Secondary Immunodeficiency - HIV Flashcards

(46 cards)

1
Q

How are Secondary Immunodeficiencies acquired?

A

They are acquired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Overall cascade of how HIV, AIDS and infections work?

A
  • HIV affects body to a certain extent
  • AIDS is the manifestation of that
  • Opportunistic infection, neoplasms and neuro manifestations will then occur
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the most risky form of transmission for HIV and why?

A

Sex - mucosa is thin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Besides sex, how is HIV transmitted?

A

Needles, blood transfusions, mother to baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What type of virus is HIV?

A

Retrovirus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In what family of viruses is HIV?

A

Lentivirus family

- latency period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Most common secondary immunodeficiency?

A

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

HIV makes DNA or RNA and what is the order?

A

RNA - then DNA - then RNA - then proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What gene encodes proteins inside HIV?

A

gag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What gene encodes surface glycoproteins for HIV?

A

env

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What gene encodes viral enzymes for HIV?

A

pol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What gene initiates transcription of HIV?

A

LTR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What molecule does HIV use for a receptor?

A

CD4 T cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What glycoprotein on the surface of HIV binds to CD4?

A

gp120

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Binding of gp120 allows for?

A

Secondary binding to coreceptor (CCR5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Once HIV is bound to the CD4 T cell, then what occurs?

A

gp41 uses fusion peptide to drill T cell and insert viral RNA genome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What glycoprotein drills into the T cell to allow insertion of RNA genome?

A

gp41

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Once the HIV RNA genome is in the host cell, what enzyme takes the RNA to DNA?

A

Reverse Transcriptase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Once HIV DNA is created, what enzyme inserts the DNA into host genome?

20
Q

Once the DNA is in the host genome, what type of stimulation will cause transcription of viral RNA?

A

Antigenic stimuli with NF-KB

21
Q

When NF-KB stimulates LTR to initiate transcription of HIV RNA, what will then result?

A

Virus will replicate and kill the host cell

22
Q

With sexual transmission of HIV, mucosal injury allows the virus to reach what cells?

23
Q

When DCs have HIV, where do they take it?

A

Lymph node CD4 cells

24
Q

Once HIV reaches the lymph nodes, where does it go?

A

Spreads throughout the body

25
Acute phase of HIV?
First few weeks, as the virus spreads throughout the body
26
What is the viral set point?
End of the initial spike in the virus | - can predict effect on CD4s
27
After the Acute phase with HIV, what occurs next?
Immune response: Anti-HIV antibodies are made | - Partial control of viral replication
28
After the Acute phase and Anti-HIV Abs made, what occurs next?
Chronic phase - Clinical latency
29
What occurs with the Chronic phase of HIV? | clinical latency
Virus is in many tissues, silently massacring CD4 T cells
30
How long can the Chronic phase/clinical latency of HIV be?
Years
31
What will end the Clinical latency phase of HIV?
Microbial infections!!! | Cytokines
32
Once microbial infections end the clinical latency phase of HIV, what occurs?
Increased viral replication | = Depletion of CD4 T cells
33
Once microbial infections end the clinical latency phase of HIV, what occurs?
Viral replication | = Depletion of CD4 T cells
34
Severe depletion of CD4 T cells?
AIDS
35
How long is the window period (time before (+) test) with HIV?
7-14 days
36
What is the first thing detected when testing for HIV?
RNA | - via Nucleic Acid Test (NAT)
37
What is the second thing detected when testing for HIV?
P24 caspid
38
What is the third thing detected when testing for HIV?
Anti-HIV Antibodies
39
What virus can cause CNS symptoms with AIDS?
Toxoplasmosis
40
What fungus causes pulmonary symptoms with AIDS?
Pneumocystis Jiroveci
41
AIDs patients who get Kaposi Sarcoma must also have?
HHV-8
42
AIDs patients who get B cell lymphomas must also have?
Epstein Barr virus
43
AIDs patients who get cervical cancer must also have?
Human papilloma virus
44
Brain condition seen with AIDS patients?
Encephalopathy (damage to brain)
45
What cells are reservoirs for HIV?
Macrophages/Monocytes
46
How does HIV cause brain damage (encephalopathy)?
Macrophages infect other macrophages, but the ones in the brain (microglia) and the virus causes neuronal damage