2018
DOI: 10.1007/s11481-018-9785-6
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HIV and the Macrophage: From Cell Reservoirs to Drug Delivery to Viral Eradication

Abstract: Macrophages serve as host cells, inflammatory disease drivers and drug runners for human immunodeficiency virus infection and treatments. Low-level viral persistence continues in these cells in the absence of macrophage death. However, the cellular microenvironment changes as a consequence of viral infection with aberrant production of pro-inflammatory factors and promotion of oxidative stress. These herald viral spread from macrophages to neighboring CD4 T cells and end organ damage. Virus replicates in tissu… Show more

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Cited by 37 publications
(28 citation statements)
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References 165 publications
(179 reference statements)
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“…The great variation in the HIV-1 susceptibility of macrophages is due to their different activation levels, origins, and tissue localizations (63). Indeed, several antiviral restriction factors are enhanced in activated MDMs and target various steps of the viral replicative cycle.…”
Section: Downloaded Frommentioning
confidence: 99%
“…The great variation in the HIV-1 susceptibility of macrophages is due to their different activation levels, origins, and tissue localizations (63). Indeed, several antiviral restriction factors are enhanced in activated MDMs and target various steps of the viral replicative cycle.…”
Section: Downloaded Frommentioning
confidence: 99%
“…Macrophages play a critical role in the pathogenesis of HIV-1 infection due to their resistance to the cytopathic effects that are secondary to viral replication and to their ability to continuously produce virus particles. These cells are important reservoirs of HIV-1 because of their ability to escape from immune system surveillance and produce virions when activated by stimuli derived from the virus itself and the tissue microenvironment ( 7 9 ). HIV-1 infection may become latent in macrophages, a condition that allows the formation, maintenance, and cycling of viral reservoirs and that constitutes a major obstacle to the therapeutic control of HIV-1 infection ( 7 9 ).…”
Section: Introductionmentioning
confidence: 99%
“…These cells are important reservoirs of HIV-1 because of their ability to escape from immune system surveillance and produce virions when activated by stimuli derived from the virus itself and the tissue microenvironment ( 7 9 ). HIV-1 infection may become latent in macrophages, a condition that allows the formation, maintenance, and cycling of viral reservoirs and that constitutes a major obstacle to the therapeutic control of HIV-1 infection ( 7 9 ). During viral transcription, the HIV-1 transactivation protein Tat recruits the Cyclin/Cyclin-dependent kinase (CDK) family, eliciting productive transcription of the HIV-1 genome, along with the participation of the transcription factors NF-κB and NFAT ( 10 13 ).…”
Section: Introductionmentioning
confidence: 99%
“…currently being done to develop long-acting HIV therapy [138][139][140], repurposing drugs to directly target diverse myeloid carriers such as macrophages may not only lower viral loads but also ensure the timely dissemination of pro-drugs into diverse tissues as these cells could act as drug carriers.…”
Section: Conclusion and Future Perspectivesmentioning
confidence: 99%