Department of Pathology and Laboratory Medicine, Temple University Lewis Katz School of Medicine, Philadelphia, PA, United States; Center for Metabolic Disease Research, Temple University Lewis Katz School of Medicine, Philadelphia, PA, United States.
Department of Pathology and Laboratory Medicine, Temple University Lewis Katz School of Medicine, Philadelphia, PA, United States.
Exp Neurol. 2023 Jun;364:114386. doi: 10.1016/j.expneurol.2023.114386. Epub 2023 Mar 17.
The brain is one of the important reservoir sites for HIV persistent/latent infection that often leads to HIV-associated neurocognitive disorders (HAND). However, HIV dynamics in the brain is an understudied area and little is known about mechanisms underlying the development and progression of HAND. This issue is mainly due to the lack of suitable in vitro models that can recapitulate the cellular and molecular complexity of the human brain. Hence, there is an urgent need for such models to study HIV neuropathogenesis and to develop therapeutics for HAND. The emergence of three-dimensional (3D) brain organoids generated from induced pluripotent stem cells (iPSCs) has now provided a clinically relevant in vitro model to study HIV brain infection and neuropathogenesis. Recently, there have been a noticeable number of publications that demonstrate the feasibility and advantages of this model for studies of neurobiology and brain disorders as well as HIV infection. Here, we describe the development of iPSC-derived human microglia-containing brain organoids, including advantages/challenges, and focus on their applicability for modeling HIV brain infection.
大脑是 HIV 持续/潜伏感染的重要储存库之一,这通常会导致与 HIV 相关的神经认知障碍(HAND)。然而,大脑中的 HIV 动力学是一个研究不足的领域,对于 HAND 发展和进展的机制知之甚少。这个问题主要是由于缺乏合适的体外模型来重现人脑的细胞和分子复杂性。因此,迫切需要这种模型来研究 HIV 神经发病机制,并开发 HAND 的治疗方法。诱导多能干细胞(iPSC)生成的三维(3D)脑类器官的出现,为研究 HIV 脑感染和神经发病机制提供了一种临床相关的体外模型。最近,有相当数量的出版物表明,该模型在神经生物学和脑疾病以及 HIV 感染研究方面具有可行性和优势。在这里,我们描述了含有 iPSC 衍生的人类小胶质细胞的脑类器官的开发,包括其优点/挑战,并重点介绍了它们在模拟 HIV 脑感染方面的适用性。