scholarly journals Markers of CNS Injury in Adults Living With HIV With CSF HIV Not Detected vs Detected <20 Copies/mL

2019 ◽  
Vol 6 (12) ◽  
Author(s):  
Shelli F Farhadian ◽  
Hetal Mistry ◽  
Tobias Kirchwey ◽  
Jennifer Chiarella ◽  
Rachela Calvi ◽  
...  

Abstract The presence of quantifiable HIV RNA in cerebrospinal fluid (CSF) during antiretroviral therapy (ART) can associate with central nervous system (CNS) pathology, but the significance of RNA detected below the limit of quantification (LOQ) on a standard assay during ART remains unknown. We compared CNS parameters between individuals with CSF RNA detected below the LOQ (20 copies/mL) with those with HIV RNA not detected. Detection of CSF HIV RNA associated with decreased blood–brain barrier integrity and with decreased executive function, but not with CNS immune activation or poorer performance in overall neuropsychological testing.

Circulation ◽  
2016 ◽  
Vol 133 (2) ◽  
pp. 177-186 ◽  
Author(s):  
Khiem A. Tran ◽  
Xianming Zhang ◽  
Dan Predescu ◽  
Xiaojia Huang ◽  
Roberto F. Machado ◽  
...  

2017 ◽  
Vol 23 (4) ◽  
pp. 450-460 ◽  
Author(s):  
Junlei Chang ◽  
Michael R Mancuso ◽  
Carolina Maier ◽  
Xibin Liang ◽  
Kanako Yuki ◽  
...  

2020 ◽  
Vol 31 (7) ◽  
pp. 694-698
Author(s):  
Jessica Magid-Bernstein ◽  
Chu-Yueh Guo ◽  
Felicia C Chow ◽  
Kiran T Thakur

Human immunodeficiency virus (HIV) ribonucleic acid (RNA) levels generally remain undetectable in the cerebrospinal fluid of people living with HIV with peripheral viral suppression. Secondary HIV central nervous system (CNS) escape refers to the rare independent replication of HIV RNA in the central nervous system despite peripheral viral suppression that occurs in the setting of a concomitant non-HIV infection. We describe here a young man with perinatal HIV infection considered a viral controller who developed secondary HIV CNS escape in the setting of a presumed fungal CNS infection.


2006 ◽  
Vol 177 (4) ◽  
pp. 2630-2637 ◽  
Author(s):  
Gerty Schreibelt ◽  
René J. P. Musters ◽  
Arie Reijerkerk ◽  
Lody R. de Groot ◽  
Susanne M. A. van der Pol ◽  
...  

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