Evidence map›Paper›PMID 36148896›Full record

ReviewJournal of leukocyte biology2022

Shock and kill within the CNS: A promising HIV eradication approach?

Marieke M Nühn, Stephanie B H Gumbs, Ninée V E J Buchholtz, Lisanne M Jannink, Lavina Gharu, Lot D de Witte, Annemarie M J Wensing, Sharon R Lewin, Monique Nijhuis, Jori Symons

Abstract readReview
In one paragraph

Review in Journal of leukocyte biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Epigenetic mechanisms of HIV and opioid-induced neuropathology: Potential therapies and interventions.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Latency Reversing Agents and the Road to an HIV CurePathogens (Basel, Switzerland) · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

10 authors.

Marieke M NühnTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Stephanie B H GumbsTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Ninée V E J BuchholtzTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Lisanne M JanninkTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Lavina GharuTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Lot D de WitteTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Annemarie M J WensingTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Sharon R LewinDepartment of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute of Immunity and Infection, Melbourne, VIC, Australia.
Monique NijhuisTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.
Jori SymonsTranslational Virology, Department of Medical Microbiology, University Medical Center, Utrecht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most studied HIV eradication approach is the "shock and kill" strategy, which aims to reactivate the latent reservoir by latency reversing agents (LRAs) and allowing elimination of these cells by immune-mediated clearance or viral cytopathic effects. The CNS is an anatomic compartment in which (persistent) HIV plays an important role in HIV-associated neurocognitive disorder. Restriction of the CNS by the blood-brain barrier is important for maintenance of homeostasis of the CNS microenvironment, which includes CNS-specific cell types, expression of transcription factors, and altered immune surveillance. Within the CNS predominantly myeloid cells such as microglia and perivascular macrophages are thought to be a reservoir of persistent HIV infection. Nevertheless, infection of T cells and astrocytes might also impact HIV infection in the CNS. Genetic adaptation to this microenvironment results in genetically distinct, compartmentalized viral populations with differences in transcription profiles. Because of these differences in transcription profiles, LRAs might have different effects within the CNS as compared with the periphery. Moreover, reactivation of HIV in the brain and elimination of cells within the CNS might be complex and could have detrimental consequences. Finally, independent of activity on latent HIV, LRAs themselves can have adverse neurologic effects. We provide an extensive overview of the current knowledge on compartmentalized (persistent) HIV infection in the CNS and on the "shock and kill" strategy. Subsequently, we reflect on the impact and promise of the "shock and kill" strategy on the elimination of persistent HIV in the CNS.

Indexed as

HIV-1HIV InfectionsAstrocytesCD4-Positive T-LymphocytesHumansTranscription FactorsVirus ActivationVirus LatencyTranscription FactorsastrocytesCNScompartmentalizationeradicationHANDHIVinflammationlatencylatency reversalmicrogliaperivascular macrophagespersistencereservoirshock and kill

Identifiers

PMID36148896
PMCPMC9826147

What OpenQuestion holds

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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.