## Core Concept
The question tests knowledge of HIV co-receptors, specifically those involved in the viral entry process. HIV utilizes co-receptors on host cells to facilitate its entry and replication. The primary co-receptors for HIV are chemokine receptors.
## Why the Correct Answer is Right
The correct answer, **CCR5**, is a chemokine receptor that acts as a co-receptor for HIV entry into host cells, particularly macrophages and memory T cells. HIV strains that use CCR5 are known as R5 strains. CCR5 is crucial for the entry of macrophage-tropic HIV strains. The interaction between the HIV envelope protein gp120 and CCR5, along with the CD4 receptor, facilitates the fusion of the viral envelope with the host cell membrane.
## Why Each Wrong Option is Incorrect
- **Option A:** CXCR4 is another chemokine receptor used by HIV, but it is primarily associated with T-cell tropic strains, not macrophage-tropic strains.
- **Option B:** This option is not provided, but based on the context, we can infer that other chemokine receptors or irrelevant options might be listed.
- **Option D:** This option might include other receptors not directly involved in HIV entry as co-receptors.
## Clinical Pearl / High-Yield Fact
A notable clinical pearl is that individuals homozygous for a 32-base pair deletion in the **CCR5** gene (CCR5-Ξ32) are highly resistant to HIV infection. This is because the mutation leads to a non-functional receptor that cannot be used by the virus for entry into host cells.
## Correct Answer Line
**Correct Answer: C. CCR5.**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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