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Molecular targets of opiate drug abuse in neuro AIDS

  • Part I HIV-1 Asociated Dementia (HAD)
  • Published:
Neurotoxicity Research Aims and scope Submit manuscript

Abstract

Opiate drug abuse, through selective actions at μ opioid receptors (MOR), exacerbates the pathogenesis of human immunodeficiency virus-1 (HIV-1) in the CNS by disrupting glial homeostasis, increasing inflammation, and decreasing the threshold for pro-apoptotic events in neurons. Neurons are affected directly and indirectly by opiate-HIV interactions. Although most opiates drugs have some affinity for κ (KOR) and/or δ (DOR) opioid receptors, their neu-rotoxic effects are largely mediated through MOR. Besides direct actions on the neurons themselves, opiates directly affect MOR-expressing astrocytes and microglia. Because of their broad-reaching actions in glia, opiate abuse causes widespread metabolic derangement, inflammation, and the disruption of neuron-glial relationships, which likely contribute to neuronal dysfunction, death, and HIV encephalitis. In addition to direct actions on neural cells, opioids modulate inflammation and disrupt normal intercellular interactions among immu-nocytes (macrophages and lymphocytes), which on balance further promote neuronal dysfunction and death. The neural pathways involved in opiate enhancement of HIV-induced inflammation and cell death, appear to involve MOR activation with downstream effects through PI3-kinase/Akt and/or MAPK signaling, which suggests possible targets for therapeutic intervention in neuroAIDS.

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Abbreviations

(AC):

adenylyl cyclase

(CXCR):

alpha chemokine receptor

(Apaf-1):

apoptosis protease activity factor

(CCL):

beta chemokine ligand

(CCR):

beta chemokine receptor

(β-FNA):

β-funaltrex-amine

(CAD):

caspase activated DNAse

(JNK):

c-jun-N-terminal kinase

(CREB):

cAMP response element binding protein

(DOR):

δ-opioid receptor

(EAAT2):

excitatory amino acid transporter-2

(ERK):

extracellular-regulated kinase

(GPCR):

G-protein coupled receptor

(GSK3β):

glycogen synthase kinase 3β

(FKHRL) or (FOXO):

forkhead transcription factor

(HCV):

hepatitis C virus

(HAD):

HIV associated dementia

(HIV):

human immunodeficiency virus

(HIVE):

human immunodeficiency virus encephalitis

(IKK):

IκB kinase

(IP3):

inositol trisphosphate

(IFN):

interferon

(IL):

interleukin

([Ca2+]i):

intracellular Ca2+

(KOR):

κ-opioid receptor

(LDLRP):

low-density lipoprotein; receptor-related protein

(mannose receptor):

mannose R

(MAPs):

microtubule associated proteins

(MAPK):

mitogen-activated protein kinase

(MCP-1 or CCL2):

monocyte chemoattractant protein-1

(MOR):

μ-opioid receptor

(NO):

nitric oxide

(nor-BNI):

nor-binaltorphimine

(NFκB):

nuclear factor κB

(O2A):

oligodendroctye-type-2 astrocyte progenitor cell

(PI3- kinase or PI3K):

phosphatidylinositol 3-kinase

(PDK1):

phosphoinositide-dependent kinase 1

(PLCγ):

phospholi-pase C-γ

(PTEN):

phosphatase and tensin homolog deleted on chromosome 10

(PH):

pleckstrin homology

(PKA):

protein kinase A

(PKB, also known as Akt):

protein kinase B

(PKC):

protein kinase C

(RANTES):

regulated on activation, normal T cell expressed and secreted

(ROS):

reactive oxygen species

(Tat):

transactivator of transcription

(TNF-α):

tumor necrosis factor-α

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Hauser, K.F., El-Hage, N., Buch, S. et al. Molecular targets of opiate drug abuse in neuro AIDS. neurotox res 8, 63–80 (2005). https://doi.org/10.1007/BF03033820

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