2017
DOI: 10.1128/mbio.01186-17
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Brain Macrophages in Simian Immunodeficiency Virus-Infected, Antiretroviral-Suppressed Macaques: a Functional Latent Reservoir

Abstract: A human immunodeficiency virus (HIV) infection cure requires an understanding of the cellular and anatomical sites harboring virus that contribute to viral rebound upon treatment interruption. Despite antiretroviral therapy (ART), HIV-associated neurocognitive disorders (HAND) are reported in HIV-infected individuals on ART. Biomarkers for macrophage activation and neuronal damage in cerebrospinal fluid (CSF) of HIV-infected individuals demonstrate continued effects of HIV in brain and suggest that the central… Show more

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Cited by 140 publications
(150 citation statements)
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References 71 publications
(116 reference statements)
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“…Macrophages are inherently resistant to HIV-1 infection due to low levels of the viral receptors CD4 and CCR5, high levels of active SAMHD1, and the ability to detect and respond to infections with a robust innate response. Nevertheless, they represent a natural target cell for HIV-1 in vivo , contributing to the viral reservoir (45), and are perhaps the most elusive targets for drug treatment, residing in difficult to reach regions such as the CNS, in the form of microglia (46). Most studies into HIV-1 infection of macrophages make use of either monocytic cell lines that have altered cell cycle control and loss of SAMHD1 activity, or blood monocyte-derived macrophages differentiated in vitro under various non-physiological conditions, e.g.…”
Section: Discussionmentioning
confidence: 99%
“…Macrophages are inherently resistant to HIV-1 infection due to low levels of the viral receptors CD4 and CCR5, high levels of active SAMHD1, and the ability to detect and respond to infections with a robust innate response. Nevertheless, they represent a natural target cell for HIV-1 in vivo , contributing to the viral reservoir (45), and are perhaps the most elusive targets for drug treatment, residing in difficult to reach regions such as the CNS, in the form of microglia (46). Most studies into HIV-1 infection of macrophages make use of either monocytic cell lines that have altered cell cycle control and loss of SAMHD1 activity, or blood monocyte-derived macrophages differentiated in vitro under various non-physiological conditions, e.g.…”
Section: Discussionmentioning
confidence: 99%
“…The horizontal black line represents the median IUPM values. The MΦ QVOA results from SIV-infected animals with and without ART have been reported (85, 94). Significance was determined by Mann-Whitney nonparametric t test; a P of <0.05 was considered significant.…”
Section: Figurementioning
confidence: 96%
“…Antiretroviral drugs have been shown to fully suppress SIV replication in blood (82) and, in limited studies, CSF (8385) to levels comparable to those in ART-suppressed HIV-infected individuals. SIV-infected macaques carry latently infected CD4+T cells that harbor replication competent virus, as shown by quantitative viral outgrowth assays (QVOA) (86) and by the rapid rebound of SIV in plasma when ART is discontinued (87).…”
Section: Siv Macaque Modelsmentioning
confidence: 99%
See 1 more Smart Citation
“…While several recent studies support that Mφ serve as a major non-T cell HIV reservoir [30][31][32][33][34][35][36][37][38], the role of Mφ in HIV infection and persistence has been conclusively demonstrated by employing humanized BLT and myeloid only mice (MoM mice containing myeloid cells devoid of T cells). Honeycutt et al show that replication competent virus could be recovered from tissue Mφ, and the transfer of infected Mφ into uninfected animals resulted in sustained infection demonstrating that Mφ are genuine targets for HIV infection in vivo [3].…”
Section: Introductionmentioning
confidence: 99%