HIV/AIDS - Skildum Flashcards

1
Q

What is the classification of HIV?

A
Family: Retroviridae
Genome: Two copies of (+) ssRNA
Capsid: Icosahedral
Enveloped with GP120 and GP41
Tropism: CD4+ T-Cells, monocytes, macrophages
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2
Q

What enzymes does the HIV virus carry with it?

A

Reverse Transcriptase
Integrase
Protease

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3
Q

Describe the HIV genome by size?

A

Small and Compact with genes encoded on multiple overlapping reading frames

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4
Q

What 4 genes are encoded in the HIV genome?

A

gag: 3 capsid proteins (p24)
pol: reverse transcriptase, protease, integrase
env: envelope glycoproteins gp120 and gp41
LTRs: integration sites that bind host transcription factors NF-kB, Sp1, TBP

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5
Q

Viral GP120 interacts with host…

A

CD4

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6
Q

Viral CP 41 interacts with host

A

CXCR4

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7
Q

What is the normal function of Stromal Derived Factor-1 (SDF-1)

A

Bind CXCR4 on lymphocytes and direct their homing to tissues

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8
Q

HIV-1 infected T-cells express env proteins on their cell surfaces. Why?

A

Binding of env to CXCR4 induces autophagy, which is a major cause of CD4+ T-Cell loss

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9
Q

After the HIV-1 envelope fuses with the host cell membrane, what are the steps of the life cycle of HIV-1?

A

Binding of HIV-1 envelope glycoproteins with host cell receptors and envelope fusion with plasma membrane

1) Genome uncoats
2) Reverse transcription of viral ssRNA → dsDNA
- takes place in cytosol
- two rounds of reverese transcriptase:
- 1) RNA → ssDNA, 2) ssDNA → dsDNA
3) Viral DNA migrates to the nucleus
4) Viral DNA integrates into host cell DNA
- via viral integrase enzyme
5) Expression of viral genes to make viral proteins & viral genomes
- Txn of both mRNAs that make capsid/envelope and full length RNA that will be packaged into new virus
- NF-KB (TF) activates/recruits RNA pol II for transcription of viral genome
6) Proteolytic processing of viral proteins
- cleavage of unspliced RNA done by viral protease
7) Assembly of viral particles & budding from host

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10
Q

After HIV integrates into the host genome to become a provirus, what enzyme produces HIV mRNA and genomic RNA?

A

Host RNA Polymerase II

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11
Q

What test is used to diagnose and confirm an HIV infection?

A

ELISA - looking for antibodies against p24 antigen

Western Blot

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12
Q

What tests is used to monitor patients with HIV?

A

CD4+ T-Cell Enumeration by Flow Cytometry

PCR for viral DNA (Research) or RNA (Clinically)

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13
Q

What is the goal of therapy for patients with HIV?

A

Reduce the level of circulating virus

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14
Q

In HIV, there is an inverse relationship between CD4 count and what in terms of disease progression?

A

HIV RNA copies

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15
Q

When a CD4+ T-cell is activated, what transcription factor is activated?

A

NF-kB

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16
Q

A mature HIV-1 viral particle contains 3 functional enzymes within its capsid. Of these three, which two are required for the particle to infect a cell and become a provirus?

A

Reverse Transcriptase

Integrase

17
Q

What makes a good therapeutic drug?

A

Selective Toxicity

18
Q

How is HIV-1 infection diagnosed?

A
  • **Main Screening Test = Indirect ELISA
    • 9-12+ weeks out
    • detect presence of anti-p24 Ab
    • confirmed by Western blot
  • Early Screening test = Direct ELISA
    • 3-9 weeks out
    • detect presence of p24 antigen