2016
DOI: 10.1007/s13365-016-0462-3
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Specific amino acids in HIV-1 Vpr are significantly associated with differences in patient neurocognitive status

Abstract: Even in the era of combination antiretroviral therapies used to combat human immunodeficiency virus type 1 (HIV-1) infection, up to 50% of well-suppressed HIV-1-infected patients are still diagnosed with mild neurological deficits referred to as HIV-associated neurocognitive disorders (HAND). The multifactorial nature of HAND likely involves the HIV-1 accessory protein viral protein R (Vpr) as an agent of neuropathogenesis. To investigate the effect of naturally occurring variations in Vpr on HAND in well-supp… Show more

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Cited by 19 publications
(23 citation statements)
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“…As such, Vpr derived from patient HIV-1 sequences have also been studied for genetic heterogeneity that affects its functionality. Specific genetic determinants in blood-and brain-derived Vpr, such as Ile37 and Ser41, have been correlated with more severe neurocognitive deficits in patient populations [257], which emphasizes the detrimental impact of certain genetic variants throughout the HIV-1 genome on CNS function. Vpr has been determined to be a cis-acting element produced by HIV-1 [258] and its likeness to Tat in pathogenic function suggest that variation within either protein may enhance or deplete neuropathogenesis in an additive manner.…”
Section: Discussionmentioning
confidence: 99%
“…As such, Vpr derived from patient HIV-1 sequences have also been studied for genetic heterogeneity that affects its functionality. Specific genetic determinants in blood-and brain-derived Vpr, such as Ile37 and Ser41, have been correlated with more severe neurocognitive deficits in patient populations [257], which emphasizes the detrimental impact of certain genetic variants throughout the HIV-1 genome on CNS function. Vpr has been determined to be a cis-acting element produced by HIV-1 [258] and its likeness to Tat in pathogenic function suggest that variation within either protein may enhance or deplete neuropathogenesis in an additive manner.…”
Section: Discussionmentioning
confidence: 99%
“…hetero- and homozygous individuals were grouped. We classified AAs according to their effects on cognition, as reported by Dampier et al [11], with higher scores indicative of greater risk. Accordingly, the AAs were scored as follows: AA37 I (neuroprotective) variant = 0, other (neutral) variants = 1; AA41 S (neuroprotective) variant = 0, N (risk) variant = 2, other (neutral) variants = 1; and AA55 A (risk) variant = 1, other (neutral) variants = 0.…”
Section: Methodsmentioning
confidence: 99%
“…This genetic variation, specifically the ε4 isoform, may affect HIV infection [8] and replication in the brain [9], as well as susceptibility to HIV-related neurotoxic proteins [10]. Viral genetic variation may also contribute to HAND, with a study by Dampier et al [11] identifying three amino acids (AAs) in viral protein R (Vpr) that affect neurocognitive performance. This 96-AA accessory protein plays a role in HIV infection and viral transcription, and may contribute to neuronal apoptosis, synaptic loss, proinflammatory signalling, oxidative stress and blood–brain barrier permeability [1217].…”
Section: Introductionmentioning
confidence: 99%
“…3 Journal of Immunology Research makes immunotherapy more challenging by altering the targets of therapy but also alters the spectrum of HIV-1associated pathogenesis. Studies have uncovered mutations in genes encoding HIV-1 proteins, such as Tat and Vpr, that can be considered determinants and/or markers for altered HIV-1 pathogenic outcomes [63][64][65][66][67][68]. Minimizing the emergence of HIV-1 quasispecies during the course of infection has been recognized as an important objective of an effective dendritic cell immunotherapy.…”
Section: Variables and Therapeutic Outcomes Of Clinical Trialsmentioning
confidence: 99%