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Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD [email protected]

Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD [email protected]

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Page 1: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Retroviruses and AIDS

Dr Amanj SaeedMB.CH.B, MSc, PhD [email protected]

Page 2: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Discovery of retroviruses

• Retroviruses possess a unique enzyme known as RT (reverse transcriptase)

• RT uses viral RNA as a template for making DNA copy which integrate in to the chromosome of the host cell and serves either as basis for viral replication or as oncogene.

• Howard Temin and David Baltimore received Nobel Prize for discovery of RT enzyme.

Page 3: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Discovery of HIV

• In 1981 new clinical syndrome characterized by profound immunodeficiency was recorded in male homosexual and termed AIDS.

• Unusual prevalence of Pneumocystis carinii pneumonia in in a group of young previously healthy male homosexual.

Kaposi’s sarcoma (rare cancer) in previously healthy male homosexual??

Page 4: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Discovery of HIV

First isolation of HIV-1 made by Luc Montagnier and Barre-Sinoussi at Pasteur institute in Paris in 1983.

This observation is confirmed by Robert Gallo in the USA.

Page 5: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Discovery of HIV

HIV-2 isolated from mildly immunosuppressed patient n west Africa.

5000 cases of HIV-1 cases per Day?

41 million people have been infected world wide.

HIV-2 account for 4.5% of HIV cases.

Page 6: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV-1

Visna

MMTV

SRV-1

HERV-K

RSV

HTLV-I

HTLV-II

BLV

MLV

FLV

WDSV

FFV

SFV

Lentivirus

Spumavirus

Gamma

Delta

Alpha

Beta

Epsilon

Retroviridae

Page 7: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Lentiviruses

Page 8: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

25 0 my

MacaqueYellow baboonChacma baboonColobusLangur

MandrillDrillSooty mangabey

HumanChimpanzeeBonoboGorillaOrangutanGibbonSykes'sVervetGrivetTantalusSabeausPatasL'Hoest'sSun-tailedPreussi's

Agile mangabey

Primates infected with lentiviruses

> 30 species of African primates naturally infected with SIV

SIV infections: natural acquired not known

Natural infections:• >50% of adults• nonpathogenic

Chimpanzee the only ape

Page 9: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Primate Lentiviruses

HIV-2

Page 10: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Photograph by Karl Ammann

Page 11: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Photograph by Karl Ammann

Page 12: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org
Page 13: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Properties of HIV

Classification

The family Retroviridae is named for RT.

(Retro= Backwards)

Seven genera is now recognised (only two of them cause disease in human):

Lentivirus: containing HIV-1 and HIV-2, characterised by:

Cone shaped Nucleocapsid, absence of oncogenicity, and the lengthy and insidious onset of clinical signs.

Page 14: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Properties of HIV

BLV-HTLV retroviruses: contain HTLV-I and II: characterised by ability to cause tumours rather than immunosuppression.

Spumavirus : Causes characteristic foamy appearance in infected primate cell culture. (they are not pathogenic).

Page 15: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org
Page 16: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Global estimates for adults and children 2010

People living with HIV 34.0 million [31.6 million – 35.2 million]

New HIV infections in 2010 2.7 million [2.4 million – 2.9 million]

Deaths due to AIDS in 2010 1.8 million [1.6 million – 1.9 million]

Page 17: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Total: 34.0 million [31.6 million – 35.2 million]

Western & Central Europe

840 000[770 000 – 930 000]

Middle East & North Africa470 000

[350 000 – 570 000]

Sub-Saharan Africa22.9 million

[21.6 million – 24.1 million]

Eastern Europe & Central Asia1.5 million

[1.3 million – 1.7 million]

South & South-East Asia4.0 million

[3.6 million – 4.5 million]

Oceania54 000

[48 000 – 62 000]

North America1.3 million

[1.0 million – 1.9 million]

Latin America1.5 million

[1.2 million – 1.7 million]

East Asia790 000

[580 000 – 1.1 million]Caribbean200 000

[170 000 – 220 000]

Adults and children estimated to be living with HIV 2010

Page 18: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Estimated number of adults and children newly infected with HIV 2010

Western & Central Europe

30 00030 000[22 000 – 39 000]

Middle East & North Africa59 00059 000

[40 000 – 73 000]

Sub-Saharan Africa1.9 million1.9 million

[1.7 million – 2.1 million]

Eastern Europe & Central Asia

160 000 160 000 [110 000 – 200 000]

South & South-East Asia270 000270 000

[230 000 – 340 000]

Oceania33003300

[2400 – 4200]

North America58 000

[24 000 – 130 000]

Latin America100 000100 000

[73 000 – 140 000]

East Asia88 00088 000

[48 000 – 160 000]

Caribbean12 000

[9400 – 17 000]

Total: 2.7 million [2.4 million – 2.9 million]

Page 19: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Estimated adult and child deaths from AIDS 2010

Western & Central Europe

9900[8900 – 11 000]

Middle East & North Africa35 000

[25 000 – 42 000]

Sub-Saharan Africa1.2 million

[1.1 million – 1.4 million]

Eastern Europe & Central Asia

90 000 [74 000 – 110 000]

South & South-East Asia250 000

[210 000 – 280 000]

Oceania1600

[1200 – 2000]

North America20 000

[16 000 – 27 000]

Latin America67 000

[45 000 – 92 000]

East Asia56 000

[40 000 – 76 000]Caribbean

9000[6900 – 12 000]

Total: 1.8 million [1.6 million – 1.9 million]

Page 20: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Western & Central Europe

1400[<1000 – 1800]

Middle East & North Africa40 000

[27 000 – 52 000]

Sub-Saharan Africa3.1 million

[2.8 million – 3.5 million]

Eastern Europe & Central Asia

17 000 [14 000 – 23 000]

South & South-East Asia160 000

[110 000 – 210 000]

Oceania4600

[3600 – 5800]

North America4500

[4000 – 5800]

Latin America42 000

[30 000 – 54 000]

East Asia16 000

[11 000 – 21 000]Caribbean

16 000[12 000 – 19 000]

Children (<15 years) estimated to be living with HIV 2010

Total: 3.4 million [3.0 million – 3.8 million]

Page 21: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Western & Central Europe

<100[<200]

Middle East & North Africa6800

[4800 – 8800]

Sub-Saharan Africa350 000

[300 000 – 410 000]

Eastern Europe & Central Asia

2200 [1700 – 2900]

South & South-East Asia20 000

[14 000 – 28 000]

Oceania<1000

[<500 – <1000]

North America<100[<200]

Latin America3500

[2100 – 5000]

East Asia2100

[<1000 – 3800]Caribbean

1200[<1000 – 1700]

Estimated number of children (<15 years) newly infected with HIV 2010

Total: 390 000 [340 000 – 450 000]

Page 22: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Western & Central Europe

<100[<200]

Middle East & North Africa3900

[2700 – 5000]

Sub-Saharan Africa230 000

[200 000 – 260 000]

Eastern Europe & Central Asia

1200 [<1000 – 1800]

South & South-East Asia14 000

[8300 – 20 000]

Oceania<500

[<500 – <500]

North America<100[<200]

Latin America2400

[1300 – 3500]

East Asia1100

[<1000 – 1700]Caribbean

1000[<1000 – 1300]

Estimated deaths in children (<15 years) from AIDS 2010

Page 23: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Morphology of HIV

HIV particle is 100-150 nm in diameter.

Outer envelope of lipid penetrated by 72 glycoprotein spike (the lipid envelope protein)

The envelope protein is composed of two subunits: the outer glycoprotein knob (gp120) and transmembrane protein (gp41)

The receptor binding site for CD4 is present on gp120 as well as very important antigen such as V3 loop.

Page 24: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Morphology of HIV

The inner surface of virus lipid envelope is lined by matrix protein (p17)?.

There is also abundant cellular proteins in the lipid envelope (MHC class I and II) antigens.

In HIV-1 the lipid envelope encloses an icosahedral shell of protein (p17), within which is a vase or cone shaped protein core (p24, p7, and p9) containing two molecules of positive sense ssRNA

The RNA genome is associated with several copies of RT, integrase, and protease.

Page 25: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org
Page 26: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV genome

Positive sense ssRNA genome

The genome is approximately 10kb in size

The genome contain control genes which can enhance viral replication:

rev: regulator of virus

tat: transactivation.

vif: viral infectivity

repressor genes:

nef: negative factor

Page 27: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV genome

The genome is flanked at each end by LTR

3’ LTR has the polyadenylation signal and 5’LTR has the enhancer promotor sequence for viral transcription.

The pol gene code for RT, integrase and protease.

Page 28: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org
Page 29: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

rev

tat

vpr vpu

vif

polgag env

nef

5’ LTR

3’ LTR

The HIV-1 genomeThe HIV-1 genome

p17 matrix antigenp24 capsid antigenp6/7 nucleocapsid

reverse transcriptaseproteaseintegrase

envelope glycoprotein (gp120)transmembraneglycoprotein (gp41)

Page 30: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV genome

HIV binds to specific receptor on the surface of CD4+ T lymphocytes (T-helper cells)

It also infects:

• B lymphocytes

• Macrophages

• dendritic cells

• brain cells.

Second subsidiary receptor belongs to chemokine receptor family CXCR4 on the T-cells and CCR5 on the surface of macrophages.

Page 31: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org
Page 32: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Retroviruses

Page 33: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

virus binding fusion

ssRNA (+)

reverse transcription

dsDNA

nuclear transportintegration

nucleus cytoplasmtranscription

virion assembly and release

translation of viral proteins

maturation

HIV lifecycleHIV lifecycle

Page 34: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV life cycle

After attachment the virus penetrate the cell by fusion from without (Mediated by gp21 and gp41)

Synthesis of viral cDNA starts when the virion enters the cell cytoplasm.

The viral RT enzyme directs the synthesis of cDNA strand (the minus strand) using host positive RNA as a primer and the viral genomic RNA as a template.

Viral RNAse enzymatically remove the viral RNA while the RT synthesize the second DNA strand (plus strand).

Page 35: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV life cycle

Viral dsDNA will enter the Nucleolus of the host cell as a pre-integration complex (compose of viral protein M, Vpr, integrase, and dsDNA)

the integration of dsDNA to the host chromosome occurs (forming pro-viral DNA)

After integration viral and cellular factors are needed to activate HIV transcription.

Initial expression of viral RNA is stimulated by vpr and further stimulated by cellular transcription factors .

Page 36: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV life cycle

The primary RNA transcript is spliced to give 30 plus strand viral mRNAs.

Viral and cellular factors are required for early and late viral protein expression.

Early viral gene product include (tat, rev, and nef), accessory viral proteins (vif, vpr, and vpu)

Late viral gene products include (gap, pol and. env).

Page 37: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

HIV life cycle

Assembly of new virion can begin by proteolytic cascade by viral proteases.

Different viral structural proteins begin to assemble with the p24 as a core and p7 enclosing viral RNA.

Viral genome assemble in the cytoplasm.

Retroviruses including HIV are release from the infected cells by budding from the infected cells.

The pro viral DNA may reside quietly in the chromosome for years.

Page 38: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Genetic Variability

RT has NO proof-reading mechanism therefore mutations (point point mutations and deletions/insertions) occur

Quasispecies = swarm of genetically distinct yet related viruses

Page 39: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Effects of Variability

Immune escape by changing/masking antigenic determinants

• CTLs and Abs

Resistance to anti-retroviral drugs

• Point mutations in enzymatic proteins RT - resistance to nucleoside and non-nucleoside analogues Protease - resistance to protease inhibitors

Altered cytopathogenicity

• Env and particularly V3 mutations alter co-receptor usage Different cell tropism, eg. Macrophages, T-cells, glial cells,

langerhans cells etc. Different tissue tropisms, e.g. brain

Page 40: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Integration

Double stranded cDNA (provirus) migrates to nucleus

Can exist extra-chromosomally as linear or circular form

Can integrate via the enzyme integrase

Page 41: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Activation

Once integrated the provirus responds to cellular nuclear factors e.g. SP1, NF-kB

Mediated through control regions in the 5’ LTR

Once active viral factors take over

Transactivation then control of RNA splicing events

Page 42: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Translation

Translation I.e.viral protein production

Virus release via budding on cell membrane

Morphological characteristics of budding virus is used for classification

• type C, Type D morphology refers to morphology of budding/maturing virus

Page 43: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org
Page 44: Retroviruses and AIDS Dr Amanj Saeed MB.CH.B, MSc, PhD amanj.saeed@krg.org

Summary

HIV member of the Retroviridae family (reverse transcriptase)

Entry mediated by CD4 plus co-receptor

Reverse transcription leads to errors

Virus can become integrated into chromosome (can be latent)

Transcription – short (spliced) then long RNAs

New virus buds at surface

Three main targets for therapy