Division of Infectious Diseases, Center for AIDS Research, University of North Carolina (UNC), School of Medicine, Chapel Hill, NC, USA.
J Neurovirol. 2018 Apr;24(2):185-191. doi: 10.1007/s13365-017-0567-3. Epub 2017 Aug 22.
While the human immunodeficiency virus (HIV) epidemic was initially characterized by a high prevalence of severe and widespread neurological pathologies, the development of better treatments to suppress viremia over years and even decades has mitigated many of the severe neurological pathologies previously observed. Despite effective treatment, mild neurocognitive impairment and premature cognitive aging are observed in HIV-infected individuals, suggesting a changing but ongoing role of HIV infection in the central nervous system (CNS). Although current therapies are effective in suppressing viremia, they are not curative and patients must remain on life-long treatment or risk recrudescence of virus. Important for the development and evaluation of a cure for HIV will be animal models that recapitulate critical aspects of infection in vivo. In the following, we seek to summarize some of the recent developments in humanized mouse models and their usefulness in modeling HIV infection of the CNS and HIV cure strategies.
虽然人类免疫缺陷病毒 (HIV) 疫情最初的特点是严重且广泛的神经病理学广泛流行,但多年甚至几十年以来更好的抑制病毒血症的治疗方法的发展,减轻了以前观察到的许多严重的神经病理学。尽管进行了有效的治疗,但 HIV 感染者仍存在轻度神经认知障碍和认知早衰,这表明 HIV 感染在中枢神经系统 (CNS) 中的作用正在发生变化但仍在继续。尽管目前的治疗方法在抑制病毒血症方面非常有效,但它们并不能治愈疾病,患者必须终身接受治疗,否则病毒有复发的风险。对于开发和评估 HIV 治愈方法来说,重要的是要建立能够重现体内感染关键方面的动物模型。在下面,我们试图总结一些人源化小鼠模型的最新进展及其在模拟 HIV 感染中枢神经系统和 HIV 治愈策略方面的用途。