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Published in: Current HIV/AIDS Reports 2/2023

21-02-2023 | Human Immunodeficiency Virus

Update on Central Nervous System Effects of HIV in Adolescents and Young Adults

Authors: Jennifer L. McGuire, Judith B. Grinspan, Kelly L. Jordan-Sciutto

Published in: Current HIV/AIDS Reports | Issue 2/2023

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Abstract

Purpose of Review.

Behaviorally acquired (non-perinatal) HIV infection during adolescence and young adulthood occurs in the midst of key brain developmental processes such as frontal lobe neuronal pruning and myelination of white matter, but we know little about the effects of new infection and therapy on the developing brain.

Recent Findings

Adolescents and young adults account for a disproportionately high fraction of new HIV infections each year. Limited data exist regarding neurocognitive performance in this age group, but suggest impairment is at least as prevalent as in older adults, despite lower viremia, higher CD4 + T cell counts, and shorter durations of infection in adolescents/young adults. Neuroimaging and neuropathologic studies specific to this population are underway.

Summary

The full impact of HIV on brain growth and development in youth with behaviorally acquired HIV has yet to be determined; it must be investigated further to develop future targeted treatment and mitigation strategies.
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Metadata
Title
Update on Central Nervous System Effects of HIV in Adolescents and Young Adults
Authors
Jennifer L. McGuire
Judith B. Grinspan
Kelly L. Jordan-Sciutto
Publication date
21-02-2023
Publisher
Springer US
Published in
Current HIV/AIDS Reports / Issue 2/2023
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-023-00651-3

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