HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages

A hallmark of HIV-1 infection is chronic inflammation, which plays a significant role in disease pathogenesis. Acute HIV infection induces robust inflammatory responses, which are insufficient to prevent or eliminate virus in mucosal tissues. While establishment of viral set-point is coincident with...

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Main Authors: Hisashi Akiyama, Suryaram Gummuluru
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/12/7/711
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author Hisashi Akiyama
Suryaram Gummuluru
author_facet Hisashi Akiyama
Suryaram Gummuluru
author_sort Hisashi Akiyama
collection DOAJ
description A hallmark of HIV-1 infection is chronic inflammation, which plays a significant role in disease pathogenesis. Acute HIV infection induces robust inflammatory responses, which are insufficient to prevent or eliminate virus in mucosal tissues. While establishment of viral set-point is coincident with downregulation of acute innate responses, systemic inflammatory responses persist during the course of chronic HIV infection. Since the introduction of combination antiviral therapy (cART), most HIV-1<sup>+</sup> individuals can suppress viremia under detection levels for decades. However, chronic immune activation persists and has been postulated to cause HIV associated non-AIDS complications (HANA). Importantly, inflammatory cytokines and activation markers associated with macrophages are strongly and selectively correlated with the incidence of HIV-associated neurocognitive disorder (HAND), cardiovascular dysfunctions (CVD) and other HANA conditions. In this review, we discuss the roles of macrophages in facilitating viral persistence and contributing to generation of persistent inflammatory responses.
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spelling doaj.art-3b83fc7ffb584f89838675d33553a10a2023-11-20T05:27:55ZengMDPI AGViruses1999-49152020-06-0112771110.3390/v12070711HIV-1 Persistence and Chronic Induction of Innate Immune Responses in MacrophagesHisashi Akiyama0Suryaram Gummuluru1Department of Microbiology, Boston University School of Medicine, 72 E. Concord St., R512, Boston, MA 02118, USADepartment of Microbiology, Boston University School of Medicine, 72 E. Concord St., R512, Boston, MA 02118, USAA hallmark of HIV-1 infection is chronic inflammation, which plays a significant role in disease pathogenesis. Acute HIV infection induces robust inflammatory responses, which are insufficient to prevent or eliminate virus in mucosal tissues. While establishment of viral set-point is coincident with downregulation of acute innate responses, systemic inflammatory responses persist during the course of chronic HIV infection. Since the introduction of combination antiviral therapy (cART), most HIV-1<sup>+</sup> individuals can suppress viremia under detection levels for decades. However, chronic immune activation persists and has been postulated to cause HIV associated non-AIDS complications (HANA). Importantly, inflammatory cytokines and activation markers associated with macrophages are strongly and selectively correlated with the incidence of HIV-associated neurocognitive disorder (HAND), cardiovascular dysfunctions (CVD) and other HANA conditions. In this review, we discuss the roles of macrophages in facilitating viral persistence and contributing to generation of persistent inflammatory responses.https://www.mdpi.com/1999-4915/12/7/711HIVmacrophagePAMPspersistent viral RNA expressionchronic innate immune activationintron-containing RNA
spellingShingle Hisashi Akiyama
Suryaram Gummuluru
HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages
Viruses
HIV
macrophage
PAMPs
persistent viral RNA expression
chronic innate immune activation
intron-containing RNA
title HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages
title_full HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages
title_fullStr HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages
title_full_unstemmed HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages
title_short HIV-1 Persistence and Chronic Induction of Innate Immune Responses in Macrophages
title_sort hiv 1 persistence and chronic induction of innate immune responses in macrophages
topic HIV
macrophage
PAMPs
persistent viral RNA expression
chronic innate immune activation
intron-containing RNA
url https://www.mdpi.com/1999-4915/12/7/711
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