2y IDs Flashcards
what type of virus is HIV
retrovirus
what cells does HIV primarily infect
CD4+ T cells
how does HIV target and enter CD4+ T cells
using gp120 envelope protein which binds to CD4 receptor and co-receptor (CXCR4/CCR5) on host cell surface
when HIV is in host cell what enzyme does it use to convert its RNA genome into DNA
reverse transcriptase
what enzyme does HIV use to integrate its DNA into host cell’s genome
integrase
what leads to AIDS development
HIV persists in body for years and depleting CD4+ T cells and weakening IS.
AIDS treatment
antiretrovial therapy (ART)
5 host factors that can influence HIV progression
host genetics - some HLA alleles slow disease progression
Age at infection - younger is worse
co-infections with other viruses
immune activation (chronic inflammation/co-infections)
malnutrition + vitamin deficiencies
behaviour (substance abuse/poor ART adherence)
3 stages of HIV clinical progression
acute
chronic
AIDS
symptoms in acute HIV which can last a few weeks
fever
fatigue
rash
how long can chronic stage of HIV last
several years
3 AIDS symptoms
weight loss
night sweats
fever
diarrhoea
3 ways HIV mutation can impact disease progression
ART resistance
Tropism - evolve to enter cells using different co-receptors
mutations affecting the fitness of the virus - slow progression
mutation to escape recognition by the immune system - faster progression
how is HIV primarily spread
blood, semen, breast milk (bodily fluids)
what value is CD4+ t cell count below in AIDS diagnosis
below 200 cells per microliter of blood