HIV group Discussion 7 & class notes HIV Flashcards

1
Q

What activities are believed to have allowed HIV to enter the human population?

A

Hunters-butchering monkeys, and using monkeys as pets
Allowed for
SIV —–> HIV

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2
Q

Trace the emergence of the pandemic group of HIV in the human population from non-human primates to it’s probable epicenter

A

Greater spot nosed monkeys & red capped mangabeys->chimpanzee->human->
Kinshasa (chimpanzee infected human central Africa)

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2
Q

Why is Central Africa believe to be the epicenter of HIV pandemic?

A

All HIV groups are found in Central Africa

Largest population of unclassified strands of HIV

Territory of chimpanzees caring SIV strains similar to HIV-1

“Pure” subtypes of HIV found in Central Africa

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4
Q

Why is Central Africa believe to be the epicenter of HIV pandemic?

A

All HIV groups are found in Central Africa

Largest population of unclassified strands of HIV

Territory of chimpanzees caring SIV strains similar to HIV-1

“Pure” subtypes of HIV found in Central Africa

Oldest known human sample

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5
Q

Describe the importance of HIV diversity

A

All of the following are affected by HIV diversity:

Disease progression and transmission are related to the diversity of HIV

Diagnosis and measurement of viral load

Response to HAART and drug resistance

Immune response

Vaccine development

drug resistance

human response unable to keep up with speed of mutations

Entrance of HIV into human population greatly affected by ability of virus to MUTATE

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6
Q

Why is HIV diversity a central issue for vaccine development?

A
Multiple strains in one individual
Multiple strains in population
Rapid evolution
Generation of escape mutants 
High mutation rate with replication
The ability of a vaccine to deal with all the mutations that arise is a huge challenge
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6
Q

what kind of virus is HIV?

A

retrovirus

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7
Q

How is genetic diversity in HIV generated?

A

Poor replication-inaccurate copying of genetic material

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8
Q

how does HIV generate mutations?

A

poor fidelity of reverse transcriptase (poor proof reader of it’s copy leads to lots of mistakes = mutations)

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9
Q

Does HIV have a latency period?

A

NO (HIV is never latent)

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10
Q

what is meant by HIV entered the human population multiple times?

A

each Group (O,P,N,M) are all separate incidences of the virus crossing from primates to humans

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11
Q

Which stain is responsible for the pandemic?

A

HIV-1 Group M

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12
Q

HIV-1 Group M what does the M stand for?

A

Major

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13
Q

what does SIVcpz mean?

SIVgor? SIVrcm?

A

SIV in chimpanzees
SIV in gorillas
SIV in red capped mangabeys

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14
Q

affected/high risk population in US for contracting HIV?
Russia?
Africa?

A

US -> homosexual sex and IV drug users
Russia-> IV drug users
Africa-> heterosexual sex

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15
Q

Has the affected/high risk population in US stayed the same or changed over time?

A

It has changed over time:

homosexual community -> IV drug users -> hemophiliacs -> everyone/widespread

16
Q

what is the fastest growing group in US for HIV infection?

A

African American women

17
Q

Factors in HIV emergence

A

Discovery of new disease

International travel

Mutation of an infectious agent

18
Q

define Antibiotic

A

a drug that can inhibit the growth or kill microorganisms (almost always for killing bacteria)

19
Q

define antibiotic resistance

A

the ability of an organism to survive treatment with antibiotics (ability to evade antibiotics)

20
Q

define nosocomial infections

A

many (but not all) nosocomial infections are infections acquired in healthcare setting (e.g…hospitals, nursing homes)

21
Q

HIV is responsible for how many illnesses in the US per year?

A

> 2 million

22
Q

history of antibiotics?

A

discovered by Alexander Flemming - 1928
- he wasn’t able to produce enough to treat anyone

  • mass produced penicillin - 1943 (up until then no effective treatment for bacterial infection-except amputation)
23
Q

in general what things do antibiotics target?

A

something that will inhibit the microorganism w/o affecting host.

things that are different between human and bacteria cells.

24
Q

what is the target of penicillins?

A

cell wall- disrupt cell wall

25
Q

what is the target of vancomycin?

A

glycopeptides

26
Q

which antibiotics block protein synthesis?

A
  • aminoclycosides (eg …kanamycin, neomycin, gentamicin)
  • macrolides - eg erythromycin
  • tetracycline - doxycycyline
27
Q

which antibiotics block DNA replication (by blocking DNA gyrase - unwinding of DNA)

A

quinolones - eg ciprofloxacin