Advances in the Experimental Models of HIV-Associated Neurological Disorders.

Curr HIV/AIDS Rep

Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE, 68198-5880, USA.

Published: October 2021

AI Article Synopsis

  • The review examines the impact of HIV-1 on the central nervous system, highlighting that while severe cognitive impairments have decreased post-ART, milder neurocognitive disorders still persist, even with viral suppression.
  • It summarizes recent research on HIV-associated neurocognitive disorders (HAND), detailing the contributing factors and functional impairments observed in preclinical and clinical studies, and also looks at the influence of substance abuse.
  • Additionally, the review discusses potential peripheral biomarkers for HAND and outlines the advances and limitations of current models, which are critical for the future development of targeted treatments.

Article Abstract

Purpose Of Review: Involvement of the central nervous system (CNS) in HIV-1 infection is commonly associated with neurological disorders and cognitive impairment, commonly referred to as HIV-associated neurocognitive disorders (HAND). Severe and progressive neurocognitive impairment is rarely observed in the post-cART era; however, asymptomatic and mild neurocognitive disorders still exist, despite viral suppression. Additionally, comorbid conditions can also contribute to the pathogenesis of HAND.

Recent Findings: In this review, we summarize the characterization of HAND, factors contributing, and the functional impairments in both preclinical and clinical models. Specifically, we also discuss recent advances in the animal models of HAND and in in vitro cultures and the potential role of drugs of abuse in this model system of HAND. Potential peripheral biomarkers associated with HAND are also discussed. Overall, this review identifies some of the recent advances in the field of HAND in cell culture studies, animal models, clinical findings, and the limitations of each model system, which can play a key role in developing novel therapeutics in the field.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123893PMC
http://dx.doi.org/10.1007/s11904-021-00570-1DOI Listing

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