1,539 results match your criteria: "HIV-1 Encephalopathy and AIDS Dementia Complex"

Article Synopsis
  • * A study conducted in Chennai found that 71% of virally suppressed PLHIV showed significant neurocognitive impairment, despite long-term adherence to antiretroviral therapy and undetectable viral loads.
  • * The research revealed changes in proteins and metabolites linked to neuroinflammation and cognitive decline, emphasizing the need for targeted intervention strategies for improving long-term management of HIV-infected individuals.
View Article and Find Full Text PDF
Article Synopsis
  • * A study using murine models showed that the presence of the Nef protein in HIV increases neuroinflammation and damages brain structures compared to Nef-deficient strains.
  • * Findings suggest that Nef plays a key role in worsening neuronal injury and may guide future research on HAND mechanisms and treatments.
View Article and Find Full Text PDF

Role of Monocyte/Macrophages in the Pathogenesis of NeuroHIV.

Results Probl Cell Differ

October 2024

Department of Neurobiology, The University of Texas Medical Branch (UTMB), Galveston, TX, USA.

Article Synopsis
  • Monocyte/macrophages are important immune cells that originate from myeloid cells and are involved in defending the body against infections as well as helping with healing processes.
  • Recent research has highlighted their involvement in both acute and chronic HIV infections, suggesting that they play a significant role in these conditions.
  • The discussion will center around how these cells migrate within the body and their potential function as reservoirs for the HIV virus.
View Article and Find Full Text PDF

Changes in cerebrospinal fluid proteins across the spectrum of untreated and treated chronic HIV-1 infection.

PLoS Pathog

September 2024

Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Article Synopsis
  • Researchers used the Olink Explore 1536 platform to analyze 1,463 unique proteins in cerebrospinal fluid (CSF) from 303 samples, including uninfected controls and various groups of individuals with HIV-1 infection.
  • The study found significant correlations between CSF proteins and HIV-1 RNA levels, as well as nerve damage markers, highlighting distinct patterns of protein changes associated with different stages of HIV-1 progression.
  • Antiretroviral therapy was shown to lessen protein imbalances in the CSF, although levels didn’t always return to those of uninfected controls; a comprehensive dataset is available online for further research on HIV-1's effects on the CNS.
View Article and Find Full Text PDF

The impact of aging on HIV-1-related neurocognitive impairment.

Ageing Res Rev

December 2024

Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, NY 10065, USA. Electronic address:

Article Synopsis
  • HIV-1-related neurocognitive impairment affects up to 50% of people living with HIV, even with effective antiretroviral therapy (cART), complicating treatment and understanding of its causes.
  • Biological aging is identified as a possible factor in the development and progression of this impairment, especially as life expectancy for individuals on cART approaches that of those without HIV.
  • The text aims to explore how aging and HIV-1 infection interact at the clinical and molecular levels, highlighting the need for a clearer understanding of these combined effects on neurocognitive health.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the impact of switching to a less neurotoxic antiretroviral therapy (ARV) on neurocognitive performance in people living with HIV who have cognitive impairments.
  • Participants were randomly assigned to either continue their current treatment or switch to a less harmful ARV regimen (MARAND-X) for 24 weeks, with results measured using various cognitive tests and electroencephalography.
  • While the overall neurocognitive scores improved modestly, significant improvements were only seen in specific memory functions for those in the MARAND-X group with better CNS penetration, indicating that the effectiveness of ARVs in the central nervous system may influence cognitive health.
View Article and Find Full Text PDF

Infectious Diseases.

Adv Neurobiol

August 2024

Center for Neurotherapeutics Discovery, Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA.

Article Synopsis
  • Microglia are special cells in the brain that help fight infections, and they can cause problems in diseases like Alzheimer's and after COVID-19 infection.
  • When someone gets COVID-19, it can cause inflammation in the brain, leading to long-term effects called post-acute sequelae of COVID-19 (PASC).
  • Scientists are studying how certain proteins like MLK3 and LRRK2 affect inflammation, which could help treat both PASC and neurocognitive issues related to HIV.
View Article and Find Full Text PDF
Article Synopsis
  • Nearly half of the 39 million people living with HIV are affected by HIV-associated neurocognitive disorder (HAND), which includes symptoms ranging from cognitive impairment to dementia, and currently has no established treatment.
  • The HIV protein TAT is believed to contribute to HAND by causing neurotoxicity and resulting in network hyperexcitability that correlates with cognitive decline.
  • The study demonstrates that the antiepileptic drug levetiracetam (LEV) can alleviate excitatory synaptic transmission issues and cognitive deficits in mice expressing the TAT protein, suggesting LEV might be a potential treatment for HAND.
View Article and Find Full Text PDF
Article Synopsis
  • * The study found that caffeine treatment improved astrocyte health and reduced negative outcomes like oxidative stress and inflammation caused by Tat, while also enhancing the expression of SIRT3, a protective protein.
  • * The research suggests that caffeine could serve as a promising therapeutic option for HAND, as it targets the EGR1/SIRT3 signaling pathway to alleviate neurotoxicity linked to Tat.
View Article and Find Full Text PDF

Background: Human immunodeficiency virus (HIV) affects nearly 40 million people globally, with roughly 80% of all people living with HIV receiving antiretroviral therapy. Antiretroviral treatment suppresses viral load in peripheral tissues but does not effectively penetrate the blood-brain barrier. Thus, viral reservoirs persist in the central nervous system and continue to produce low levels of inflammatory factors and early viral proteins, including the transactivator of transcription (Tat).

View Article and Find Full Text PDF
Article Synopsis
  • Despite effective antiretroviral therapy, people with HIV still face HIV-associated neurocognitive disorder (HAND), which leads to memory loss and motor impairments.
  • HIV can enter the brain quickly after infection and disrupt the blood-brain barrier, causing inflammation and damage to brain cells through its toxic proteins.
  • The presence of a latent pool of HIV-infected cells complicates treatment for HAND, as these cells are resistant to therapy and can reactivate, necessitating further research and new strategies for effective management.
View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates how HIF-1α in astrocytes contributes to the harmful effects of HIV-1 Tat on neurons, particularly related to the formation of amyloids that are linked to Alzheimer's-like symptoms in HIV-Associated Neurocognitive Disorders (HAND).
  • - Researchers found that when rat hippocampal neurons are exposed to astrocyte-derived extracellular vesicles (ADEVs) carrying these toxic amyloids, it leads to neuronal damage, including synaptic loss and functional declines in communication between neurons.
  • - Silencing HIF-1α in astrocytes reduced the production of amyloid-carrying ADEVs, protecting neurons from damage and preventing related behavioral changes and Alzheimer's-like pathology in mice, suggesting HIF
View Article and Find Full Text PDF

Modeling HIV-1 infection and NeuroHIV in hiPSCs-derived cerebral organoid cultures.

J Neurovirol

August 2024

Department of Microbiology, Immunology and Inflammation, Center for Neurovirology and Gene Editing, Temple University Lewis Katz School of Medicine, Philadelphia, PA, USA.

Article Synopsis
  • * Research into HIV's effects on the brain is hindered by a lack of suitable models; however, recent advances in using induced pluripotent stem cells (iPSCs) and 3D brain organoid systems show promise for studying HIV's interactions with the central nervous system.
  • * In this study, human cerebral organoids (hCOs) were created from healthy iPSCs and demonstrated productive HIV-1 infection, while also showing that cART effectively reduces viral replication and gene activity, highlighting
View Article and Find Full Text PDF
Article Synopsis
  • Since HIV-1 was discovered in 1983, advancements in treatment have improved life expectancy but also led to an increase in age-related brain disorders among those infected, collectively known as HAND (HIV-associated neurocognitive disorders).
  • HAND includes varying degrees of cognitive impairment, from mild issues to severe dementia, and current therapies have managed to reduce severe cases but not the milder ones.
  • The review aims to explain how HIV-1 affects the central nervous system, the connection between HIV and HAND, the role of neuroinflammation in these disorders, and future treatment possibilities.
View Article and Find Full Text PDF
Article Synopsis
  • * Factors contributing to HANDs include neurogenesis, autophagy, neuroinflammation, and mitochondrial dysfunction, with multiple pharmacological treatments available, though they have limitations like side effects and potential for drug resistance.
  • * Genetic studies are crucial for understanding cognitive impairment in HIV patients, helping identify genetic variants associated with HANDs, which could lead to personalized treatment approaches and better management strategies.
View Article and Find Full Text PDF

Unlabelled: Human immunodeficiency viruses (HIV) associated neurocognitive disorders (HAND) encompasses a group of syndromes of various degrees of impairment in cognition and daily functioning of HIV positive individuals. Although the widespread use of highly active antiretroviral therapy (HAART) has drastically reduced the prevalence of severe form of HAND, like HIV associated dementia (HAD), the prevalence of HAND and associated morbidity remains high.

Objectives: (1) To know the prevalence of HAND in HIV-infected patients of a multi-ethnic population.

View Article and Find Full Text PDF

The United Nations projects that one in every six people will be over the age of 65 by the year 2050. With a rapidly aging population, the risk of Alzheimer's disease (AD) becomes a major concern. AD is a multifactorial disease that involves neurodegeneration in the brain with mild dementia and deficits in memory and other cognitive domains.

View Article and Find Full Text PDF

Human immunodeficiency virus-1 (HIV-1)-associated neurodegenerative disorder (HAND) is frequently reported in HIV-infected individuals. The gp120 envelope viral protein has been implicated in the pathogenesis of HAND in HIV-1-infected patients; however, its pathogenic mechanism remains unclear. In this study, we first overexpressed gp120 proteins in pc12 cells and used PI staining, a CCK8 assay, a TUNEL assay, and caspase-9/caspase-3-induced apoptosis to ascertain the mediated cell death.

View Article and Find Full Text PDF

Background: We hypothesized that the induction of monocyte activation biomarkers, especially soluble urokinase-type plasminogen activator receptor (suPAR) and interferon γ-inducible protein 10 (IP-10), is lower in HIV-1C than HIV-1B, owing to a defective Tat cysteine dimotif (C30S).

Methods: A total of 68 paired cerebrospinal fluid (CSF) and blood samples from people with HIV (PWH), free of CNS opportunistic infections, from a Southern Brazil outpatient HIV clinic were evaluated such as HIV-1B subtype (n = 27), HIV-1C (n = 26), other (n = 15), and 19 HIV-negative controls. The levels of suPAR, IP-10, neopterin, and β2 microglobulin (β2m) in the CSF and serum were quantified using different immunoassays.

View Article and Find Full Text PDF

Effect of antiretroviral treatment on blood-brain barrier integrity in HIV-1 infection.

BMC Neurol

December 2021

Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, SE-415 50, Gothenburg, Sweden.

Article Synopsis
  • Blood-brain barrier (BBB) injury is common in individuals with HIV-associated dementia (HAD) and can also occur in neuroasymptomatic HIV-infected patients who are not on antiretroviral therapy (ART).
  • The study assessed BBB integrity by analyzing cerebrospinal fluid (CSF) samples from both neuroasymptomatic individuals and those with HAD before and after starting ART.
  • Results showed that initiating ART significantly reduced the levels of BBB injury indicators, suggesting that ART helps improve and may restore BBB integrity in both groups.
View Article and Find Full Text PDF

HIV-associated neurotoxicity and cognitive decline: Therapeutic implications.

Pharmacol Ther

June 2022

Oklahoma State University Center for Health Sciences, School of Biomedical Science, 1111 West 17(th) Street, Tulsa, OK 74107-1898, USA. Electronic address:

As our understanding of changes to the neurological system has improved, it has become clear that patients who have contracted human immunodeficiency virus type 1 (HIV-1) can potentially suffer from a cascade of neurological issues, including neuropathy, dementia, and declining cognitive function. The progression from mild to severe symptoms tends to affect motor function, followed by cognitive changes. Central nervous system deficits that are observed as the disease progresses have been reported as most severe in later-stage HIV infection.

View Article and Find Full Text PDF

Neurotoxic HIV-1 viral proteins contribute to the development of HIV-associated neurocognitive disorder (HAND), the prevalence of which remains high (30-50%) with no effective treatment available. Estrogen is a known neuroprotective agent; however, the diverse mechanisms of estrogen action on the different types of estrogen receptors is not completely understood. In this study, we determined the extent to which and mechanisms by which 17α-estradiol (17αE2), a natural less-feminizing estrogen, offers neuroprotection against HIV-1 gp120-induced neuronal injury.

View Article and Find Full Text PDF

Background: The aim of this large multicenter study was to determine variations in cerebrospinal fluid (CSF) HIV-RNA in different phases of untreated human immunodeficiency virus type 1 (HIV-1) infection and its associations with plasma HIV-RNA and other biomarkers.

Methods: Treatment naive adults with available CSF HIV-RNA quantification were included and divided into groups representing significant disease phases. Plasma HIV-RNA, CSF white blood cell count (WBC), neopterin, and albumin ratio were included when available.

View Article and Find Full Text PDF