What is Polio?

Polio (also known as Poliomyelitis)

An infectious disease that can be transmitted from person to person. Polio is caused by poliovirus, an enterovirus. Poliovirus is most well known for causing paralysis in young children.[0]

Poliovirus is part of the picornavirus viral family, a taxonomic grouping that includes other familiar viruses such as the rhino virus and hepatitis A virus. These viruses are most known for their icosahedral capsid(20 faces) structure that lacks a viral envelope and carries the positive-sense single stranded RNA genome. Further characteristics include being able to withstand low pH and thus able to pass through the stomach to infect and replicate in the intestinal epithelial cells and being incredibly infectious through the fecal-oral route. [0]

*funfact: Humans are the only natural hosts of this disease. Chimapanzees, Green African Monkeys etc can only be experimentally infected.

Whilst most infections are asymptomatic, viral particles that gain entrance into the central nervous system can replicate in neurons and destroy cells that govern muscle function resulting in flaccid paralysis.[0] To simply put it, the poliovirus invades the brain and spinal cord and may cause paralysis. However, 72 out of 100 infected people will not have any visible symptoms.[1]

Symptoms commonly include:
-Sore throat
-Fever
-Feeling lethargic
-Nausea
-Headache
-Stomach pains

More severe symptoms include:
-Paresthesia ( pins and needles in arms and legs or both)
-Meningitis (Inflammation of the brain & spinal cord)
-Paralysis or weakness of arms and legs

*Paralysis may be fatal due to the inactivation of muscles that aid in respiration. Hence Polio is often referred as a paralytic infection.

Poliovirus is easily transmitted through contact with an infected person. The virus lives in the infected person's throat and intestine. It enters the body though contact of feces and though less common, sneezes and coughs. Contamination of everyday items after not properly washing after using the toilet may speed up the infection rate. This is especially so in rural countries living in unsanitary conditions.

*The poliovirus may be cured with Oral Poliovirus Vaccine(OPV) or Inactivated Poliovirus Vaccine(IPV) but there are cases of Post-polio syndrome where patients recover after a vaccination but there happened to be a relapse of the patient's previous condition. [1]

Reference:
[0]Poliomyelitis. (n.d.). Retrieved July 31, 2015, from https://microbewiki.kenyon.edu/index.php/Poliomyelitis
[1] What Is Polio? (2014, October 15). Retrieved July 31, 2015, from http://www.cdc.gov/polio/about/

Pathogenesis

Pathogenesis of the poliovirus

Firstly, the poliovirus enters the host cells by binding to its receptor that is identified to be CD155, a glycoprotein of the immunoglobin superfamily, Once multiple cirus particles bind to the V-type domains of the receptors, these particles would have a conformational change in which they externalizes proteins VP4 and VP1 that is found on the capsid of the virus.


Proteins are then inserted into the cell membrane and forms a pathway where viral particles are internalized. The RNA genome is quickly released into the cytoplasma through a pore. [0]

RECAP:
As a positive-sense ssRNA, its first step of viral replication is to make early proteins. An RNA-dependent RNA polymerase (RdRp) is a protein that uses the virus present RNA as a template to make more RNA.

The RdRp copies the positive-sense RNA strand to make a double-stranded RNA replicative complex and this complementary negative-sense RNA is used as a guide to make more positive-sense ssRNA.

These positive-sense ssRNA can then be used as mRNA to make structural proteins or packaged into final virions. The final step displays the structural proteins and the positive-sense ssRNA being packaged together to exit the cell as it lyses. [2]

Pathway in the body:
The virus enters through the mouth normally and multiplies in the throat and GIT before moving into the bloodstream and carried to the Central Nervous System where is replicates further and destroys the motor neuron cells. Motor neurons control the muscles for swallowing, circulation, respiration, and the trunk of arms and legs.

References:
[0]Poliomyelitis. (n.d.). Retrieved July 31, 2015, from https://microbewiki.kenyon.edu/index.php/
[2]Viral Replication Strategy in Positive-Sense Single-Stranded RNA Viruses - Library. (2010, August 11). Retrieved July 31, 2015, from http://www.microbelibrary.org/library/virus/2781-viral-replication-strategy-in-positive-sense-single-stranded-rna-viruses

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