[HTML][HTML] Pathogenesis of HIV in the central nervous system

V Valcour, P Sithinamsuwan, S Letendre… - Current HIV/AIDS …, 2011 - Springer
V Valcour, P Sithinamsuwan, S Letendre, B Ances
Current HIV/AIDS Reports, 2011Springer
HIV can infect the brain and impair central nervous system (CNS) function. Combination
antiretroviral therapy (cART) has not eradicated CNS complications. HIV-associated
neurocognitive disorders (HAND) remain common despite cART, although attenuated in
severity. This may result from a combination of factors including inadequate treatment of HIV
reservoirs such as circulating monocytes and glia, decreased effectiveness of cART in CNS,
concurrent illnesses, stimulant use, and factors associated with prescribed drugs, including …
Abstract
HIV can infect the brain and impair central nervous system (CNS) function. Combination antiretroviral therapy (cART) has not eradicated CNS complications. HIV-associated neurocognitive disorders (HAND) remain common despite cART, although attenuated in severity. This may result from a combination of factors including inadequate treatment of HIV reservoirs such as circulating monocytes and glia, decreased effectiveness of cART in CNS, concurrent illnesses, stimulant use, and factors associated with prescribed drugs, including antiretrovirals. This review highlights recent investigations of HIV-related CNS injury with emphasis on cART-era neuropathological mechanisms in the context of both US and international settings.
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