2019
DOI: 10.1097/qad.0000000000002268
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Presence of Tat and transactivation response element in spinal fluid despite antiretroviral therapy

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Cited by 90 publications
(83 citation statements)
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References 96 publications
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“…In this regard, Tat has been shown to be secreted through a number of different mechanisms, as previously reviewed which are dependent on residues at positions 11 and 49-51 and their interactions with phosphatidylinositol-4,5-bisphosphate (PtdIns(4,5)P 2 ), a lipid in the plasma membrane (Rayne et al, 2010b). Tat secretion is a highly active process, and concentrations of extracellular Tat have been found (200 pg/ml to 6.5 ng/ml) in the cerebral spinal fluid (CSF) of HIV-1-infected patients who are well-suppressed on antiretroviral therapy (Johnson et al, 2013;Henderson et al, 2019). Within the central nervous system (CNS), extracellular Tat can recruit peripheral immune cells that has been shown to lead to low levels of chronic inflammation through activation of bystander cells and release of pro-inflammatory cytokines, such as interleukin (IL) 1 beta (IL-1β), IL-6, and monocyte chemoattractant protein 1 (MCP-1) from monocytes and macrophages (Hofman et al, 1994;Albini et al, 1998;Hudson et al, 2000;Pulliam et al, 2007;Rayne et al, 2010a;Bachani et al, 2013).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In this regard, Tat has been shown to be secreted through a number of different mechanisms, as previously reviewed which are dependent on residues at positions 11 and 49-51 and their interactions with phosphatidylinositol-4,5-bisphosphate (PtdIns(4,5)P 2 ), a lipid in the plasma membrane (Rayne et al, 2010b). Tat secretion is a highly active process, and concentrations of extracellular Tat have been found (200 pg/ml to 6.5 ng/ml) in the cerebral spinal fluid (CSF) of HIV-1-infected patients who are well-suppressed on antiretroviral therapy (Johnson et al, 2013;Henderson et al, 2019). Within the central nervous system (CNS), extracellular Tat can recruit peripheral immune cells that has been shown to lead to low levels of chronic inflammation through activation of bystander cells and release of pro-inflammatory cytokines, such as interleukin (IL) 1 beta (IL-1β), IL-6, and monocyte chemoattractant protein 1 (MCP-1) from monocytes and macrophages (Hofman et al, 1994;Albini et al, 1998;Hudson et al, 2000;Pulliam et al, 2007;Rayne et al, 2010a;Bachani et al, 2013).…”
Section: Discussionmentioning
confidence: 99%
“…As we have discussed, the biological relevance of Tat length within animal models may be another key distinguishing assay to assess differences in function. Animal models are crucial for understanding Tat, specifically due to Tat being measurably expressed in patients with low-toundetectable viremia or without detecting other HIV-1 proteins (Johnson et al, 2013;Henderson et al, 2019). Tat animal models often employ direct injection of Tat 72 or 86 into the brain (Aksenov et al, 2001(Aksenov et al, , 2003Cass et al, 2003;Fitting et al, 2008;Agrawal et al, 2012), however, this is not the only method of Tat exposure.…”
Section: Discussionmentioning
confidence: 99%
“…Despite cART, regulatory HIV-1 proteins, including trans-activator of transcription (Tat) can be elevated in spinal fluid of aviremic individuals ( Henderson et al, 2019 ; Johnson et al, 2013 ) and secreted by infected cells ( Chopard et al, 2018 ; Debaisieux et al, 2012 ; Rayne et al, 2010 ; Schatz et al, 2018 ), disrupting bystander neuron function ( Chopard et al, 2018 ; Hategan et al, 2017 ). In fact, cART may increase Tat expression by attenuating feedback inhibition of proviral transcription ( Henderson et al, 2019 ; Johnson et al, 2013 ; Mbonye and Karn, 2017 ). To explore the role of Tat per se in the pathophysiology of HIV, the present ( Bruce-Keller et al, 2008 ) and another closely related Tat transgenic model ( Kim et al, 2003 ) have been extensively used.…”
Section: Introductionmentioning
confidence: 99%
“…Astrocytes are extensively infected with HIV-1, and these cells also act as a “safe heaven” for the latent form of the virus [ 6 , 7 ]. In addition, the clinical reports also reveal the presence of HIV-1 Tat protein in the cerebrospinal fluid (CSF) from the infected patients successfully treated with cART [ 8 ].…”
Section: Introductionmentioning
confidence: 99%