2021
DOI: 10.1007/s11481-021-10008-5
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Extracellular Microvesicles Released From Brain Endothelial Cells are Detected in Animal Models Of HIV-1 Signifying Unresolved Inflammation

Abstract: Treatment of HIV-infected patients with antiretroviral therapy (ART) has effectively suppressed viral replication; however, the central nervous system is still a major target and reservoir of the virus leading to the possible development of HIV-associated neurocognitive disorders (HAND). Furthermore, a hallmark feature of HAND is the disruption of the blood–brain barrier that leads to loss of tight junction protein (TJP) complexes. Extracellular vesicles (EVs), released by every cell type in the body, occur in… Show more

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Cited by 5 publications
(2 citation statements)
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“…Given that greater than 50% of all patients positive for HIV-1 develop HIV-1-associated neurocognitive disorder (HAND) and that the cells within the CNS, which are predominantly infected by HIV-1, are microglia, it is probable that infected microglia promote HIVassociated neurotoxicity (38). Although HIV-1 infects astrocytes and results in EV-bound HIV-Nef-derived vascular dysfunction of endothelial cells, HIV-1 is primarily retained and concentrated within the largest cellular reservoir in the brain, infiltrating macrophages and brain microglia (38)(39)(40)(41)(42)(43)(44). Given these data, neurotoxic viral proteins and virions are primarily found to be produced from microglia and macrophages.…”
Section: Introductionmentioning
confidence: 99%
“…Given that greater than 50% of all patients positive for HIV-1 develop HIV-1-associated neurocognitive disorder (HAND) and that the cells within the CNS, which are predominantly infected by HIV-1, are microglia, it is probable that infected microglia promote HIVassociated neurotoxicity (38). Although HIV-1 infects astrocytes and results in EV-bound HIV-Nef-derived vascular dysfunction of endothelial cells, HIV-1 is primarily retained and concentrated within the largest cellular reservoir in the brain, infiltrating macrophages and brain microglia (38)(39)(40)(41)(42)(43)(44). Given these data, neurotoxic viral proteins and virions are primarily found to be produced from microglia and macrophages.…”
Section: Introductionmentioning
confidence: 99%
“… 25 Another early gene, the harmful effector protein, Nef, interferes with immune recognition mechanisms that help target infected cells for elimination. 26 , 27 , 28 , 29 Additionally, these viral proteins, perhaps carried in extracellular vesicles 13 , 30 , 31 , 32 and low‐level virus replication in tissues, stimulate immune activation and inflammatory signaling in a chronic fashion. The comorbid conditions, including cardiovascular disease, metabolic disorders, and neurologic and neuropsychiatric complications that affect many aging with HIV, are exacerbated in a proinflammatory milieu.…”
Section: Introductionmentioning
confidence: 99%