31st Page Flashcards

(63 cards)

1
Q

What virus causes AIDS?

A

Human Immunodeficiency Virus (HIV)

HIV infects primarily T-cells by binding to CD4 and several co-receptors (CXCR4, CCR5).

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2
Q

What is the family and genus of HIV?

RL

A

Family: Retroviridae, Genus: Lentiviridae

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3
Q

What is the hallmark of AIDS?

A

CD4 count < 200 cells/uL

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4
Q

When and where was HIV-1 identified? (US)

A

Identified in 1983 by Luc Montagnier’s Laboratory in France from lymph node biopsy specimens of patients with lymphadenopathy associated with AIDS.

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5
Q

HIV infects primarily T cells by binding to CD4 and several co-receptors:

A

CXCR4, CCR5

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6
Q

What were the previous names of HIV-1?

LHA

A

LAV (Lymphadenopathy Associated Virus)
HTLV-III (Human T-cell Lymphotropic Virus)
ARV (AIDS-associated Retrovirus)

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7
Q

When was HIV-2 discovered and by whom?

A

Discovered in 1986 by a team of researchers led by Dr. Luc Montagnier in Africa.

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8
Q

How does HIV-2 compare to HIV-1?

A

HIV-2 is less pathogenic, has lower transmission rates, but shares the same MOT as HIV-1.

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9
Q

What is the structure of the HIV virus?

A

The HIV virus has 72 knob-like spikes and includes components such as Env, Gag, Pol, and Envelope (protein coat).

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10
Q

What are the major HIV genes? (8),

A

gag
env
pol
tat
rev
vif
nef
vpu

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11
Q

What are the protein products of the gag gene?

A

p7,p,9,p17,p24

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12
Q

What are the protein products of the env gene?

A

gp120, gp41

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13
Q

What are the protein products of the pol gene?

A

p10,p31,p51,p66

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14
Q

What are the protein products of the tat

A

transactivates transcription

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15
Q

What are the protein products of rev

A

production of viral RNA

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16
Q

What are the protein products of vif

A

Infectivity factor

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17
Q

What are the protein products of nef

A

Unknown regulatory function

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18
Q

What are the protein products of the vpu

A

Maturation of viral particles

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19
Q

What is the function of p17?

A

Inner surface envelope

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20
Q

What is the function of p24?

A

Inner coat for nucleic acid

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21
Q

What is the function of p9?

A

Core-binding protein

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22
Q

What is the function of p7?

R

A

Binds to genomic RNA

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23
Q

What is the function of gp120?

T

A

Binds to CD4 on T cells

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24
Q

What is the function of gp41?

A

Transmembrane protein

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25
What is the function of p51 and p66?
Subunit of reverse transcriptase
26
What is the function of p31 I
integrase
27
What is the function of p10 P
protease
28
What is the function of p14 TT
transactivates transcription
29
What is the function of p19 R
production of viral RNA
30
What is the function of p23 IF
infectivity factor
31
What is the function of p27
unknown regulatory function
32
What is the function of p16 VP
maturation of viral proteins
33
What is the first step in HIV viral replication?
ATTACHMENT gp120 binds to the CD4 antigen (receptor) * main target: T helper cells (they express high numbers of CD4)
34
* Mediated by binding of coreceptors * Chemokine receptors direct WBCs to the site of inflammation
Entry or Penetration
35
required for entry of HIV into T lymph
CXCR4
36
Present in Entry of Penetration
CXCR4 CCR5 CCR2
37
* "flu-like" or IM-like symptoms
Primary infection
38
* Acute retroviral syndrome may develop
Primary infection
39
* Rapid burst of viral replication (viremia)
Primary infection
40
* HIV disseminates in lymphoid organs
Primary infection
41
What occurs during the clinical latency stage of HIV? DAV
* Decrease viremia * Absence of clinical symptoms * Virus still in plasma (in little amount) where it causes a gradual deterioration of immune system
42
* Absence of clinical symptoms
Clinical latency
42
* Decrease viremia
Clinical latency
43
* Profound immunosuppression
AIDS
44
* Resurgence of viremia
AIDS
45
* Life-threatening infection and malignancies
AIDS
46
* About 10yrs after infection
AIDS
47
* CD4 = <200/uL
AIDS
48
What is HAART?
Highly Active Antiretroviral Therapy, a multidrug regimen that includes 2 or 3 drug classes.
49
Name a type of NRTI used in HIV treatment.
Zidovudine (ZDV) ## Footnote Other examples include Lamivudine (3TC) and Abacavir (ABC).
50
What are some opportunistic infections associated with HIV?
Pneumocystis jiroveci (carinii) Cryptosporidiosis Tuberculosis Kaposi's sarcoma (HHBA cause this)
51
What are the steps in the HIV testing process?
1. Counseling 2. Laboratory testing 3. HACT informs patient of the result.
52
What does a reactive HIV test result indicate?
Enroll for treatment.
53
What does NR mean in the context of HIV testing?
Not reactive; repeat the test after 3 months.
54
They are needed for entry to macrophages in HIV replication
CCR5 CCR2
55
The viral nucleic acid escapes from the capsid
Uncoating
56
The pro-virus is integrated into the host's genome and is copied along with the cells DNA
Biosynthesis
57
All the newly formed protein will be gathered to form new capsid
Assembly
58
* As the virions bud from the cell membrane, host cells may be destroyed by lysis. * Viral replication occurs to the greatest extent in antigen activated T helper cells.
Release
59
* 3 - 6 weeks after initial infection
Primary infection
60
Ziduvudine (ZDV) Azidothymidine (AZT) Lamivudine (3TC) Didanosine (ddI) Abacavir (ABC) Stavudine (d4T)
Nucleoside analog RT inhibitor ZALDAS
61
Delavirdine (DLV) Efaverenz (EFV) Nevirapine (NVP)
Non-nucleoside RT inhibitor DEN
62
Saquinavir (SQV) Indinavir (IDV) Ritonavir (RTV) Nelfinavir (NFV) Amprenavir (AMP) Lopinavir
Protease inhibitor SIRNAL