Abstract
1. Alterations of brain microvasculature and the disruption of the blood-brain barrier (BBB) integrity are commonly associated with human immunodeficiency virus type 1 (HIV-1) infection. These changes are most frequently found in human immunodeficiency virus-related encephalitis (HIVE) and in human immunodeficiency virus-associated dementia (HAD). 2. It has been hypothesized that the disruption of the BBB occurs early in the course of HIV-1 infection and can be responsible for HIV-1 entry into the CNS. 3. The current review discusses the mechanisms of injury to brain endothelial cells and alterations of the BBB integrity in HIV-infection with focus on the vascular effects of HIV Tat protein. In addition, this review describes the mechanisms of the BBB disruption due to HIV-1 or Tat protein interaction with selected risk factors for HIV infection, such as substance abuse and aging.
Original language | English |
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Pages (from-to) | 181-199 |
Number of pages | 19 |
Journal | Cellular and Molecular Neurobiology |
Volume | 25 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2005 |
Bibliographical note
Funding Information:This work was supported by NIH (NS39254, MH63022, and AA013843).
Keywords
- AIDS
- Blood-brain barrier
- Brain endothelial cells
- HIV
- Inflammatory responses
- Tat
- Tight junction
ASJC Scopus subject areas
- Cellular and Molecular Neuroscience
- Cell Biology