2015
DOI: 10.1007/s13365-015-0346-y
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Role of the macrophage in HIV-associated neurocognitive disorders and other comorbidities in patients on effective antiretroviral treatment

Abstract: Combination antiretroviral therapy (ART) has altered the outcomes of HIV infection in treated populations by greatly reducing the incidence of opportunistic infections, cancer, and HIV-associated dementia. Despite these benefits, treated patients remain at high risk of chronic diseases affecting peripheral organs and brain. Generally, these morbidities are attributed to persistence of latent HIV in resting T cells, chronic inflammation, and metabolic effects of ART. This review makes the case that monocytes/ma… Show more

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Cited by 78 publications
(80 citation statements)
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“…Given that anti-HIV activity of LXR agonist is more potent in macrophages than in PBLs, potential utility of LXR agonists as a therapy option for HIV infection in humans would depend on the role of macrophage infection in HIV disease and will ultimately require clinical testing. Available data indicate that infection of macrophages plays important role in comorbidities of HIV infection, including neurocognitive (Rappaport and Volsky, 2015) and cardiovascular disorders (Bukrinsky and Sviridov, 2007). …”
Section: Discussionmentioning
confidence: 99%
“…Given that anti-HIV activity of LXR agonist is more potent in macrophages than in PBLs, potential utility of LXR agonists as a therapy option for HIV infection in humans would depend on the role of macrophage infection in HIV disease and will ultimately require clinical testing. Available data indicate that infection of macrophages plays important role in comorbidities of HIV infection, including neurocognitive (Rappaport and Volsky, 2015) and cardiovascular disorders (Bukrinsky and Sviridov, 2007). …”
Section: Discussionmentioning
confidence: 99%
“…In infectious situations, prolonged activation of the transcription factor NF-κB and the sustained expression of TNF have been linked to AIDS-related dementia complex [160]. In particular, the regional location of TNF-producing cells correlated with HIV gp41-reactive cells, and correlated with increasing cognitive impairment and dementia [161].…”
Section: Anti-tnf Mab-based Reagents In Neuroinflammation and Cognitionmentioning
confidence: 99%
“…However, rarely and usually only under conditions of immune dysfunction, JCV reactivates in glia, leading to enlarging lesions of demyelination and the development of PML [7]. HIV-1 infects cells in the CNS and HIV-associated neurocognitive disorders are linked with encephalopathy induced by HIV infection and fueled by immune activation of macrophages and microglia [9,10]. JCV and HIV-1 are important examples of neurotropic viruses causing neurological infections to which the CRISPR/ Cas9 gene editing approach has been applied and thus they will be discussed first [11,12].…”
Section: Viral Diseases Of the Cnsmentioning
confidence: 99%