Erschienen in:
08.02.2019 | Central Nervous System and Cognition (SS Spudich, Section Editor)
HIV Eradication Strategies: Implications for the Central Nervous System
verfasst von:
Rebecca T. Veenhuis, Janice E. Clements, Lucio Gama
Erschienen in:
Current HIV/AIDS Reports
|
Ausgabe 1/2019
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Abstract
Purpose of Review
In addition to preventive protocols and antiretroviral therapy, HIV-1 eradication has been considered as an additional strategy to help fight the AIDS epidemic. With the support of multiple funding agencies, research groups worldwide have been developing protocols to achieve either a sterilizing or a functional cure for HIV-infection.
Recent Findings
Most of the studies focus on the elimination or suppression of circulating CD4+ T cells, the best characterized HIV-1 latent reservoir. The role of the central nervous system (CNS) as a latent reservoir is still controversial. Although brain macrophages and astrocytes are susceptible to HIV-1 infection, it has not been ascertained whether the CNS carries latent HIV-1 during cART and, if so, whether the virus can be reactivated and spread to other compartments after ART interruption.
Summary
Here, we examine the implications of HIV-1 eradication strategies on the CNS, regardless of whether it is a true latent reservoir and, if so, whether it is present in all patients.