Exam Review 2 Flashcards
What is HIV?
- Human Immunodeficiency Virus
- Most cases are present in subsaharan Africa (2/3)
- HIV can lead to AIDS if left untreated
How is HIV transmitted?
- it is sexually transmitted, but can also be transmitted through blood
- 2/3 cases are common amongst homosexual and bisexual men
People who die from HIV don’t die from the virus but…
- they die from t he infections that that virus prohibits your body to fight off
- the rates in the U.S are declining
- it takes a very long time (years) to kill you
What is the structure of HIV?
- it is an enveloped retrovirus
- has an RNA genome
- Reverse transcriptase enzymes
- has surface glycoproteins which allows for its connection to other cells
How many genes can HIV encode?
- HIV genome can encode 9 genes and multiple proteins
- some of the genes that are encoded that are translated as poly proteins which are attached into individual proteins later by action of a viral protease
What is the life cycle of HIV?
- ## it has an extracellular and intracellular phase
What is the immune system’s role in HIV infection?
- to is the defense against HIV but it is also the target of HIV
- the proteins in helper T cells in the immune system are what HIV infection is attracted to
What is an adaptive immune system?
- its the immune system that responds to infections and remembers them in order to fight them off better next time
- has two parts: humoral and cellular
What are Helper T cells?
- they are CD4+ or T4 cells that are central to both immune system response
- they are what the HIV virus uses to get into other cells
Why is drug treatment ineffective in the long run for HIV?
- viruses use your own cells to make copies and replicate
- drug treatment usually only tries to target some vital viral infection
- two types of treatments available: anti-reverse transcriptase (RT) and protease inhibitors
What is the Anti-reverse transcriptase (RT)?
- targets viral DNA synthesis
- aims to stop synthesis by incorporating nucleotide analogues (the drug) to stop transcription (it adds a chain terminating nucleotide)
Why does anti RT therapies fail?
- it is a very sloppy polymerase which makes a lot of mistakes resulting in every HIV virion in the body to be different
- the variation in RT sequences lead to variation in RT polymerase function
- Natural selection takes place for drug resistant virions
- mutations are passed to mutant offspring
- then the HIV population in a patient becomes resistant to the RT drug treatments
How is HIV treated now?
- modern HIV uses cocktails of drugs because of how frequent and quickly the virus mutates
How does HIV beat the immune system?
- the immune system is an agent of selection and it relies on epitopes to detect foreign entities.
- HIV constantly changes its epitopes so the immune system misses or doesn’t recognize it as foreign
- HIV also kills off the immune system through viral infection and through the destruction of Helper T and Killer T cells
- The high error rate of HIV RT is likely an adaptation acquired by its interaction with he immune system
What does HIV require to enter into cells?
- the presence of the CCR5 co-receptor
- people express delta 35 allele of CCR5 are RESISTENT to infection but not immune
Where did HIV come from?
- Epidemiological data suggest Central Africa as the source of HIV
- HIV is thought to be zooiotic meaning it was present in animals and then transferred to humans.
- for example; when chimps were hunted, and their blood was transferred to humans, it could have been infected with the HIV virus and infected the hunters.
What is SARS-CoV2?
- it is Severe Acute Respiratory Syndrome that was caused from Corona Virus 2 caused by COVID-19
- this disease emerged in December 2019
- it’s transmitted by droplets person to person
What does COVID affect?
- the respiratory tissues initially, but it can move and spread throughout the body after infection
- this virus can also infect deer, guinea pigs, bats, etc.
What is the viral structure of COVID?
- it is a positive sense ssRNA virus
- the virus is enveloped like HIV
- the surface proteins include SPIKE glycoprotein
- the genome encode polyproteins that are cleaved by proteases to produce structural and non structural proteins
What is the Life Cycle of SARS-CoV2?
Stage 1 -
Stage 2 -
Stage 3 -
Stage 4 -
Stage 5 -
What is the Diversity in Phylogeny?
- variants in the phylogenetic contain novel mutation
- clades are viruses that share various mutations
- major new clades are gives Greek letters (i.e Omicron)
- some clades have gone extinct (we think)
Why does Omicron contain many more mutations than previous variants?
there are 3 alternative hypotheses
- believed researches simply missed a series of mutations that led to Omicron in places like S. America or Africa
- PREFERRED: variant evolved mutation in one person as part of a long-term infection
- could have emerged in unseen animal hosts
What increases the amount of SARS-CoV2 virus variability?
- recombination between strains will increase variability
- recombination takes place in a single person infected with more than one strain
- recombination generates more diversity in the virus which is very bad
Where do mutations take place in SARS-CoV2?
- lots of the mutations take place on the surface which is where the spike protein is encoded
- genes exposed to the surface