Department of Psychology, Behavioral Neuroscience Program, University of South Carolina, 1512 Pendleton Street, Columbia, SC 29208, USA.
J Neuroimmune Pharmacol. 2013 Sep;8(4):988-97. doi: 10.1007/s11481-013-9472-6. Epub 2013 May 21.
HIV-1-associated neurocognitive disorders (HAND) afflict up to 50 % of HIV-1+ individuals, despite the effectiveness of combination antiretroviral therapy (CART) in reducing the prevalence of more severe neurocognitive impairment. Alterations in brainstem auditory evoked potentials (BAEP), a measure of temporal processing, are one of the earliest neurological abnormalities of HIV-1-positive individuals. Prepulse inhibition (PPI) of the auditory startle response (ASR), a measure of sensorimotor gating, was studied in HIV-1 transgenic (Tg) rats, which express 7 of the 9 HIV-1 genes. Ovariectomized female Fischer HIV-1 Tg and control rats (ns = 41-42) were tested for PPI at three test periods, with at least 2 months separating each test period, using auditory and visual prepulses, an auditory startle stimulus, and interstimulus intervals (ISI) ranging from 0 to 4000 msec. Auditory and visual prepulse trial blocks were presented in counterbalanced order. For both auditory and visual prepulses, HIV-1 Tg animals exhibited a flatter ISI function, which did not sharpen with age, as it did in controls. Over time, auditory prepulses precipitated a temporal shift in peak inhibition in HIV-1 Tg animals relative to controls, whereas with visual prepulses, both groups displayed peak inhibition at the 40 msec ISI. A lack of perceptual sharpening with age and a relative insensitivity to the temporal dimension of sensorimotor gating are evident in the HIV-1 Tg rat prior to clinical signs of wasting. Deficits in sensorimotor gating may not only provide an early subtle diagnostic marker of HAND, but may also afford a key target for development of potential therapeutics.
HIV-1 相关的神经认知障碍(HAND)影响高达 50%的 HIV-1+个体,尽管联合抗逆转录病毒疗法(CART)在降低更严重的神经认知障碍的患病率方面非常有效。脑干听觉诱发电位(BAEP)的改变,是 HIV-1 阳性个体最早的神经异常之一,它反映了时间处理能力。听觉惊跳反应(ASR)的前脉冲抑制(PPI),是一种传感器运动门控的测量方法,在 HIV-1 转基因(Tg)大鼠中进行了研究,这些大鼠表达了 9 种 HIV-1 基因中的 7 种。对接受过卵巢切除术的雌性 Fischer HIV-1 Tg 和对照大鼠(每组 n=41-42)进行了 PPI 测试,在三个测试期内进行了测试,每个测试期之间至少间隔 2 个月,使用听觉和视觉前脉冲、听觉惊跳刺激以及从 0 到 4000 毫秒的间隔刺激(ISI)。听觉和视觉前脉冲试验块以交替的顺序呈现。对于听觉和视觉前脉冲,HIV-1 Tg 动物表现出更平坦的 ISI 函数,其不会像对照动物那样随着年龄的增长而变尖锐。随着时间的推移,听觉前脉冲在 HIV-1 Tg 动物中引发了峰值抑制的时间偏移,而对于视觉前脉冲,两组在 40 毫秒 ISI 处均显示出峰值抑制。在出现消瘦等临床症状之前,HIV-1 Tg 大鼠的年龄相关性感知锐度下降以及对传感器运动门控的时间维度的相对不敏感,这表明存在明显的缺陷。传感器运动门控的缺陷不仅可以提供 HAND 的早期微妙诊断标志物,而且还可以为潜在治疗药物的开发提供关键目标。