Atchley's Lectures Flashcards
is HIV curable?
NO
- no cure, but treatable
- start ART when diagnosed (same day) if no opportunistic infection
Idiopathic CD4+ Lymphocytopenia (ICL)
low CD4+ (<300), but HIV neg
retroviruses carry what enzyme?
reverse transcriptase
- RNA -> DNA
- RNA dependent DNA polymerase
both HTLV-1 and HTLV-2 need what before transfusion?
blood screen
- if +, cannot give blood
- BLURRED presentation w/ HTLV-1
what virus has reverse transcriptase but is NOT a retrovirus?
HBV***
which HIV virus is unresponsive to NNRTI?
HIV-2
POL gene
make reverse transcriptase, protease, integrates
- target for drugs
- mutated POL -> resistance
4th generation ELISA
- diagnostic test for HIV
- p24 antigen and HIV Abs
- if + have to do HIV-1,2 differentiation w/ immunoblot assay
env gene
makes the GP surface proteins
- Gp160 -> mother
- Gp 41 -> fusion and penetration
- Gp120 -> attachment/binding
T troph (X4) viruses
- target CXCR4 receptors (ALL T cells)
- LATE stage
- deplete all T cells
M troph (R5) viruses
- target CCR5 receptors (Macs/Monocytes/15-30% T cells)
- EARLY stage
- hide from immune surveillance
which viruses are the TRANSMITTING viruses?
R5 viruses
-CCR5 mutations -> decreased susceptibility to HIV
AIDS
-HIV+ PLUS CD4 <200 or an AIDS defining illness
Kaposi Sarcoma
- HHV-8
- LYMPHOCYTE infiltrate
Bacillary Angiomatosis
- Bartonella Hens.
- NEURTROPHIL infiltrate