“…Gene expression studies have also been widely used to investigate and discover cellular mechanism involved in the pathogenesis advanced HAND and HIVE. Many of these have involved the use of homogenized samples of post-mortem brain tissue (Masliah et al, 2004, Roberts et al, 2003, Roberts et al, 2004, Shapshak et al, 2004a, Gelman et al, 2012), while others have examined specific brain cells in vitro, such as astrocytes or neurons (Shapshak et al, 2004b, Kim et al, 2004, Kolson et al, 2004, Borjabad et al, Shapshak P, 2011), the results of which have led to further insights regarding the neuropathogenesis of HAD and HIVE. However, while studies using brain tissue have been useful in describing cellular alterations associated with HAD, they are of limited utility for defining clinically practical biomarkers.…”