Pathogenesis of HIV Infection and AIDS



Table of Contents


I. Recognition, Magnitude and Cause of AIDS Epidemic

II. Human Immunodeficiency Virus

  • Classification of HIV
  • HIV virion
  • HIV genome
  • Life cycle of HIV

III. Natural History of HIV Infection

  • Acute retroviral syndrome
  • Clinical latency
  • Clinically apparent disease

IV. Pathogenesis of HIV Infection and AIDS

  • Normal immunity
  • Immune deficiency in HIV infection
    • CD4 T-cell depletion
    • Direct HIV-mediated cytopathic effects
    • HIV-specific immune responses
      • Cytotoxic CD8 T-cells
      • Neutralizing and enhancing antibodies
      • Natural killer cells
    • Other postulated mechanisms
      • Autoimmune mechanisms
      • Anergy
      • Superantigens
      • Programmed cell death
    • B-cell dysfunction
  • HIV infection of lymphoid organs

V. Other and Newer Aspects of HIV Disease

  • Body fluids and HIV transmission
  • HIV infection of other cells
  • Induction of HIV expression
  • Heterogeneity of HIV strains
  • Rapid Turnover of Plasma Virus and CD4 T-cells in HIV Infection
  • Prognosis in HIV Infection Predicted by Plasma Viral Load
  • Long-Term Nonprogressive HIV Infection
  • Cancer Development in HIV Infection
  • Co-receptors for HIV: Clinical Relevance
  • New Protease Inhibitor (PI) Class of Antiretroviral Drugs
  • Potential Vaccine Trials