HIV Flashcards

1
Q

what type of Virus is HIV?

A

enveloped retrovirus

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2
Q

what is the viral surface protein on HIV?

A

gp120

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3
Q

what is the main way for the HIV virus to enter the cell?

A

HIV binds to the CD4 receptor
gp120 is used
the virus enters the cell

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4
Q

what is on macrophages and monocytes that allows entry?

A

CCR5

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5
Q

what are the different ways the hiv virus can enter the cell?

A
  1. gp120-CD4
  2. gp 120 + antibodies via Fc receptors
  3. gp120+ antibodies with complement domains and the complement receptors
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6
Q

how does the virus replicate it’s genetic contents?

A
  • RNA to DNA via reverse transcriptase
  • transported to the nucleus
  • integrated into the cells DNA
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7
Q

what are the regulatory proteins?

A
  • Tat
  • Rev
  • Nef
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8
Q

At what part in the HIV cycle does nucleoside analogues and nonnucleoside analogues work?

A

During reverse transcription from RNA to DNA

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9
Q

what cells are infected by HIV?

A

T helper cells

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10
Q

what is the role of gp41?

A
  • enhances infection and fusion ability.
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11
Q

what are the three stages of disease progression?

A
  1. acute infection/ seroconversion stage; starts 2-3 weeks after infection
  2. asymptomatic stage
  3. persistant generalised lymphadenopathy
  4. AIDS
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12
Q

how do nucleoside reverse transcriptase inhibitors work?

A

inhibit transcription by binding viral DNA and terminating the DNA chain
e.g. zidovudine, lamivudine

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13
Q

how do non nucleoside reverse transcriptase inhibitors work?

A
  • inhibit reverse transcription by binding to the enzyme
    eg nevirapine
    efavirenz
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14
Q

how do nucleotide analogues work?

A

a competitive reverse transcriptase inhibitor and DNA chain terminator for example tenofovir

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15
Q

how do protease inhibitors work?

A

acts on the production of viral proteins and enzymes causing immature and dysfunctional viral particles i.e amprenavir and saquinavir

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16
Q

what is PEP?

A

post exposure prophylaxis.

17
Q

what is the criteria for AIDs?

A
  • HIV positive
  • low levels of CD4 <200
  • opportunistic infection
18
Q

what cancer is herpes 8 linked with?

A

karposis sarcoma

19
Q

what are the main bacterial oppourtunistic infection?

A
  • TB
  • MAC
  • pneumococcus
  • salmonella
  • treponema pallidum
20
Q

what are the main protozoa and parasites that are opportunistic?

A

toxoplasma Gondi, pneumocystitis carinii, crypptosporidium

21
Q

what are the main opportunistic fungi?

A

aspergillus
candida
Cryptococcus