Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?

The current use of combined antiretroviral therapy (cART) is leading to a significant decrease in deaths and comorbidities associated with human immunodeficiency virus type 1 (HIV-1) infection. Nonetheless, none of these therapies can extinguish the virus from the long-lived cellular reservoir, incl...

Full description

Bibliographic Details
Main Authors: Ana Borrajo López, Maria Aránzazu Penedo, Tania Rivera-Baltanas, Daniel Pérez-Rodríguez, David Alonso-Crespo, Carlos Fernández-Pereira, José Manuel Olivares, Roberto Carlos Agís-Balboa
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/8/925
_version_ 1797524604100542464
author Ana Borrajo López
Maria Aránzazu Penedo
Tania Rivera-Baltanas
Daniel Pérez-Rodríguez
David Alonso-Crespo
Carlos Fernández-Pereira
José Manuel Olivares
Roberto Carlos Agís-Balboa
author_facet Ana Borrajo López
Maria Aránzazu Penedo
Tania Rivera-Baltanas
Daniel Pérez-Rodríguez
David Alonso-Crespo
Carlos Fernández-Pereira
José Manuel Olivares
Roberto Carlos Agís-Balboa
author_sort Ana Borrajo López
collection DOAJ
description The current use of combined antiretroviral therapy (cART) is leading to a significant decrease in deaths and comorbidities associated with human immunodeficiency virus type 1 (HIV-1) infection. Nonetheless, none of these therapies can extinguish the virus from the long-lived cellular reservoir, including microglia, thereby representing an important obstacle to curing HIV. Microglia are the foremost cells infected by HIV-1 in the central nervous system (CNS) and are believed to be involved in the development of HIV-1-associated neurocognitive disorder (HAND). At present, the pathological mechanisms contributing to HAND remain unclear, but evidence suggests that removing these infected cells from the brain, as well as obtaining a better understanding of the specific molecular mechanisms of HIV-1 latency in these cells, should help in the design of new strategies to prevent HAND and achieve a cure for these diseases. The goal of this review was to study the current state of knowledge of the neuropathology and research models of HAND containing virus susceptible target cells (microglial cells) and potential pharmacological treatment approaches under investigation.
first_indexed 2024-03-10T08:59:47Z
format Article
id doaj.art-cf0ab9c5a6c84e47b31721d5e1272b67
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T08:59:47Z
publishDate 2021-07-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-cf0ab9c5a6c84e47b31721d5e1272b672023-11-22T06:52:03ZengMDPI AGBiomedicines2227-90592021-07-019892510.3390/biomedicines9080925Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?Ana Borrajo López0Maria Aránzazu Penedo1Tania Rivera-Baltanas2Daniel Pérez-Rodríguez3David Alonso-Crespo4Carlos Fernández-Pereira5José Manuel Olivares6Roberto Carlos Agís-Balboa7Department of Microbiology and Parasitology, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, SpainTranslational Neuroscience Group-CIBERSAM, Galicia Sur Health Research Institute (IIS Galicia Sur), Área Sanitaria de Vigo-Hospital Álvaro Cunqueiro, SERGAS-UVIGO, 36213 Vigo, SpainTranslational Neuroscience Group-CIBERSAM, Galicia Sur Health Research Institute (IIS Galicia Sur), Área Sanitaria de Vigo-Hospital Álvaro Cunqueiro, SERGAS-UVIGO, 36213 Vigo, SpainTranslational Neuroscience Group-CIBERSAM, Galicia Sur Health Research Institute (IIS Galicia Sur), Área Sanitaria de Vigo-Hospital Álvaro Cunqueiro, SERGAS-UVIGO, 36213 Vigo, SpainNursing Team-Intensive Care Unit, Área Sanitaria de Vigo, Estrada de Clara Campoamor 341, SERGAS-UVigo, 36312 Virgo, SpainTranslational Neuroscience Group-CIBERSAM, Galicia Sur Health Research Institute (IIS Galicia Sur), Área Sanitaria de Vigo-Hospital Álvaro Cunqueiro, SERGAS-UVIGO, 36213 Vigo, SpainTranslational Neuroscience Group-CIBERSAM, Galicia Sur Health Research Institute (IIS Galicia Sur), Área Sanitaria de Vigo-Hospital Álvaro Cunqueiro, SERGAS-UVIGO, 36213 Vigo, SpainTranslational Neuroscience Group-CIBERSAM, Galicia Sur Health Research Institute (IIS Galicia Sur), Área Sanitaria de Vigo-Hospital Álvaro Cunqueiro, SERGAS-UVIGO, 36213 Vigo, SpainThe current use of combined antiretroviral therapy (cART) is leading to a significant decrease in deaths and comorbidities associated with human immunodeficiency virus type 1 (HIV-1) infection. Nonetheless, none of these therapies can extinguish the virus from the long-lived cellular reservoir, including microglia, thereby representing an important obstacle to curing HIV. Microglia are the foremost cells infected by HIV-1 in the central nervous system (CNS) and are believed to be involved in the development of HIV-1-associated neurocognitive disorder (HAND). At present, the pathological mechanisms contributing to HAND remain unclear, but evidence suggests that removing these infected cells from the brain, as well as obtaining a better understanding of the specific molecular mechanisms of HIV-1 latency in these cells, should help in the design of new strategies to prevent HAND and achieve a cure for these diseases. The goal of this review was to study the current state of knowledge of the neuropathology and research models of HAND containing virus susceptible target cells (microglial cells) and potential pharmacological treatment approaches under investigation.https://www.mdpi.com/2227-9059/9/8/925HIV-1 associated neurocognitive disordersmicrogliapharmacological treatmentcentral nervous systemantiretroviral therapy
spellingShingle Ana Borrajo López
Maria Aránzazu Penedo
Tania Rivera-Baltanas
Daniel Pérez-Rodríguez
David Alonso-Crespo
Carlos Fernández-Pereira
José Manuel Olivares
Roberto Carlos Agís-Balboa
Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?
Biomedicines
HIV-1 associated neurocognitive disorders
microglia
pharmacological treatment
central nervous system
antiretroviral therapy
title Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?
title_full Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?
title_fullStr Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?
title_full_unstemmed Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?
title_short Microglia: The Real Foe in HIV-1-Associated Neurocognitive Disorders?
title_sort microglia the real foe in hiv 1 associated neurocognitive disorders
topic HIV-1 associated neurocognitive disorders
microglia
pharmacological treatment
central nervous system
antiretroviral therapy
url https://www.mdpi.com/2227-9059/9/8/925
work_keys_str_mv AT anaborrajolopez microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT mariaaranzazupenedo microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT taniariverabaltanas microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT danielperezrodriguez microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT davidalonsocrespo microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT carlosfernandezpereira microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT josemanuelolivares microgliatherealfoeinhiv1associatedneurocognitivedisorders
AT robertocarlosagisbalboa microgliatherealfoeinhiv1associatedneurocognitivedisorders