Exam 3 HIV Retrovirology Flashcards

(46 cards)

1
Q

HIV is part of the ____ family

A

Lentivirinae

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2
Q

Lentivirinae viruses are characterized as:

A

Slow, neurologic, or immunosuppressive

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3
Q

Morphology of HIV capsid

A
  • D-type capsid
  • Central, cone shaped cylindrical
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4
Q

HIV regulatory genes

A
  • Tat
  • Nef
  • Vpu
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5
Q

Tat function

A

Transcriptional activator

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6
Q

Nef function

A

Reduces MHC I expression

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7
Q

Vpu function

A

Enhances virion release

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8
Q

HIV gp120 binds primary host cell receptor ____ and has a high affinity for binding host co-receptor ____

A

CD4; CCR5

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9
Q

HIV gp120 is _____ (initial)

A

M-tropic

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10
Q

HIV - ____ strains M-tropic; early infection of _____

A

CCR5 or R5; Macrophages and dendritic cells

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11
Q

After M-tropic initial infection, HIV subsequently moves to the ____ and spread to _____. This is termed _____ or later infection

A

Lymph nodes; CD4 T cells; T-tropic

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12
Q

Reverse transcriptase is highly error prone, which causes:

A

Rapid generation of many new strains (HIV clades and antigenic variants)

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13
Q

____ is most common and most pathogenic in the US

A

HIV-1

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14
Q

HIV-1 causes _____ (90% cases in the US)

A

M-type “major”

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15
Q

HIV gp41 facilitates:

A
  • Fusion with macrophages, dendritic cells, microglial cells
  • Fusion with T cells R4 strains
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16
Q

HIV envelope gp120 binds ____ and co-receptor CCR5 or R5 of _____

A

Host CD4; Macrophages

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17
Q

____ predominates in early (initial) infection

A

M-tropic

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18
Q

HIV envelope gp120 binds host _____ and co-receptor CXCR4 or R4 of _____

A

T-cell CD$; T-helper cells

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19
Q

____ predominates in late infection

20
Q

People with CCR5 delta-32 have:

A

Partial resistance to R5 strains (M-tropic)

21
Q

Those who have the CCR5 delta-32 gene are _____ that make up ___ of the population

A

Homozygous mutants; 1%

22
Q

First gene edited embryos altered ____ receptor in vitro

23
Q

HIV co-receptor CXCR4 is ____ (structure)

A

Heptahelical

type of GPCR

24
Q

HIV integration and replication begins with ssRNA (+) genome and uses _____ to create a ____ strand. This is the _____ function

A

RTase; DNA strand (-); reverse transcription

25
During HIV replication, RTase degrades the RNA strand of the RNA-DNA hybrid. This is termed _____ function
Ribonuclease H function
26
After RNA degradation, RTase creates ______. This is termed the ____ function
complementary DNA strand; DNA polymerase
27
____ splices HIV into host genome to create a provirus
Integrase
28
Once a provirus is created and HIV has gotten into the host genome, _____ transcribes mRNA
Host RNA polymerase
29
HIV early stage events
Integration, provirus
30
HIV late stage events
- Provirus (latency period) - Host cell activation - Host RNA polymerase to transcribe genome
31
Transcription factor active in immune response is _____ which binds ___ to activate HTLV or HIV
NFkB; LTR
32
HIV incubation period
1-10 years
33
During the HIV incubation period, ____ > _____
Resting cells > Half life
34
When do antibodies to HIV become detectable?
2 weeks to 2 months
35
CD4+ cells begin to deplete _____ after infection
Months to years
36
When is HIV infection considered AIDS?
Less than 200 cells/microliter
37
When does seroconversion of HIV occur?
2 weeks to 2 months
38
What are the stages of clinical course of HIV infection?
- Stage 1: acute infection, high viral titers - Stage 2: Sub-clinical infection, low-level replication - Stage 3: High viral replication
39
During what stage of HIV infection is the AIDS-related complex found (ARC)?
Stage 2
40
What happens during stage 3 of HIV infection?
- CD4 count < 200 cells/microliter - AIDS
41
What does AIDS stand for?
Acquired immune deficiency syndrome
42
Oral symptoms of HIV infection
- Severe periodontitis (usually acute) - Oral candidiasis (tongue, palate, tonsils)
43
HIV diagnosis and treatment: lymphocytes are ____
Low (lower than reference range)
44
HIV diagnosis and treatment: HIV involves ______
Destruction of T cells
45
List the steps of HIV pathogenesis (7)
- Loss of T-helper function - Reduced CD4 cell count - Immune system failure - Th1, Th2 function impaired - Loss of DTH function - Opportunistic infections - Unusual neoplasms
46
Infective HIV virions _____ found in whole saliva of patients
Rarely (cannot exist in cell free state in saliva)