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2013 ; 87
(ä): 183-240
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Genetic variation and HIV-associated neurologic disease
#MMPMID23809924
Dahiya S
; Irish BP
; Nonnemacher MR
; Wigdahl B
Adv Virus Res
2013[]; 87
(ä): 183-240
PMID23809924
show ga
HIV-associated neurologic disease continues to be a significant complication in
the era of highly active antiretroviral therapy. A substantial subset of the
HIV-infected population shows impaired neuropsychological performance as a result
of HIV-mediated neuroinflammation and eventual central nervous system (CNS)
injury. CNS compartmentalization of HIV, coupled with the evolution of
genetically isolated populations in the CNS, is responsible for poor prognosis in
patients with AIDS, warranting further investigation and possible additions to
the current therapeutic strategy. This chapter reviews key advances in the field
of neuropathogenesis and studies that have highlighted how molecular diversity
within the HIV genome may impact HIV-associated neurologic disease. We also
discuss the possible functional implications of genetic variation within the
viral promoter and possibly other regions of the viral genome, especially in the
cells of monocyte-macrophage lineage, which are arguably key cellular players in
HIV-associated CNS disease.