Pathogenisity, Immunity & action on T4

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PATHOGENESIS

Retroviruses are characterized by producing enzymes reverse transcriptase.
Therefore, viral RNA can be converted into DNA.
This DNA incorporates into the host genome and produces progony viruses
In this period the infected viruses do not produce sings or symptoms.
It is named as LATENT PERIOD.
The long & variable incubation period of HIV infection is because of the latency.

Viral RNA ------> DNA -------> integrated with Host cell genome -------> Release progony virus

<------------------------------------------ Latent period------------------------------------------------>


IMMUNITY

Two types:

1) Cellular immunity
2) Humoral immunity

T Cells produce -------> a) Cytotoxic cells------------->
b) Suppressor cells (T8)----->
c) Helper cells (T4)---------->
CELLULAR
IMMUNITY

B Cells produce -------> Immunoglobulins ------------->
a) IgG
b) IgA
c) IgM
d) IgD
e) IgE
HUMORAL
IMMUNITY

T cells produce cellular immunity
B cells produce humoral immunity
T4 lymphocytes help to proliferate immunoglobulings. Therefore T4 cells also regulate humoral immunity.
Both of these immune systems protect the body against the infection.


The virus activity on T4 lymphocytes

The virus attacks T4 lymphocytes.
Therefore T4 lymphocytes,

a) Damage
b) Decrease in number
Because of this,
T4 ( Helper cells)
------------------------
T8 ( Suppressor )
= Ratio reversed

c) Function is suppressed

Because of this,

Interleukin
Gamma interferon
Lymphokinase
}secretion decrease

An important feature is the polyclonal activation of B lymphocytes that leads to hypergammaglobulinemia. All classes of immunoglobulins are involved and particularly IgG & IgA are raised.
This hypergammaglobulinaemia is more hindrance than help because it is mainly composed of USELESS IMMUNOGLOBULINS.

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