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There is no standard system of nomenclature for virus proteins, with different systems having
evolved for different groups of viruses. For quite a number of viruses the following system has
been adopted, the proteins being numbered in decreasing
order of size:
The aim of a virus is to replicate itself, and in order to achieve this aim it needs to enter a host
cell, make copies of itself and get the new copies out of the cell. In
general the process of virus replication can be broken down into seven steps:
There are two types of human immunodeficiency virus (HIV-1 and HIV-2), which each
evolved from a different simian immunodeficiency virus (SIV).
Both viruses emerged in the late 20th century. In contrast to the SIVs, which appear not
to harm their natural primate hosts, HIV infection damages the immune system, leaving
the body susceptible to infection with a wide range of bacteria, viruses, fungi and
protozoa.
HIV-1 is much more prevalent than HIV-2; it is HIV-1 that is largely responsible for the
AIDS pandemic, while HIV-2 is mainly restricted to West Africa.
Now, in each year of the early 21st century there are approximately 5 million new HIV
infections, and approximately 3 million deaths from AIDS, which has become the fourth
biggest cause of mortality in the world.
The magnitude of this problem has resulted in the allocation of huge resources to the
study of these viruses, major objectives being the development of anti-viral drugs and a
vaccine.
The emphasis of this chapter is on HIV-1, as it has been studied more intensively than
HIV-2.
GENOME
REPLICATION
The cell receptor for HIV-1 is CD4, which is found on several cell types, including helper
T cells and some macrophages; CD4 T cells are the main target cells.
Attachment of the virion occurs when a site on gp120 recognizes a site on the outer
domain of CD4.
As well as binding to receptor molecules anHIV-1 virion must also attach to a co-receptor
on the cell surface. The molecules that act as co-receptors have seven transmembrane
domains and are chemokine receptors.
During immune responses they bind chemokines and these interactions control leukocyte
trafficking and T cell differentiation.
The chemokine receptors are designated CCR and CXCR, respectively. A number of
these molecules on T cells act as coreceptors for HIV-1, particularly CCR5 and CXCR4
The interaction of gp120 with the receptor and coreceptor results in a dramatic re-
arrangement of gp41, which proceeds to fuse the membranes of the virion and the cell.
The contents of the virion envelope are released into the cytoplasm and develop into the
reverse transcription complex, which contains the MA, Vpr, RT and IN proteins, as well
as the virus genome.
Recombinatio occures as the single-strand (+) RNA genomes are reverse transcribed to
form DNA. During reverse transcription , the nascent DNA can switch multiple times
between the two copies of the viral RNA.
S
S
s
Formation of the RNA dimer that will constitute the genome of a new virion commences
by base pairing between complementary sequences in the loop of the dimerization
initiation site near the 5_ end of each RNA.
It is thought that this leads to the formation of a ‘kissing-loop complex’ that stabilizes
the dimer.
Molecules of Gag and Gag–Pol form an orderly arrangement, and their domains bind to
the virus genome and to other proteins that will become incorporated into the virion.
S
S
s
The host’s immune responses then control virus replication to some extent and there is a
period of asymptomatic infection.
In the absence of intervention with drugs this period typically lasts for 8–10 years, but it
may be significantly shorter or longer than this, depending on characteristics of both the
host and the virus.
Extensive virus replication continues throughout the asymptomatic period, with estimates
of more than 1010 HIV-1 virions produced each day.
The infection persists in spite of immune responses against the virus and there are several
reasons for this.
One reason is that the cell types killed by HIV infection (CD4 T cells and macrophages)
are those involved in the immune responses; there is also evidence that non-infected CD4
T cells are killed by apoptosis.
CD4 T cells play pivotal roles as helpers for several cell types including B cells,
cytotoxic T cell precursors, natural killer cells and macrophages, hence immune
responses are impaired.
Another reason why an HIV infection is not cleared is that the virus evolves as the
infection proceeds, producing new antigenic variants that may not be recognized by the
antibodies and T cells present.
Furthermore, in latently infected cells the virus is shielded from the immune system.
For a while, the body is able to tolerate the onslaught on the immune system by rapidly
replacing most of the cells that have been destroyed, but the concentration of CD4 T cells
in the blood steadily declines until a point is reached where the level of viraemia rises
sharply and AIDS develops.
In comparison with HIV-1, HIV-2 infections are associated with longer asymptomatic
periods, slower progression of disease and lower rates of transmission.