“…While HIV+/CUD+ and HIV+/MUD+ have similar complex relationships between their biological, behavioral, and social mechanisms, the mechanisms investigated have differed. Pre-clinical and clinical studies on the combined effects of HIV and cocaine exposure have focused on impairments in reward function, decision-making, and altered structure and function in dopaminergic brain regions [17,19,20,80,94,108,138,139,143]. On the other hand, pre-clinical and clinical evidence on the combined effects of HIV and meth exposure have focused on molecular-based effects, such as dysregulation in the expression of cellular signaling proteins and mitochondrial dysfunction [18,105,106,131,134,177].…”