BIO SCI 45 Lecture Notes - Lecture 5: Lymph Node, Western Blot, Dendritic Cell

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Macrophages: produce virus, are not killed, can establish latent hiv infection, important for persistence of infection. Hiv must bind to cd4 to infect. Cd4 binding alone -> no entry of hiv virus particle. Additional co-receptor on cell surface for virus entry: co-receptors normally bind cell growth factors, cxcr4: co-receptor on t-helper cells, ccr5: hiv co-receptor on macrophages, different hivs prefer ccr5 or cxcr4, gp120 determines co-receptor preference. After infection, there is often acute infection syndrome: flu-like illness, swollen glands, goes away after a few weeks. Most free of any symptoms (asymptomatic) for a time: typically many years, produce antibodies to hiv. Not sufficient to prevent continued hiv infection. Symptoms of hiv infection: persistent enlarged lymph glands (lymphadenopathy syndrome, fevers or night sweats, progressively more serious as the immune system weakens. Progression from asymptomatic to aids: progressive depletion of t-helper lymphocytes, failure of humoral and cell-mediated immunity. Normal immune system: t-helper counts typically: > i,000/cubic millimeter of blood.

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