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?

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
What encodes Env?
short mRNAs (not full length genomic mRNAs)
26
Where is Env translated?
Rough ER (because it is an integral membrane protein
27
What is Env cleaved into?
SU and TM
28
What enzymes are included in the vision?
Reverse transcrptase, Integrase, and protease
29
T/F: Virions are infectious when the bud from the plasma membrane
False...they are immature and require HIV protease to cleave Gag into subunits (MA- CA- NC)..this then makes the virion mature
30
What shape is a HIV virion?
Trapezoidal
31
What do the three domains of Gag do? MA CA NC
MA- binds cytoplasmic tail of TM and SU CA- structural NC- binds RNA genome
32
How do HIV-1 Syncytium form?
Env mediates fusion of infected T cells with non infected T cells
33
T/F: Syncytia are lethal to T cells
True
34
CD4 cell count with AIDS? Advanced HIV infection?
AIDS < 200 Advances < 500