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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. Viral Entry and Initial Infection

The Human Immunodeficiency Virus (HIV), a member of the group Retroviridae, initiates infection by targeting cells expressing the $CD4$ receptor on their surface, primarily Helper T-lymphocytes ($T_H$ cells) and macrophages. The viral envelope glycoprotein $gp120$ binds with high affinity to the $CD4$ receptor and co-receptors (such as $CCR5$ or $CXCR4$), facilitating the fusion of the viral envelope with the host plasma membrane [Per the mechanisms of viral entry in enveloped RNA viruses].

2. Reverse Transcription and Integration

Upon entry into the cytoplasm, the viral core releases its single-stranded RNA (ssRNA) genome and enzymes. Using the enzyme reverse transcriptase, the viral RNA is transcribed into complementary DNA (cDNA). This cDNA then enters the host nucleus and is integrated into the host genome via the enzyme integrase, forming a provirus [Per the Central Dogma of Molecular Biology and Retroviral Replication Cycle].

3. Viral Replication and Cytopathic Effect

Once integrated, the host cell’s machinery is hijacked to transcribe and translate viral genes, producing new viral components. These components assemble at the plasma membrane, and new virions are released via budding. This process eventually leads to the death of the host $T_H$ cell, either through direct viral-mediated lysis or through programmed cell death (apoptosis) triggered by the accumulation of viral proteins [Per the Cytopathic Effect hypothesis].

4. Quantitative Depletion of Helper T-Lymphocytes

The continuous production of virions leads to a systemic reduction in the population of $CD4^+$ Helper T-cells. Because $T_H$ cells are the "command centers" of the immune system—coordinating both the Cell-Mediated Immunity (via Cytotoxic T-cells) and the Humoral Immunity (via B-cell antibody production)—their depletion cripples the entire adaptive immune response.

HIV Virion CD4+ Cell Binding Depletion

5. Clinical Consequence: Immunodeficiency

As the $CD4$ count drops below the critical threshold (typically $< 200 \text{ cells/mm}^3$), the infected person becomes highly susceptible to opportunistic infections by pathogens such as Mycobacterium, fungi, viruses, and parasites like Toxoplasma, as well as rare cancers like Kaposi's sarcoma. This state of severe immune dysfunction is defined as Acquired Immuno-Deficiency Syndrome (AIDS).

Process Mechanism
Viral Entry Binding to CD4 receptors on T-Helper cells.
Genetic Integration Reverse transcription of RNA to DNA; integration into host genome.
Immune Suppression Progressive decline in T-Helper cell count, crippling signaling for B-cells and Cytotoxic T-cells.

Final Solution: The HIV virus causes immunodeficiency by specifically infecting and destroying $CD4^+$ Helper T-lymphocytes. Through the processes of viral replication, integration, and host-cell lysis, the population of these regulatory immune cells is drastically reduced. This prevents the activation of both Humoral and Cell-Mediated immunity, leaving the host vulnerable to lethal opportunistic infections.


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