[sci.med.aids] HIV in Brain cells

Wounded.Bird@f38.n135.z1.fidonet.org (Wounded Bird) (02/27/90)

It is my understanding that the HIV virus invades brain cells. Does anyone know 
what it does to these cells ? Are these cells part of the immune system? I seem 
to recall an article in the "Smithsonian" about the interaction of immune 
responses with brain cells.

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Wounded.Bird@f38.n135.z1.fidonet.org (Wounded Bird) (03/02/90)

Kenny I found some info in "AIDS the FACTS" by John Langone:

...What happens once the AIDS virus finds its way into the brain is still 
conjecture [this was written in 1987]. Wiley's study found that although AIDS 
patients suffer sever neurological disturbances, their expected brain tissue 
abnormalities were surprisingly mild, and there was rarely, if ever, direct 
infection of nerve cells. But Wiley and his associates speculated that the 
virus causes brain damage indirectly, by producing edema in the brain, an 
excessive accumulation of fluids, much as radiation treatment causes edema in 
some cancer patients; the swelling, in turn, can cause generalized damage in 
the brain, disrupting its delicate chemical communications system to produce a 
number of neurological defects, including dementia. As Wiley explained 
it:"Something elicits the migration of macrophages into the brain and in deep 
white matter there is swelling". Speculation is that infected macrophages 
secrete soluble substances that cause edema or perhaps other forms of tissue 
damage. Once the endothelial cells in the brain capilaries are infected, they 
could leak, thus compounding the edema problem and shifting the brains crucial 
balances and concentrations of ions and electrolytes.............

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