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Viral structure and functions
Varicella zoster virus
Epstein-Barr virus (Infectious mononucleosis)
Human herpesvirus 8 (Kaposi sarcoma)
Herpes simplex virus
Human herpesvirus 6 (Roseola)
Hepatitis B and Hepatitis D virus
Poxvirus (Smallpox and Molluscum contagiosum)
BK virus (Hemorrhagic cystitis)
JC virus (Progressive multifocal leukoencephalopathy)
Hepatitis A and Hepatitis E virus
Hepatitis B and Hepatitis D virus
Respiratory syncytial virus
Human parainfluenza viruses
Yellow fever virus
Hepatitis C virus
West Nile virus
Human T-lymphotropic virus
Eastern and Western equine encephalitis virus
Lymphocytic choriomeningitis virus
Prions (Spongiform encephalopathy)
0 / 15 complete
0 / 7 complete
cervical pathology p. 669
HIV-positive adults p. 174
as oncogenic microbe p. 223
penile cancer p. 675
tumor epidemiology p. 667
verrucae p. 489
warts p. 161
Human papillomaviruses, or HPV for short, are a group of non-enveloped DNA viruses that specifically infect human epithelial cells.
There are over 100 different types of HPVs which can be categorized by the epithelial cells they prefer to infect; like cutaneous epithelial cells of the skin, especially the face, hands and feet; and epithelial cells of mucous membranes, especially the respiratory tract including the pharynx, and nasal and oral cavities; and anal and genital regions.
Some types can cause benign tumors, called papillomas or warts; and some can lead to carcinomas, or cancer of the epithelial cells.
HPV may have contributed to both actor Michael Douglas’s throat cancer diagnosis, and former first lady of Argentina, Eva Perón’s fatal cervical cancer.
Epithelial cells line the outer surfaces of organs and blood vessels and separate the interior of the body from the external world.
They primarily serve as a protective barrier to invasion by pathogenic bacteria, fungi, parasites and viruses; and to water loss.
In locations like the skin, anus, genitals, and respiratory tract, they can be stratified, having more than one layer of epithelial cells.
At the base, the layer closest to the interior of the body, these cells are less mature, rounded stem cells, also called basal cells.
Basal cells divide and replenish all the cells found in the epithelium.
As the basal cells divide and mature, they move toward the outermost layer, flattening out and becoming more squamous shaped in appearance.
Once they reach the top layer, these mature, flat cells are exfoliated, or shed, from the epithelium.
Now, typically basal cells are well protected under all those layers.
But if there are abrasions or cuts in the epithelium, HPV can gain access to and infect the basal cells.
Once that happens, HPV can replicate with or without being incorporated into the basal cell’s DNA through the activities of two particular viral genes called E6 and E7.
The proteins of these genes cause dysregulation of tightly-scheduled replication of the epithelial cells by altering the p53 and retinoblastoma protein (pRB) tumor suppressor pathways that typically prevent unregulated growth of the epithelial cells.
Copyright © 2023 Elsevier, except certain content provided by third parties
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