HIV can cause cognitive impairment of the brain by "disrupting the order" and harming the disposal of "cellular waste".

Disability and AIDS Highlights Opportunistic diseases ?! Metabolic Doençsa Cognitive problems Mental Health

Reizweiterleitung in den NervenzellenThe Tat protein of HIV interferes with autophagy, a process by which damaged or unnecessary cells are broken down and eliminated, according to research published in 4 from fevebreiro by neuroscience officer. This interruption may lead to neuronal injury, but immunosuppressive drugs such as rapamycin were able to reverse this process in a mouse study.

Although severe dementia due to AIDS has become rare in the age of effective antiretroviral therapy, many people with HIV may still develop milder cognitive problems associated with HIV, a disorder that can interfere with life everyday.

Jerel Campos and Eliezer Masliah of the University of California San Diego and their colleagues sought to determine how HIV deregulates the "autophagy Tat"In the laboratory through animal studies. They found that Tat binds to proteins in neurons that play a key role in the series of chemical reactions that determine autophagy, allowing damaged proteins (cell junk) to accumulate. In addition, they demonstrated that rapamycin has reduced neurodegeneration in mice, which could help prevent cognitive impairment.

Below is the edition of an excerpt from a communication Press Releases of the University of California San Diego Describing the research and its results in more detail.

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Although antiretroviral therapies have significantly improved and extended the lives of many HIV patients, they suffer from another insidious and little discussed threat in the "aging

I usually say, "lifelong, I died a thousand deaths." And in fact, I believe that I have already exceeded this figure and can not disentangle in predictions, how many deaths I live (...) until chegeu for mercy addition, the death of the car. The fact is that every time you receive a text that refers to the damage that HIV causes to the brain and neural network, I argue in his own cause, since, from the beginning, when mminha primary HIV infection was configured in a meningitis, he, the virus has acted slowly and silently in my cérbro (I see my sanity is slipping away, little by little) and in my neural network (...) and God knows the level of concentration that is necessary so I do not make typos, so I do not lose the thread in my reasoning and how much I suffer with s pain, physical and moral, of Neuroparia Peripheral who corrodes me the nervous system. However, in spite of everything, and he died so often, I like to think that the death of the car come as esa of illustration and will make Herculean efforts to reach me, crawling like a snail, snail travesty ....
I often say that "over my lifetime I died a thousand deaths." And, in fact, I believe that I have already surpassed this figure and I can not unravel, in predictions, how many deaths I will live (...) until the death of the physical car has arrived, by mercy. The fact is that every time I post a text that refers to the damage that HIV causes to the brain and the neural network, I militate for its own sake, since from the beginning, when my primary HIV infection was a meningitis, he, the virus, has been acting slowly and quietly in my brain (I see my lucidity slowly fading away) and in my neural network (…) and God knows the level of concentration that is needed for I do not make typos, so that I do not lose the thread of skein in my reasoning and how much I suffer from the pains, physical and moral, of Peripheral Neuroparia who eroded my nervous system. However, despite the regrets, and having died so many times, I like to think that the death of the physical car comes as an illustration, making Herculean efforts to reach me, crawling like a slug, a snail's travesty….

HIV-related cognitive disorders (HAND). The disorders, which most often reach patients with HIV with more 50 years of age, and can result in cognitive impairment, from mild to severe, making daily tasks a remarkable challenge.

But the new findings, published today by researchers at the University of California, San Diego School of Medicine, open the door to the development of new therapies to block or decrease cognitive decline due to MAO, which is estimated to affect 10% to 50 % of HIV patients in some degree of aging.

The study was published in the February issue of 4 of Neuroscience. More morees more Image Image Image more more Image more Jerel Adão Campos, PhD, a postdoctoral fellow by researcher Masliah lab, is the first author.

"Most people know that HIV affects the immune system, the ability to fight disease, but they may not be aware that HIV penetrates the brain and can damage brain cells," said Masliah, a researcher on the neurological behavior of HIV. , from the Center for Research on Neurological Behavior at UC San Diego.

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“Most of the cases we see are mild to moderate,” said Masliah.

However, even mild cognitive problems can interfere with daily individual functionality and reduce the quality of life of these people, he added, noting that patients may have difficulty with daily activities such as checking a checkbook or driving errors.

Morees more! Use Image more more use more Image Image use more more They focused on the tat protein of HIV, which interferes in a critical process of discarding cellular waste in neurons, known as autophagy.

"Neurons produce a large amount of protein as part of their normal functions, some of which are damaged and need to be removed," said Masliah.

“Autophagy acts like a garbage man removing and destroying damaged proteins.”

Masliah and colleagues found that the tat protein do HIV “Steals” the elimination process by interfering with the main pathways. "The HIV tat protein is secreted by infected cells in the brain, and then goes into neurons that bind to a protein that is important for various autophagy processes," Campos explained. "This neuronal binding disrupts the autophagy process, resulting in the accumulation of damaged proteins and the consequent death of the neuron, which may lead to impaired cognitive abilities."

To counteract this disturbance, Campos said the team conducted studies using the cancer drug rapamycin in mice, which has been reported to promote autophagy in other cell types. "With the acceleration of neuronal autophagy, we hoped to nullify the harmful effects of HIV tat protein on the process," he said.

Anatomy of an Animal cellThe experiments yielded positive results. "We found that rapamycin reduced the incidence of neurodegeneration in mice and cell models," Campos said. While the feasibility of using rapamycin as a neurological treatment in humans is currently inconclusive, Campos said the results are exciting because they prove, in principle, that enhancing tat-induced autophagy reduces neurodegeneration.

"With an understanding of how protein molecular bases and HIV kill nerve cells, we can design drugs that can block this process," said Masliah.

Posted on Thursday, 05 2015 February

Translated by Claudio Souza, Reviewed by Mara Macedo on the 12 July 2015 of the original in HIV May Cause Cognitive Impairment by Disrupting Brain's Garbage Disposal

Reference

J Campos, W Dumaop, S Elueteri, et al. HIV-1 Tat alters Neuronal autophagy through Autophagosome Fusion modulation for lysosome: implications for neurocognitive disorders related to HIV, Journal of Neuroscience 35 (5): 1921-1938. February 4 2015.

Another source

B Ward, of the University of California San Diego. Image morees use Image more use Image Imagees Press release. 3 FEBRUARY 2015.

I myself do not like PreP within the context in which they are inserted

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