HIV (redirected from HIV infection)

HIV (Human Immunodeficiency Virus), either of two closely related retroviruses that invade T-helper lymphocytes and are responsible for AIDS. There are two types of HIV: HIV-1 and HIV-2. HIV-1 is responsible for the vast majority of AIDS in the United States. HIV-2, seen more often in western Africa, has a slower course than HIV-1. There are many strains of both types and the virus mutates rapidly, a trait that has made it especially difficult for researchers to find an effective treatment or vaccine. In many cases, a person's immune system will fight off the invasion of HIV for many years, producing billions of CD4 cells daily, always trying to keep up with the HIV's mutations, before it succumbs and permits the well-known signs of AIDS to develop.

HIV is especially lethal because it attacks the very immune system cells (variously called T4, CD4, or T-helper lymphocytes) that would ordinarily fight off such a viral infection. Receptors on these cells appear to enable the viral RNA to enter the cell. As with all retroviruses, once the RNA is inside the cell, an enzyme called reverse transcriptase allows it to act as the template for its own RNA to DNA transcription. The resultant viral DNA inserts itself into a cell's DNA and is reproduced along with the cell and its daughters.

The exact origin of the virus in humans is unclear. Scientists surmise that it jumped from an animal population, probably African monkeys or chimpanzees, to humans via a bite or meat. The first case documented in humans dates from 1959. The virus was isolated by Luc Montagnier of France's Pasteur Institute in 1983. It went through several name changes before the official name, human immunodeficiency virus, was agreed upon.

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HIV

 in full human immunodeficiency virus

Retrovirus associated with AIDS. HIV attacks and gradually destroys the immune system, leaving the host unprotected against infection. It cannot be spread through casual contact but instead is contracted mainly through exposure to blood and blood products (e.g., by sharing hypodermic needles or by accidental needle sticks), semen and female genital secretions, or breast milk. A pregnant woman can pass the virus to her fetus across the placenta. The virus first multiplies in lymph nodes near the site of infection. Once it spreads through the body, usually about 10 years later, symptoms appear, marking the onset of AIDS. Multidrug “cocktails” can delay onset, but missing doses can lead to drug resistance. Like other viruses, HIV needs a host cell to multiply. It attacks helper T cells and can infect other cells. A rapid mutation rate helps it foil both the immune system and treatment attempts. No vaccine or cure exists. Abstinence from sex, use of condoms or other means to prevent sexual transmission of the disease, and avoidance of needle sharing have reduced infection rates in some areas.

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HIV

(virology)

human immunodeficiency virus