Chapter

SIV and FIV Models of Peripheral Neuropathy

Victoria A. Laast, Gigi Ebenezer, Justin C. McArthur and Joseph L. Mankowski

in The Neurology of AIDS

Third edition

Published on behalf of Oxford University Press

Published in print December 2011 | ISBN: 9780195399349
Published online September 2012 | e-ISBN: 9780199965199 | DOI: http://dx.doi.org/10.1093/med/9780195399349.003.0031
SIV and FIV Models of Peripheral Neuropathy

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  • Disorders of the Nervous System
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Peripheral neuropathy frequently develops in HIV-infected patients. The most common clinical manifestation of HIV-induced peripheral nervous system (PNS) disease is Distal Sensory Polyneuropathy. Many HIV-infected individuals receiving combination antiretroviral therapy develop HIV-induced PNS disease despite effective suppression of HIV replication in both plasma and the cerebrospinal fluid. Complicating the picture further, treatment of HIV infection with nucleoside reverse transcriptase inhibitors can itself produce a peripheral neuropathy, known as anti-retrovival toxic neuropathy, that is clinically indistinguishable from HIV-mediated PNS damage. The fact that both HIV and antiretroviral treatment can damage the PNS complicates clinical studies of the pathogenesis of HIV-induced PNS disease. Animal models are essential to determine where and when initial neuronal injury occurs and to dissect out the effects of HIV infection from the effects of potentially neurotoxic antiretroviral drugs. This chapter provides a detailed overview of animal work in this area.

Chapter.  5618 words.  Illustrated.

Subjects: Disorders of the Nervous System ; Infectious Diseases

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