Test 2 Flashcards
how large is hiv genome?
around 10,000 base pairs
what does reverse transcriptase do?
copies RNA into DNA but not very good at it (1 mutation every 10,000 bp), using enzyme reverse transcriptase
acute phase of HIV
flu symptoms, viral load spikes, strong activation of immune response, knockdown of virus
chronic phase of hiv
asymptomatic, immune system mounts defense, selection/ evolution of HIV, T cell count remains high (food for HIV)
AIDS
crash of immune system, thymus cannot keep up with T cell production, T cell depleted
AZT
nucleotide analog and early treatment of AIDS, almost identical to thymidine
-bound by reverse transcriptase and incorporated into DNA, but cannot form a bond with the next incoming nucleotide, which stops viral replication
-mutations much more frequent which causes them to thrive (ignores AZT while binding to thymidine)
-AZT changes environment resulting in selection for mutations that discriminate against AZT, resulting in evolution
humans evolving resistance to HIV
-600,000,000 years vs 180 days (humans vs HIV evolution)
-choice -> evolution -> condoms!
syllogism for hiv evolution
control our environment by using condoms and staying indoors
multidrug cocktail
-reverse transcriptase inhibitors keep virus from replicating
-protease inhibitors keep viral pre-proteins from maturing
-fusion inhibitors keep gp120 from docking on host cells
-integrase inhibitors keep HIV DNA from inserting into host genome
-works best since infection would take (6 months)^n where n is the number of drugs
vaccine against HIV
-no vaccine, treatments in Thailand and south Africa
-first vaccine was just boiled virus
german patient
potentially cure from bone marrow transplant from CCR5 donors
london patient
bone marrow transplant to cure lymphoma
-CCR5delta32-HIV-cancer
CXCR4
does not get transmitted to new hosts
-good for individual virus (high virulence), bad for species (zero transmissibility)
-humans are very virulent on their host planet earth and may kill it before descendants can be transmitted to the future
virulent
how successful virus is in the host, virus, host defenses
transmissibility
leap to new host, moving to new host
short-sighted evolution
HIV needs to reproduce in both the individual and in the population
-if individual dies, how does HIV disperse to new host??
which level controls what evolves, natural selection or species selection
species- will we transmit our species into the future