HIV infection of non-classical cells in the brain

Abstract HIV-associated neurological disorders (HAND) affect up to 50% of people living with HIV (PLWH), even in the era of combination antiretroviral therapy (cART). HIV-DNA can be detected in the cerebral spinal fluid (CSF) of approximately half of aviremic ART-suppressed PLWH and its presence is...

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Main Authors: Angela Wahl, Lena Al-Harthi
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Retrovirology
Subjects:
Online Access:https://doi.org/10.1186/s12977-023-00616-9
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author Angela Wahl
Lena Al-Harthi
author_facet Angela Wahl
Lena Al-Harthi
author_sort Angela Wahl
collection DOAJ
description Abstract HIV-associated neurological disorders (HAND) affect up to 50% of people living with HIV (PLWH), even in the era of combination antiretroviral therapy (cART). HIV-DNA can be detected in the cerebral spinal fluid (CSF) of approximately half of aviremic ART-suppressed PLWH and its presence is associated with poorer neurocognitive performance. HIV DNA + and HIV RNA + cells have also been observed in postmortem brain tissue of individuals with sustained cART suppression. In this review, we provide an overview of how HIV invades the brain and HIV infection of resident brain glial cells (astrocytes and microglia). We also discuss the role of resident glial cells in persistent neuroinflammation and HAND in PLWH and their potential contribution to the HIV reservoir. HIV eradication strategies that target persistently infected glia cells will likely be needed to achieve HIV cure.
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spelling doaj.art-e977294101274354aead53069d99b5552023-01-15T12:20:29ZengBMCRetrovirology1742-46902023-01-0120111310.1186/s12977-023-00616-9HIV infection of non-classical cells in the brainAngela Wahl0Lena Al-Harthi1International Center for the Advancement of Translational Science, University of North Carolina at Chapel HillDepartment of Microbial Pathogens and Immunity, Rush University Medical CenterAbstract HIV-associated neurological disorders (HAND) affect up to 50% of people living with HIV (PLWH), even in the era of combination antiretroviral therapy (cART). HIV-DNA can be detected in the cerebral spinal fluid (CSF) of approximately half of aviremic ART-suppressed PLWH and its presence is associated with poorer neurocognitive performance. HIV DNA + and HIV RNA + cells have also been observed in postmortem brain tissue of individuals with sustained cART suppression. In this review, we provide an overview of how HIV invades the brain and HIV infection of resident brain glial cells (astrocytes and microglia). We also discuss the role of resident glial cells in persistent neuroinflammation and HAND in PLWH and their potential contribution to the HIV reservoir. HIV eradication strategies that target persistently infected glia cells will likely be needed to achieve HIV cure.https://doi.org/10.1186/s12977-023-00616-9HIVCNSBrainAstrocyteMicrogliaNon-classical cells
spellingShingle Angela Wahl
Lena Al-Harthi
HIV infection of non-classical cells in the brain
Retrovirology
HIV
CNS
Brain
Astrocyte
Microglia
Non-classical cells
title HIV infection of non-classical cells in the brain
title_full HIV infection of non-classical cells in the brain
title_fullStr HIV infection of non-classical cells in the brain
title_full_unstemmed HIV infection of non-classical cells in the brain
title_short HIV infection of non-classical cells in the brain
title_sort hiv infection of non classical cells in the brain
topic HIV
CNS
Brain
Astrocyte
Microglia
Non-classical cells
url https://doi.org/10.1186/s12977-023-00616-9
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