In human health, the HIV virus weakens the immune system primarily because it attacks and destroys which type of blood cells?

Difficulty: Easy

Correct Answer: Lymphocytes, especially helper T cells that coordinate immune responses

Explanation:


Introduction / Context:
Human Immunodeficiency Virus (HIV) is the causative agent of Acquired Immunodeficiency Syndrome (AIDS). The key feature of HIV infection is a progressive weakening of the immune system, which makes a person vulnerable to opportunistic infections and certain cancers. This question asks which specific type of blood cells are destroyed by HIV, leading to immune deficiency. Understanding this mechanism is fundamental in biology and health education.


Given Data / Assumptions:


    • The options include mast cells, platelets, erythrocytes, and lymphocytes.
    • The focus is on the cell type whose destruction leads directly to weakened immunity.
    • Basic knowledge of blood components and the immune system is assumed.


Concept / Approach:
HIV specifically targets certain white blood cells that have CD4 receptors on their surface, most notably CD4+ helper T lymphocytes. These cells play a central role in coordinating immune responses by activating other immune cells, including B lymphocytes (which produce antibodies) and cytotoxic T cells (which kill infected cells). HIV enters these helper T cells, replicates inside them, and ultimately leads to their destruction or dysfunction. As the number of CD4+ lymphocytes falls below critical levels, the immune system becomes progressively weaker. Mast cells are involved in allergic responses and are not the primary target of HIV. Platelets are cell fragments responsible for blood clotting, and erythrocytes (red blood cells) carry oxygen; neither of these is specifically destroyed by HIV in a way that explains immune deficiency. Therefore, lymphocytes, especially helper T cells, are the correct answer.


Step-by-Step Solution:

Step 1: Recall that the immune system relies heavily on white blood cells, including various types of lymphocytes such as B cells, T cells, and natural killer cells. Step 2: Remember that HIV binds to CD4 receptors, which are characteristic of helper T lymphocytes. Step 3: Understand that after entering helper T cells, HIV uses the cell machinery to replicate, eventually damaging and destroying these cells. Step 4: As the helper T cell count declines, the body loses the ability to mount effective immune responses against many pathogens. Step 5: Compare this with the roles of mast cells (allergic reactions), platelets (clotting), and erythrocytes (oxygen transport), which are not the main targets responsible for immune failure in HIV infection. Step 6: Conclude that lymphocytes, particularly CD4+ helper T cells, are destroyed by HIV, leading to weak immunity.


Verification / Alternative check:
Medical textbooks and health education materials consistently state that HIV selectively infects CD4+ T lymphocytes (a subset of lymphocytes), macrophages, and some dendritic cells, but the most clinically important effect is the gradual loss of CD4+ helper T cells. Clinical monitoring of HIV infection routinely involves counting CD4+ lymphocytes in the blood, and treatment guidelines often use CD4+ counts to assess disease progression and treatment success. These points confirm that lymphocytes, especially helper T cells, are the key cells destroyed by HIV to cause immunodeficiency.


Why Other Options Are Wrong:

Mast cells that are involved in allergic reactions are wrong because they are not the primary target cells whose destruction explains the immunodeficiency characteristic of HIV infection.

Platelets that help in blood clotting are incorrect because HIV does not primarily destroy platelets; clotting disorders are not the main feature of AIDS.

Erythrocytes (red blood cells) that transport oxygen are also wrong because HIV does not cause anaemia by directly destroying red blood cells; the main problem is immune system failure, not oxygen transport.


Common Pitfalls:
Students sometimes confuse different blood cells and may think that any blood cell destruction leads to AIDS. Others may overlook the specific term helper T cells and pick a more general answer. To avoid such mistakes, remember that HIV primarily targets lymphocytes, especially CD4+ helper T cells, and their destruction leads to a weakened immune system. Monitoring these cells is central to HIV treatment and prognosis.


Final Answer:
Hence, HIV weakens immunity because it destroys lymphocytes, particularly helper T cells that coordinate immune responses.

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