HIV Structure - The Viral Blueprint

- Family: Retroviridae (a lentivirus).
- Core Components:
- Envelope: Host-derived lipid membrane with viral glycoproteins.
- gp120: Binds to the CD4 receptor on host cells.
- gp41: Facilitates viral fusion and entry.
- Capsid: Conical-shaped protein shell, p24.
- Genome: Diploid; two identical single-stranded, positive-sense RNA strands.
- Enzymes: 📌 Reverse Transcriptase, Integrase, Protease (RIP).
- Envelope: Host-derived lipid membrane with viral glycoproteins.
⭐ The p24 capsid protein is the first viral antigen to become detectable in the blood, making it a key marker for early HIV diagnosis.
HIV Tropism & Entry - Picking the Lock
- Initial Contact: HIV's envelope glycoprotein gp120 binds to the primary CD4 receptor on host cells (T-helper cells, macrophages).
- Coreceptor Binding (Tropism): This initial binding triggers a conformational change in gp120, allowing it to bind to a second coreceptor.
- R5-Tropic (M-tropic): Uses CCR5 coreceptor, found on macrophages & memory T-cells. Dominant in early infection.
- X4-Tropic (T-tropic): Uses CXCR4 coreceptor, on naive T-cells. Emerges in late-stage disease, linked to faster progression.
- Fusion & Entry: Coreceptor binding exposes gp41, which mediates fusion of the viral envelope with the host cell membrane, releasing the viral capsid inside.
⭐ Individuals homozygous for the CCR5-Δ32 mutation are highly resistant to R5-tropic HIV infection, as the virus cannot engage its coreceptor for entry.
📌 Mnemonic: gp120 knocks on the door (CD4), gp41 fuses the floor.

HIV Replication Cycle - Viral Hijacking
- Attachment, Penetration & Uncoating: Viral gp120 binds to the host T-cell CD4 receptor. A conformational change allows binding to a coreceptor, either CXCR4 (T-tropic) or CCR5 (M-tropic). Viral gp41 then mediates fusion and entry.

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Replication & Integration:
- Reverse Transcription: Viral RNA is converted into dsDNA by reverse transcriptase (RNA-dependent DNA polymerase).
- Integration: The new viral DNA is integrated into the host cell's genome by the enzyme integrase, forming a provirus.
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Synthesis, Assembly & Budding:
- Host cell machinery transcribes the proviral DNA into mRNA.
- Viral proteins and RNA assemble at the cell membrane.
- The new virion buds off, and protease cleaves polyproteins into their functional forms, leading to maturation.
⭐ Exam Favorite: Individuals with a homozygous deletion of the CCR5 gene (CCR5-delta32 mutation) have resistance to HIV infection, as the virus cannot bind to and enter macrophages.
- HIV is a diploid, positive-sense, single-stranded RNA retrovirus.
- Key structural genes are env (gp120, gp41), gag (p24 capsid), and pol (reverse transcriptase, integrase, protease).
- Viral entry requires gp120 binding to CD4 and a co-receptor (CCR5 or CXCR4), followed by gp41-mediated fusion.
- Reverse transcriptase converts viral RNA into dsDNA, which is integrated into the host genome by integrase.
- Protease cleaves polyproteins during maturation, a key drug target.
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