Smallpox causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Smallpox is caused by the variola virus.

Taxonomy

Viruses; dsDNA; Poxviridae; Chordopoxvirinae; Orthopoxvirus; Variola vera

Biology

Variola virus is a orthopoxvirus, from the family Poxviridae, the largest viruses to infect humans. It is a 200-400 nm dsDNA virus, lacking icosahedral symmetry. The other viruses of the family Poxviridae include:[1]

The viral structure includes:[2][3][4]

  • Outer membrane
  • 2 lateral bodies
  • 1 dsDNA molecule in its core containing 186,999 base pairs

Variola virus genes are similar to the ones of vaccinia virus. Since there is cross-protection between poxviruses within a same genus, it was possible to use the second as a vaccine for smallpox virus.[5]

There are 2 forms of variola virus:

  • Variola major
  • Variola minor

Both strains of the virus share a large amount of genome, yet they differ clinically. This leads to the assumption that the difference in virulence resides in alternate gene expression.[1][6]

Poxviruses survive in cold and dry environments being able to survive in the aerosol form, and are killed by hospital disinfectants and UV light.[1][6][7][8]

Origin

Tropism

Natural reservoir

Humans are the only natural reservoir of smallpox virus.[9]

References

  1. 1.0 1.1 1.2 Moore, Zack S; Seward, Jane F; Lane, J Michael (2006). "Smallpox". The Lancet. 367 (9508): 425–435. doi:10.1016/S0140-6736(06)68143-9. ISSN 0140-6736.
  2. Fields, Bernard (2007). Fields virology. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 0781760607.
  3. Massung RF, Liu LI, Qi J, Knight JC, Yuran TE, Kerlavage AR; et al. (1994). "Analysis of the complete genome of smallpox variola major virus strain Bangladesh-1975". Virology. 201 (2): 215–40. doi:10.1006/viro.1994.1288. PMID 8184534.
  4. Massung RF, Loparev VN, Knight JC, Totmenin AV, Chizhikov VE, Parsons JM; et al. (1996). "Terminal region sequence variations in variola virus DNA". Virology. 221 (2): 291–300. doi:10.1006/viro.1996.0378. PMID 8661439.
  5. Shchelkunov, Sergei N.; Resenchuk, Sergei M.; Totmenin, Alexei V.; Blinov, Vladimir M.; Marennikova, Svetlana S.; Sandakhchiev, Lev S. (1993). "Comparison of the genetic maps of variola and vaccinia viruses". FEBS Letters. 327 (3): 321–324. doi:10.1016/0014-5793(93)81013-P. ISSN 0014-5793.
  6. 6.0 6.1 "Smallpox and its Eradication" (PDF).
  7. Thomas G (1974). "Air sampling of smallpox virus". J Hyg (Lond). 73 (1): 1–7. PMC 2130554. PMID 4371586.
  8. HARPER GJ (1961). "Airborne micro-organisms: survival tests with four viruses". J Hyg (Lond). 59: 479–86. PMC 2134455. PMID 13904777.
  9. "Smallpox disease overview".

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