Immunodeficiency & HIV

Cards (19)

  • What can the immune system be divided into?
    Innate-the one that we are born with & our first response (e.g. phagocytes, complement, etc.)
    Adaptive/acquired-changes throughout life (e.g. T cells, B cells, etc.)
    central role of the immune system is to protect against microbial pathogens
  • What does immunodeficiency result in & what is an indication of immunodeficiency?
    -Immunodeficiency results in increased susceptibility to infection by specific classes or types of microbes

    -Repeated or unusual infections is an indication of immunodeficiency
  • What is primary & secondary immunodeficiency?
    Primary immunodeficiency:
    -Genetically determined
    -or result of developmental anomalies
    -Inherited, congenital, and rare

    Secondary immunodeficiency:
    -Acquired & caused by disease or an immunosuppressive treatment
    -More common
  • What can primary immunodeficiencies be a result of?
    It can be genetic so:-autosomal-X-linked (sex chromosome)-gene deletions, rearrangements, polymorphisms (SNPs)
    Or
    it can be biochemical or metabolic so:-adenosine deaminase deficiency (affects T cells),-purine nucleoside phosphorylase deficiency (affects T cells)-developmental arrest (affects B cells, T cells, phagocytes)
  • What are some examples of complement deficiencies?
  • What are some examples of phagocytosis deficiencies?
  • What are some examples of humoral/antibody deficiencies?
  • What are some examples of T cell deficiencies?
  • What are some clinical features of immunodeficiencies?
    Chronic and recurrent infections
    Unusual microbial agents
    Incomplete responses to treatment
    Skin lesions, warts
    Diarrhoea
    Recurrent abscesses
    Autoimmunity
    Failure to thrive
  • What are some examples of causes of secondary immunodeficiencies?
    Therapeutic drugs (cancer chemotherapy, radiation therapy, post-transplant immunosuppression)

    Infection (HIV/AIDS)

    Metabolic / chronic disorders (ex: diabetes)

    Malnutrition, aging

    Burns/trauma (loss of immunoglobulin via damaged skin)
  • Describe the human immunodeficiency virus.
    -Causative AIDS agent

    Group VI of Baltimore virus classification (ssRNA virus with a DNA intermediate)

    Hallmarks of this virus is its ability to reverse transcribe (RNA-->DNA) & chromosomal integration
  • What 3 main genes are in the proviral DNA of HIV?
    gag- codes for structural proteins

    pol- codes for viral enzymes

    env- codes for the viral protein
  • What are the steps of the HIV life cycle & cell entry?
    1. receptor binding
    2. Membrane fusion + entry
    3.Uncoating +reverse transcription
    4.Nuclear uptake
    5.Integration
    6.Transcription
    7.RNA processing
    8.Nuclear export
    9.Translation
    10.assembly
  • How do attachment factors differ from receptors?
    Attachment factors are not essential
  • describe the course of infection : HIV to AIDS
  • When is AIDS diagnosed?
    At CD4 less than 200 cells and/or presence of opportunistic infection

    Aids = CD4 T cell reduction
  • What happens once an individual is diagnosed with AIDS?
    The host will not be able to mount a proper immune response against other infectious agents such as:

    parasites, bacteria, fungi, viruses
  • Which malignancies are common in people with AIDS?
    Kaposi's sarcoma
    Non-Hodgkin's lymphoma (including Burkitt's lymphoma)
    Primary CNS lymphoma
    Invasive cervical cancer
    Increased rates of other cancers
  • Summarise the content in this lecture.