“…Central nervous system (CNS) HIV infection appears to begin with the transmigration of peripheral HIV-infected cells (eg, monocytes or macrophages) across the blood brain barrier (BBB) ( 38 , 46 , 47 , 53 , 57 , 82 , 89 , 100 , 104 ) and consequently infection, primarily of microglia, the resident macrophages of the brain ( 24 , 32 , 37 , 40 , 50 , 55 , 64 ). Activation of microglia and the release of chemokine, cytokines and neurotoxins in conjunction with secreted HIV protein can damage the brain ( 36 , 56 , 76 , 85 , 103 ).…”