Modeling HIV-1 infection in the brain

PLoS Comput Biol. 2020 Nov 19;16(11):e1008305. doi: 10.1371/journal.pcbi.1008305. eCollection 2020 Nov.

Abstract

While highly active antiretroviral therapy (HAART) is successful in controlling the replication of Human Immunodeficiency Virus (HIV-1) in many patients, currently there is no cure for HIV-1, presumably due to the presence of reservoirs of the virus. One of the least studied viral reservoirs is the brain, which the virus enters by crossing the blood-brain barrier (BBB) via macrophages, which are considered as conduits between the blood and the brain. The presence of HIV-1 in the brain often leads to HIV associated neurocognitive disorders (HAND), such as encephalitis and early-onset dementia. In this study we develop a novel mathematical model that describes HIV-1 infection in the brain and in the plasma coupled via the BBB. The model predictions are consistent with data from macaques infected with a mixture of simian immunodeficiency virus (SIV) and simian-human immunodeficiency virus (SHIV). Using our model, we estimate the rate of virus transport across the BBB as well as viral replication inside the brain, and we compute the basic reproduction number. We also carry out thorough sensitivity analysis to define the robustness of the model predictions on virus dynamics inside the brain. Our model provides useful insight into virus replication within the brain and suggests that the brain can be an important reservoir causing long-term viral persistence.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Antiretroviral Therapy, Highly Active
  • Blood-Brain Barrier
  • Brain Diseases / virology*
  • Disease Models, Animal*
  • HIV Infections / blood
  • HIV Infections / cerebrospinal fluid
  • HIV Infections / drug therapy
  • HIV Infections / pathology*
  • HIV-1 / isolation & purification
  • HIV-1 / physiology
  • Humans
  • Macaca mulatta
  • Male
  • Models, Theoretical
  • Viral Load
  • Virus Replication

Grants and funding

This work was funded by NSF grants DMS-1951793 (NKV), DMS-1616299 (NKV) and DMS-1836647 (NKV), and the University Grant Program (UGP) award (NKV) and the start-up fund from San Diego State University (NKV). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.