HIV (7-9) Flashcards

1
Q

What class of virus is HIV?

A

HIV = Human Immunodeficiency virus

Class 6 viruses: Retroviruses
→ +ve sense ss RNA genome
→ replicate via a dsDNA intermediate - reverse transcription

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2
Q

Where has the heaviest burden of HIV?

A

Subsaharan Africa

→ 38 million people infected worldwide (more people injected and less people dying), 1.5 million new infections in 2021
→ 650,000 deaths from AIDs (15% children) in 2021

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3
Q

What does HIV cause?

A

The destruction of T cells of the immune system
→ makes the body very susceptible to opportunistic pathogens

When blood contains less than 200T cells/ul AIDS develops

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4
Q

What is the general life cycle of HIV?

A

Receptor binding
→ fuses with plasma membrane
→ deposits caspid in cytoplasm
→ uncoated
→ reverse transcription
→ new ds DNA intermediate (provirus)
→ provirus imported into nucleus
→ integrated into host cell genome
→ transcribed by host Pol II
→ viral RNAs made
→ exported out and translated
→ assembly at membrane
→ budding and maturation

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5
Q

What is the HIV genome comprised of?

A

Encodes 9 genes, 15 proteins (some encode poly proteins)

gag → structural proteins: matrix, caspid, nuclear caspid
pol → enzymes: protease, reverse transcriptase, integrase
env → envelope proteins, transmembrane

RNA ~10kb

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6
Q

What does a HIV particle consist of?

A

Diploid → 2 copies of viral RNA in each particles

Caspid → icosahedral
Nuclear caspid → coats viral RA+NA
Surrounded by matrix, which binds lipid membrane
gp120 and gp41 on the surface

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7
Q

What is involved in HIV receptor binding?

A

CD4 binding → gp120 subunits bind CD4 on T cells
→ causes conformational change in gp120

Exposure of co-receptor binding site → variable regions move out exposing highly conserved area for coreceptor binding

Co-receptor binding → binding site binds to co-receptor CCR5

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8
Q

How can variable regions of HIV help it to evade the immune system?

A

V1/2/3 - variable regions on surface of HIV envelope
→ involved in binding
→ if recognised by an antibody - v change so it doesn’t next time

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9
Q

What is involved in HIV fusion and entry?

A

gp41 of HIV has a fusion peptide - inserted into cellular membrane
→ conformational change forms hairpin - alpha helices come together
→ bring 2 membranes close enough together so they fuse

Fusion allows caspid to move into cytoplasm

T-20 fusion inhibitor blocks conformational change in gp41 → last resort treatment- nasty side effects

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10
Q

What is involved in HIV uncoating?

A

After fusion caspid moves into cytoplasm - needs to dissemble requiring chaperones

Cyclophilin A is a cellular chaperone protein that binds caspid proteins
→ incorporated into caspid structure when being made
→ enable uncoating of viral core for next step - reverse transcription

Without cyclophilin A caspid can’t uncoat - viral life cycle stops

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11
Q

What is reverse transcriptase?

A

Enzyme involved in reverse transcription of HIV
→ enters the cell in particle; incoming genome has no chance to be translated to give new enzyme
→ incoming genome not translated directly

RT protein has 2 domains:
Polymerase → nucleotides added
RNaseH → degrades RNA specifically when in a heteroduplex with a DNA strand

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12
Q

What are the steps of reverse transcription for HIV?

A
  1. (-) strand primed by tRNA bound at tb (tRNA binding site)
    → DNA synthesis requires a primer, for HIV this id tRNA lysine
  2. RNase H exposes the DNA copy of R and U5 (removes the RNA complementary to the DNA)
  3. Base pairing between R’ and the 2nd copy of R - 1st template jump
  4. Continued (-) strand synthesis and template RNA degradation
    → polyP region more resistant to RNaseH activity - acts as primer to star synthesising other DNA strand
  5. (+) strand synthesis uses (-) DNA as a template and continues until a modified a modified base in tRNA blocks extension
    → RNaseH removes polyP and tRNA - no RNA, 2 partial DNA strands
  6. 2nd template jump → tb and tb’ at 3’ ends of (+) and (-) strands base pair
  7. Extension of both strands to completion

Reverse transcriptase can extend both strands → forming DNA provirus, dsDNA with extra sequence

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13
Q

How is HIV imported into the nucleus?

A

After reverse transcription more proteins bind to allows transport through nuclear pore complex

Provirus + 2 copies of integrase + matrix protein + Vpr = pre-intergration complex

Vpr → key role in nuclear transport, lacking Vpr - can’t enter nucleus

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14
Q

How is HIV integrated into target DNA?

A

LTRs bound to integrase → catalyse joining of ends to host

  1. Processing (integrase)
  2. Joining (integrase)
  3. Repair (host cell)

→ disrupts host cell chromosomes
→ no specific sequences, HIV integrated ay just actively transcribed areas
→ additional sequences can be added in

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15
Q

Is infection by proviruses cytolytic?

A

No
Proviruses genomes are integrated into host chromosome → infection doesn’t cause lysis
Provirus will replicate with the host genome at every round of division and propagate to every daughter cell
→ provirus can be inherited between generations if virus infects a germ cell
→ genomes of humans and other species contain large amounts of vestigial retroviral sequences

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16
Q

What are the long terminal repeats (LTR) of HIV genomes?

A

Have a role in transcription and gene expression

3 regions of sequence: U3, R, U5

5’ U3 → acts as enhancer and promoter
→ transcription starts at beginning of R region
→ lots of binding sites for cellular transcription factors - required to recruit the RNA polymerase
3’ U5 → site of poly A addition

→ transcription produces full length viral genomic RNA

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17
Q

What is the function of Tat protein in HIV replication?

A

Tat is a trans activator of transcription
→ transcription is inefficient in the absence of Tat

Tat gene is essential for HIV infection → if you delete gene virus not viable
→ in the promoter elements targeted by Tat, TAR (Tat-response) element was found immediately downstream from transcription start site
→ usually TAR function is absolutely position and orientation dependant - suggests TAR sequence functions as RNA

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18
Q

How does protein bind to TAR region of HIV?

A

TAR RNA folds into stem loop structure
→ Tat binds to bulge of stem loop
→ loop-specific factor binds above - another required factor that needs to bind to TAR

(TAR at 5’ end of RNA - transcription start site)

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19
Q

What is the mechanism of Tat action in HIV transcription?

A

In the absence of Tat:
→ the HIV TLR assembles a poorly processive RNA polymerase complex (not efficient at transcribing)
→ once clear of the promoter, RNA pol frequently drops off the template producing a truncates RNA (comprised of TAR region then falls off)

In the presence of Tat:
→ the RNA polymerase complex is converted to a fully processive mode
→ a high proportion of initiation events lead to full-length transcription

Tat converts RNA pol II to be competent

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20
Q

What is the role of the loop factor in HIV transcription?

A

Loop factor - cyclin T1 : cdk9 complex (aka Tac - Tat associated kinase)

Activated by Tat binding to TAR
→ allows phosphorylation of pol II
→ kinase activity of CDK-9 can phosphorylate c-terminus of RNA pol II - important for its activity
→ for Tat-activated elongation

21
Q

How is the HIV-1 RNA genome spliced?

A

Un-spliced 9kb → encodes Gag, Pol
Singly spliced 4kb → encodes Vif, Vpr, Vpu, Env
Mutiply spliced 2kb → Tat, Rev, Nef

22
Q

What is the role of Rev in the HIV life cycle?

A

Rev is a regulator of virion protein expression

In the absence of rev:
→ cytoplasmic mRNA for Gag, Pol and Env are reduced
→ mRNA for Tat, Nef are unaffected
implying Rev doesn’t have a transcriptional effect

Role in nuclear export of viral mRNAs

23
Q

Why can some HIV mRNAs be transported to he nucleus in the absence of Rev?

A

Eukaryotic cellular mRNAs need to be processed to be exported to cytoplasm → includes splicing, introns removed

The 2kb class of viral RNA can just use host cell nuclear export pathway
→ they are fully spliced
→ 9kb/4kb get stuck in nucleus because they’re not fully spliced - require Rev

24
Q

What is the rev-responsive element (RRE)

A

Sequence necessary for Rev to activate mRNA accumulation of an intron-containing construct

RRE confers Rev-dependent export on mRNAs that contain it and that would otherwise stay in nucleus
→ as a complex secondary structure
→ binds Rev at a high-affinity site, Rev then multimerises along the RNA

25
How does Rev-mediated HIV RNA export occur?
Rev binds viral RNA (contains envelope coding region - not fully spliced) → binds the exporting Crm 1 and exits dependant on RAN 2kb able to exit in absence of Rev → producing Rev, Tat and Nef which go back into nucleus → Tat activates more transcription → Rev binds RRE 9kb and 4kb class can be exported in presence of Rev HIV has 2 phases of gene expression: Early → Rev, Tat, Nef Late (Rev dependant) → Gag, Pol, Env, Vif, Vpu, Vpr
26
How are Gag and Pol translated from the HIV RNA genome?
Gag and Pol are translated from the full length 9kb HIV RNA → the two proteins are in different overlapping reading frames → ribosomal frame shifting Ribosomes bind at 5' end, start translating Gag → 9/10 ribosomes translate entire protein → 1/10 ribosomes when they reach frameshift signal pause, shift back one nucleotide (frameshift signal near end of Gag open reading frame) → continue translating in Pol reading frame → produces Gag-Pol fusion poly protein - 3/4 proteins of Gag + 3 enzymes of Pol
27
How has the translation of HIV protein frameshift efficiency evolved?
Viruses evolve frameshift efficiency dependant on its needs → to provide proteins in the relative ratios they need 90% of ribosomes produce Gag, 10% of ribosomes produce Gag-Pol fusion protein → Gag encodes structural proteins so 10x more needed compared to the enzymes encoded by Pol
28
How does the frame shifting occur in HIV RNA?
A stem-loop structure downstream of slippery sequence in the HIV RNA, blocks mRNA entrance tunnel in ribosome → causes the ribosome to pause during translation while A and P sites over a UUUUUUA slippery sequence → 10% of the time the ribosome slips back 1 nucleotide then continues to translate Gag-Pol fusion protein
29
How is the HIV Env protein produced?
Env is a transmembrane glycoprotein → its co-translationally inserted into ER membrane → gp41 region of Env traverses the membrane, gp120 region of Env in the lumen of the ER → gp120 heavily glycosylated in the ER - enables some of the immune evasion → Env follows the route of membrane and secretory proteins in vesicles via the Golgi to the cell membrane → Env clusters in regions of the membrane that are high in cholesterol, called lipid rafts
30
What does HIV particle assembly require?
→ 2 copies of full length HIV RNA → ~2000 molecules of Gag protein → lipid envelope contains Env glycoproteins
31
How does HIV ensure only full length RNA packaged into viral particles?
Full length HIV RNAs, but not spliced RNAs, contain a packaging signal (Psi) → located downstream of major splice site - sequence removed on spliced RNAs Gag protein binds to Psi, then multimerises along the RNA HIV RNAs also contain a dimerisation signal → palindromic region that allows interactions between 2 viral RNAs → end up with dimer of RNA molecules coated in Gag
32
What is involved in HIV assembly, budding and maturation?
The Gag-RNA complex forms in the cytoplasm → transported to a region of the membrane containing Env proteins to form an immature virus → hijacks vesicle trafficking - required ESCRT complexes → enables complex to be exported Bothe the membrane Protease self-cleaves from Gag-Pol - catalyses maturation → then able to cleave all the other Gag-Pol proteins into their constituent parts → caspid protein rearranged to get mature particle (infectious) → matrix protein remains bound to the membrane → caspid proteins form icosahedral structure surrounding viral genome - bound to nucleocapsid
33
What are the roles of the HIV accessory proteins?
Involved in counteracting host antiviral and immune responses Vif → inhibits host cell APOBEC3G - an antiviral enzyme that causes hypermutation of the HIV genome Vpu → inhibits host cell tetherin - a cell surface molecule preventing the release of viral particles Nef → causes the down regulation of MHC class I and CD4 from the cell surface - prevents cell signalling to immune system, can't present peptides
34
What is AIDS?
Acquired immune deficiency syndrome Current definition: → the presence of 1 of 25 conditions indicative of severe immunosuppression or → HIV infection with a CD4+ T cell count of <200 cells / ul of blood First identified in 1981 → Pneumocystis pneumonia and Kaposi's sarcoma (rare diseases linked to immunosuppression) unusual to find in clusters → clustered in sexually interactive groups and needle-sharing drug users - suggestive of infectious disease passed via bodily fluids
35
What was the first human retrovirus discovered?
Human T-cell lymphotropic virus (HTLV-I) in late 1970s → HTLV-II discovered in 1982
36
When was the AIDS virus isolated?
May 1983 - Montagnier and colleagues → isolation of a T-lymphotropic retrovirus from a patient at risk for AIDs → called it lymphadenopathy-assocaited virus (LAV) May 1984 - Gallo and colleagues → identified a retrovirus from blood of AIDS patients → DNA showed homology to HTLV-I → called it HTLV-III (identified same virus) 1985 → complete genomic sequence published → found to be not closely related to HTLV-I → virus renamed human immunodeficiency virus (HIV) 1986 - Clavel and Montagnier → isolate HIV-2 from patients in West Africa
37
What are the origins of HIV?
Likely to be from zoonotic transmission (trans-species) - simian to human HIV-1 → genetic homology to a virus isolated from captive chimpanzees in 1989 - SIVcpz HIV-2 → genetic homology to a virus isolated from captive macaque in 1985 - SIVmac → macaque not natural host - caught from sooty mangabey monkeys
38
Where is HIV-2 mainly found?
HIV-2 mainly limited to West Africa → sooty mangabey habitats found in WA → low world-wide incidence → higher in countries with colonial ties to WA (France, Portugal)
39
What species of chimpanzee did HIV-1 originate from?
*P. troglodytes troglodytes* - SIVcpzPtt → HIV-1 1000 wild chimpanzees (with 4 distinct subspecies with non-overlapping habitats) tested 1989-1999 → most of them were *P. t. verus* and -ve for SIVcpz → the two that were found positive were *P. t. troglodytes* *P. troglodytes schweinfurthii* - SIVcpzPts → not transmitted to humans - dead end host
40
What four groups can HIV-1 be divided into?
Group M (main) → 98% of HIV-1 isolates; found worldwide Group O (outlier) → 1-2% of HIV-1 isolates; limited to Cameroon and Gabon Group N (new) → 6 individuals in Cameroon Group P (2009) → 2 individuals in Cameroon → N and P not thought to be transmittable between humans → divided based on their sequence diversity
41
Where did HIV-1 groups M and N arise from?
Different locations - separate transmission events from chimps to humans → N more central Cameroon → M more southeast Cameroon
42
Where did HIV-1 groups O and P arise from?
Gorillas in western and eastern lowland Africa SIVcpzPtt → SIVgor → HIV-1 group O / HIV-1 group P (separate transmission events)
43
Where did SIVcpz originate from?
SIVcpz is a recombinant virus → red capped managabey (SIVrcm) → greater spot-nosed monkey (SIVgsn) Properties of the recombinant virus made it efficient in chimps → chimps closer related to humans - advantaged for transmitting to humans
44
Is HIV a zoonotic virus?
Zoonotic virus = an animal virus that is transmissible to man under natural conditions Humans have been exposed to SIV-infected monkeys for thousands of years; HIV has only emerged in the lat 100 years → only 12 cross-species transmission events → suggests genetic differences between host species are barriers to infection and viral mutations required to infect new hosts The error-prone nature of HIV reverse transcriptase allows rapid viral evolution → RNA dependant DNA polymerase - no proof-reading - enables adaptation → HIV diploid genome - reverse transcriptase can jump template - recombination
45
How must a virus evolve to infect and replicate in a new host?
A virus must evolve to use dependency factors in the new host and evade the restriction factors Dependancy factors → host cell proteins viruses rely on for replication - small differences between species may prevent replication Restriction factors → mammalian cells have antiviral defences in addition to the innate immune response - host specific antiviral proteins
46
What types of AIDS are asymptomatic and pathogenic in host?
SIV is non-pathogenic in its natural hosts (African monkeys) → co-evolution for at least 100,000 years → asymptomatic in host: SIVsmm, SIVrcm, SIVgsn, SIVagm SIV/HIV causes AIDS in chimps and humans → pathogenic in host: HIV-1, SIVcpz, HIV-2, SIVmac
47
Why does HIV-infection in humans progress to AIDS without treatment but SIV-infected monkeys are asymptomatic?
There is a high level of viral replication in both however HIV in humans → T cell depletion, so opportunistic diseases can invade → high level of innate immune activation - inflammatory response SIV in monkeys → T cell population persevered → low level innate response → although there is a high level of viral replication - monkeys don't become susceptible to opportunistic diseases
48
How does HIV stimulate the innate immune response in humans?
Through TLR7 and TLR9 in plasmacytoid dendritic cells → TLR7+9 signal through IRF-7 to produce IFNalpha → continued pDC activation and IFN production are likely to lead to the accelerated destruction and impaired regeneration of T cells
49
How does HIV stimulate the immune response in monkeys?
Much lower levels of IFNalpha are produces in response to TLR7+9 signalling → monkey IRF-7 has several different aa in its activation domain compared to humans - thus less active in stimulating transcription of IFNalpha - preservation of T cells (it is not beneficial for virus to kill host - evolution of IRF-7 in response to thousands of years of co-existence with SIV?)