2020
DOI: 10.1016/j.stemcr.2020.02.010
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Neuroinflammation and EIF2 Signaling Persist despite Antiretroviral Treatment in an hiPSC Tri-culture Model of HIV Infection

Abstract: HIV-associated neurocognitive disorders (HAND) affect over half of HIV-infected individuals, despite antiretroviral therapy (ART). Therapeutically targetable mechanisms underlying HAND remain elusive, partly due to a lack of a representative model. We developed a human-induced pluripotent stem cell (hiPSC)-based model, independently differentiating hiPSCs into neurons, astrocytes, and microglia, and systematically combining to generate a tri-culture with or without HIV infection and ART. Single-cell RNA sequen… Show more

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Cited by 48 publications
(48 citation statements)
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“…We note that primary human microglia derived from human brain infected with the same HIV-1 BaL viral isolate exhibited a pattern of peak virus released followed by a plateau and then decline, a curve that also resembles what we observed [68]. A more recent report of infected iPSC-MG employing a different viral strain also demonstrated a sharp rise in p24 release followed by a plateau, but did not extend the growth curve beyond day 15 of the plateau to assess potential decline [69].…”
Section: Discussionsupporting
confidence: 74%
“…We note that primary human microglia derived from human brain infected with the same HIV-1 BaL viral isolate exhibited a pattern of peak virus released followed by a plateau and then decline, a curve that also resembles what we observed [68]. A more recent report of infected iPSC-MG employing a different viral strain also demonstrated a sharp rise in p24 release followed by a plateau, but did not extend the growth curve beyond day 15 of the plateau to assess potential decline [69].…”
Section: Discussionsupporting
confidence: 74%
“…We note that primary human microglia derived from human brain infected with the same HIV-1 BaL viral isolate exhibited a pattern of peak virus released followed by a plateau and then decline, a curve that also resembles what we observed [68]. A more recent report of infected iPSC-MG employing a different viral strain also demonstrated a sharp rise in p24 release followed by a plateau, but did not extend the growth curve beyond day the plateau to assess potential decline [69].…”
Section: Discussionsupporting
confidence: 61%
“…In PHIV, this inflammation in the CNS may persist due to the difficulty of common medications being able to cross the blood-brain barrier into the CNS. The HIV-infected monocytes and T cells not only contaminate brain cells, but also release proinflammatory cytokines, viral proteins, and excitotoxins that can activate microglia, perivascular macrophages and astrocyte cells in the CNS and are potential reservoirs for the virus 85 . These are the main contributors to neuroinflammation in HIV infection and these cells release neurotoxic factors such as excitatory amino acids in addition to inflammatory mediators 86 .…”
Section: Discussionmentioning
confidence: 99%