Information about Herpes*
GENITAL HERPES
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The Herpesviridae are a family of DNA viruses that cause diseases in humans and animals.
There are eight types of viruses in this family known to cause disease in
humans. These viruses are (HHV stands for human herpes viruses):
HHV-1 = HSV-1 (herpes simplex virus 1): causes oral and/or genital herpes
HHV-2 = HSV-2 (herpes simplex virus 2): causes oral and/or genital herpes
HHV-3 = VZV (varicella-zoster virus): causes chickenpox and shingles
HHV-4 = EBV (Epstein-Barr virus), lymphocryptovirus: causes infectious
mononucleosis, Burkitt's lymphoma and nasopharyngeal carcinoma
HHV-5 = CMV (cytomegalovirus): causes mononucleosis, retinitis, etc.
HHV-6 = roseolovirus: causes "sixth disease" (roseola infantum, exanthem subitum)
HHV-7 = closely related to HHV-6; causes roughly the same symptoms
HHV-8 = rhadinovirus = KSHV = Kaposi's sarcoma herpesvirus
Viral structure
The human herpesviruses all share some common properties. One shared property is
virus structure - all herpesviruses are composed of relatively large double
stranded circular DNA genomes encoding 100-200 genes encased within an
icosahedral protein cage called the capsid which is itself wrapped in a lipid
bilayer membrane called the envelope. This particle is known as the virion.
Following binding of viral envelope protein to cell membrane receptors, the
virion is internalized and dismantled, allowing viral DNA to migrate to the cell
nucleus. Within the nucleus, viral DNA undergoes limited replication and
transcription of a small number of viral genes termed latent genes. In this
fashion the virus can persist in the cell (and thus the host) indefinitely.
While primary infection is often accompanied by a self-limited period of
clinical illness, long-term latency is symptom-free. Following activation, the
virus switches on transcription of multiple additional non-latent genes termed
lytic genes that lead to enhanced replication and virus production. Often, lytic
activation leads to cell death. Clinically, lytic activation is often
accompanied by emergence of non-specific symptoms such as fever, headache,
malaise, rash, etc.
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