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HIV and AIDS – Diseases Ep 2

HIV (human immunodeficiency virus) is a virus which can eventually lead to development of AIDS (acquired immunodeficiency syndrome). However, it is not the virus itself which causes AIDS symptoms; HIV weakens the immune system, meaning other infections can take hold more easily. In this article we will look at HIV structure, replication, and development of AIDS.

HIV structure

HIV is a spherical virus which has five main components:

The structure of HIV

HIV replication

Viruses can only replicate inside a host cell. For HIV, the host cells are T helper cells. T helper cells have a specific receptor on their cell-surface membrane (the CD4 receptor) which is able to bind to the attachment proteins on HIV. The virus is able to replicate itself as follows:

  1. The attachment proteins bind to the complementary receptors on the T helper cells.
  2. The RNA and reverse transcriptase enter the T helper cell.
  3. Reverse transcriptase makes DNA using the viral RNA as a template.
  4. The viral DNA is integrated into the host cell DNA in the T helper cell nucleus.
  5. The host cell transcribes the viral DNA into viral RNA.
  6. Some of the viral RNA is translated into proteins e.g. new attachment proteins.
  7. The virus assembles itself and uses part of the cell-surface membrane to form the envelope.
  8. New viruses are released from the cell. The T helper cell is destroyed.
Replication of HIV in T helper cells

When a person becomes infected with HIV, viral replication can be initially fast, but can drop off to a low level for many years called the latency period. After a period of around 10 years, AIDS can begin to develop.

AIDS

Eventually, a person infected with HIV will begin to lose their immune function. With low levels of T helper cells, the rest of the immune response is compromised. Read this article to remind yourself of how the immune response works and why T helper cells are important.

Initially, a person may have symptoms of minor bacterial infections which evade the weakened immune system, but eventually the infections become more and more severe and can result in death. There is currently no cure for HIV, so reducing the spread is key. HIV is spread through exchange of infected bodily fluids e.g. through sexual intercourse and sharing needles, so good education and healthcare is important. Antiviral drugs can slow down the replication, but will not completely destroy the virus. They work by inhibiting the reverse transcriptase enzyme.

Summary

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