Which co-receptors does HIV use to enter cells?

Study for the NBME Microbiology Test. Utilize flashcards and multiple choice questions, each with explanations. Prepare confidently for your exam!

Multiple Choice

Which co-receptors does HIV use to enter cells?

Explanation:
HIV entry requires two interactions: the primary receptor and a co-receptor. The virus first binds to CD4 on the surface of T cells or macrophages, then engages a chemokine co-receptor to fuse with the cell membrane. The chemokine co-receptors HIV uses are CCR5 and CXCR4. Depending on the viral strain, HIV can be CCR5-tropic, CXCR4-tropic, or dual-tropic, which is why both CCR5 and CXCR4 are required as co-receptors. Early infection often involves CCR5, while CXCR4 can be used later in some individuals. Genetic loss of CCR5 (CCR5-Δ32) confers resistance to CCR5-tropic viruses, underscoring the role of this co-receptor. So the best answer is that HIV can use both CCR5 and CXCR4 as co-receptors.

HIV entry requires two interactions: the primary receptor and a co-receptor. The virus first binds to CD4 on the surface of T cells or macrophages, then engages a chemokine co-receptor to fuse with the cell membrane. The chemokine co-receptors HIV uses are CCR5 and CXCR4. Depending on the viral strain, HIV can be CCR5-tropic, CXCR4-tropic, or dual-tropic, which is why both CCR5 and CXCR4 are required as co-receptors. Early infection often involves CCR5, while CXCR4 can be used later in some individuals. Genetic loss of CCR5 (CCR5-Δ32) confers resistance to CCR5-tropic viruses, underscoring the role of this co-receptor. So the best answer is that HIV can use both CCR5 and CXCR4 as co-receptors.

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