HIV Flashcards

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1
Q

What’s the difference between HIV-1 and HIV-2?

A
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2
Q

HIV-1 subgroups

A

M,N O - derived from different subspecies of chimpanzee

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3
Q

Why have the subtypes of M broken down?

A

Coinfection and RT template switching

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4
Q

Where does recombination often occur?

A

Occurs between copackaged dimeric viral RNA genomes

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5
Q

HIV genome

A

gag, pol, env, tat, rev, vif, vpr, vpu, nef

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6
Q

HIV receptor targets

A

CD4 + CCR5 in immune cells

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7
Q

Viremia

A
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8
Q

HIV acute infection

A

Virus replicating in cells
Immune response clears virus from blood
Clinical latency - battle between immune system + viral replication

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9
Q

Development of AIDS

A

HIV starts killing off CD4 cells - not enough left in immune system
= AIDS

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10
Q

Stages of HIV infection

A

Primary infection
Acute HIV infection
Clinical latency
Onset + opportunistic infections
Death

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11
Q

HIV steady state

A
  • The amount of HIV in the body reaches a relatively stable level, usually several months after infection.
  • The virus has established a balance with the immune system, and the rate of viral replication is roughly equal to the rate at which the immune system is able to control the virus.
  • During the HIV steady state, the number of CD4 T-cells, also stabilizes.
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12
Q

Host immune defences to HIV

A
  1. Interferons
  2. Neutralising antibodies
  3. Trim5alpha
  4. APOBEC3G
  5. Tetherin
  6. CCR5 deletion
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13
Q

Interferon defence against HIV

A

Type 1 interferons produced in infected and uninfected
Induce antiviral state in uninfected cells
e.g. Translation inhibitory protein produced

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14
Q

TIP

A

translation inhibitory protein
makes ribosomes check for caps

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15
Q

Neutralising antibodies

A

Producedusing HIV p24 antigen

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16
Q

Neutralising antibodies

A

Producedusing HIV p24 antigen

17
Q

TRIM5alpha

A

Retrovirus restriction factor
Innate immune defense in cells
Recognizes motifs within viral capsid proteins, which causes the TRIM5α to smother the (not yet uncoated) capsid in a reticulatory way so as to form a repeating regular hexagonal net, two sides of each hexagon being made up of two spokes of a three-way hub and spoke trimer

18
Q

APOBEC3G

A

Cytidine deaminase
Edits C to U in viral negative strand
GA hypermutation of viral positive strand
Vif tags APOBEC for degradation

19
Q

Tetherin

A

Induced by interferons
Prevents release of HIV
Vpu binds to tetherin and targets it for degradation

20
Q

CCR5 deletion

A

Deletion in receptor prevents HIV-1 infection = NATURAL IMMUNITY

21
Q

Combination therapy

A

Treatment that uses a combination of three or more drugs to treat HIV infection
Prevent drug resistant mutants