“…Macrophage recruitment and microglial activation were observed to co-occur with HIV encephalitis and HIV-associated dementia during the pre-HAART era (Glass et al, 1995; Tyor et al, 1995) and remain distinguishing features of neuroAIDS today, despite HAART (Burdo et al, 2013; Spudich & González -Scarano, 2012). Macrophage recruitment and microglial activation are associated with the production of cytokines, chemokines, proteases, reactive oxygen and nitrosative species, in addition to several excitotoxins (Colton & Gilbert, 1987; Kaul et al, 2001; Kraft-Terry et al, 2011; Meléndez et al, 2011). In pre-HAART observations of disease progression, microglial nodules, astrocytosis, and neurodegeneration characterized the clinical histopathology accompanying HIV-associated dementia (Everall et al, 1993; Kure et al, 1991; Navia et al, 1986).…”