The human immunodeficiency virus (HIV) is neuroinvasive and can be neurovirulent. Indeed, 20-30% of individuals with the acquired immune deficiency syndrome (AIDS) develop cognitive and motor dysfunction (termed the AIDS dementia complex or HIV dementia) coincident with advanced immunosuppression. Despite massive research efforts to discern viral neuropathogenic mechanisms, much remains incompletely understood. Recently, we and others developed animal model systems to elucidate how HIV infection within the brain can lead to impairment of central nervous system function. In this report, we evaluate each of the published animal models for their ability to mirror HIV dementia. Ease of handling and expense were also under consideration. Ultimately, studies in animal systems should permit a better understanding of the nature of HIV-1-induced neurological injury and aid in the development of effective treatments for this dreaded complication of HIV infection.

译文

人类免疫缺陷病毒(HIV)是神经侵袭性的,可以是神经毒性的。实际上,患有后天免疫机能丧失综合症(AIDS)的个体中有20-30%会出现认知和运动功能障碍(称为AIDS痴呆综合症或HIV痴呆),并伴有先进的免疫抑制作用。尽管为识别病毒性神经致病机制进行了大量的研究,但仍未完全了解。最近,我们和其他人开发了动物模型系统,以阐明大脑内的HIV感染如何导致中枢神经系统功能受损。在此报告中,我们评估了每种已发表的动物模型反映HIV痴呆症的能力。还考虑了易于处理和费用问题。最终,在动物系统中进行的研究应该可以使人们更好地了解HIV-1引起的神经系统损伤的性质,并有助于开发出有效的治疗方法来治疗这种可怕的HIV感染并发症。

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