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SIV and FIV Models of Peripheral Neuropathy 

SIV and FIV Models of Peripheral Neuropathy
Chapter:
SIV and FIV Models of Peripheral Neuropathy
Author(s):

Victoria A. Laast

, Gigi Ebenezer

, Justin C. McArthur

, and Joseph L. Mankowski

DOI:
10.1093/med/9780195399349.003.0031
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date: 17 June 2019

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.

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