elisa Flashcards
AIDS etiologic agent
hiv type 1. HIV-1 contains an RNA genome and the RNA
dependent DNA polymerase also termed reverse transcriptase.
HIV is
unique in some of its properties since
it specifically targets the immune
system, is very immunoevasive, forms significant amounts of progeny virus
in vivo during the later stages of the disease and can be transmitted
during sexual activity.
The viral proteins are identified by
the
prefix gp (glycoprotein) or p (protein) followed by a number indicating
the approximate molecular weight in kilodaltons.
hiv particle structure
The HIV viral particle is surrounded by a lipid bilayer derived from the host
cell membrane during budding. Beneath the bilayer is a capsid. Within this shell is the viral core.
lipid bilayer
The lipid bilayer contains gp 160, gp 120 and gp
41. The gp 41 anchors gp 120 in the bilayer
capsid
Beneath the bilayer is a capsid consisting of p17
and p18.
viral core
The walls of the core consists of p24 and p25. within: - two identical RNA molecules 9000 nucleotides in length - Hydrogen bonded to each viral RNA is a cellular tRNA molecule - 50 molecules of reverse transcriptase.
An individual can be infected with HIV through
an abrasion in a mucosal
surface (e.g. genital and rectal walls), a blood transfusion or by intravenous
injection with a contaminated needle.
During the early
stages of infection in an immunocompetent person __. however
the HIV virus elicits
humoral and cellular immunity responses that result in a variety of circulating
IgG molecules directed at several viral epitopes. However, since the
virus has a high mutation rate the variants survive and produce progeny
having a similar capacity to escape immunosurveillance.
__ This is believed to be the main mechanism
of HIV immunoevasion.
Unlike other cellular DNA polymerases, HIV DNA polymerase (reverse
transcriptase) has a high error rate. These frequent mutations continually
change the viral protein epitopes.
The most important target for the virus are
hematopoietic cells such as bone marrow derived monocytes, myelocytes
and immune system lymphocytes.
__ ultimately produce the
most profound clinical consequences.
Infection of immune system
effector cells such as T cells and macrophages
binding process
gp 120 binds to the CD4 receptors
on the surface of T helper (TH) cells. These receptors are membrane
bound glycoproteins involved in T cell maturation from precursor cells. TH
cells are required for the body’s overall immunological responses. The
viral lipid bilayer fuses with that of the cell’s membranes and the viral
protein capsid becomes internalized via receptor mediated endocytosis.
Subsequently, the rest of the CD4 receptors are internalized and gp 120
appears on the T cell surface.
binding process
gp 120 binds to the CD4 receptors
on the surface of T helper (TH) cells. These receptors are membrane
bound glycoproteins involved in T cell maturation from precursor cells. TH
cells are required for the body’s overall immunological responses. The
viral lipid bilayer fuses with that of the cell’s membranes and the viral
protein capsid becomes internalized via receptor mediated endocytosis.
Subsequently, the rest of the CD4 receptors are internalized and gp 120
appears on the T cell surface.
trna molecule
acts as the primer for the first strand
synthesis.