The Potential of the CNS as a Reservoir for HIV-1 Infection: Implications for HIV Eradication

被引:46
作者
Fois, Alessandro F. [1 ]
Brew, Bruce J. [1 ,2 ]
机构
[1] St Vincents Hosp, Dept Neurol, Darlinghurst, NSW 2010, Australia
[2] St Vincents Hosp, Peter Duncan Neurosci Unit, St Vincents Ctr Appl Med Res, Sydney, NSW 2010, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
Brain; Central nervous system; Eradication; Latency; HIV; Reservoir; ACTIVE ANTIRETROVIRAL THERAPY; HUMAN-IMMUNODEFICIENCY-VIRUS; CENTRAL-NERVOUS-SYSTEM; CEREBROSPINAL-FLUID; VIRAL RESERVOIRS; SUPPRESSIVE THERAPY; SITU HYBRIDIZATION; IMMUNE ACTIVATION; ESCAPE MUTATIONS; PLASMA VIREMIA;
D O I
10.1007/s11904-015-0257-9
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The ability of HIV-1 to establish latent infection is a key obstacle to its eradication despite the existence of effective antiretroviral drugs. The brain has been postulated as a reservoir for latent infection, but its role in HIV persistence remains unclear. In this review, we discuss the evidence surrounding the role of the central nervous system (CNS) as a viral reservoir and the potential challenges this might present in eradicating HIV. The strategies for eradication of HIV and their application to latent CNS infection are explored. Finally, we outline new developments in drug delivery and new therapeutic modalities designed to target HIV infection in the CNS.
引用
收藏
页码:299 / 303
页数:5
相关论文
共 42 条
[1]   Evidence for the cure of HIV infection by CCR5Δ32/Δ32 stem cell transplantation [J].
Allers, Kristina ;
Huetter, Gero ;
Hofmann, Joerg ;
Loddenkemper, Christoph ;
Rieger, Kathrin ;
Thiel, Eckhard ;
Schneider, Thomas .
BLOOD, 2011, 117 (10) :2791-2799
[2]   Detection and localisation of HIV-1 DNA and RNA in fixed adult AIDS brain by polymerase chain reaction/in situ hybridisation technique [J].
An, SF ;
Groves, M ;
Giometto, B ;
Beckett, AAJ ;
Scaravilli, F .
ACTA NEUROPATHOLOGICA, 1999, 98 (05) :481-487
[3]   Influence of HAART on HIV-related CNS disease and neuroinflammation [J].
Anthony, IC ;
Ramage, SN ;
Carnie, FW ;
Simmonds, P ;
Bell, JE .
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY, 2005, 64 (06) :529-536
[4]   Administration of vorinostat disrupts HIV-1 latency in patients on antiretroviral therapy [J].
Archin, N. M. ;
Liberty, A. L. ;
Kashuba, A. D. ;
Choudhary, S. K. ;
Kuruc, J. D. ;
Crooks, A. M. ;
Parker, D. C. ;
Anderson, E. M. ;
Kearney, M. F. ;
Strain, M. C. ;
Richman, D. D. ;
Hudgens, M. G. ;
Bosch, R. J. ;
Coffin, J. M. ;
Eron, J. J. ;
Hazuda, D. J. ;
Margolis, D. M. .
NATURE, 2012, 487 (7408) :482-U1650
[5]   Is specific HIV eradication from the brain possible or needed? [J].
Brew, Bruce J. ;
Gray, Lachlan ;
Lewin, Sharon ;
Churchill, Melissa .
EXPERT OPINION ON BIOLOGICAL THERAPY, 2013, 13 (03) :403-409
[6]   Gamma interferon primes productive human immunodeficiency virus infection in astrocytes [J].
Carroll-Anzinger, D ;
Al-Harthi, L .
JOURNAL OF VIROLOGY, 2006, 80 (01) :541-544
[7]   Relationship between pre-existing viral reservoirs and the re-emergence of plasma viremia after discontinuation of highly active anti-retroviral therapy [J].
Chun, TW ;
Davey, RT ;
Ostrowski, M ;
Justement, JS ;
Engel, D ;
Mullins, JI ;
Fauci, AS .
NATURE MEDICINE, 2000, 6 (07) :757-761
[8]   Use of laser capture microdissection to detect integrated HIV-1 DNA in macrophages and astrocytes from autopsy brain tissues [J].
Churchill, Melissa J. ;
Gorry, Paul R. ;
Cowley, Daniel ;
Lal, Luxshimi ;
Sonza, Secondo ;
Purcell, Damian F. J. ;
Thompson, Katherine A. ;
Gabuzda, Dana ;
McArthur, Justin C. ;
Pardo, Carlos A. ;
Wesselingh, Steven L. .
JOURNAL OF NEUROVIROLOGY, 2006, 12 (02) :146-152
[9]   Extensive Astrocyte Infection Is Prominent in Human Immunodeficiency Virus-Associated Dementia [J].
Churchill, Melissa J. ;
Wesselingh, Steven L. ;
Cowley, Daniel ;
Pardo, Carlos A. ;
McArthur, Justin C. ;
Brew, Bruce J. ;
Gorry, Paul R. .
ANNALS OF NEUROLOGY, 2009, 66 (02) :253-258
[10]   A simian immunodeficiency virus macaque model of highly active antiretroviral treatment: viral latency in the periphery and the central nervous system [J].
Clements, Janice E. ;
Gama, Lucio ;
Graham, David R. ;
Mankowski, Joseph L. ;
Zink, M. C. .
CURRENT OPINION IN HIV AND AIDS, 2011, 6 (01) :37-42