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Opioid-Mediated HIV-1 Immunopathogenesis.

Shilpa Buch1, Palsamy Periyasamy2, Annadurai Thangaraj2

  • 1Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE, USA. sbuch@unmc.edu.

Journal of Neuroimmune Pharmacology : the Official Journal of the Society on Neuroimmune Pharmacology
|October 8, 2020
PubMed
Summary
This summary is machine-generated.

Opioids impact human immunodeficiency virus type 1 (HIV-1) infection by affecting viral replication, immune responses, and brain involvement. This review explores how opioids influence HIV-1 pathogenesis and neurological complications.

Keywords:
Blood-brain barrierHIV-1ImmunopathogenesisImmunosuppressionMorphine

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Area of Science:

  • Neuroimmunology
  • Virology
  • Pharmacology

Background:

  • Combination antiretroviral therapy suppresses HIV-1 viremia but the brain remains a viral reservoir.
  • Drug abuse, particularly opiate use, is common in HIV-1 infected individuals, complicating neuroHIV and associated disorders.
  • Opioids and their receptors modulate immune functions, influencing HIV-1 disease progression and viral replication.

Purpose of the Study:

  • To review the current knowledge on the multifaceted role of opioids in HIV-1 immunopathogenesis.
  • To explore the impact of opioids on viral replication, host epigenetic profiles, and neuropathogenesis.
  • To summarize opioid effects on the blood-brain barrier, HIV-1 latency, and viral rebound.

Main Methods:

  • Comprehensive literature review of cell culture, animal, and human studies.
  • Analysis of research on opioid receptor modulation of immune and viral functions.
  • Examination of studies investigating combined effects of HIV-1 and opioids on inflammatory signaling.

Main Results:

  • Opioids can positively or negatively modulate HIV-1 replication and virus-mediated pathology.
  • Combinatorial effects of HIV-1 proteins and morphine activate inflammatory signaling pathways.
  • Opioids influence peripheral and viral immunopathogenesis, epigenetic profiles, and neuropathogenesis in non-human primate models.

Conclusions:

  • Opioids play a significant role in the complex immunopathogenesis of HIV-1 infection.
  • Understanding opioid-HIV-1 interactions is crucial for managing neuroHIV and improving treatment strategies.
  • Further research is needed to fully elucidate the impact of opioids on viral latency and rebound.