Virtual Patient Reference Library
Pathophysiology of HIV
page 2
HIV/CD4 Cell Interaction
How HIV Replicates
Relationship of Viral Load to Development of AIDS

last update August 2002

 How HIV Replicates

  • The HIV replication cycle begins with the virus binding to a host cell by means of the gp120 molecule linkage with a CD4 receptor.
  • Viral envelope fuses with the lipid bilayer of the target cell through involvement of the gp41 molecule.
  • The viral RNA is subsequently uncoated and reverse-transcribed into proviral DNA by the viral reverse transcriptase enzyme.
  • Proviral DNA migrates to the nucleus and is permanently integrated into the host's DNA by the viral integrase enzyme.
  • Integrated viral genes may remain inactive or may be activated for transcription into genomic RNA and messenger RNA, which are translated into viral proteins.
  • These viral proteins are cleaved by HIV protease enzyme into new enzymatic and structural HIV proteins and assembled.
  • They are then released by budding to produce a new generation of infectious virions.