“…HIV Tat is secreted by infected cells ( Ensoli et al, 1990 ; Sabatier et al, 1991 ; Conant et al, 1994 ; King et al, 2006 ; Kannan et al, 2022 ) and can interact with cell surface receptors of uninfected neuronal and glial cells ( Philippon et al, 1994 ; Prendergast et al, 2002 ; Fitting et al, 2014 ), thus directly damaging neuronal structure and function ( Sabatier et al, 1991 ; Cheng et al, 1998 ; Bertrand et al, 2014 ; Hermes et al, 2021 ), as well as indirectly by promoting proinflammatory signaling via glial activation ( Nath et al, 1999 ; Hahn et al, 2010 ; Jin et al, 2012 ). Further, using the HIV Tat transgenic mouse model, various studies have demonstrated deficits in learning and memory, motivation, and motor activity ( Fitting et al, 2013 ; Kesby et al, 2016 ; Zhao et al, 2020 ; League et al, 2021 ), as well as Tat’s contribution to HIV-related neuropathic pain ( Chi et al, 2011 ; Wodarski et al, 2018 ; Bagdas et al, 2020 ; Cirino et al, 2021 ) and anxiety ( Paris et al, 2014 ; Hahn et al, 2016 ; Kasten et al, 2017 ; Joshi et al, 2020 ; Salahuddin et al, 2020 ; Qrareya et al, 2021 ), all of which recapitulate the pathological and behavioral abnormalities associated with HAND.…”