HIV stands for ‘human immunodeficiency virus’. It weakens a person’s immune system by destroying important cells that fight against disease and infection.
AIDS is a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive.
Without treatment, average survival time after infection with HIV is estimated to be 9 to 11 years, depending on the HIV subtype.
HIV is a member of the genus Lentivirus, part of the family Retroviridae. Lentivirus has many morphologies and biological properties in common. Many species are infected by lentiviruses, which are characteristically responsible for long-duration illnesses with a long incubation period.
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It is composed of two copies of positive-sense single-stranded RNA that codes for the virus’s nine genes enclosed by a conical capsid composed of 2,000 copies of the viral protein.
The single-stranded RNA is tightly bound to nucleocapsid proteins, p7, and enzymes needed for the development of the virion such as :
Mainly found in AFRICAN jungle. The first outbreak was studied in the 1970s.
Two hypotheses are there to explain its spread and these are :
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HIV infects vital cells in the human immune system, such as
Therefore it weakens the immune system and leads to other opportunistic infections
Entry to the cell
Mechanism of viral entry:
The HIV virion enters macrophages and CD4+ T cells by the adsorption of glycoproteins on its surface to receptors on the target cell followed by fusion of the viral envelope with the target cell membrane and the release of the HIV capsid into the cell.
Uncoating and release
Then the viral uncoating occurs leads to the release of proteins/enzymes and viral RNA into the host cells.
Replication and transcription
Assembly and release
Then protease enzyme cut the polynucleotide into specific proteins and then assembly of these viral proteins take place. After that, the new viral progeny released and ready to attack other cells
It is agreed that infected individuals develop an AIDS status when their plasma HIV load is high and the CD4+ T count is less than 200 mm3.
Count of CD4+ T cells is determined. If it is less then 200 mm3 then it is positive for AIDS.
Drug resistance. Some strains of HIV are resistant to medications. This test helps your doctor determine if your specific form of the virus has resistance and guides treatment decisions.
The primary tests for diagnosing HIV and AIDs include:
ELISA Test — ELISA, which stands for enzyme-linked immunosorbent assay, is used to detect HIV infection. If an ELISA test is positive, the Western blot test is usually administered to confirm the diagnosis
Saliva Tests — A cotton pad is used to obtain saliva from the inside of your cheek. The pad is placed in a vial and submitted to a laboratory for testing. Results are available in three days. Positive results should be confirmed with a blood test.
Viral Load Test — This test measures the amount of HIV in your blood. Generally, it’s used to monitor treatment progress or detect early HIV infection. Three technologies measure HIV viral load in the blood: reverse transcription-polymerase chain reaction (RT-PCR), branched DNA (bDNA) and nucleic acid sequence-based amplification assay (NASBA).