2015
DOI: 10.3389/fncel.2015.00212
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Effect of human immunodeficiency virus on blood-brain barrier integrity and function: an update

Abstract: The blood-brain barrier (BBB) is a diffusion barrier that has an important role in maintaining a precisely regulated microenvironment protecting the neural tissue from infectious agents and toxins in the circulating system. Compromised BBB integrity plays a major role in the pathogenesis of retroviral associated neurological diseases. Human Immunodeficiency Virus (HIV) infection in the Central Nervous System (CNS) is an early event even before the serodiagnosis for HIV positivity or the initiation of antiretro… Show more

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Cited by 110 publications
(95 citation statements)
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“…However, despite the significant advances of cART (combined anti-retroviral therapy), the incidence of neurocognitive complications in the brain associated with HIV infection persists (Ene et al, 2011, Dahal et al, 2015), which partially results from the limited efficiency by which many of these drugs cross the blood-brain barrier (BBB) (Heaton et al, 2011, Atluri et al, 2015). Severe side effects, toxicities, compliance problems, and the emergence of drug-resistant strains further complicate the use of this therapy (Kaul et al, 2001, Wu et al, 2012).…”
Section: Introductionmentioning
confidence: 99%
“…However, despite the significant advances of cART (combined anti-retroviral therapy), the incidence of neurocognitive complications in the brain associated with HIV infection persists (Ene et al, 2011, Dahal et al, 2015), which partially results from the limited efficiency by which many of these drugs cross the blood-brain barrier (BBB) (Heaton et al, 2011, Atluri et al, 2015). Severe side effects, toxicities, compliance problems, and the emergence of drug-resistant strains further complicate the use of this therapy (Kaul et al, 2001, Wu et al, 2012).…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, over the course of this time, cells of the myeloid lineage, even though CD4 + , have been shown to less susceptible to virus-induced cytopathic effect and cell death with a drop in cell numbers much less evident during disease progression [16]. In addition, this cell lineage has been shown to be able to traverse various endothelial cell barriers, including the blood-brain barrier, allowing the infected circulating cell of the monocytic lineage to transport HIV into tissues as perivascular macrophages [17,18]. Once in tissues, the emerging infectious HIV-1 particle can then go on to infect other resident cells of that tissue.…”
Section: Introductionmentioning
confidence: 99%
“…The mechanism by which human immunodeficiency virus (HIV) disrupts BBB and facilitates entry into brain, resulting in NeuroAIDS has been extensively studied. Specifically, HIV infection affects constituent proteins associated with the gap junction and astrocytes in BBB [28, 29]. The source of PERV RNA and mechanism of crossing BBB are currently under investigation.…”
Section: Discussionmentioning
confidence: 99%