Viral pathogenesis
Viral Pathogenesis refers to the process by which a virus causes disease in its host. The term is derived from the Greek words 'pathos' meaning 'suffering' and 'genesis' meaning 'origin'. Viral pathogenesis involves several stages including viral entry, replication, spread, and cell damage.
Viral Entry
The first step in viral pathogenesis is the entry of the virus into the host organism. This can occur through various routes such as the respiratory tract, gastrointestinal tract, or through breaks in the skin. The virus attaches to specific receptors on the host cell surface, a process known as viral attachment.
Replication
Once inside the host cell, the virus begins to replicate. This involves the synthesis of viral RNA or DNA, and the production of viral proteins. The replication process varies depending on the type of virus. For example, RNA viruses replicate in the cytoplasm, while DNA viruses replicate in the nucleus.
Spread
Following replication, the newly formed virus particles spread to other cells and tissues. This can occur through direct cell-to-cell contact, or through the bloodstream or lymphatic system. The spread of the virus within the host organism is known as viremia.
Cell Damage
The final stage of viral pathogenesis is cell damage or cytopathic effect. This can result from the direct effects of viral replication, or from the host's immune response. Cell damage can lead to the clinical symptoms of the viral disease.
Factors Influencing Viral Pathogenesis
Several factors can influence the pathogenesis of a virus, including the viral strain, the dose of the virus, the route of infection, and the host's immune response. Additionally, certain viruses can cause latent infection, where the virus remains dormant in the host cell for a period of time before reactivating and causing disease.
See Also
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Contributors: Prab R. Tumpati, MD