Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era

Summary: HIV-associated neurological compromise is observed in more than half of all people with HIV (PWH), even under antiretroviral therapy (ART). The mechanism has been associated with the early transmigration of HIV-infected monocytes across the BBB in a CCL2 and HIV replication-dependent manner...

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Main Authors: Cristian Hernandez, Anna Maria Gorska, Eliseo Eugenin
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004224004577
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author Cristian Hernandez
Anna Maria Gorska
Eliseo Eugenin
author_facet Cristian Hernandez
Anna Maria Gorska
Eliseo Eugenin
author_sort Cristian Hernandez
collection DOAJ
description Summary: HIV-associated neurological compromise is observed in more than half of all people with HIV (PWH), even under antiretroviral therapy (ART). The mechanism has been associated with the early transmigration of HIV-infected monocytes across the BBB in a CCL2 and HIV replication-dependent manner. However, the mechanisms of chronic brain damage are unknown.We demonstrate that all PWH under ART have elevated circulating ATP levels that correlate with the onset of cognitive impairment even in the absence of a circulating virus. Serum ATP levels found in PWH with the most severe neurocognitive impairment trigger the transcellular migration of HIV-infected leukocytes across the BBB in a JAM-A and LFA-1-dependent manner. We propose that targeting transcellular leukocyte transmigration could reduce or prevent the devastating consequences of HIV within the brains of PWH under ART.
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spelling doaj.art-bed8c3b94fe143fe9bd4c8ecadece3342024-03-08T05:19:11ZengElsevieriScience2589-00422024-03-01273109236Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral eraCristian Hernandez0Anna Maria Gorska1Eliseo Eugenin2Department of Neurobiology, The University of Texas Medical Branch (UTMB), Galveston, TX, USADepartment of Neurobiology, The University of Texas Medical Branch (UTMB), Galveston, TX, USA; Department of Pathology, University of Oslo, Oslo, NorwayDepartment of Neurobiology, The University of Texas Medical Branch (UTMB), Galveston, TX, USA; Corresponding authorSummary: HIV-associated neurological compromise is observed in more than half of all people with HIV (PWH), even under antiretroviral therapy (ART). The mechanism has been associated with the early transmigration of HIV-infected monocytes across the BBB in a CCL2 and HIV replication-dependent manner. However, the mechanisms of chronic brain damage are unknown.We demonstrate that all PWH under ART have elevated circulating ATP levels that correlate with the onset of cognitive impairment even in the absence of a circulating virus. Serum ATP levels found in PWH with the most severe neurocognitive impairment trigger the transcellular migration of HIV-infected leukocytes across the BBB in a JAM-A and LFA-1-dependent manner. We propose that targeting transcellular leukocyte transmigration could reduce or prevent the devastating consequences of HIV within the brains of PWH under ART.http://www.sciencedirect.com/science/article/pii/S2589004224004577Molecular biologyMicrobiologyVirology
spellingShingle Cristian Hernandez
Anna Maria Gorska
Eliseo Eugenin
Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era
iScience
Molecular biology
Microbiology
Virology
title Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era
title_full Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era
title_fullStr Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era
title_full_unstemmed Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era
title_short Mechanisms of HIV-mediated blood-brain barrier compromise and leukocyte transmigration under the current antiretroviral era
title_sort mechanisms of hiv mediated blood brain barrier compromise and leukocyte transmigration under the current antiretroviral era
topic Molecular biology
Microbiology
Virology
url http://www.sciencedirect.com/science/article/pii/S2589004224004577
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