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HIV-1 Tat-induced diarrhea evokes an enteric glia-dependent neuroinflammatory response in the central nervous system.

Abstract
Despite the effectiveness of combined anti-retroviral therapy, human immunodeficiency virus (HIV) infected-patients frequently report diarrhea and neuropsychological deficits. It is claimed that the viral HIV-1 Trans activating factor (HIV-1 Tat) protein is responsible for both diarrhea and neurotoxic effects, but the underlying mechanisms are not known. We hypothesize that colonic application of HIV-1 Tat activates glial cells of the enteric nervous system (EGCs), leading to a neuroinflammatory response able to propagate to the central nervous system. We demonstrated that HIV-1 Tat-induced diarrhea was associated with a significant activation of glial cells within the colonic wall, the spinal cord and the frontal cortex, and caused a consistent impairment of the cognitive performances. The inhibition of glial cells activity by lidocaine, completely abolished the above-described effects. These observations point out the role of glial cells as putative effectors in HIV-1 Tat-associated gastrointestinal and neurological manifestations and key regulators of gut-brain signaling.
AuthorsGiuseppe Esposito, Elena Capoccia, Stefano Gigli, Marcella Pesce, Eugenia Bruzzese, Alessandra D'Alessandro, Carla Cirillo, Alessandro di Cerbo, Rosario Cuomo, Luisa Seguella, Luca Steardo, Giovanni Sarnelli
JournalScientific reports (Sci Rep) Vol. 7 Issue 1 Pg. 7735 (08 10 2017) ISSN: 2045-2322 [Electronic] England
PMID28798420 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers
  • Glial Fibrillary Acidic Protein
  • S100 Calcium Binding Protein beta Subunit
  • tat Gene Products, Human Immunodeficiency Virus
Topics
  • Animals
  • Biomarkers
  • Central Nervous System (metabolism, pathology, physiopathology)
  • Cerebral Cortex (metabolism, pathology, physiopathology)
  • Cognition Disorders (etiology, metabolism, psychology)
  • Diarrhea (etiology)
  • Disease Models, Animal
  • Enteric Nervous System (metabolism, physiopathology)
  • Glial Fibrillary Acidic Protein (metabolism)
  • Gliosis
  • HIV Infections (complications, virology)
  • Inflammation (etiology, metabolism)
  • Male
  • Neuroglia (metabolism)
  • Rats
  • S100 Calcium Binding Protein beta Subunit (metabolism)
  • Spinal Cord (metabolism, pathology, physiopathology)
  • tat Gene Products, Human Immunodeficiency Virus (adverse effects)

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