Human Immunodeficiency Virus Essay, Research Paper
Human Immunodeficiency Virus
The content of this paper is whether or not mutations undergone by the Human
Immunodeficiency Virus and allow it to survive in the immune system. The cost of
treating all persons with AIDS in 1993 in the United States was $7.8 billion, and it is
estimated that 20,000 new cases of AIDS are reported every 3 months to the CDC. The
question dealing with how HIV survives in the immune system is important, not only in
the search for a cure for the virus and its inescapable syndrome, AIDS (Acquired
Immunodeficiency Syndrome), but also so that over 500,000 Americans already infected
with the virus could be saved. This is possible because if we know that HIV can survive
through mutations then we might be able to come up with a type of drug to confuse these
mutations allowing the immune system time to erase it before the onset of AIDS. In order
to be able to fully comprehend and analyze this question we must first prove what HIV is,
how the body attempts to counter the effects of viruses in general, and how HIV infects
the body.
HIV is the virus that causes AIDS. HIV is classified as a RNA Retrovirus. A
retrovirus uses RNA templates to produce DNA. For example, within the core of HIV is
a double molecule of ribonucleic acid, RNA. When the virus invades a cell, this genetic
material is replicated in the form of DNA . But, in order to do so, HIV must first be able
to produce a special enzyme that can construct a DNA molecule using an RNA template.
This enzyme, called RNA-directed DNA polymerase, is also known as reverse
transcriptase because it reverses the normal cellular process of transcription. The DNA
molecules produced by reverse transcription are then inserted into the genetic material of
the host cell, where they are co-replicated with the host’s chromosomes; they are then
distributed to all daughter cells during later cell divisions. Then in one or more of these
daughter cells, the virus produces RNA copies of its genetic material. These new HIV
clones become covered with protein coats and leave the cell to find other host cells where
they can repeat the life cycle.
As viruses begin to invade the body, a few are consumed by macrophages, which
catch their antigens and display them on their own surfaces. Among millions of helper T
cells circulating in the bloodstream, a selected few are programmed to .read. that antigen
Binding the macrophage, the T cell then becomes activated. Once activated, helper T cells
begin to multiply. They then stimulate the multiplication of those few killer T cells and B
cells that are sensitive to the invading viruses. As the number of B cells increases, helper
T cells tell them to start producing antibodies. Meanwhile, some of the viruses have
entered cells of the body – the only place they are able to replicate. Killer T cells will
sacrifice these cells by chemically puncturing their membranes, letting the contents spill
out, thus disrupting the viral replication cycle. Antibodies then offset the viruses by
binding directly to their surfaces, preventing them from attacking other cells. Also, they
precipitate chemical reactions that actually destroy the infected cells. As the infection is
contained, suppresser T cells halt the entire range of immune responses, preventing them
from spiraling out of control. Memory T and B cells are left in the blood and lymphatic
system, ready to move quickly should the same virus once again invade the body.
In the first stage of the HIV infection, the virus colonizes helper T cells,
specifically CD4+ cells, and macrophages, while replicating itself relatively unnoticed. As
the amount of the virus soars, the number of helper cells falls; macrophages die as well.
The infected T cells perish as thousands of new viral particles burst from the cell
membrane. Soon, though, cytotoxic T and B lymphocytes kill many virus-infected cells
and viral particles. These effects limit viral growth and allow the body an opportunity to
temporarily restore its supply of helper cells to almost normal concentrations. It is at this
time the virus enters its second stage.
Throughout this second stage the immune system functions well, and the net
concentration of measurable virus remains relatively low. But after a period of time, the
viral level rises constantly, in parallel with a decline in the helper population. These helper
T and B lymphocytes are not lost because the body.s ability to produce new helper cells is
defective, but because the virus and cytotoxic cells are destroying them. This idea that
HIV is not just evading the immune system but attacking and disabling it is what
distinguishes HIV from other retroviruses. The hypothesis in question is whether or not
the mutations undergone by HIV allow it to survive in the immune system. This idea was
conceived by Martin A. Nowak, an immunologist at
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