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Microglial and astrocyte chemokines regulate monocyte migration through the blood-brain barrier in human

Y Persidsky1, A Ghorpade, J Rasmussen

  • 1Center for Neurovirology, Departments of Pathology, Eppley Institute for Cancer and Allied Diseases, University of Nebraska, Omaha, USA. ypersids@unmc.edu

Insights

Microglial activation in HIV-1-associated dementia (HAD) drives monocyte migration across the blood-brain barrier (BBB) via beta-chemokines. This finding is crucial for understanding HAD pathogenesis and developing targeted therapies.

Area of Science:

  • Neuroimmunology
  • Virology
  • Cell Biology

Background:

  • Immune-activated brain mononuclear phagocytes (MPs) influence human immunodeficiency virus (HIV)-1-associated dementia (HAD) progression.
  • Circulating monocytes are a significant source of these brain MPs.
  • Understanding monocyte migration across the blood-brain barrier (BBB) is key to HAD pathogenesis.

Purpose of the Study:

  • To investigate the mechanisms of monocyte penetration across the BBB in the context of HAD.
  • To elucidate the role of microglia and astrocytes in monocyte recruitment.

Main Methods:

  • Construction of an artificial BBB model using human brain microvascular endothelial and glial cells.
  • Utilizing a SCID mouse model of HIV-1 encephalitis (HIVE) for in vivo studies.
  • Performing immunohistochemical analyses on human HIVE brain tissue.

Main Results:

  • HIV-1-infected microglia significantly increased monocyte migration across the artificial BBB compared to monocyte-derived macrophages (MDMs).
  • In HIVE SCID mice, murine MDMs accumulated around virus-infected human microglia.
  • Human HIVE tissue showed correlations between microglial activation, astrogliosis, and monocyte infiltration.

Conclusions:

  • Microglial activation, potentially in concert with astrocytes, induces beta-chemokine-mediated monocyte migration in HAD.
  • Beta-chemokines are key mediators of monocyte recruitment to the brain in HIV-1 infection.
  • These findings highlight microglia as central players in HAD pathogenesis.

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