Podcast
Questions and Answers
What is the primary body fluid where high titers of HIV are found?
What is the primary body fluid where high titers of HIV are found?
Which of the following increases the risk of sexual HIV transmission dramatically?
Which of the following increases the risk of sexual HIV transmission dramatically?
What percentage of perinatal HIV infections in Africa is attributed to breastfeeding?
What percentage of perinatal HIV infections in Africa is attributed to breastfeeding?
Which of the following is the estimated risk of transmission for healthcare workers after a needlestick incident?
Which of the following is the estimated risk of transmission for healthcare workers after a needlestick incident?
What is defined as treatment success for HIV regarding viral load?
What is defined as treatment success for HIV regarding viral load?
What classification of retroviruses is primarily based on genomic sequence and evolutionary relatedness?
What classification of retroviruses is primarily based on genomic sequence and evolutionary relatedness?
Which of the following statements regarding HIV-1 and HIV-2 is accurate?
Which of the following statements regarding HIV-1 and HIV-2 is accurate?
What does the gag gene in the HIV genome encode?
What does the gag gene in the HIV genome encode?
As of the end of 2022, which region has the highest prevalence of HIV among adults?
As of the end of 2022, which region has the highest prevalence of HIV among adults?
Which of the following best describes the structure of the HIV virion?
Which of the following best describes the structure of the HIV virion?
What was the estimated number of people living with HIV globally at the end of 2022?
What was the estimated number of people living with HIV globally at the end of 2022?
Which antiretroviral enzymes are encoded by the pol gene in HIV?
Which antiretroviral enzymes are encoded by the pol gene in HIV?
What was the observed percentage reduction in HIV-related deaths since 2010?
What was the observed percentage reduction in HIV-related deaths since 2010?
What best describes the state of latency in HIV infection?
What best describes the state of latency in HIV infection?
Which component is essential for the production of infectious HIV?
Which component is essential for the production of infectious HIV?
Which of the following is considered a cellular reservoir for HIV?
Which of the following is considered a cellular reservoir for HIV?
What is the role of dendritic cells in HIV infection?
What is the role of dendritic cells in HIV infection?
Which cytokines are primarily released by dendritic cells in response to HIV infection?
Which cytokines are primarily released by dendritic cells in response to HIV infection?
What is the main tissue reservoir for HIV in the human body?
What is the main tissue reservoir for HIV in the human body?
Which immune cells act as cytolytic cells responding to HIV infection?
Which immune cells act as cytolytic cells responding to HIV infection?
What aspect of the provirus ensures that HIV infection remains permanent?
What aspect of the provirus ensures that HIV infection remains permanent?
Which viral characteristic is primarily dependent on the expression of mRNA?
Which viral characteristic is primarily dependent on the expression of mRNA?
What best describes low-level chronicity in HIV infection?
What best describes low-level chronicity in HIV infection?
What is the primary function of HIV-specific CD8+ CTLs?
What is the primary function of HIV-specific CD8+ CTLs?
What role do INF-γ and chemokines play in the immune response to HIV?
What role do INF-γ and chemokines play in the immune response to HIV?
What is a significant reason for the failure of the immune system to eliminate HIV despite a robust response?
What is a significant reason for the failure of the immune system to eliminate HIV despite a robust response?
How do HIV envelope glycoproteins complicate the immune response?
How do HIV envelope glycoproteins complicate the immune response?
What effect does the infection with HIV have on CD4+ T-lymphocytes?
What effect does the infection with HIV have on CD4+ T-lymphocytes?
Which factor contributes to the establishment of persistent HIV infection?
Which factor contributes to the establishment of persistent HIV infection?
What leads to impaired functions of T- and B-lymphocytes in response to HIV?
What leads to impaired functions of T- and B-lymphocytes in response to HIV?
Which statement best describes the role of B lymphocytes in response to HIV?
Which statement best describes the role of B lymphocytes in response to HIV?
What is the impact of cell-to-cell spread of HIV on the immune response?
What is the impact of cell-to-cell spread of HIV on the immune response?
What is a consequence of high mutation rates in HIV?
What is a consequence of high mutation rates in HIV?
What are the roles of the env gene in HIV?
What are the roles of the env gene in HIV?
Which receptor is primarily used by HIV-1 to enter T lymphocytes?
Which receptor is primarily used by HIV-1 to enter T lymphocytes?
What is the significance of the coreceptor in HIV entry into cells?
What is the significance of the coreceptor in HIV entry into cells?
What effect do homozygous deletions in the CCR5 gene have on individuals?
What effect do homozygous deletions in the CCR5 gene have on individuals?
In which part of the cell does the HIV RNA get integrated into the host DNA?
In which part of the cell does the HIV RNA get integrated into the host DNA?
What role does reverse transcriptase play in HIV infection?
What role does reverse transcriptase play in HIV infection?
Which coreceptor is associated with macrophage-tropic strains of HIV-1?
Which coreceptor is associated with macrophage-tropic strains of HIV-1?
What triggers membrane fusion during HIV entry into the host cell?
What triggers membrane fusion during HIV entry into the host cell?
What is the role of integrase in HIV replication?
What is the role of integrase in HIV replication?
How does HIV initially interact with host cells?
How does HIV initially interact with host cells?
Flashcards
Retroviruses
Retroviruses
A category of viruses characterized by their ability to integrate their genetic material into the host cell's genome.
Reverse Transcription
Reverse Transcription
The process of copying RNA into DNA.
Reverse Transcriptase
Reverse Transcriptase
The enzyme responsible for converting RNA into DNA in retroviruses.
Lentiviruses
Lentiviruses
Signup and view all the flashcards
HIV (Human Immunodeficiency Virus)
HIV (Human Immunodeficiency Virus)
Signup and view all the flashcards
Integrase
Integrase
Signup and view all the flashcards
Protease
Protease
Signup and view all the flashcards
HIV Replication Cycle
HIV Replication Cycle
Signup and view all the flashcards
How other STDs increase HIV risk?
How other STDs increase HIV risk?
Signup and view all the flashcards
What is perinatal HIV transmission?
What is perinatal HIV transmission?
Signup and view all the flashcards
What is a high maternal viral load?
What is a high maternal viral load?
Signup and view all the flashcards
How is HIV transmitted through parenteral exposure?
How is HIV transmitted through parenteral exposure?
Signup and view all the flashcards
What is the viral load (VL)?
What is the viral load (VL)?
Signup and view all the flashcards
Viral integration
Viral integration
Signup and view all the flashcards
Latency (HIV)
Latency (HIV)
Signup and view all the flashcards
Chronic HIV infection
Chronic HIV infection
Signup and view all the flashcards
Full blown viral expression
Full blown viral expression
Signup and view all the flashcards
Viral Reservoir
Viral Reservoir
Signup and view all the flashcards
CD4+ T cells
CD4+ T cells
Signup and view all the flashcards
Innate immunity
Innate immunity
Signup and view all the flashcards
Adaptive immunity
Adaptive immunity
Signup and view all the flashcards
Antigen-presenting cells (APCs)
Antigen-presenting cells (APCs)
Signup and view all the flashcards
T lymphocytes (T cells)
T lymphocytes (T cells)
Signup and view all the flashcards
What are CD8+ CTLs?
What are CD8+ CTLs?
Signup and view all the flashcards
What is INF-γ?
What is INF-γ?
Signup and view all the flashcards
What are CTL escape mutants?
What are CTL escape mutants?
Signup and view all the flashcards
What are neutralizing antibodies?
What are neutralizing antibodies?
Signup and view all the flashcards
What is the HIV envelope glycoprotein?
What is the HIV envelope glycoprotein?
Signup and view all the flashcards
What are CD4+ T-Lymphocytes?
What are CD4+ T-Lymphocytes?
Signup and view all the flashcards
How does cell-to-cell spread contribute to HIV persistence?
How does cell-to-cell spread contribute to HIV persistence?
Signup and view all the flashcards
How does HIV's high mutation rate contribute to its persistence?
How does HIV's high mutation rate contribute to its persistence?
Signup and view all the flashcards
How does HIV disrupt cytokine production?
How does HIV disrupt cytokine production?
Signup and view all the flashcards
How does HIV integration into host DNA contribute to its persistence?
How does HIV integration into host DNA contribute to its persistence?
Signup and view all the flashcards
HIV Receptor: CD4
HIV Receptor: CD4
Signup and view all the flashcards
HIV Coreceptor
HIV Coreceptor
Signup and view all the flashcards
HIV Coreceptor: CCR5 and CXCR4
HIV Coreceptor: CCR5 and CXCR4
Signup and view all the flashcards
HIV Entry Mechanism
HIV Entry Mechanism
Signup and view all the flashcards
HIV Entry: gp120 and CD4 binding
HIV Entry: gp120 and CD4 binding
Signup and view all the flashcards
HIV Entry: Coreceptor Role
HIV Entry: Coreceptor Role
Signup and view all the flashcards
HIV Reverse Transcription and Integration
HIV Reverse Transcription and Integration
Signup and view all the flashcards
HIV Replication: RNA to DNA
HIV Replication: RNA to DNA
Signup and view all the flashcards
HIV Replication: DNA integration
HIV Replication: DNA integration
Signup and view all the flashcards
HIV Replication: Provirus
HIV Replication: Provirus
Signup and view all the flashcards
Study Notes
Introduction to HIV
- HIV is a retrovirus, a spherical, enveloped RNA virus
- Its genome contains three structural genes (gag-pol-env)
- Gag encodes structural proteins (matrix, capsid, nucleocapsid)
- Pol encodes protease, reverse transcriptase, and integrase
- Env encodes the two membrane glycoproteins (SU gp120 and TM gp41)
- There are two main types: HIV-1 (most common) and HIV-2, which is less virulent
- HIV-2 is primarily found in West Africa
HIV Classification
- Classification is based on genomic sequencing, grouping by evolutionary relatedness
- This method is currently the most widely accepted classification system
HIV Epidemiology
- Globally, approximately 39 million people lived with HIV in 2022
- 1.5 million children are living with HIV (0-14 years)
- In 2022, 630,000 people died from HIV-related causes globally, a 51% decrease since 2010.
- 84,000 children died from HIV in 2022
- The WHO African region is significantly affected (3.6% of adults have HIV)
- The majority of people living with HIV globally live in this region
HIV Replication Cycle
- HIV replication starts with binding to the CD4 receptor and a coreceptor (CCR5 or CXCR4).
- The viral RNA is then released into the cytoplasm
- Reverse transcriptase makes a DNA copy of the RNA
- The DNA is integrated into the host's chromosomal DNA, becoming a provirus
- The provirus is duplicated with the host cell's DNA, so it's a permanent infection
- The process produces more viral RNA and proteins that assemble into new viruses, which bud from the cell.
HIV Receptors
- HIV uses the CD4 molecule and a coreceptor (CCR5 or CXCR4) for entry into cells.
- CCR5 is the predominant coreceptor for macrophage-tropic HIV-1 strains
- CXCR4 is the predominant coreceptor for lymphocyte- tropic HIV-1 strains
HIV Reservoir
- HIV reservoirs include memory CD4+ T cells, macrophages, brain microglia, and astrocytes, the most commonly occurring in the gut-associated lymphoid tissue.
Immune Response to HIV
- Early HIV infection is controlled by innate immunity (cytokines, phagocytes, NK cells)
- Adaptive immunity involves CD8+ T cells (cytotoxic T lymphocytes) to control viral replication and B cells to produce neutralizing antibodies
- Viral variability (mutation) allows HIV to evade the immune response, causing chronic infection.
- CD4+ T-lymphocytes are critically important but are often infected and killed by HIV
HIV Transmission
- High viral loads increase transmission risk
- Transmission occurs through sexual contact, blood exposure, or mother-to-child transmission.
- Sexual transmission risk is exacerbated by other STIs
- Health care workers are at risk through needlestick injuries
Pathogenesis and Course of HIV Infection
- Acute HIV infection is characterized by a flu-like illness, followed by a period of clinical latency which leads to chronic infection
- cART treatment reduces viral load, which slows progression
- People with cART can stay in chronic HIV infection stage for several decades before AIDS.
Opportunistic Infections
- AIDS patients are vulnerable to opportunistic infections due to immune deficiency.
- Many infections are typically harmless to healthy individuals but can be life-threatening in people with AIDS
HIV-related Cancers
- AIDS patients are at a higher risk of developing certain cancers, due to immune deficiency.
- Kaposi sarcoma is a notable example
HIV Diagnosis
- Testing methods include antibody tests, antigen/antibody combinations, and nucleic acid tests (NATs) for viral RNA.
- The window period between HIV infection and antibody detection can vary, impacting test results.
HIV Treatment/Care
- Anti-retroviral therapy (ART) is a standard approach to treat HIV infection.
- Treatment aims to reduce viral load, improve CD4 T-cell counts, and prevent opportunistic infections.
- Treatment timing and strategies are important, and adherence to the treatment regiment is vital.
- Periodic viral load and CD4+ T-cell counts are tracked and monitored to assess treatment efficacy.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.