The Clinical Neuropsychologist,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 22
Published: Feb. 27, 2024
Introduction:
Gay
and
bisexual
men
(GBM)
account
for
the
highest
rates
of
incident
infection
with
HIV
in
U.S.,
experience
social,
systemic
barriers
to
accessing
engaging
healthcare
services.
Interacting
providers
can
be
a
complex
process
some
GBM
disease.
The
current
study
examined
contributions
cognition
health
literacy
perceived
interactions
among
Methods:
sample
included
100
adults
disease
(ages
24–75)
who
identified
as
GBM.
All
participants
completed
Dealing
Health
Professionals
subscale
Beliefs
Related
Medication
Adherence
survey,
well
Cogstate
neuropsychological
battery,
self-report
measures
cognitive
symptoms,
well-validated
literacy.
Results:
Worse
performance-based
subjective
symptoms
were
both
associated
difficulties
dealing
providers,
but
these
associations
fully
mediated
by
lower
Conclusion:
may
play
role
association
between
poorer
functioning
navigating
Further
studies
are
needed
determine
whether
approaches
enhancing
access,
understanding,
use
information
improves
outcomes.
Pharmacological Reviews,
Journal Year:
2022,
Volume and Issue:
75(1), P. 62 - 158
Published: Dec. 8, 2022
The
neurotransmitter
dopamine
is
a
key
factor
in
central
nervous
system
(CNS)
function,
regulating
many
processes
including
reward,
movement,
and
cognition.
Dopamine
also
regulates
critical
functions
peripheral
organs,
such
as
blood
pressure,
renal
activity,
intestinal
motility.
Beyond
these
functions,
growing
body
of
evidence
indicates
that
an
important
immunoregulatory
factor.
Most
types
immune
cells
express
receptors
other
dopaminergic
proteins,
take
up,
produce,
store,
and/or
release
dopamine,
suggesting
immunomodulation
for
function.
Targeting
pathways
could
be
promising
avenue
the
treatment
inflammation
disease,
but
despite
increasing
research
this
area,
data
on
specific
effects
disease
remain
inconsistent
poorly
understood.
Therefore,
review
integrates
current
knowledge
role
cell
function
inflammatory
signaling
across
systems.
We
discuss
understanding
regulation
CNS
tissues,
highlighting
diseases
Parkinson’s
several
neuropsychiatric
conditions,
neurologic
human
immunodeficiency
virus,
bowel
rheumatoid
arthritis,
others.
Careful
consideration
given
to
influence
experimental
design
results,
we
note
number
areas
need
further
research.
Overall,
our
immunology
at
cellular,
tissue,
level
prompts
development
therapeutics
strategies
targeted
toward
ameliorating
through
immunity.
Significance
Statement
Canonically,
recognized
involved
cognition,
reward.
However,
acts
modulator
periphery.
This
comprehensively
assesses
pathogenesis
cellular
tissue
level.
will
provide
broad
access
information
fields,
identify
investigation,
drive
therapeutic
strategies.
Trends in Immunology,
Journal Year:
2022,
Volume and Issue:
43(8), P. 630 - 639
Published: July 12, 2022
Despite
potent
suppression
of
HIV-1
viral
replication
in
the
central
nervous
system
(CNS)
by
antiretroviral
therapy
(ART),
between
15%
and
60%
HIV-1-infected
patients
receiving
ART
exhibit
neuroinflammation
symptoms
HIV-1-associated
neurocognitive
disorder
(HAND)
-
a
significant
unmet
challenge.
We
propose
that
emergence
from
latency
microglia
underlies
both
CNS
progression
HAND.
Recent
molecular
studies
cellular
silencing
mechanisms
show
can
be
reversed
proinflammatory
cytokines
signals
damaged
neurons,
potentially
creating
intermittent
cycles
reactivation
brain.
posit
anti-inflammatory
agents
also
block
reactivation,
such
as
nuclear
receptor
agonists,
might
provide
new
putative
therapeutic
avenues
for
treatment
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(20), P. 15340 - 15340
Published: Oct. 19, 2023
Neurodegenerative
diseases
affect
millions
of
people
worldwide.
result
from
progressive
damage
to
nerve
cells
in
the
brain
or
peripheral
nervous
system
connections
that
are
essential
for
cognition,
coordination,
strength,
sensation,
and
mobility.
Dysfunction
these
functions
is
associated
with
Alzheimer's
disease,
Parkinson's
Huntington's
Amyotrophic
lateral
sclerosis,
motor
neuron
disease.
In
addition
these,
50%
living
HIV
develop
a
spectrum
cognitive,
motor,
and/or
mood
problems
collectively
referred
as
HIV-Associated
Neurocognitive
Disorders
(HAND)
despite
widespread
use
combination
antiretroviral
therapies.
Neuroinflammation
neurotransmitter
systems
have
pathological
correlation
play
critical
role
developing
neurodegenerative
diseases.
Each
has
unique
pattern
dysregulation
system,
which
been
attributed
different
forms
cell-specific
neuronal
loss.
this
review,
we
will
focus
on
discussion
regulation
dopaminergic
cholinergic
systems,
more
commonly
disturbed
disorders.
Additionally,
provide
evidence
hypothesis
disturbances
neurotransmission
contribute
loss
observed
Further,
highlight
dopamine
mediator
injury
context
NeuroHIV.
This
review
need
further
investigate
their
etiology
Cell Death and Disease,
Journal Year:
2024,
Volume and Issue:
15(4)
Published: April 13, 2024
Abstract
Cognitive
dysfunction
and
dementia
are
critical
symptoms
of
Lewy
Body
dementias
(LBD).
Specifically,
alpha-synuclein
(αSyn)
accumulation
in
the
hippocampus
leading
to
synaptic
is
linked
cognitive
deficits
LBD.
Here,
we
investigated
pathological
impact
αSyn
on
hippocampal
neurons.
We
report
that
either
overexpression
or
pre-formed
fibrils
(PFFs)
treatment
triggers
formation
cofilin-actin
rods,
synapse
disruptors,
cultured
neurons
synucleinopathy
mouse
models
LBD
patients.
In
vivo,
cofilin
pathology
present
concomitantly
with
impairment
dysfunction.
Rods
generation
prompted
by
involves
co-action
cellular
prion
protein
(PrP
C
)
chemokine
receptor
5
(CCR5).
Importantly,
show
CCR5
inhibition,
a
clinically
relevant
peptide
antagonist,
reverts
dendritic
spine
promoted
αSyn.
Collectively,
detail
molecular
mechanism
through
which
disrupts
structure
identify
as
novel
therapeutic
target
prevent
Retrovirology,
Journal Year:
2021,
Volume and Issue:
18(1)
Published: Aug. 24, 2021
Abstract
The
HIV
co-receptors,
CCR5
and
CXCR4,
are
necessary
for
entry
into
target
cells,
interacting
with
the
envelope
protein,
gp120,
to
initiate
several
signaling
cascades
thought
be
important
process.
Co-receptor
may
also
promote
development
of
neuroHIV
by
contributing
both
persistent
neuroinflammation
indirect
neurotoxicity.
But
despite
critical
importance
CXCR4
pathogenesis,
there
is
only
one
therapeutic
(the
inhibitor
Maraviroc)
that
targets
these
receptors.
Moreover,
our
understanding
co-receptor
in
specific
context
relatively
poor.
Research
has
largely
stalled
past
decade,
possibly
owing
complexity
functions
mediated
Examining
many
pathways
triggered
activation
been
challenging
due
lack
molecular
tools
targeting
proteins
involved
wide
array
model
systems
used
across
experiments.
Studies
examining
impact
on
neuropathogenesis
often
show
multiple
overlapping
similar
stimuli,
leading
contradictory
data
effects
activation.
To
address
this,
we
will
broadly
review
infection
neuropathogenesis,
examine
different
functions,
then
discuss
differences
between
induced
cognate
ligands.
We
assess
focusing
neuroinflammation.
explore
how
use
substances
abuse,
which
highly
prevalent
people
living
HIV,
can
exacerbate
neuropathogenic
signaling.
Finally,
current
state
therapeutics
highlighting
challenges
field
faced
areas
research
would
yield
most
benefit
infection.
This
discussion
provide
a
comprehensive
overview
what
known
remains
explored
regard
infection,
emphasize
potential
value
co-receptors
as
future
development.
International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(2), P. 643 - 643
Published: Jan. 7, 2022
HIV-Associated
neurocognitive
disorder
(HAND)
is
one
of
the
major
concerns
since
it
persists
in
40%
this
population.
Nowadays,
HAND
neuropathogenesis
considered
to
be
caused
by
infected
cells
that
cross
brain–blood
barrier
and
produce
viral
proteins
can
secreted
internalized
into
neurons
leading
disruption
cellular
processes.
The
evidence
points
such
as
Tat
causal
agent
for
neuronal
alteration
thus
HAND.
hallmarks
Tat-induced
neurodegeneration
are
endoplasmic
reticulum
stress
mitochondrial
dysfunction.
Sirtuins
(SIRTs)
NAD+-dependent
deacetylases
involved
mitochondria
biogenesis,
unfolded
protein
response,
intrinsic
apoptosis
pathway.
interaction
with
these
causes
inhibition
SIRT1
SIRT3.
Studies
revealed
SIRTs
activation
promotes
neuroprotection
neurodegenerative
diseases
Alzheimer’s
Parkinson’s
disease.
Therefore,
review
focuses
on
neurotoxicity
mechanisms
involve
key
regulators
their
modulation
a
therapeutic
strategy
tackling
thereby
improving
quality
life
people
living
HIV.
Frontiers in Neuroscience,
Journal Year:
2024,
Volume and Issue:
18
Published: April 30, 2024
Background
HIV
can
invade
the
central
nervous
system
(CNS)
early
during
infection,
invading
perivascular
macrophages
and
microglia,
which,
in
turn,
release
viral
particles
immune
mediators
that
dysregulate
all
brain
cell
types.
Consequently,
children
living
with
often
present
neurodevelopmental
delays.
Methods
In
this
study,
we
used
proton
nuclear
magnetic
resonance
(
1
H-NMR)
spectroscopy
to
analyze
neurometabolic
profile
of
infection
using
cerebrospinal
fluid
samples
obtained
from
17
HIV+
50
HIV−
South
African
children.
Results
Nine
metabolites,
including
glucose,
lactate,
glutamine,
1,2-propanediol,
acetone,
3-hydroxybutyrate,
acetoacetate,
2-hydroxybutyrate,
myo-inositol,
showed
significant
differences
when
comparing
infected
those
uninfected.
These
metabolites
may
be
associated
activation
innate
response
disruption
neuroenergetics
pathways.
Conclusion
results
elucidate
state
HIV,
upregulation
glycolysis,
dysregulation
ketone
body
metabolism,
elevated
reactive
oxygen
species
production.
Furthermore,
hypothesize
neuroinflammation
alters
astrocyte–neuron
communication,
lowering
neuronal
activity
which
contribute
delay
observed
population.
BMC Infectious Diseases,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: March 25, 2025
This
study
aimed
to
investigate
the
global
and
nodal
functional
network
alterations,
abnormal
connections
of
brain
regions,
potential
imaging
biomarkers
in
virally
suppressed
people
living
with
HIV
(PLH)
asymptomatic
neurocognitive
impairment
(ANI)
using
graph
theory
analysis.
The
included
64
men
ANI
(mean
age
32.45
years)
healthy
controls
(HC)
31.31
years).
was
established
through
method
Automated
Anatomic
Labeling
(AAL)
90
atlas,
which
provides
a
cerebrum
parcellation
framework.
Moreover,
hub
regions
were
identified
based
on
betweenness
centrality
(Bc).
Functional
connectivity
(FC)
differences
investigated
between
two
groups,
these
located
resting-state
(RSN).
Neuropsychological
(NP)
tests
performed,
relationships
measures,
clinical
data,
NP
analyzed.
Multiple
comparisons
used
correct
for
false-positive
findings.
On
level,
small-worldness,
efficiency
(Eg),
local
(Eloc)
significantly
decreased
subjects.
frontal
subcortical
showed
while
parietal,
temporal,
occipital
lobes
increased
measures.
Increased
FCs
found
visual,
frontoparietal,
somatomotor
networks.
Hub
overlapped
highly
groups.
Age
negatively
correlated
Our
findings
demonstrate
alterations
homosexual
males
stage.
Frontal
may
be
important
finding
HIV-associated
disorder.