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The capsid of SV40, an icosahedral virus
The capsid of SV40, an icosahedral virus

Viruses are small infectious agents that can replicate only inside the living cells of an organism. Viruses infect all forms of life, including animals, plants, fungi, bacteria and archaea. They are found in almost every ecosystem on Earth and are the most abundant type of biological entity, with millions of different types, although only about 6,000 viruses have been described in detail. Some viruses cause disease in humans, and others are responsible for economically important diseases of livestock and crops.

Virus particles (known as virions) consist of genetic material, which can be either DNA or RNA, wrapped in a protein coat called the capsid; some viruses also have an outer lipid envelope. The capsid can take simple helical or icosahedral forms, or more complex structures. The average virus is about 1/100 the size of the average bacterium, and most are too small to be seen directly with an optical microscope.

The origins of viruses are unclear: some may have evolved from plasmids, others from bacteria. Viruses are sometimes considered to be a life form, because they carry genetic material, reproduce and evolve through natural selection. However they lack key characteristics (such as cell structure) that are generally considered necessary to count as life. Because they possess some but not all such qualities, viruses have been described as "organisms at the edge of life".

Selected disease

Light microscope image of an H&E-stained liver biopsy, showing "ground glass hepatocytes" associated with chronic hepatitis B infection
Light microscope image of an H&E-stained liver biopsy, showing "ground glass hepatocytes" associated with chronic hepatitis B infection

Hepatitis B is an infectious inflammatory disease of the liver caused by the hepatitis B virus (HBV), a hepadnavirus. It affects humans and possibly other great apes. The virus is transmitted by exposure to infectious blood or some body fluids. Mother-to-child transmission is a major route in endemic countries. HBV is 50–100 times more infectious than HIV. The virus replicates in liver cells, and enters the blood where viral proteins and antiviral antibodies are found.

Acute infection is often asymptomatic but can cause liver inflammation resulting in vomiting, jaundice and, rarely, death. Over 95% of infected adults and older children clear the infection spontaneously, developing protective immunity. Only 30% of children aged 1–6 years and 5% of newborns infected perinatally clear the infection. Chronic hepatitis B may eventually progress to cirrhosis and liver cancer, causing death in around 40% of those chronically infected. The virus has infected humans since at least the Bronze Age, with HBV DNA being found in 4,500-year-old human remains. About a third of the global population has been infected at one point in their lives, including nearly 350 million who are chronic carriers. The virus is endemic in East Asia and sub-Saharan Africa. Infection can be prevented by vaccination.

Selected image

False-coloured electron micrograph of the mosquito salivary gland, showing Eastern equine encephalitis virus particles in red

Eastern equine encephalitis virus is an Alphavirus that is transmitted between birds and mammals, including humans and horses, by several mosquito species. The virus (coloured in red) is found in the mosquito salivary gland, and is injected into the new host when the insect feeds.

Credit: Fred Murphy, Sylvia Whitfield, CDC (1968)

In the news

Map showing the prevalence of SARS-CoV-2 cases; black: highest prevalence; dark red to pink: decreasing prevalence; grey: no recorded cases or no data
Map showing the prevalence of SARS-CoV-2 cases; black: highest prevalence; dark red to pink: decreasing prevalence; grey: no recorded cases or no data

26 February: In the ongoing pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), more than 110 million confirmed cases, including 2.5 million deaths, have been documented globally since the outbreak began in December 2019. WHO

18 February: Seven asymptomatic cases of avian influenza A subtype H5N8, the first documented H5N8 cases in humans, are reported in Astrakhan Oblast, Russia, after more than 100,0000 hens died on a poultry farm in December. WHO

14 February: Seven cases of Ebola virus disease are reported in Gouécké, south-east Guinea. WHO

7 February: A case of Ebola virus disease is detected in North Kivu Province of the Democratic Republic of the Congo. WHO

4 February: An outbreak of Rift Valley fever is ongoing in Kenya, with 32 human cases, including 11 deaths, since the outbreak started in November. WHO

21 November: The US Food and Drug Administration (FDA) gives emergency-use authorisation to casirivimab/imdevimab, a combination monoclonal antibody (mAb) therapy for non-hospitalised people twelve years and over with mild-to-moderate COVID-19, after granting emergency-use authorisation to the single mAb bamlanivimab earlier in the month. FDA 1, 2

18 November: The outbreak of Ebola virus disease in Équateur Province, Democratic Republic of the Congo, which started in June, has been declared over; a total of 130 cases were recorded, with 55 deaths. UN

Selected article

Plaque assay for herpes simplex virus

Virus quantification is necessary for viral vaccine production, and is used to manage people infected with HIV, hepatitis B and C, and cytomegalovirus. A wide range of traditional and modern methods are used. Plaque assays (pictured) infect a monolayer of host cells with dilutions of the virus and count the number of holes or plaques, where cells have lysed and infected their neighbours. For viruses that do not lyse their host cell, plaques of cells showing cytopathic effects can be counted or viral proteins can be immunostained with fluorescent-labelled antibodies. These methods quantify infectious virus, while others, such as electron microscopy, return a higher concentration because they count all virus particles, whether or not they are viable. Other assays, such as the haemagglutinin assay, quantify viral proteins.

Often slow and labour intensive, traditional methods have been complemented by modern technologies that greatly reduce quantification time, including quantitative polymerase chain reaction, flow cytometry, enzyme-linked immunosorbent assays and tunable resistive pulse sensing.

Selected outbreak

Quarantine notices at the East Birmingham Hospital where the first case was initially treated

The last recorded smallpox death occurred during the 1978 smallpox outbreak in Birmingham, UK. The outbreak resulted from accidental exposure to the Abid strain of Variola major, from a laboratory, headed by Henry Bedson, at the University of Birmingham Medical School – also associated with an outbreak in 1966. Bedson was investigating strains of smallpox known as whitepox, considered a potential threat to the smallpox eradication campaign, then in its final stages.

A medical photographer who worked on the floor above the laboratory showed smallpox symptoms in August and died the following month; one of her contacts was also infected but survived. The government inquiry into the outbreak concluded that she had been infected in late July, possibly via ducting, although the precise route of transmission was subsequently challenged. The inquiry criticised the university's safety procedures. Bedson committed suicide while under quarantine. Radical changes in UK research practices for handling dangerous pathogens followed, and all known stocks of smallpox virus were concentrated in two laboratories.

Selected quotation

Michael Kirby on the cost of antiviral drugs

Viruses & Subviral agents: bat virome • elephant endotheliotropic herpesvirus • HIV • introduction to viruses • Playa de Oro virus • poliovirus • prion • rotavirus • virus

Diseases: colony collapse disorder • common cold • croup • dengue fever • gastroenteritis • Guillain–Barré syndrome • hepatitis B • hepatitis C • hepatitis E • herpes simplex • HIV/AIDS • influenza • meningitis • myxomatosis • polio • pneumonia • shingles • smallpox

Epidemiology & Interventions: 2007 Bernard Matthews H5N1 outbreak • Coalition for Epidemic Preparedness Innovations • Disease X • 2009 flu pandemic • HIV/AIDS in Malawi • polio vaccine • Spanish flu • West African Ebola virus epidemic

Virus–Host interactions: antibody • host • immune system • parasitism • RNA interference

Methodology: metagenomics

Social & Media: And the Band Played On • Contagion • "Flu Season" • Frank's Cock • Race Against Time: Searching for Hope in AIDS-Ravaged Africa • social history of viruses • "Steve Burdick" • "The Time Is Now" • "What Lies Below"

People: Brownie Mary • Macfarlane Burnet • Bobbi Campbell • Aniru Conteh • people with hepatitis C • HIV-positive people • Bette Korber • Henrietta Lacks • Linda Laubenstein • Barbara McClintock • poliomyelitis survivors • Joseph Sonnabend • Eli Todd • Ryan White

Selected virus

X-ray crystallographic structure of the bovine papillomavirus capsid
X-ray crystallographic structure of the bovine papillomavirus capsid

Papillomaviruses are small non-enveloped DNA viruses that make up the Papillomaviridae family. Their circular double-stranded genome is around 8000 nucleotides long. The icosahedral capsid is 55–60 nm in diameter. They infect humans, other mammals and some other vertebrates including birds, snakes, turtles and fish. Around a hundred species are classified into 53 genera. All papillomaviruses replicate exclusively in epithelial cells of stratified squamous epithelium, which forms the skin and some mucosal surfaces, including the lining of the mouth, airways, genitals and anus.

Infection by most papillomaviruses is either asymptomatic or causes small benign tumours known as warts or papillomas. Francis Peyton Rous showed in 1935 that the Shope papilloma virus could cause skin cancer in rabbits – the first time that a virus was shown to cause cancer in mammals – and papillomas caused by some virus types, including human papillomavirus 16 and 18, carry a risk of becoming cancerous if the infection persists. Papillomaviruses are associated with cancers of the cervix, vulva, vagina, penis, oropharynx and anus in humans.

Did you know?

Carpenter ant, Camponotus vagus

Selected biography

Aniru Conteh

Aniru Sahib Sahib Conteh (6 August 1942 – 4 April 2004) was a Sierra Leonean physician and expert on the clinical treatment of Lassa fever, a viral haemorrhagic fever endemic to West Africa.

He joined the Centers for Disease Control and Prevention Lassa fever programme in Segbwema, first as superintendent and then as clinical director. After the Sierra Leone Civil War began in 1991, Conteh moved to the Kenema Government Hospital, where he spent the next two decades running the only dedicated Lassa fever ward in the world. He collaborated with the British charity Merlin to promote public health in Sierra Leone through education and awareness campaigns intended to prevent Lassa fever. With little funding and few supplies, he successfully reduced mortality rates and saved many lives until an accidental needlestick injury led to his own death from the disease in 2004.

Conteh received renewed public attention in 2009 as the hero of Ross I. Donaldson's memoir, The Lassa Ward.

In this month

Electron micrograph of SARS coronaviruses

7 November 1991: Magic Johnson announced his retirement from basketball because of his infection with HIV

14 November 1957: Kuru, the first human prion disease, described by Daniel Gajdusek and Vincent Zigas

16 November 2002: The first case of severe acute respiratory syndrome (virus pictured) recorded in Guangdong, China

17 November 1995: Lamivudine approved for treatment of HIV

22 November 2013: Simeprevir approved for treatment of chronic hepatitis C virus infection

23 November 1978: Structure of tomato bushy stunt virus solved by Stephen Harrison and colleagues, the first atomic-level structure of a virus

24 November 2007: Outbreak of new Ebola species, Bundibugyo virus

26 November 1898: Martinus Beijerinck coined the term contagium vivum fluidum to describe the agent causing tobacco mosaic disease

Selected intervention

Child receiving the oral polio vaccine
Child receiving the oral polio vaccine

Two polio vaccines are used against the paralytic disease polio. The first, developed by Jonas Salk, consists of inactivated poliovirus. Based on three wild virulent strains, inactivated using formalin, it is administered by injection and is very safe. It confers IgG-mediated immunity, which prevents poliovirus from entering the bloodstream and protects the motor neurons, eliminating the risk of bulbar polio and post-polio syndrome. The second, developed by Albert Sabin, originally consisted of three live virus strains, attenuated by growth in cell culture. Since 2016, only two strains have generally been included. They contain multiple mutations, preventing them from replicating in the nervous system. The Sabin vaccine stimulates both antibodies and cell-mediated immunity, providing longer-lasting immunity than the Salk vaccine. It can be administered orally, making it more suitable for mass vaccination campaigns. In around three cases per million doses, the live vaccine reverts to a virulent form and causes paralysis. Vaccination has reduced the number of wild-type polio cases from around 350,000 in 1988 to just 33 in 2018, and eradicated the disease from most countries.

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