# Talk:HIV

"A survival strategy for any infectious agent is not to kill its host, but ultimately become a commensal organism."
Proof missing.
How can a virus without a brain formulate a strategy? Based on which information received from whom? Then how does the virus project future events and devise counter measures? 194.207.180.128 (talk) 05:35, 28 September 2023 (UTC)

what are the danger of avr is you overdoses Mantoa mollo (talk) 04:59, 2 October 2023 (UTC)

"ADD under replication cycle section"
Viral Reservoir Survival and Clonal Expansion
Although antiretroviral therapy (ART) has been an effective measure to lower viral loads in the plasma to undetectable levels, integrated proviral sequences in CD4+ T cells will still be present in infected cells and continue to produce viral particles even after treatment . This is why most individuals with HIV will need to continue being on ART even after viral loads are initially suppressed. Upon interruption of ART, individuals with HIV often experience a rebound of HIV virions.  The replication and persistence of HIV can be observed using three models: the active viral replications stage, prolonged survival and clonal expansion. 
In active viral replication, an infected CD4+ T cell produces new viral particles which infects other CD4+ T cells. Upon usage of ART, the CD4+ T cell may not be able to produce new viral particles but will have been primed for survival due to upregulation of anti-apoptotic genes and downregulation of pro-apoptotic genes.  This allows the infected cell to survive and become a persistent viral reservoir. When infected CD4+ T cells replicate, they replicate the integrated HIV sequence along with its genome, leading to a process known as clonal expansion where the viral reservoir increases through the expansion of the infected clone. 
Producer and Nonproducer Proviruses which can lead to nonsuppressible viremia
Producer proviral sequences are often defined as integrated HIV sequences that can produce infectious particles, whereas nonproducer sequences show no evidence in being able to produce complete virions in the plasma. 
There is a higher frequency of producer proviral sequences integrated in chromosome 19. Although the integration of HIV is thought to be relatively random process, different integration sites may differentiate whether a provirus becomes a producer or nonproducer. 
There has been evidence to show that producer proviruses are often seen in highly transcribed sites leading to a higher transcription rate, compared to nonproducer proviruses which are more often seen in less transcribed regions of the chromosome. Producer proviruses are also more observed to be in regions with higher number of H3K36me3 histones, which are associated with more permissively transcribed chromatin. This may explain why most of plasma virions detected match the producer provirus. Nonproducer proviruses are also associated with large deletions and non-intact reservoirs which may prevent the complete transcription of HIV viral components.
Regulation of Apoptotic Genes for Reservoir Survival
Non-Suppressible Viremia (NSV) is often described when an individual is on ART but cannot suppress their viral loads and continuously observes low, detectable viremia. Several factors may contribute to this condition including prolonged clonal expansion and regulated immune responses. CD4+ T cells infected with HIV may sometimes become more primed for survival through the downregulation of pro-apoptotic genes such as TNFRSF14 and the upregulation of anti-apoptotic genes such as MTRNR2L2, OPA1 and STK24. The regulation of apoptotic genes promotes the survival of HIV-infected cells and protect cells from cytotoxic T cell responses. NSV has also been associated with a downregulation of IFN signaling which are important inflammatory responses for the immune system. When compared to individuals who are ART-suppressed, individuals with NSV often show decreased transcripts for IRF3, IRF7 and OAS1 which are important genes for host immune responses. With the mediation of different antiviral and immune pathways, HIV-infected cells in NSV can continue to survive and produce virions. Shkim19 (talk) 06:24, 16 April 2024 (UTC)

 Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. '''[[User:CanonNi]]''' (talk|contribs) 06:33, 16 April 2024 (UTC)

I found a fact that might belong in this article. See the quote below

Of the estimated 40.0 million [confidence bounds: 36.0-44.8 million] people living with HIV worldwide in 2023, 2.38 million [1.83-2.97 million] were children aged 0-19. Each day in 2023, approximately 685 children became infected with HIV and approximately 250 children died from AIDS related causes, mostly due to inadequate access to HIV prevention, care and treatment services.

The fact comes from the following source:

https://data.unicef.org/topic/hivaids/global-regional-trends/

Additional comments from user: Although strides have been made in the HIV response, children are still affected by the epidemic
This post was generated using the Add A Fact browser extension.
Laiasolagonzalez (talk) 01:29, 11 November 2024 (UTC)