2020
DOI: 10.3389/fnagi.2020.00168
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Extracellular HIV-1 Tat Mediates Increased Glutamate in the CNS Leading to Onset of Senescence and Progression of HAND

Abstract: Human immunodeficiency virus type 1 (HIV-1)-associated neurocognitive disorders (HAND) is a disease of neurologic impairment that involves mechanisms of damage similar to other degenerative neurologic diseases such as Alzheimer's disease (AD). In the current era of antiretroviral therapy (ART), HIV-1 replication is well-suppressed, and yet, HIV-1-infected patients still have high levels of chronic inflammation, indicating that factors other than viral replication are contributing to the development of neurocog… Show more

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Cited by 28 publications
(10 citation statements)
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“…Dangerously, the process may occur on the background of successful ART, in the absence of active HIV-1 replication and viral production. Considering that approximately 2/3 of all Tat expressed by infected T cells is secreted [ 170 ], the activities of Tat described above make a considerable contribution into HIV-1 associated pathologies [ 171 , 172 ].…”
Section: Oncogenic Hiv-1 Proteins Inducing Oxidative Stress Are Fomentioning
confidence: 99%
“…Dangerously, the process may occur on the background of successful ART, in the absence of active HIV-1 replication and viral production. Considering that approximately 2/3 of all Tat expressed by infected T cells is secreted [ 170 ], the activities of Tat described above make a considerable contribution into HIV-1 associated pathologies [ 171 , 172 ].…”
Section: Oncogenic Hiv-1 Proteins Inducing Oxidative Stress Are Fomentioning
confidence: 99%
“…Glutamate excitotoxicity due to impaired glutamate uptake by astrocytes is one of the major contributors of astrocyte-mediated neuronal death in HIV-1 induced neurodegeneration ( Marino et al, 2020b ). This lowered uptake of glutamate by astrocytes is owed to the disruption of the glutamate transporters, EAAT1 and EAAT2 on astrocytes.…”
Section: Resultsmentioning
confidence: 99%
“…The underlying pathogenesis of HAND remains only partially understood, but it has been highlighted that HIV‐1 trans‐activator (Tat) protein, an early viral product continually secreted from infected cells, is a key component in HIV‐1‐mediated brain damage 3,4 . Extracellular Tat is biologically active and can directly depolarize neurons by interacting with a variety of surface receptors and thus potentiating glutamate‐induced excitotoxicity and death 5‐8 . Additionally, Tat induces neurotoxicity through indirect mechanisms via bystander effects on glial cells by modulating the synthesis of potentially neuroinflammatory mediators 9,10 .…”
Section: Introductionmentioning
confidence: 99%
“…3,4 Extracellular Tat is biologically active and can directly depolarize neurons by interacting with a variety of surface receptors and thus potentiating glutamate-induced excitotoxicity and death. [5][6][7][8] Additionally, Tat induces neurotoxicity through indirect mechanisms via bystander effects on glial cells by modulating the synthesis of potentially neuroinflammatory mediators. 9,10 HIV-1 Tat-derived activation of microglia, the brain-resident immune cells, triggers a proinflammatory cell phenotype (M1) characterized by overexpression of cytokines and chemokines such as tumour necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6, monocyte chemoattractant protein-1 (MCP-1), as well as reactive oxygen species and nitric oxide (NO).…”
Section: Introductionmentioning
confidence: 99%