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Updated: Mar 12, 2026

Quantification of Cerebral Vascular Architecture using Two-photon Microscopy in a Mouse Model of HIV-induced Neuroinflammation
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HIV-associated neurocognitive disorder.

David B Clifford1

  • 1Washington University in St Louis, 660 South Euclid Avenue, St Louis, Missouri, USA.

Current Opinion in Infectious Diseases
|November 1, 2016
PubMed
Summary

HIV-associated neurocognitive disease remains a concern despite antiviral treatments. Chronic inflammation and cerebrovascular issues, not just the virus, drive cognitive decline, requiring new therapeutic strategies.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Immunology

Background:

  • HIV-associated neurocognitive disease (HAND) is a significant concern in neuroAIDS research.
  • While modern antiretroviral therapy improves outcomes, mild cognitive impairment persists in many HIV patients.
  • Understanding the mechanisms driving HAND is crucial for developing effective interventions.

Purpose of the Study:

  • To review current research on HIV-associated neurocognitive disease.
  • To highlight emerging findings regarding the pathogenesis and management of HAND.
  • To emphasize the need for updated research strategies.

Main Methods:

  • Review of recent scientific literature on neuroAIDS and HAND.
  • Analysis of studies investigating viral, inflammatory, and vascular mechanisms.

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  • Evaluation of advancements in neuroimaging and treatment approaches.
  • Main Results:

    • Chronic inflammation, particularly involving monocytes and macrophages, is a key driver of cognitive dysfunction in HAND.
    • Cerebrovascular disease is increasingly recognized as a significant comorbidity contributing to cognitive deficits.
    • Neuroimaging techniques are advancing for detecting and measuring brain changes.
    • Combined antiretroviral therapy has improved neurological outcomes but has not fully reversed mild impairment.

    Conclusions:

    • Interventions beyond antiviral therapy are likely necessary to effectively manage or reverse HAND.
    • Addressing inflammatory and vascular mechanisms is critical for improving neurological outcomes in people living with HIV.
    • Continued research is essential to enhance neurological health for individuals with HIV.