subtypes.
+*However the [[antigenic]] similarity within these populations allows for a generalized protection method among the different subtypes.<ref name="Enceph Prime">Tick-borne Encephalitis Virus: A General Overview. http://cdn.intechopen.com/pdfs-wm/20866.pdf. Accessed February 4, 2016. </ref>
 ===Genomics===
-*(+)ssRNA genome enclosed in a capsid protein.
+*(+)ssRNA genome enclosed in a [[capsid]] protein.
-*Genome is protected by a lipid bilayer, provided by the host or target cell.
+*Genome is protected by a [[lipid bilayer]], provided by the host or target cell.
 *Virus's physical attributes include a spherical particle with an approximate diameter of 50-60nm.
 *The genome lacks a 3'-poly(A) tail, yet provides a 5' cap.
-*In terms of length, the genome spans an average of 11kb.
+*In terms of length, the genome spans an average of 11kb.<ref name="Enceph Prime">Tick-borne Encephalitis Virus: A General Overview. http://cdn.intechopen.com/pdfs-wm/20866.pdf. Accessed February 4, 2016. </ref>
-==Pathogenesis==
+==Transmission==
-*The process begins as the virus binds to a host cell receptor.
+*The ''[[Ixodidae]]'' family of hard ticks have been reported as the [[vector]] and reservoir of the Tick-borne encephalitis virus.
-*A host cell will internalize the virus using endocytosis.
+*Other modes of [[transmission]] include the consumption of raw milk as well as vertical transmission from mother to fetus.<ref name="Trans CDC">Tick-borne encephalitis transmission. http://www.cdc.gov/vhf/tbe/transmission/index.html Accessed February 5, 2016. </ref>
-*Post-endocytosis, acidification of the viral envelope causes conformation changes of the E protein, resulting in the attachment of the viral envelope to a endosomal vesicle.
-*Once properly mounted on the endosomal vesicle, the viral envelope will release the viral nucleocapsid into the surrounding cytoplasm.
+===Viral pathway within a mammalian host===
-*Translation of the virus yields a 3414 amino acid long polyprotein.
+*Virus replication commonly occurs within [[subcutaneous tissue]].
-*The polyprotein is cleaved by both cellular and viral proteases.
+*[[Dendritic cells]] transport the virus to the [[lymph nodes]].
-*The cleaving process results in three structural proteins called C, prM, and E as well as seven non-structural proteins.
+*The virus replicates at a high rate within the [[lymph nodes]], further travelling into the bloodstream.
-*The C protein forms a virion nucleocapsid through binding to viral DNA.
+*[[Lymphocytes]] suffer great reductions due to infection with the regional [[lymph nodes]].
-*The E protein is necessary as a ligand to cell receptors and as a fusion protein.
+*Further infection of external [[tissues]] occur within the [[Virus|viremic]] phase
-*The other non-structural proteins serve as proteases, polymerases, complement binding antigens, or function within the replication process.
+*The later phase results in the infection of the CNS.
-*Finally the processes concludes as the positive-stranded genome is translated while the negative-strand of RNA provides grounds for the RNA replication process.
+*Furthermore a host's [[immune system]] will add to the severity of the infection, as resulting immune response includes inflammation [[CD8+ T cells|CD8+ T-cells]] infiltrating the brain.
-*Assembly of the virus occurs within the endoplasmic reticulum.
+*Other immune responses such as the [[upregulation]] of [[proinflammatory]] [[Cytokine|cytokines]] increase the [[permeability]] of the [[blood-brain barrier]].<ref name="Enceph Prime">Tick-borne Encephalitis Virus: A General Overview. http://cdn.intechopen.com/pdfs-wm/20866.pdf. Accessed February 4, 2016. </ref>
-*Post-assembly immature virions are released within the cell.
 ==References==
 {{Reflist|2}}
+[[Category: Infectious Disease]]