The Pharaoh Ramses V (left) died of smallpox in 1157 B.C. The disease reached Europe in 710 A.D. and was transferred to America by Hernando Cortez in 1520 - 3.5 million Aztecs died in the next 2 years. In the cities of 18th century Europe, smallpox reached plague proportions and was a feared scourge - highly infectious. Five reigning European monarchs died from smallpox during the 18th century. |
Smallpox has now been eradicated - the last naturally occurring outbreak of smallpox was in Somalia on 26th October 1977.
Subfamily: | Genus: | Members: |
---|---|---|
Chordopoxvirinae | Avipoxvirus | fowlpox virus |
Capripoxvirus | sheeppox virus | |
Leporipoxvirus | myxoma virus | |
Molluscipoxvirus | Molluscum contagiosum | |
Orthopoxvirus | vaccinia virus | |
Parapoxvirus | orf virus | |
Suipoxvirus | swinepox virus | |
Yatapoxvirus | Yaba monkey tumor virus | |
Entomopoxvirinae | Entomopoxvirus A | Melolontha melolontha entomopoxvirus |
Entomopoxvirus B | Amsacta moorei entomopoxvirus | |
Entomopoxvirus C | Chironomus luridus entomopoxvirus |
Thin sections in E.M. reveal that the outer surface is composed of lipid and protein which surrounds the core, which is biconcave (dumbbell-shaped), with 2 "lateral bodies" (function unknown). The core is composed of a tightly compressed nucleoprotein. To view an electron micrograph of a negatively-stained poxvirus particle click here.
Antigenically, poxviruses are very complex, inducing both specific and cross-reacting antibodies - hence ability to vaccinate against one disease with another virus (below). There are at least 10 enzymes present in the particle, mostly concerned with nucleic acid metabolism/genome replication.
Genome:
Linear, d/s DNA of 130-300kbp. Ends of genome consist of a terminal hairpin loop (no free ends) with several tandem (i.e. direct) repeat sequences (this arrangement is found at the ends of chromosomes from a number of different organisms). The ends of the genome form direct repeats called inverted terminal repeats (ITRs). Several poxvirus genomes have been sequenced. Most of the essential genes are located in the central part of the genome, while non-essential (in tissue culture) genes are located at the ends. There are ~200 genes in the genome.
Replication:
Occurs in the cytoplasm - the virus is sufficiently complex to have acquired all the functions necessary for genome replication (c.f. Herpesviruses). There is some contribution from the cell but it is not clear what this is - poxvirus gene expression and genome replication occur in enucleated cells, but maturation is blocked.
Vaccinia virus shows considerable resistance to the antiviral effects of interferons. One of the early genes of this virus, K3L, encodes a protein which is homologous to eIF-2a which inhibits the action of PKR. In addition, the E3L protein also binds dsRNA & inhibits PKR activation. As well as these, other poxvirus-encoded proteins interfere with the actions of complement, IL-1 and TNFs.
Vaccinia infection of cells can confer "protection" from IFN on other viruses, e.g. Picornaviruses.
Variola and Vaccinia:
At least 9 different poxviruses cause disease in humans, but variola virus (VV) and vaccinia are the best known. VV strains are divided into variola major (25-30% fatalities) and variola minor (same symptoms but less than 1% death rate). "Variolation" = the administration of material from known smallpox cases (hopefully variola minor!!!) to protect recipients - practiced for at least 1000 years (Chinese) but risky - Jenner was nearly killed by variolation in 1756! |
The precise origins of vaccinia virus are uncertain:
Edward Jenner, 14th May 1796, used cowpox (Sarah Nemes!) to "vaccinate" 8 year old James Phipps, who he later challenged with VV (ethical?) and showed that he was protected. For more than 100 years, the "vaccine strains" (many origins) were propagated from arm-to-arm, but for at least the last 50 years, Vaccinia has been a distinct virus from cowpox - origin? (In molecular terms, vaccinia is most similar to buffalopox - did the two viruses somehow become mixed at some stage?).
Vaccination was almost universally adopted worldwide around 1800, but it took a major commitment from the WHO in 1965 to achieve eradication.
Eradication of smallpox was possible for 3 reasons:
Online tutorial on smallpox |
Unfortunately, monkeypox shows every sign of an emerging virus disesae about to replace smallpox.