Evidence map›Paper›PMID 34451992›Full record

ReviewVaccines2021

HIV in the Brain: Identifying Viral Reservoirs and Addressing the Challenges of an HIV Cure.

Michelle K Ash, Lena Al-Harthi, Jeffrey R Schneider

Open access · goldAbstract readReview
In one paragraph

Review in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 55 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Michelle K AshDepartment of Microbial Pathogens and Immunity, Rush University Medical Center, Chicago, IL 60612, USA.
Lena Al-HarthiDepartment of Microbial Pathogens and Immunity, Rush University Medical Center, Chicago, IL 60612, USA.
Jeffrey R SchneiderDepartment of Microbial Pathogens and Immunity, Rush University Medical Center, Chicago, IL 60612, USA.ORCID 0000-0001-9091-7653
Rush University Medical Center · US

Funding

Interplay between neuroprotective pathways, HIV, and astrocytesR01NS060632 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI AL-HARTHI, LENA · 2008 to 2018
$4.9M
The role of steady state broadly neutralizing antibody tissue levels in preventing distal site SHIV replicationK01OD024882 · OD · RUSH UNIVERSITY MEDICAL CENTER · PI SCHNEIDER, JEFFREY R · 2017 to 2019
$1.0M
Imaging the CNS SIV reservoir in a cART cessation modelR21MH125339 · NIMH · RUSH UNIVERSITY MEDICAL CENTER · PI SCHNEIDER, JEFFREY R · 2020 to 2021
$440k
NIH HHS 1R01NS108796NIH HHS K01 OD024882NIH HHS K01OD024882-01NIH HHS R01 NIMH100628NIH HHS R01NS060632NIH HHS R21MH125339-01NIMH NIH HHS R21 MH125339
6 · The paper itself

Abstract

Advances in antiretroviral therapy have prolonged the life of people living with HIV and diminished the level of virus in these individuals. Yet, HIV quickly rebounds after disruption and/or cessation of treatment due to significant cellular and anatomical reservoirs for HIV, which underscores the challenge for HIV cure strategies. The central nervous system (CNS), in particular, is seeded with HIV within 1-2 weeks of infection and is a reservoir for HIV. In this review, we address the paradigm of HIV reservoirs in the CNS and the relevant cell types, including astrocytes and microglia, that have been shown to harbor viral infection even with antiretroviral treatment. In particular, we focus on developmental aspects of astrocytes and microglia that lead to their susceptibility to infection, and how HIV infection propagates among these cells. We also address challenges of measuring the HIV latent reservoir, advances in viral detection assays, and how curative strategies have evolved in regard to the CNS reservoir. Current curative strategies still require optimization to reduce or eliminate the HIV CNS reservoir, and may also contribute to levels of neuroinflammation that lead to cognitive decline. With this in mind, the latent HIV reservoir in the brain should remain a prominent focus when assessing treatment options and overall viral burden in the clinic, especially in the context of HIV-associated neurocognitive disorders (HAND).

Indexed as

astrocytesCNScureHIVinflammationmicrogliareservoir

Identifiers

PMID34451992
PMCPMC8402376
OpenAlexW3187311808

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.