Novel mechanisms of central nervous system damage in HIV infection

Joy E Hazleton1, Joan W Berman1,2, Eliseo A Eugenin11Department of Pathology and 2Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USAAbstract: Human immunodeficiency virus-1 infection of the central nervous system is an early event after primary infection,...

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Autores principales: Joy E Hazleton, Joan W Berman, Eliseo A Eugenin
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Lenguaje:EN
Publicado: Dove Medical Press 2010
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spelling oai:doaj.org-article:cbde83ebbee9430db77f09ab9ff37dfd2021-12-02T05:33:40ZNovel mechanisms of central nervous system damage in HIV infection1179-1373https://doaj.org/article/cbde83ebbee9430db77f09ab9ff37dfd2010-03-01T00:00:00Zhttp://www.dovepress.com/novel-mechanisms-of-central-nervous-system-damage-in-hiv-infection-a4079https://doaj.org/toc/1179-1373Joy E Hazleton1, Joan W Berman1,2, Eliseo A Eugenin11Department of Pathology and 2Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USAAbstract: Human immunodeficiency virus-1 infection of the central nervous system is an early event after primary infection, resulting in motor and cognitive defects in a significant number of individuals despite successful antiretroviral therapy. The pathology of the infected brain is characterized by enhanced leukocyte infiltration, microglial activation and nodules, aberrant expression of inflammatory factors, neuronal dysregulation and loss, and blood–brain barrier disruption. Months to years following the primary infection, these central nervous system insults result in a spectrum of motor and cognitive dysfunction, ranging from mild impairment to frank dementia. The mechanisms that mediate impairment are still not fully defined. In this review we discuss the cellular and molecular mechanisms that facilitate impairment and new data that implicate intercellular communication systems, gap junctions and tunneling nanotubes, as mediators of human immunodeficiency virus-1 toxicity and infection within the central nervous system. These data suggest potential targets for novel therapeutics.Keywords: AIDS, dementia, inflammation, gap junctions, nanotubes, chemokines Joy E HazletonJoan W BermanEliseo A EugeninDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2010, Iss default, Pp 39-49 (2010)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
spellingShingle Immunologic diseases. Allergy
RC581-607
Joy E Hazleton
Joan W Berman
Eliseo A Eugenin
Novel mechanisms of central nervous system damage in HIV infection
description Joy E Hazleton1, Joan W Berman1,2, Eliseo A Eugenin11Department of Pathology and 2Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USAAbstract: Human immunodeficiency virus-1 infection of the central nervous system is an early event after primary infection, resulting in motor and cognitive defects in a significant number of individuals despite successful antiretroviral therapy. The pathology of the infected brain is characterized by enhanced leukocyte infiltration, microglial activation and nodules, aberrant expression of inflammatory factors, neuronal dysregulation and loss, and blood–brain barrier disruption. Months to years following the primary infection, these central nervous system insults result in a spectrum of motor and cognitive dysfunction, ranging from mild impairment to frank dementia. The mechanisms that mediate impairment are still not fully defined. In this review we discuss the cellular and molecular mechanisms that facilitate impairment and new data that implicate intercellular communication systems, gap junctions and tunneling nanotubes, as mediators of human immunodeficiency virus-1 toxicity and infection within the central nervous system. These data suggest potential targets for novel therapeutics.Keywords: AIDS, dementia, inflammation, gap junctions, nanotubes, chemokines
format article
author Joy E Hazleton
Joan W Berman
Eliseo A Eugenin
author_facet Joy E Hazleton
Joan W Berman
Eliseo A Eugenin
author_sort Joy E Hazleton
title Novel mechanisms of central nervous system damage in HIV infection
title_short Novel mechanisms of central nervous system damage in HIV infection
title_full Novel mechanisms of central nervous system damage in HIV infection
title_fullStr Novel mechanisms of central nervous system damage in HIV infection
title_full_unstemmed Novel mechanisms of central nervous system damage in HIV infection
title_sort novel mechanisms of central nervous system damage in hiv infection
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/cbde83ebbee9430db77f09ab9ff37dfd
work_keys_str_mv AT joyehazleton novelmechanismsofcentralnervoussystemdamageinhivinfection
AT joanwberman novelmechanismsofcentralnervoussystemdamageinhivinfection
AT eliseoaeugenin novelmechanismsofcentralnervoussystemdamageinhivinfection
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