2008
DOI: 10.1007/s11481-008-9143-1
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Neurodegeneration and Ageing in the HAART Era

Abstract: Cognitive impairment and neurodegeneration still occur despite highly active antiretroviral therapy (HAART). While there are many potential reasons for this, there is increasing evidence that such impairment occurs in the absence of a clear cause. Furthermore, there are data that some neurodegenerative diseases, especially Alzheimer's or an Alzheimer-like illness, are becoming more common in the context of HAART-treated human immunodeficiency virus (HIV) disease. This review will critically examine the evidenc… Show more

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Cited by 190 publications
(159 citation statements)
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“…32 The increased cellular iron levels observed in our studies may be a consequence of virus attempting to establish a favorable environment for its own replication. As tissue iron accumulation is seen in many HIV-associated diseases, including neurodegeneration and diastolic cardiac dysfunction, [33][34][35][36][37] it is tempting to speculate that altered cellular iron homeostasis secondary to HIV infection may, at least partially, contribute to the organ damage associated with HIV infection.…”
Section: Relationship Among Iron Hiv and Art 309mentioning
confidence: 99%
“…32 The increased cellular iron levels observed in our studies may be a consequence of virus attempting to establish a favorable environment for its own replication. As tissue iron accumulation is seen in many HIV-associated diseases, including neurodegeneration and diastolic cardiac dysfunction, [33][34][35][36][37] it is tempting to speculate that altered cellular iron homeostasis secondary to HIV infection may, at least partially, contribute to the organ damage associated with HIV infection.…”
Section: Relationship Among Iron Hiv and Art 309mentioning
confidence: 99%
“…HIV-1 infection of macrophages leads to long-lived survival and low levels of constitutive virus production, generating macrophage viral reservoirs, 1 which contribute to HIV-1 associated neurocognitive diseases (HAND). 2 HIV-1 viral protein R (Vpr) mediates many processes that promote HIV-1 infection, allows evasion of the immune system, and facilitates persistence in the host cells. 3 Vpr is known to promote viral replication in monocytes and differentiated macrophages.…”
Section: Introductionmentioning
confidence: 99%
“…We recently observed significant relationships between clinical variables and both cortical and subcortical volumes among people infected with HIV, with disease history (nadir CD4, duration of infection) being most strongly associated with cortical volumes . This raises the concern that brain pathology incurred during the clinical history may increase vulnerability to neurodegeneration, with cortical changes analogous to premature aging (Brew et al, 2009;Valcour et al, 2004).…”
Section: Introductionmentioning
confidence: 99%