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How does HIV evade the immune system?

  • A HIV is sometimes thought to have few antigens recognizable by the host immune system, leaving it largely undetectable to immune surveillance under most conditions encountered
  • B HIV integrates its genome into CD4+ T cell DNA as a provirus; mutates rapidly (high error-rate reverse transcriptase); infects and destroys CD4+ T cells; can enter latency
  • C HIV is sometimes thought to mainly infect B cells, sparing CD4+ helper T cells from infection and the progressive depletion that defines AIDS as frequently observed in practice
  • D HIV is sometimes thought to produce antibodies against itself specifically to neutralize its own envelope glycoproteins before any host immune response develops in many documented cases

Correct answer: B. HIV integrates its genome into CD4+ T cell DNA as a provirus; mutates rapidly (high error-rate reverse transcriptase); infects and destroys CD4+ T cells; can enter latency

Explanation: HIV evasion: (1) Integration as provirus - latent, invisible to immune system; (2) High mutation rate (reverse transcriptase lacks proofreading) - rapidly generates antigen variants; (3) Destroys CD4+ T helper cells - undermines adaptive immunity; (4) Infects macrophages and dendritic cells - evades phagocytosis.

Concept context

Innate and adaptive immunity, B cells, T cells, antibodies, vaccines, and immune disorders. Critical for NEET.

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