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Genetic variation and HIV-associated neurologic disease
Journal article   Open access   Peer reviewed

Genetic variation and HIV-associated neurologic disease

Satinder Dahiya, Bryan P Irish, Michael R Nonnemacher and Brian Wigdahl
Advances in virus research, v 87, pp 183-240
2013
PMID: 23809924
url
https://doi.org/10.1016/B978-0-12-407698-3.00006-5View
Published, Version of Record (VoR) Open

Abstract

Promoter Regions, Genetic HIV-1 - pathogenicity tat Gene Products, Human Immunodeficiency Virus - genetics HIV Infections - virology Humans HIV Long Terminal Repeat - genetics Central Nervous System Diseases - immunology Monocytes - immunology AIDS Dementia Complex - diagnosis HIV-1 - genetics AIDS Dementia Complex - immunology Central Nervous System Diseases - virology Antiretroviral Therapy, Highly Active Genetic Variation env Gene Products, Human Immunodeficiency Virus - genetics HIV Infections - pathology AIDS Dementia Complex - pathology HIV Infections - drug therapy Central Nervous System Diseases - diagnosis AIDS Dementia Complex - virology Macrophages - immunology vpr Gene Products, Human Immunodeficiency Virus - genetics
HIV-associated neurologic disease continues to be a significant complication in the era of highly active antiretroviral therapy. A substantial subset of the HIV-infected population shows impaired neuropsychological performance as a result of HIV-mediated neuroinflammation and eventual central nervous system (CNS) injury. CNS compartmentalization of HIV, coupled with the evolution of genetically isolated populations in the CNS, is responsible for poor prognosis in patients with AIDS, warranting further investigation and possible additions to the current therapeutic strategy. This chapter reviews key advances in the field of neuropathogenesis and studies that have highlighted how molecular diversity within the HIV genome may impact HIV-associated neurologic disease. We also discuss the possible functional implications of genetic variation within the viral promoter and possibly other regions of the viral genome, especially in the cells of monocyte-macrophage lineage, which are arguably key cellular players in HIV-associated CNS disease.

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Virology
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