HIV Flashcards

1
Q

Retrovirus genome (proteins?)

A
Gag: structural proteins
Pol: enzymes
Env: surface protein
Accessory proteins: in complex retroviruses
Rev: RNA export
Tat: transcativator
Vif, Vpr, Vpu for pathogenesis
LTRs
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2
Q

Retrovirus key enzyme

A

Reverse transcriptase.
RNA > DNA
Poor proofreading activity.

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3
Q

HIV replication. receptors

A
Receptor CD4 (Th cells), co-receptor: CCR5.
Membrane fusion > viral material into cell > RT: RNA to DNA > nucleus > integrase nicks host DNA, HIV insertion into genome (lifelong infection!).
DNA > mRNA > viral proteins > shuttled to membrane > budding from cell surface > maturation > infectious virion
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4
Q

HIV characteristics

A

Enveloped RNA virus.
Enzymes: RT, integrase, protease.
Infects CD4+ T cells and macrophages.

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5
Q

HIV immune evasion

A

Infects and kills Th cells.
Major target: GALT.
Sole ab target: Env. HIV is highly variable and changes epitopes in response to pressure from neutralizing ab

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6
Q

Env immune evasion

A

Glycans on Env protect underlying epitopes from recognition by ab. Variable domains are displayed at Env surface. Conserved domains which would be good targets for ab are either hidden inside Env or are only shortly exposed during entry.

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7
Q

HIV therapy targets

A

Inhibitors target viral enzymes (integrase, RT, protease).
Three inhibitors have to be combined!

Salvage therapy: entry inhibitors

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8
Q

Does therapy cure HIV?

A

Maintenance in latent reservoirs (long-lived cells) prevents eradication of virus > no cure!

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9
Q

HIV origin

A

Originated from Simian immunodeficiency viruses (SIV).
Zoonotic transmission.
HIV1: SIV-cpz from chimpanzees
HIV2: SIV-sm from sooty mangebey

Consumption of primates for food played an important role.

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10
Q

HIV-1 vs -2 vs SIV

A

1: responsible for AIDS pandemic (group M!), causes AIDS in 97.5% of infected.
2: endemic in West Africa/India, less pathogenic, causes AIDS in 25%

SIV: present in African primates, usually do not cause disease despite high levels of viral replication, experimental infection of Asian macaques induces AIDS, important animal model

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11
Q

Recognition of and innate defense against viruses

A

TLRs recognize PAMPS:
RIG1 and MDA5 recognize viral RNA,
IFI16 and cGAS recognize viral DNA.

PAMP recognition induces IFN production:
IFN binding to IFN receptors induce expression of ISGs in a JAK/STAT dependent fashion.

ISGs that inhibit HIV: restriction factors

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12
Q

ISG

A

Interferon stimulated genes.

Induced by IFN (viruses: type I, III) via JAK/STAT. Facilitate antiviral state.

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13
Q

Viruses are sensed by..

A

TLRs (recognize PAMPs)
RIG-I-like receptors (cytoplasmic RNA sensors: RIG-I, MDA5)
DNA sensors (cGAS)

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14
Q

HIV sensors

A

Sensed in cytoplasm by cGAS and IFI16.

Sensed in endosome by TLR7.

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15
Q

ISG that inhibit HIV

A

Restriction factor (IFN inducible, cell autonomous, under positive selection, frequently inhibited by viral accessory proteins)

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16
Q

Restriction factors - ex

A

TRIM5-alpha (recognises HIV-1 capsid, promotes premature uncoating)
SAMHD1 (reduced pool of free dNTPs inhibiting RT, but: counteracted in HIV2)
APOBEC3G (cytidine deaminase, hypermutates viral genome drung RT, but: degraded in HIV1)
Tetherin (tethers progreny particles to cell surface, but: degraded in HIV1)

17
Q

Counteraction of restriction factors

A

Restriction factors are inactivated in natural host by viral proteins.
Viruses are frequently unable to inactivate restriction factors in foreign hosts and may prevent cross-species transmission.

18
Q

Species specificity of restriction factor inhibition -ex

A

Macaque cells are not permissive to HIV-1 infection due to restriction factors (viral proteins can counteract human but not macaque RF).

Equipment of HIV-1 with SIV capsid (target of TRIM-a) and SIV Vif (inactivates macaque APOBEC3G) allows HIV-1 infection of macaque cells > animal model for HIV