“…Similarly, gp120 treatment induced injury to primary rat dopamine cells and reduced dopamine transport, suggesting a neuropathological consequence of gp120 (27), while this negative effect was prevented by gp120 antibody. Moreover, studies carried out over the last 2 decades link extracellular Tat to HIV-1 HAND, where Tat functions as a neuroexcitatory toxin that plays a role in virus-mediated neuronal dysfunction (29)(30)(31)(32)(33). Postulated mechanisms of Tat neurotoxicity include altered calcium homeostasis and calcium dependence in fetal neurons (27,34,35), increased oxidative stress resulting from direct injection of Tat into the intrastriatal space (36), increased gliosis and glial infiltration (36)(37)(38), stimulation of the glutamatergic system (39), increased nitric oxide production in microglial cultures (40), and increased apoptosis from cell damage and death following Tat exposure (34,41).…”