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Reproduction - Sexually transmitted infections (STIs)

Grade 12IGCSEBiology

Review the key concepts, formulae, and examples before starting your quiz.

🔑Concepts

Definition: A sexually transmitted infection (STI) is an infection that is transmitted via body fluids through sexual contact. Examples include HIV, gonorrhea, and syphilis.

HIV (Human Immunodeficiency Virus): A retrovirus that targets the immune system, specifically the CD4+CD4^{+} TT-helper cells (lymphocytes).

AIDS (Acquired Immunodeficiency Syndrome): The advanced stage of HIV infection where the immune system is so weakened (low TT-cell count) that the body can no longer fight off opportunistic infections or cancers.

Transmission Methods: HIV is transmitted through the exchange of body fluids such as blood, semen, vaginal secretions, and breast milk. This occurs via unprotected sexual intercourse, sharing of contaminated needles, or from mother to child during birth/breastfeeding.

Mechanism of Action: HIV infects lymphocytes and uses its reverse transcriptase enzyme to integrate its RNARNA into the host's DNADNA. The destruction of TT-helper cells leads to a decrease in the production of antibodies by BB-lymphocytes.

Prevention: Use of barrier contraception such as condoms (latexlatex mechanical barriers), screening of blood for transfusions, use of sterile needles, and pre-exposure prophylaxis (PrEPPrEP).

Treatment: There is no current cure, but Highly Active Antiretroviral Therapy (HAARTHAART) can suppress viral replication and maintain high CD4+CD4^{+} counts.

📐Formulae

Immune Competence[CD4+ T-cell count]\text{Immune Competence} \propto [CD4^{+} \text{ T-cell count}]

Viral Load=Number of copies of HIV RNA/ml of plasma\text{Viral Load} = \text{Number of copies of HIV } RNA / \text{ml of plasma}

Probability of Transmission (P)1(1r)n\text{Probability of Transmission (P)} \approx 1 - (1 - r)^n

💡Examples

Problem 1:

Explain the biological reason why a person with advanced HIV (AIDSAIDS) often dies from common infections like pneumonia or tuberculosis.

Solution:

The virus destroys CD4+CD4^{+} TT-helper cells. In the absence of these cells, the immune system cannot effectively signal BB-lymphocytes to produce specific antibodies (IgGIgG, IgMIgM).

Explanation:

Because the concentration of functional TT-cells falls below a critical threshold (typically <200 cells/μL< 200 \text{ cells}/\mu L), the body loses its adaptive immune response, allowing opportunistic pathogens to proliferate.

Problem 2:

How does the use of a latex condom act as a preventative measure against the transmission of HIV during intercourse?

Solution:

A condom acts as a mechanical barrier that prevents the exchange of bodily fluids.

Explanation:

Since the HIVHIV virion is approximately 100150 nm100-150 \text{ nm} in diameter, a continuous latex membrane prevents the virus-carrying fluids (semen or vaginal secretions) from crossing the barrier and entering the bloodstream of the partner.

Sexually transmitted infections (STIs) Revision - Grade 12 Biology IGCSE