PMID- 23600400 OWN - NLM STAT- MEDLINE DCOM- 20130702 LR - 20211021 IS - 1365-2796 (Electronic) IS - 0954-6820 (Print) IS - 0954-6820 (Linking) VI - 273 IP - 5 DP - 2013 May TI - Synaptic dysfunction in human immunodeficiency virus type-1-positive subjects: inflammation or impaired neuronal plasticity? PG - 454-65 LID - 10.1111/joim.12050 [doi] AB - Many people infected with the human immunodeficiency virus type-1 (HIV) exhibit mild or severe neurological problems, termed HIV-associated neurocognitive disorder (HAND), even when receiving antiretroviral therapy. Thus, novel adjunctive therapies must be developed to overcome the neurotoxic effect of HIV. New therapies require a better understanding of the molecular and cellular mechanisms of HIV-induced neurotoxicity and the risk factors that, besides inflammation and T-cell depletion and drugs of abuse, render the central nervous system (CNS) a target of HIV-induced neurotoxicity. HIV appears to impair neuronal plasticity, which refers to the innate ability of the CNS respond to injury and promote recovery of function. The availability of brain-derived neurotrophic factor (BDNF), a potent neurotrophic factor that is present in abundance in the adult brain, is essential for neuronal plasticity. BDNF acts through a receptor system composed of Trk and p75NTR. Here, we present experimental evidence that some of the clinical features of HIV-mediated neurological impairment could result from altered BDNF/TrkB/p75NTR regulation and function. CI - (c) 2013 The Association for the Publication of the Journal of Internal Medicine. FAU - Avdoshina, V AU - Avdoshina V AD - Laboratory of Preclinical Neurobiology, Department of Neuroscience, Georgetown University Medical Center, Washington, DC, USA. FAU - Bachis, A AU - Bachis A FAU - Mocchetti, I AU - Mocchetti I LA - eng GR - R01 DA026174/DA/NIDA NIH HHS/United States GR - 1R21 NS074916/NS/NINDS NIH HHS/United States GR - 1R01 NS079172/NS/NINDS NIH HHS/United States GR - R01 NS079172/NS/NINDS NIH HHS/United States GR - 1R01 DA026174/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - England TA - J Intern Med JT - Journal of internal medicine JID - 8904841 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (NGFR protein, human) RN - 0 (Nerve Tissue Proteins) RN - 0 (Receptors, Nerve Growth Factor) RN - EC 2.7.10.1 (Receptor, trkB) SB - IM MH - AIDS Dementia Complex/physiopathology MH - Axonal Transport MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Evidence-Based Medicine MH - Gene Expression Regulation, Viral MH - HIV Seropositivity/complications/diagnosis/metabolism/*physiopathology MH - *HIV-1/isolation & purification MH - Humans MH - Inflammation/complications MH - Nerve Tissue Proteins/*metabolism MH - *Neuronal Plasticity MH - Receptor, trkB/*metabolism MH - Receptors, Nerve Growth Factor/*metabolism MH - Risk Factors MH - Severity of Illness Index MH - *Synapses MH - Synaptic Transmission PMC - PMC3633109 MID - NIHMS447313 COIS- Conflict of interest statement None of the authors has any financial or other conflicts of interest. EDAT- 2013/04/23 06:00 MHDA- 2013/07/03 06:00 PMCR- 2014/05/01 CRDT- 2013/04/23 06:00 PHST- 2013/04/23 06:00 [entrez] PHST- 2013/04/23 06:00 [pubmed] PHST- 2013/07/03 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - 10.1111/joim.12050 [doi] PST - ppublish SO - J Intern Med. 2013 May;273(5):454-65. doi: 10.1111/joim.12050.