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Huntington Disease l: Introduction01:21

Huntington Disease l: Introduction

Huntington disease or HD is a progressive, fatal neurodegenerative disorder inherited in an autosomal dominant pattern.PathophysiologyIt is caused by expansion of the CAG trinucleotide repeat in the HTT gene on chromosome 4 (4p16.3), producing an abnormal huntingtin protein with an expanded polyglutamine tract. This misfolded protein disrupts cellular function, leading to neuronal death. Normal alleles have ≤26 repeats, 27–35 are intermediate (risk of expansion), 36–39 show reduced penetrance,...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Disorders of the Nervous Tissue01:28

Disorders of the Nervous Tissue

Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...

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Updated: May 21, 2026

Quantification of Cerebral Vascular Architecture using Two-photon Microscopy in a Mouse Model of HIV-induced Neuroinflammation
10:04

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

Published on: January 12, 2016

[HIV-Associated Neurocognitive Disorders (HAND)].

Hiroaki Yokote1, Taiichiro Kobayashi, Yoshiharu Miura

  • 1Department of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital.

Brain and Nerve = Shinkei Kenkyu No Shinpo
|May 19, 2026
PubMed
Summary
This summary is machine-generated.

HIV-associated neurocognitive disorders (HAND) affect 20-50% of people with HIV. New strategies are needed to address the central nervous system (CNS) reservoir for effective HAND treatment.

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Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Neurology

Background:

  • HIV-associated neurocognitive disorders (HAND) present insidiously and progressively in 20-50% of individuals with HIV.
  • Diagnosis of HAND lacks specific biomarkers, relying on comprehensive neuropsychological assessment.
  • HIV establishes a central nervous system (CNS) reservoir early in infection, persisting despite antiretroviral therapy.

Purpose of the Study:

  • To highlight the diagnostic challenges in HAND.
  • To emphasize the significance of the CNS HIV reservoir.
  • To advocate for novel therapeutic strategies targeting the CNS reservoir.

Main Methods:

  • Review of current diagnostic criteria for HAND.
  • Analysis of the impact of antiretroviral therapy on CNS HIV.
  • Discussion of the implications of the CNS reservoir for treatment.

Main Results:

  • HAND diagnosis remains challenging due to the absence of specific laboratory or neuroimaging markers.
  • Antiretroviral therapy, while beneficial, does not fully eradicate the CNS HIV reservoir.
  • The persistent CNS reservoir poses a significant barrier to complete HAND management.

Conclusions:

  • Comprehensive neuropsychological assessment is the current gold standard for HAND diagnosis.
  • Therapeutic strategies must evolve to specifically target the CNS HIV reservoir.
  • Future research should focus on developing treatments that can effectively clear the CNS reservoir to improve HAND outcomes.