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Published on: December 20, 2024
HIV-1 target cells in the CNS
Sarah B Joseph1, Kathryn T Arrildt, Christa B Sturdevant
1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA, sbjoseph@email.unc.edu.
Human immunodeficiency virus type 1 (HIV-1) can adapt to infect macrophages in the central nervous system (CNS), leading to severe neurocognitive impairment. These macrophage-tropic variants emerge late in infection and are distinct from early transmitted HIV-1 strains.
Area of Science:
- Neurovirology
- Immunology
- Genetics
Background:
- Human immunodeficiency virus type 1 (HIV-1) primarily infects CD4+ T cells using the CCR5 coreceptor.
- The central nervous system (CNS) has limited CD4+ T cells but abundant macrophages and microglia.
- Most HIV-1 strains inefficiently infect CNS macrophages due to low CD4 expression on these cells.
Purpose of the Study:
- To investigate the emergence and characteristics of HIV-1 variants adapted to infect macrophages within the CNS.
- To understand the association between macrophage-tropic HIV-1 and neurocognitive impairment.
Main Methods:
- Analysis of HIV-1 populations within the CNS of infected individuals.
- Examination of viral tropism and adaptation to low CD4 expression.
- Correlation of viral variants with clinical outcomes, specifically neurocognitive function.
Main Results:
- Late in disease, HIV-1 lineages evolve to become macrophage-tropic (M-tropic) in the CNS.
- These M-tropic viruses efficiently infect cells with low CD4 expression, such as macrophages.
- The presence of M-tropic HIV-1 in the CNS is linked to severe neurocognitive impairment.
Conclusions:
- Macrophage tropism in HIV-1 is a rare, non-transmitted viral adaptation important for CNS pathogenesis.
- The evolution of M-tropic HIV-1 contributes to sustained viral replication and neurological damage in the CNS.
- Further research is needed to identify genetic signatures and understand the conditions favoring M-tropic variant emergence.
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