HIV, AIDS & Immunisation Flashcards

1
Q

What makes up HIV?

A

A viral envelope encloses a capsid with two single strands of HIV RNA

  • gp120 (surface protein)
  • gp41 (anchor protein)
  • Intergrase
  • Reverse transcriptase
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2
Q

Why is integrase required in HIV?

A

Required for replication

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3
Q

What is integrase inhibited by?

A

Raltegravir

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4
Q

Why is reverse transcriptase required in HIV?

A

Generates dsDNA which is then incorporated into the host DNA by integrase

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5
Q

What inhibits reverse transcriptase?

A

Retrovir

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6
Q

When was the first case of AIDS?

A

1981

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7
Q

What does AIDS stand for?

A

Acquired Immune Deficiency Syndrome

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8
Q

What does HIV stand for?

A

Human Immunodeficiency Virus

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9
Q

3 risk factors of becoming HIV positive

A
  • high number of sexual partners
  • recreational drug use
  • haemophiliacs (from donated blood)
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10
Q

How can HIV be transmitted?

A
  • Blood and blood products
  • Vaginal mucus and secretions
  • Semen
  • Any body fluid that is mixed with infected blood
  • Breast milk
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11
Q

What is the asymptomatic period?

A

One is HIV positive but looks and feels healthy for up to 15 years. No visible symptoms

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12
Q

What is the first phase of contracting HIV?

A

The acute phase in which the virus replicates rapidly and kills CD4 T cells

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13
Q

What is CD4?

A

A receptor on specific T cells which aids in binding of macrophages

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14
Q

What is the second phase of contracting HIV?

A

Chronic phase in which there is a slow but steady trop in T cell count - destroyed by immune system and lysed by virus

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15
Q

What is the final phase of contracting HIV?

A

AIDS - when T cell count is <200 cells per cc of blood

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16
Q

What is AIDS characterised by?

A

Persistent infections by fungal and bacterial pathogens

17
Q

What vaccination is being developed for HIV?

A

RV144

18
Q

What is active immunity?

A
  • Protection produced by host’s own immune system

- usually permanent

19
Q

What is passive immunity?

A
  • Protection transferred from another person/animal as an antibody
  • temporary
  • transplacental in infancy
20
Q

What can active immunisation contain?

A
  • Weakened pathogens - penetrate cell
  • Killed microorganisms
  • Microbial extracts
  • Vaccine conjugates
  • Toxoids (inactivated bacterial toxin)
21
Q

How was the eradication of small pox successful?

A

Major commitment of herd immunity and it is a lifelong vaccine. No mutated strains

22
Q

What are some potential problems encountered when developing vaccines?

A
  • Different viruses may cause similar diseases
  • Viruses may alter
  • Immune system cannot detect viral antigens
23
Q

Why is the secondary response more rapid?

A

There are now memory B cells that will recognise the foreign antigen