HIV and AIDS Flashcards

1
Q

What cells are suitable as hosts to a virus?

A

CD4 and T lymphocytes

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2
Q

What is required in order for the HIV virus to enter the cell?

A

certain receptors

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3
Q

What do the receptors interact with?

A

protein complexes embedded in the viral envelope

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4
Q

What are protein complexes composed of?

A

2 glycoproteins

 - extracellular GP120
 - transmembrane GP41
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5
Q

What are the 3 essential replication enzymes?

A
  • integrase
  • protease
  • reverse transcriptase
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6
Q

What does reverse transcriptase do?

A

it begins the reverse transcription of viral RNA

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7
Q

What are the 2 catalytic domains of reverse transcriptase?

A
  • the polymerase active site

- the ribonuclease H active site

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8
Q

What happens at the polymerase active site?

A

single stranded RNA is transcribed into an RNA-DNA double helix

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9
Q

What happens at the ribonuclease H active site?

A

The RNA is broken down

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10
Q

What happens to the DNA strand?

A

It is fused with another DNA strand via the polymerase active site to form a DNA double helix

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11
Q

What does integrase do?

A

It cleaves a dinucleotide from each 3’ end of the DNA creating 2 sticky ends. After this it transfers it into the cell nucleus and facilitates its integration into the host cell genome

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12
Q

What does the viral protease do?

A

Cleaves longer viral proteins into smaller core proteins which creates an infectious virus

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13
Q

Once the core proteins are formed what happens?

A

2 viral RNA strands and the replication enzymes come together and the core proteins assemble around them forming the capsid

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14
Q

What percentage of world population does not have HIV virus receptors?

A

1%

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15
Q

What viral characteristic ensures HIV cannot be treated?

A

the glycoproteins constantly change position

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16
Q

What cells do not allow infection of the virus?

A

Killer cells (KC) and natural killer cells (NKC)

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17
Q

HIV is a ____virus

A

retro

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18
Q

What does is a retrovirus?

A

It is an RNA virus that must reverse to the DNA before reproducing/replicating

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19
Q

What are the 2 types of HIV?

A

HIV-1 and HIV-2

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20
Q

Describe HIV-1

A

It is highly virulent, highly infective, and global

21
Q

Describe HIV-2

A

It isn’t as virulent, not very infective, and only found in West Africa

22
Q

What is the major difference between HIV and AIDS?

A

HIV is treatable, while AIDS is not

23
Q

What is the diagnosis between HIV and AIDS based off of?

A

the number of lymphocytes

- If patient has 200-250 they have AIDS
- If they have more than 250 they still have HIV
24
Q

How many stages of HIV/AIDS are there?

25
Describe stage 1 (primary)
- short, flu-like illness that occurs one to six weeks after infection - typically no symptoms at all - infected person can infect other people
26
Describe stage 2 (asymptomatic)
- free from symptoms - may be swollen glands - level of HIV in the blood drops to very low levels, however HIV antibodies are detectable in the blood
27
How long does stage 2 last?
an average of ten years
28
Describe stage 3 (symptomatic)
- mild symptoms - deterioration of the immune system - opportunistic infections emerge
29
What is stage 4 characterized by?
The transition of HIV to AIDS
30
What are 2 bacterial opportunistic infections associated with AIDS?
- Tuberculosis (TB) | - Strep pneumonia
31
What are 3 viral opportunistic infections associated with AIDS?
- Kaposi Sarcoma - Herpes - Influenza
32
What are 1 parasitic opportunistic infections associated with AIDS?
Pneumocystic carinii
33
What are 2 fungal opportunistic infections associated with AIDS?
- Systemic Candida | - Systemic Cryptococcus
34
What are the 4 ways in which HIV/AIDS is transmitted?
- sexual - mother to child - blood produts - injections/needles
35
Why is it believed to be more common in homosexual men then anyone else?
The anal epithelium is thinner which cannot fight virus
36
How is HIV/AIDS treated?
with pharmacological agents
37
______ are proteins made and released by lymphocytes in response to the presence of pathogens
interferons (IFNs)
38
What type of disease is the most common cause of illness and death in late AIDS?
GI diseases
39
What are the symptoms of GI diseases caused by AIDS?
- Unexplained diarrhea - Extreme weight loss (> 10 lbs) - Migratory unexplained abdominal pain - Infections (canker sores) of the mouth and esophagus
40
What percentage of AIDS patients develop respiratory disease?
70%
41
What are the respiratory problems associated with AIDS?
- Bronchitis - Pneumonia - Tuberculosis - Sinusitis - Pneumonitis
42
What are the neurologic problems associated with AIDS?
- Headaches - Peripheral nerve problems - AIDS dementia complex
43
What are the signs of AIDS dementia complex?
- Memory loss - Motor problems/balance - Difficulty concentrating - Paralysis (unilateral or bilateral)
44
What percentage of AIDS patients develop skin or mucous membrane disorders?
90%
45
What is the most common type of cancer in AIDS patients?
Kaposi's sarcoma
46
What percentage of male AIDS patients develop Kaposi's sarcoma?
1/3
47
What percentage of AIDS patients develop eye conditions?
50-75%
48
What are 3 associated eye disorders?
- CMV retinitis - Conjunctivitis - Dry eye syndrome
49
Describe the 3 stages of infection according to the ABC model
1. Category A: asymptomatic 2. Category B: symptomatic 3. Category C: AIDS