Genotypical diversity of HIV clades and central nervous system impairment

The central nervous system (CNS) and the immune system are considered major target organs for HIV infection. The neurological manifestations directly related to HIV are acute viral meningitis, chronic meningitis, HIV associated dementia, vacuolar myelopathy and involvement of the peripheral nervous...

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Main Authors: Indianara Rotta, Sérgio Monteiro de Almeida
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2011-12-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000700023&lng=en&tlng=en
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author Indianara Rotta
Sérgio Monteiro de Almeida
author_facet Indianara Rotta
Sérgio Monteiro de Almeida
author_sort Indianara Rotta
collection DOAJ
description The central nervous system (CNS) and the immune system are considered major target organs for HIV infection. The neurological manifestations directly related to HIV are acute viral meningitis, chronic meningitis, HIV associated dementia, vacuolar myelopathy and involvement of the peripheral nervous system. Changes in diagnosis and clinical management have changed the aspect of HIV infection so that it is no longer a fatal disease, and has become a chronic disease requiring sustained medical management. After HAART the incidence of most opportunistic infections, including those affecting the CNS, has dropped markedly. Some studies suggest that neurological involvement of infected patient occur with different frequency, depending on HIV subtype involved in the infection. Subtype C may have reduced neuroinvasive capacity, possibly due to its different primary conformation of HIV transactivating regulatory protein (Tat), involved in monocyte chemotaxis. This review focus on physiopathologic aspects of HIV infection in CNS and its correlation with HIV clades.
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spelling doaj.art-908ad9592e6f4b2faa71c287083aa25a2022-12-21T18:19:02ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272011-12-0169696497210.1590/S0004-282X2011000700023S0004-282X2011000700023Genotypical diversity of HIV clades and central nervous system impairmentIndianara Rotta0Sérgio Monteiro de Almeida1Universidade Federal do ParanáUniversidade Federal do ParanáThe central nervous system (CNS) and the immune system are considered major target organs for HIV infection. The neurological manifestations directly related to HIV are acute viral meningitis, chronic meningitis, HIV associated dementia, vacuolar myelopathy and involvement of the peripheral nervous system. Changes in diagnosis and clinical management have changed the aspect of HIV infection so that it is no longer a fatal disease, and has become a chronic disease requiring sustained medical management. After HAART the incidence of most opportunistic infections, including those affecting the CNS, has dropped markedly. Some studies suggest that neurological involvement of infected patient occur with different frequency, depending on HIV subtype involved in the infection. Subtype C may have reduced neuroinvasive capacity, possibly due to its different primary conformation of HIV transactivating regulatory protein (Tat), involved in monocyte chemotaxis. This review focus on physiopathologic aspects of HIV infection in CNS and its correlation with HIV clades.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000700023&lng=en&tlng=enHIVAIDSsistema nervoso centralsubtiposgenotipagemHIV demência
spellingShingle Indianara Rotta
Sérgio Monteiro de Almeida
Genotypical diversity of HIV clades and central nervous system impairment
Arquivos de Neuro-Psiquiatria
HIV
AIDS
sistema nervoso central
subtipos
genotipagem
HIV demência
title Genotypical diversity of HIV clades and central nervous system impairment
title_full Genotypical diversity of HIV clades and central nervous system impairment
title_fullStr Genotypical diversity of HIV clades and central nervous system impairment
title_full_unstemmed Genotypical diversity of HIV clades and central nervous system impairment
title_short Genotypical diversity of HIV clades and central nervous system impairment
title_sort genotypical diversity of hiv clades and central nervous system impairment
topic HIV
AIDS
sistema nervoso central
subtipos
genotipagem
HIV demência
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000700023&lng=en&tlng=en
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