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Q11:
What is the mechanism by which the AIDS virus causes deficiency of immune system of the infected person?

Solution :

1. The Pathogen and Entry Mechanism

The causative agent of AIDS (Acquired Immuno Deficiency Syndrome) is the Human Immunodeficiency Virus (HIV), a member of the group of viruses called retroviruses, which possess an envelope enclosing the RNA genome [Per the Baltimore Classification of Viruses]. Upon entry into the human body, the virus gains access to macrophages, which function as an HIV factory [Biological mechanism of viral pathogenesis].

2. Viral Replication Cycle within Host Cells

The mechanism of immune system degradation proceeds through the following sequential steps:

  • Entry and Reverse Transcription: After entering the macrophage, the viral RNA genome is transcribed into viral DNA by the enzyme reverse transcriptase [$RNA \xrightarrow{\text{Reverse Transcriptase}} DNA$].
  • Integration: The newly formed viral DNA is incorporated into the host cell's genome, directing the infected cells to produce new virus particles [Integration via viral integrase enzyme].
  • The Factory Effect: Macrophages continue to produce virus particles without immediate lysis, effectively turning the cell into a viral reservoir.

3. Target-Specific Destruction of T-Helper Lymphocytes

The critical factor in immune deficiency is the secondary infection of $CD4^+$ T-helper lymphocytes. The HIV virus enters these cells and replicates further, producing a massive number of progeny viruses. This leads to the following physiological outcome:

  1. Cell Lysis: The high rate of viral replication leads to the destruction (lysis) of the T-helper cells.
  2. Numerical Decline: As the virus spreads, the population of T-helper lymphocytes decreases drastically in the host.
  3. Immune Collapse: T-helper cells are the central coordinators of the adaptive immune response. Their reduction renders the person susceptible to opportunistic infections, such as those caused by Mycobacterium, viruses, fungi, and parasites like Toxoplasma [Clinical consequence of cellular immunodeficiency].
Time post-infection (Years) T-Helper Count HIV Infection Leads to Decline of T-cells

4. Summary of Pathogenesis

Stage Mechanism
Viral Entry HIV enters macrophages/CD4+ T-cells via surface receptors.
Synthesis Viral RNA converts to DNA; integration into host nucleus.
Immune Impact Destruction of T-helper cells reduces cell-mediated and humoral immunity.

Final Solution: The AIDS virus (HIV) causes immune deficiency by utilizing macrophages as viral factories and subsequently infecting and destroying $CD4^+$ T-helper lymphocytes. The progressive loss of these T-cells, which are essential for coordinating the immune response, leaves the body defenseless against opportunistic infections and malignancies.


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