HIV Replication and Pathogenesis Flashcards

1
Q

Where and from what did HIV originate from?

A

3 separate introductions into the human population from chimps in central africa

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2
Q

How is HIV NOT transmitted?

A

Casual contact

Exposure by saliva

Blood sucking insects

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3
Q

Most common routes of HIV transmission?

A

Unprotected sex and sharing needles

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4
Q

What methods of HIV transmission have been basically eliminated?

A

Mother to fetus transmission and blood transfusion transmission

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5
Q

Most common individual (in the US) to contract HIV?

A

Yong african american male who has sex with men

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6
Q

T/F: The Ro of HIV is very small

A

True…few virions breach the epithelium and establish infection

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7
Q

What is the time window to prevent HIV after exposure?

A

About 1 week

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8
Q

What are the stages of establishing an HIV infection?

A

1- Virions breach epithelium
2- Virion infect tissue macrophages, dendritic cells, ect (local infection)
3- Infected cells produce visions and the virions migrate to local lymph nodes
4- Virions spread from regional lymph nodes to GALT and other sites (disseminated)

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9
Q

Of those exposed, is a man or a woman more likely to become infected with HIV?

A

Woman

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10
Q

What type of virus is HIV? Describe the genome.

A

ssRNA (+)…but dipolid

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11
Q

Significance of HIV’s diploid genome?

A

Has two copies of every gene…allows for great genetic variation

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12
Q

What cells are HIV virions tropic for?

A

Early= Macrophages (binds CCR5)

Late= T cells (binds CXCR4)

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13
Q

What allows for the change in tropism?

A

Mutations as time goes on

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14
Q

What are the 16 stages of HIV lifecycle?

A
1- attachment and fusion
2- uncoating
3- reverse transcription
4- migration of genome to nucleus
5- integration into host genome
6- mRNA and genome synthesis
7- mRNA export
8- viral protein synthesis
9- genomic RNA export
10- spliced mRNA synthesis
11- viral membrane protein synthesis
12- protein maturation
13- protein accumultion at plasma membrane
14- virion assembly at plasma membrane
15- budding
16- virion maturation
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15
Q

What viral proteins aid in virion attachment to cell membrane? What happens when they bind?

A

TM and SU

SU binds CD4 and chemokine coreceptor. This causes a conformational change in TM, so that it is now able to insert into target cell and induce fusion.

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16
Q

What transcribes the ssRNA genome into DNA?

A

viral reverse transcriptase

17
Q

Describe reverse transcription:

A

RT is prone to error

tRNA bound to ssRNA is a primer

Templates switch during replication

18
Q

What happens to the genome after it becomes DNA?

A

It becomes circular and binds to HIV protein Integrase which has a nuclear localization signal that directs it to the nucleus.

19
Q

Where does the HIV DNA integrate into the host chromosome?

A

Site of active genes

20
Q

What is the primary obstacle to eradicating HIV from a person?

A

Latencyy

21
Q

What marks the end of Phase 1 of HIV replication?

A

Integration

22
Q

What is used to transcribe HIV mRNA?

A

Host cell RNA Polymerase II

23
Q

What marks the end of phase II of HIV replication?

A

Transcription of viral mRNA

24
Q

What creates the correct balance of Gag > Gag-pol?

A

Infrequent ribosomal frame shifting

25
Q

What encodes Env?

A

short mRNAs (not full length genomic mRNAs)

26
Q

Where is Env translated?

A

Rough ER (because it is an integral membrane protein

27
Q

What is Env cleaved into?

A

SU and TM

28
Q

What enzymes are included in the vision?

A

Reverse transcrptase, Integrase, and protease

29
Q

T/F: Virions are infectious when the bud from the plasma membrane

A

False…they are immature and require HIV protease to cleave Gag into subunits (MA- CA- NC)..this then makes the virion mature

30
Q

What shape is a HIV virion?

A

Trapezoidal

31
Q

What do the three domains of Gag do?

MA
CA
NC

A

MA- binds cytoplasmic tail of TM and SU
CA- structural
NC- binds RNA genome

32
Q

How do HIV-1 Syncytium form?

A

Env mediates fusion of infected T cells with non infected T cells

33
Q

T/F: Syncytia are lethal to T cells

A

True

34
Q

CD4 cell count with AIDS? Advanced HIV infection?

A

AIDS < 200

Advances < 500