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Published in: Journal of NeuroVirology 4/2013

01-08-2013 | Case Report

CSF viral escape in a patient with HIV-associated neurocognitive disorder

Authors: Michael N. Khoury, C. Sabrina Tan, Marcia Peaslee, Igor J. Koralnik

Published in: Journal of NeuroVirology | Issue 4/2013

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Excerpt

HIV-associated neurocognitive disorder (HAND) is a condition that encompasses cognitive deficits as well as motor symptoms. HIV is thought to enter the CNS early at the time of primary infection by crossing the blood brain barrier. The virus primarily infects perivascular macrophages and microglia (both of which express CD4); while the neurons, which do not express CD4, sustain injury secondary to the resulting inflammation (Gonzalez-Scarano and Martin-Garcia 2005). HAND MRI findings classically include symmetric, periventricular hyperintense lesions on T2-weighted sequences. …
Literature
go back to reference Ellis RJ, Badiee J, Vaida F, Letendre S, Heaton RK, Clifford D, Collier AC, Gelman B, McArthur J, Morgello S, McCutchan JA, Grant I (2011) CD4 nadir is a predictor of HIV neurocognitive impairment in the era of combination antiretroviral therapy. AIDS 25(14):1747–1751PubMedCrossRef Ellis RJ, Badiee J, Vaida F, Letendre S, Heaton RK, Clifford D, Collier AC, Gelman B, McArthur J, Morgello S, McCutchan JA, Grant I (2011) CD4 nadir is a predictor of HIV neurocognitive impairment in the era of combination antiretroviral therapy. AIDS 25(14):1747–1751PubMedCrossRef
go back to reference Gonzalez-Scarano F, Martin-Garcia J (2005) The neuropathogenesis of AIDS. Nat Rev Immunol 5(1):69–81PubMedCrossRef Gonzalez-Scarano F, Martin-Garcia J (2005) The neuropathogenesis of AIDS. Nat Rev Immunol 5(1):69–81PubMedCrossRef
go back to reference Lambotte O, Deiva K, Tardieu M (2003) HIV-1 persistence, viral reservoir, and the central nervous system in the HAART era. Brain Pathol 13(1):95–103PubMedCrossRef Lambotte O, Deiva K, Tardieu M (2003) HIV-1 persistence, viral reservoir, and the central nervous system in the HAART era. Brain Pathol 13(1):95–103PubMedCrossRef
go back to reference Peluso MJ, Ferretti F, Peterson J, Lee E, Fuchs D, Boschini A, Gisslén M, Angoff N, Price RW, Cinque P, Spudich S (2012) Cerebrospinal fluid HIV escape associated with progressive neurologic dysfunction in patients on antiretroviral therapy with well controlled plasma viral load. AIDS 26(14):1765–1774PubMedCrossRef Peluso MJ, Ferretti F, Peterson J, Lee E, Fuchs D, Boschini A, Gisslén M, Angoff N, Price RW, Cinque P, Spudich S (2012) Cerebrospinal fluid HIV escape associated with progressive neurologic dysfunction in patients on antiretroviral therapy with well controlled plasma viral load. AIDS 26(14):1765–1774PubMedCrossRef
go back to reference Power C, Selnes OA, Grim JA, McArthur JC (1995) HIV Dementia Scale: a rapid screening test. J Acquir Immune Defic Syndr Hum Retrovirol: Official Publication of the International Retrovirology Association 8(3):273–278CrossRef Power C, Selnes OA, Grim JA, McArthur JC (1995) HIV Dementia Scale: a rapid screening test. J Acquir Immune Defic Syndr Hum Retrovirol: Official Publication of the International Retrovirology Association 8(3):273–278CrossRef
go back to reference Ritola K, Robertson K, Fiscus SA, Hall C, Swanstrom R (2005) Increased human immunodeficiency virus type 1 (HIV-1) env compartmentalization in the presence of HIV-1-associated dementia. J Virol 79(16):10830–10834PubMedCrossRef Ritola K, Robertson K, Fiscus SA, Hall C, Swanstrom R (2005) Increased human immunodeficiency virus type 1 (HIV-1) env compartmentalization in the presence of HIV-1-associated dementia. J Virol 79(16):10830–10834PubMedCrossRef
go back to reference Sakamoto M, Marcotte TD, Umlauf A, Franklin D Jr, Heaton RK, Ellis RJ, Letendre S, Alexander T, McCutchan JA, Morgan EE, Woods SP, Collier AC, Marra CM, Clifford DB, Gelman BB, McArthur JC, Morgello S, Simpson D, Grant I, CHARTER Group (2013) Concurrent classification accuracy of the HIV dementia scale for HIV-associated neurocognitive disorders in the CHARTER Cohort. J Acquir Immune Defic Syndr 62(1):36–42PubMedCrossRef Sakamoto M, Marcotte TD, Umlauf A, Franklin D Jr, Heaton RK, Ellis RJ, Letendre S, Alexander T, McCutchan JA, Morgan EE, Woods SP, Collier AC, Marra CM, Clifford DB, Gelman BB, McArthur JC, Morgello S, Simpson D, Grant I, CHARTER Group (2013) Concurrent classification accuracy of the HIV dementia scale for HIV-associated neurocognitive disorders in the CHARTER Cohort. J Acquir Immune Defic Syndr 62(1):36–42PubMedCrossRef
go back to reference Schnell G, Spudich S, Harrington P, Price RW, Swanstrom R (2009) Compartmentalized human immunodeficiency virus type 1 originates from long-lived cells in some subjects with HIV-1-associated dementia. PLoS Pathog 5(4):e1000395PubMedCrossRef Schnell G, Spudich S, Harrington P, Price RW, Swanstrom R (2009) Compartmentalized human immunodeficiency virus type 1 originates from long-lived cells in some subjects with HIV-1-associated dementia. PLoS Pathog 5(4):e1000395PubMedCrossRef
go back to reference Simioni S, Cavassini M, Annoni JM, Rimbault Abraham A, Bourquin I, Schiffer V, Calmy A, Chave JP, Giacobini E, Hirschel B, Du Pasquier RA (2010) Cognitive dysfunction in HIV patients despite long-standing suppression of viremia. AIDS 24(9):1243–1250PubMed Simioni S, Cavassini M, Annoni JM, Rimbault Abraham A, Bourquin I, Schiffer V, Calmy A, Chave JP, Giacobini E, Hirschel B, Du Pasquier RA (2010) Cognitive dysfunction in HIV patients despite long-standing suppression of viremia. AIDS 24(9):1243–1250PubMed
go back to reference Smurzynski M, Wu K, Letendre S, Robertson K, Bosch RJ, Clifford DB, Evans S, Collier AC, Taylor M, Ellis R (2011) Effects of central nervous system antiretroviral penetration on cognitive functioning in the ALLRT cohort. AIDS 25(3):357–365PubMedCrossRef Smurzynski M, Wu K, Letendre S, Robertson K, Bosch RJ, Clifford DB, Evans S, Collier AC, Taylor M, Ellis R (2011) Effects of central nervous system antiretroviral penetration on cognitive functioning in the ALLRT cohort. AIDS 25(3):357–365PubMedCrossRef
go back to reference Takahashi K, Wesselingh SL, Griffin DE, McArthur JC, Johnson RT, Glass JD (1996) Localization of HIV-1 in human brain using polymerase chain reaction/in situ hybridization and immunocytochemistry. Ann Neurol 39(6):705–711PubMedCrossRef Takahashi K, Wesselingh SL, Griffin DE, McArthur JC, Johnson RT, Glass JD (1996) Localization of HIV-1 in human brain using polymerase chain reaction/in situ hybridization and immunocytochemistry. Ann Neurol 39(6):705–711PubMedCrossRef
go back to reference Valero IP, Letendre S, Ellis R, Deutsch R, Franklin D, Clifford D, Heaton R, McCutchan J, McArthur J, Morgello S, Gelman B, Collier A, Grant I (2012) Prevalence and risk factors for HIV CSF viral escape: results from the CHARTER and HNRP cohorts. J Int AIDS Soc 15(6):18189 Valero IP, Letendre S, Ellis R, Deutsch R, Franklin D, Clifford D, Heaton R, McCutchan J, McArthur J, Morgello S, Gelman B, Collier A, Grant I (2012) Prevalence and risk factors for HIV CSF viral escape: results from the CHARTER and HNRP cohorts. J Int AIDS Soc 15(6):18189
Metadata
Title
CSF viral escape in a patient with HIV-associated neurocognitive disorder
Authors
Michael N. Khoury
C. Sabrina Tan
Marcia Peaslee
Igor J. Koralnik
Publication date
01-08-2013
Publisher
Springer US
Published in
Journal of NeuroVirology / Issue 4/2013
Print ISSN: 1355-0284
Electronic ISSN: 1538-2443
DOI
https://doi.org/10.1007/s13365-013-0175-9

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