5.Buds from the plasma membrane
Significance and its relation to science and
environment:-
The major human viruses of the Paramyxoviridae family
are: measles virus, mumps virus, the
parainfluenza viruses (types 1, 2, 3, 4a, and 4b),
and respiratory syncytial virus (RSV). |
All of the viruses of the Paramyxoviridae family are
spread through the respiratory route and are
highly contagious. |
Disease caused by the measles virus is
typically marked by a prodrome of fever, conjunctivitis, coryza,
and cough which is followed by the development of a rash of
flat maculeswhich first appear on the head and then move
to the chest, trunk, and limbs. These macules typically fuse
resulting in large blotches that can be slow to fade. Two serious
complications of measles infection are acute postinfectious
encephalitis, which occurs in about 1 in every 1,000
cases, and subacute sclerosing panencephalitis
(SSPE), which occurs in about 1 in every 300,000 cases.
Postinfectious encephalitis usually develops during the first week
following development of the rash, has a mortality rate of 15%, and
survivors typically have neurologic sequelae. SSPE, on the other
hand, develops years (typically 7-10) following infection with the
measles virus and is always fatal. |
Infection with mumps virus typically results
in a minor illness characterized by parotitis, or
inflammation of the salivary glands. However,
mumps in postpubertal males can result in orchitis, or
inflammation of the testes, a painful condition
which can result in destruction of the testicular tissue.
Futhermore, mumps is the most common cause of meningitis. One
serious, yet rare, complication of mumps infection is mumps
encephalitis which can result in unilateral nerve
deafness. |
Parainfluenza viruses are common
respiratory pathogens of humans that typically produce
minor upper respiratory tract infections which are
characterized by coryza, pharyngitis, low fever, and bronchitis.
Parainfluenza viruses are also the most common cause of
croup, or laryngotracheobronchitis, in children aged 6
months to 5 years. Croup is marked by fever, cough, respiratory
distress, and stridor. In extreme cases, laryngeal obstruction can
occur. Finally, parainfluenza viruses are also capable fo causing
bronchiolitis and /or pneumonia in children under the age of 6
months. It should be noted that croup and pneumonia occur in only
2-3% of cases. |
Respiratory syncytial virus (RSV) is an
important human pathogen of infants. Although it typically presents
as a febrile rhinitis and/or pharyngitis and
commonly involves the inner ear, RSV does cause severe illness in
about 1% of all babies. Severe RSV infection is characterized by a
pronounced cough and wheezing which eventually deveops into dyspnea
and a high respiratory rate and hypoxemia. Death occur in about 1%
of infants who develop serious illness. Death can occur very
quickly and therefore might partially explain the phenomenon of
sudden infant death syndrome. Finally, it should be noted that the
elderly and immunosuppressed transplant patients are at risk for
developing pneumonia due to RSV infection.
TREATMENT & THERAPHY:-
There is no standard antiviral treatment for
measles although ribavirin (1 fl-D-ribofuranosyl-1,2,4-triazole-
3-carboxamide) has been shown to decrease viral replication in vivo
and might decrease the severity of acute measles. Perhaps the most
promising treatment for measles infection is the administration of
high doses of vitamin A. Vitamin A supplements
have been shown to decrease both the morbidity and mortality of
acute measles, even if the individual is not suffering from a
vitamin A deficiency. Finally, numerous agents have been suggested
for therapeutic treatment of SSPE but it is extremely difficult to
determine their efficacy because SSPE is rare and the benefits of
such treaments would only be short-term. |
Treatment for mumps generally involves
symptomatic treatment although it has been
suggested that immunotherapy consisting of high-titer polyvalent or
monoclonal antibody preparations could be used in some cases during
the early course of the disease. |
Like measles, there is no specific antiviral
treatment for infection with parainfluenza viruses although in
vitro experiments suggest that ribavirin might have some
therapeutic benefits. Treatment of croup often involves air
humidification and inhalation of racemic epinephrine. Severe croup
is treated with large doses of systemic corticosteroids. |
Ribavirin has been shown to be
effective in the treatment of RSV infection. While
administration by small-particle aerosol has little or no systemic
toxicity, oral administration has been associated with mild bone
marrow and hepatic toxicity. Treatment of RSV infection also
involves supportive care such as proper positioning of the infant,
air humidification, and removal of secretion. Wheezing might
require the administration of adrenergic drugs and severe cases may
require respiratory assistance. Finally, there is some evidence
that human intravenous IgG (IVIG) therapy might be
effective. |
ttenuated mumps vaccine was introduced
in the United States in 1967. Since the introduction of the vaccine
there has been a steady decline in the number of mumps cases (it
has declined from 76 per 100,000 in 1968 to approximately 1 or 2
per 100,000). A live attenuated vaccine also
exists for the measles virus. Seroconversion
occurs in 95-98% of individuals who are immunized at about 15
months of age. Although an effective vaccine exists, there has been
an increase in measles cases since 1983 among college students
(which is probably a result of waning immunity) and preschool
infants of racial and ethnic minorities (which is partially due to
unimmunized immigrants). The Centers for Disease Control and
Prevention has Web pages that provide complete information
regarding measles immunization and mumps
immunization. |
A recent clinical trial has shown that a
live bovine parainfluenza type 3 (BPIV-3) vaccine
is effective in infants under the age of 6 months. Likewise a
recent clinical trial of aRSV subunit
vaccine (PFP-2) made from the purified fusion glycoprotein
of the A2 strain of RSV has shown that the vaccine was immunogenic
in the frail, institutionalized elderly. Thus, it appears as though
great progress is being made in the development of a vaccine
against these two common respiratory pathogens. |
|
yes it is pathogenic.
|