Cytomegalovirus

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Virus classification
Group: Group I (dsDNA) Family: herpesviridae Genus: cytomegaolvirus Sero complex: x

Classification

Cytomegalovirus, CMV, is a member of the family of human herpesviridae[[1]] , and is known as human herpesvirus 5 (HHV-5). CMV is a Betaherpesvirinae, a subfamily of herpesviridae. Its classification as a herpesvirus is based on its tendency to infect mononuclear cells and lymphocytes [[2]] and on its molecular phylogenetic[3] relationship to other herpesviruses.(emedicine)Its classification as a betaherpesvirus is based on its long replication cycle, cytopathology, and restricted host range, which are all characteristic of the betaherpesviruses.

Description and Significance

CMV is a virus which can produce congenital[4] and acquired infection, and has therefore become an important pathogen of study. Learning about it, its phylogenetic history, and and its genome gives us a greater understanding of the organism and can lead to the development of a working drug against this ubiquitous virus. (“History of Cytomegalovirus” pubmed) Human Cytomegalovirus strains were isolated by three independent scientists: Smith and Rowe in 1956 and Weller in 1957. It is named for the cytomegalic, or enlarged cells, that are characteristic of this virus. (“History of Cytomegalovirus” Pubmed) CMV is species specific and there are strains which affect humans, monkeys, and rodents. Human CMV can be found in almost all of the body's organs. It can also be found in body fluids, including semen, saliva, urine, feces, breast milk, blood, and secretions of the cervix. (healthofchildren.com) In pregnant women, CMV is also able to cross the placenta [5]. Therefore, infection in a pregnant woman can lead to infection of the developing fetus.(healthofchildren.com)

Genome Structure

CMV has a double stranded linear DNA genome [6]. It is more the 240 kilobase pairs [7]long making it the largest member of the herpesvirus family. It is capable of encoding more than 200 potential protein products, but the function of most of these proteins is presently unknown. There are many strains of CMV, each affecting different organisms. Different strains have slightly different genomes, but all strains share about 80% of the genome. (emedicine) CMV has a class E genome. This genome contains two unique sequences, a long unique sequence and a short unique sequence. These two sequences can invert resulting in four isomers [8] of the viral DNA. (Davison, Fred and Nair, Venugopal. "Marek's Disease: An evolving Problem.")

Cell Structure

CMV is structurally similar to other herpesviruses in that it has an icosahedral [9] capsid [10]surrounding and protecting the genetic material. The icosahedral shape is composed of 20 equilateral triangle faces, shaped into a sphere. This capsid is made out of 162 hexagonal protein capsomeres [11], and is surrounded by a lipid bilayer [12]outer enevelope . (emedicine).

Ecology

CMV is a virus which affects many species including humans, monkeys, and rodents, and can be found in almost all organs of the host. It has become a very efficient virus because it has evolved mechanisms to remain undetected in its environment. For example, the human cytomegalovirus has three genes which allow it to evade human immunity [13]. It has the US3 gene whose products prevent the major histocompatibility complex [14] molecules from moving to the membrane. The US6 gene products inhibits peptide translocation of proteins involved with antigen [15] presentation. The US11 gene products move the class I heavy chain of the antigen from the endoplasmic reticulum to the cytosol, making it nonfunctional. All these three genes interfere with antigen presentation in infected cells. If an infected cell can't present an antigen, then the body does not know that it is infected, and will not provide immunity against the virus. In this way, CMV can evade host immunity and survive for long periods of time. These genes are important when developing a vaccine for CMV.

Pathology

CMV is an enveloped [16] double stranded DNA virus. On this envelope, there are molecules called glycoproteins. These molecules, especailly glycoprotein B are determinants of humoral immunity [17], meaning they can cause a humoral immune response. Proteins in the viral tegument, the proteinaceous layer between the capsid and the envelope, elicit cellular responses [18] to CMV. Specifically the abundant molecule phosphoprotein 65 is the molecule targeted by cytoxic T cells in the cellular response. Although the host has the ability to defend itself against a CMV invasion, CMV has the ability to evade the host immunity, and in this way, it can cause infection in the host. CMV has genes that interfere with the antigen presentation of infected cells, thus limiting the immune response to it. Therefore, it can remain alive for a long time in a host. When the host is infected, CMV DNA can be detected with polymerase chain reaction (PCR)[19] in all the different cell lineages and organ systems in the body. Upon initial infection, CMV infects the epithelial cells [20]of the salivary gland [21], resulting in a persistent infection and viral shedding [22].(emedicine) Clinically significant CMV disease most often develops in immunocompromised patients such as those with HIV,or those who have had organ or bone-marrow transplantations [23] . When it is symptomatic, CMV can affect almost every organ of the body. This can result in fever of unknown origin, pneumonia [24] , hepatitis [25], encephalitis [26], myelitis [27], colitis [28], retinitis (inflamation of the retina), and neuropathy [29] . (emedicine) CMV, like other herpesviruses, can establish a latent infection in the host, where it remains dormant and does not cause symptoms to the host. (emedicine) Cell-mediated immunity is considered the most important factor in controlling CMV infection. Patients deficient in cell-mediated immunity are at greatest risk for CMV disease. CMV-specific CD4+ and CD8+ [30] lymphocytes play an important role in immune protection after primary infection or reactivation of latent disease. Studies of bone marrow transplant patients have revealed that patients who do not develop CMV-specific CD4+ or CD8+ cells are at higher risk for CMV pneumonitis. Additionally, no cases of CMV pneumonia have been reported in allogeneic marrow transplant patients receiving infusions of CMV-specific CD8+ cells.(emedicine) How does this organism cause disease? Human, animal, plant hosts? Virulence factors, as well as patient symptoms.

Applications to Biotechnology

Does this organism produce any useful compounds or enzymes? What are they and how are they used?

Current Research

1. "Targeted Deletion of Regions Rich in Immune-Evasive Genes From the Cytomegalovirus Genome as a Novel Vaccine Strategy" This experiment was designed as an attempt to construct a working vaccine for CMV. Presently, there is no vaccine for CMV and this can become a problem especially for pregnant and nursing women, and for immunocompromised people. The strategy that was used here was to delete certain genes from the CMV. The CMV has certain genes that give the virus the ability to evade the host's immune system. They do this by interrupting the processing and presentation of antigens on the surface of infected cells. Without antigens on infected cells, the body doesn't know that the cell is infected, and does not build up immunity to the virus. The virus therefore has the ability to survive in a host, without causing an immune response. In this experiment, researchers deleted the genes that allow CMV to evade host immunity, from mouse CMV. Without the genes, the CMV would not ahve the ability to interrupt antigen presentation, and with antigens present, the immune system will recognize infected cells and be able to fight them. By doing this, the body would be building up immunity to a non pathogenic version of the virus, so in case he gets infected with the actual wild type virus, he will already have immunity to the virus. 2. "Development and Preclinical Evaluation of an Alphavirus Replicon Particle Vaccine for Cytomegalovirus" The research documented in this article also deals with developing a working vaccine for CMV, but it takes a different approach. In this experiment, researchers wanted to construct a cell, which would not be pathogenic, but which would cause an CMV immune response. They did this by constructing a plasmid with CMV genes that cause immune response in the host. So, since glycoprotein B and phosphoprotein 65 are molecules in CMV that cause an immune response in the host, researchers constructed two plasmids, one with the gene for gB and the other with the gene for pp65. They injected these plasmids into cells via electroporation, and then injected the cells into mice to see if they caused an immune response.