Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research

ABSTRACT Long-term effective use of antiretroviral therapy (ART) among people with HIV (PWH) has significantly reduced the burden of disease, yet a cure for HIV has not been universally achieved, likely due to the persistence of an HIV reservoir. The central nervous system (CNS) is an understudied H...

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Autores principales: Thomas A. Premeaux, Sonia Mediouni, Ana Leda, Robert L. Furler, Susana T. Valente, Howard A. Fine, Douglas F. Nixon, Lishomwa C. Ndhlovu
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Publicado: American Society for Microbiology 2021
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HIV
Acceso en línea:https://doaj.org/article/3fe2d372568345668788e4b150413a5e
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spelling oai:doaj.org-article:3fe2d372568345668788e4b150413a5e2021-11-10T18:37:52ZNext-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research10.1128/mBio.00680-212150-7511https://doaj.org/article/3fe2d372568345668788e4b150413a5e2021-08-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00680-21https://doaj.org/toc/2150-7511ABSTRACT Long-term effective use of antiretroviral therapy (ART) among people with HIV (PWH) has significantly reduced the burden of disease, yet a cure for HIV has not been universally achieved, likely due to the persistence of an HIV reservoir. The central nervous system (CNS) is an understudied HIV sanctuary. Importantly, due to viral persistence in the brain, cognitive disturbances persist to various degrees at high rates in PWH despite suppressive ART. Given the complexity and accessibility of the CNS compartment and that it is a physiologically and anatomically unique immune site, human studies to reveal molecular mechanisms of viral entry, reservoir establishment, and the cellular and structural interactions leading to viral persistence and brain injury to advance a cure and either prevent or limit cognitive impairments in PWH remain challenging. Recent advances in human brain organoids show that they can mimic the intercellular dynamics of the human brain and may recapitulate many of the events involved in HIV infection of the brain (neuroHIV). Human brain organoids can be produced, spontaneously or with addition of growth factors and at immature or mature states, and have become stronger models to study neurovirulent viral infections of the CNS. While organoids provide opportunities to study neuroHIV, obstacles such as the need to incorporate microglia need to be overcome to fully utilize this model. Here, we review the current achievements in brain organoid biology and their relevance to neuroHIV research efforts.Thomas A. PremeauxSonia MediouniAna LedaRobert L. FurlerSusana T. ValenteHoward A. FineDouglas F. NixonLishomwa C. NdhlovuAmerican Society for Microbiologyarticlecerebral organoidsHIV reservoirsHIV cureneuropathologycureHIVMicrobiologyQR1-502ENmBio, Vol 12, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
topic cerebral organoids
HIV reservoirs
HIV cure
neuropathology
cure
HIV
Microbiology
QR1-502
spellingShingle cerebral organoids
HIV reservoirs
HIV cure
neuropathology
cure
HIV
Microbiology
QR1-502
Thomas A. Premeaux
Sonia Mediouni
Ana Leda
Robert L. Furler
Susana T. Valente
Howard A. Fine
Douglas F. Nixon
Lishomwa C. Ndhlovu
Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research
description ABSTRACT Long-term effective use of antiretroviral therapy (ART) among people with HIV (PWH) has significantly reduced the burden of disease, yet a cure for HIV has not been universally achieved, likely due to the persistence of an HIV reservoir. The central nervous system (CNS) is an understudied HIV sanctuary. Importantly, due to viral persistence in the brain, cognitive disturbances persist to various degrees at high rates in PWH despite suppressive ART. Given the complexity and accessibility of the CNS compartment and that it is a physiologically and anatomically unique immune site, human studies to reveal molecular mechanisms of viral entry, reservoir establishment, and the cellular and structural interactions leading to viral persistence and brain injury to advance a cure and either prevent or limit cognitive impairments in PWH remain challenging. Recent advances in human brain organoids show that they can mimic the intercellular dynamics of the human brain and may recapitulate many of the events involved in HIV infection of the brain (neuroHIV). Human brain organoids can be produced, spontaneously or with addition of growth factors and at immature or mature states, and have become stronger models to study neurovirulent viral infections of the CNS. While organoids provide opportunities to study neuroHIV, obstacles such as the need to incorporate microglia need to be overcome to fully utilize this model. Here, we review the current achievements in brain organoid biology and their relevance to neuroHIV research efforts.
format article
author Thomas A. Premeaux
Sonia Mediouni
Ana Leda
Robert L. Furler
Susana T. Valente
Howard A. Fine
Douglas F. Nixon
Lishomwa C. Ndhlovu
author_facet Thomas A. Premeaux
Sonia Mediouni
Ana Leda
Robert L. Furler
Susana T. Valente
Howard A. Fine
Douglas F. Nixon
Lishomwa C. Ndhlovu
author_sort Thomas A. Premeaux
title Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research
title_short Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research
title_full Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research
title_fullStr Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research
title_full_unstemmed Next-Generation Human Cerebral Organoids as Powerful Tools To Advance NeuroHIV Research
title_sort next-generation human cerebral organoids as powerful tools to advance neurohiv research
publisher American Society for Microbiology
publishDate 2021
url https://doaj.org/article/3fe2d372568345668788e4b150413a5e
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