Department of Neurology, Yale University School of Medicine, New Haven, Connecticut.
Semin Neurol. 2014 Feb;34(1):70-7. doi: 10.1055/s-0034-1372344. Epub 2014 Apr 8.
The vast majority of people living with human immunodeficiency virus (HIV) infection reside in resource-limited settings. As compared with resource-rich settings, there are important differences in the epidemiology and outcomes of HIV infection in resource-limited settings. Nonetheless, little HIV neurology research occurs in these regions. We will first review clinical, epidemiological, and translational HIV neurology research originating from resource-limited settings. We will then discuss the barriers to conducting neurologic research, such as limited human resources, diagnostics, and access to medications. Finally, we will review existing initiatives to build capacity for research in resource-limited settings. Despite the barriers, there is growing interest in and opportunities for collaborative international neurologic research. Including diverse viral and human populations from across the globe in research opens possibilities for important implementation science, clinically oriented science, and basic science discoveries.
绝大多数感染人类免疫缺陷病毒 (HIV) 的人生活在资源有限的环境中。与资源丰富的环境相比,资源有限的环境中 HIV 感染的流行病学和结果存在重要差异。尽管如此,在这些地区进行的 HIV 神经科学研究却很少。我们将首先回顾源自资源有限环境的 HIV 神经科学的临床、流行病学和转化研究。然后,我们将讨论开展神经科学研究的障碍,例如人力资源有限、诊断和获得药物。最后,我们将回顾现有的举措,以建立资源有限环境中的研究能力。尽管存在障碍,但开展合作性国际神经科学研究的兴趣日益浓厚,机会也越来越多。在研究中纳入来自全球各地的不同病毒和人群,为实施科学、以临床为导向的科学和基础科学发现提供了可能性。