Increased cortical expression of FK506 binding protein-51 in HIV-associated neurocognitive disorders

FK506 binding protein (FKBP)-51 and FKBP52 act as molecular chaperones to control glucocorticoid receptor (GR) sensitivity. Dysregulation of proteins involved in GR-mediated signaling can lead to maladaptive stress response and aging-related cognitive decline. As HIV infection is related to chronic...

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Veröffentlicht in:Journal of neurovirology 2012-08, Vol.18 (4), p.313-322
Hauptverfasser: Soontornniyomkij, Virawudh, Everall, Ian P., Moore, David J., Gouaux, Ben, Tatro, Erick T., Gospodarev, Vadim, Masliah, Eliezer, Yin, Nicole S., Vinters, Harry V., Achim, Cristian L.
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container_title Journal of neurovirology
container_volume 18
creator Soontornniyomkij, Virawudh
Everall, Ian P.
Moore, David J.
Gouaux, Ben
Tatro, Erick T.
Gospodarev, Vadim
Masliah, Eliezer
Yin, Nicole S.
Vinters, Harry V.
Achim, Cristian L.
description FK506 binding protein (FKBP)-51 and FKBP52 act as molecular chaperones to control glucocorticoid receptor (GR) sensitivity. Dysregulation of proteins involved in GR-mediated signaling can lead to maladaptive stress response and aging-related cognitive decline. As HIV infection is related to chronic stress, we hypothesized that altered cortical expression of these proteins was associated with HIV-associated neurocognitive disorders (HAND). We used quantitative immunohistochemistry to assess expression levels of these proteins in the mid-frontal gyrus of 55 HIV-infected subjects free of cerebral opportunistic diseases compared to 20 age-matched non-HIV controls. The immunoreactivity normalized to the neuroanatomic area measured (IRn) for FKBP51 was increased in HIV subjects both in the cortex and subcortical white matter ( p  
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Dysregulation of proteins involved in GR-mediated signaling can lead to maladaptive stress response and aging-related cognitive decline. As HIV infection is related to chronic stress, we hypothesized that altered cortical expression of these proteins was associated with HIV-associated neurocognitive disorders (HAND). We used quantitative immunohistochemistry to assess expression levels of these proteins in the mid-frontal gyrus of 55 HIV-infected subjects free of cerebral opportunistic diseases compared to 20 age-matched non-HIV controls. The immunoreactivity normalized to the neuroanatomic area measured (IRn) for FKBP51 was increased in HIV subjects both in the cortex and subcortical white matter ( p  &lt; 0.0001, U test), while no significant alterations were observed for GR or FKBP52. Notably, the cortical FKBP51 IRn was higher in HAND subjects than in cognitively normal HIV subjects ( p  = 0.02, U test). There was also a trend for increasing cortical FKBP51 IRn with the increasing severity of HAND ( p  = 0.08, Kruskal–Wallis test). No significant changes in FKBP51 IRn were found with respect to hepatitis C virus infection, lifetime methamphetamine use, or antiretroviral treatment in HIV subjects. In conclusion, the increased cortical expression of FKBP51 (an inhibitor for GR activity) might represent negative feedback in an attempt to reduce GR sensitivity in the setting of chronic stress-induced elevation of GR-mediated signaling inherent in HIV infection. 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Neurovirol</addtitle><addtitle>J Neurovirol</addtitle><description>FK506 binding protein (FKBP)-51 and FKBP52 act as molecular chaperones to control glucocorticoid receptor (GR) sensitivity. Dysregulation of proteins involved in GR-mediated signaling can lead to maladaptive stress response and aging-related cognitive decline. As HIV infection is related to chronic stress, we hypothesized that altered cortical expression of these proteins was associated with HIV-associated neurocognitive disorders (HAND). We used quantitative immunohistochemistry to assess expression levels of these proteins in the mid-frontal gyrus of 55 HIV-infected subjects free of cerebral opportunistic diseases compared to 20 age-matched non-HIV controls. The immunoreactivity normalized to the neuroanatomic area measured (IRn) for FKBP51 was increased in HIV subjects both in the cortex and subcortical white matter ( p  &lt; 0.0001, U test), while no significant alterations were observed for GR or FKBP52. Notably, the cortical FKBP51 IRn was higher in HAND subjects than in cognitively normal HIV subjects ( p  = 0.02, U test). There was also a trend for increasing cortical FKBP51 IRn with the increasing severity of HAND ( p  = 0.08, Kruskal–Wallis test). No significant changes in FKBP51 IRn were found with respect to hepatitis C virus infection, lifetime methamphetamine use, or antiretroviral treatment in HIV subjects. In conclusion, the increased cortical expression of FKBP51 (an inhibitor for GR activity) might represent negative feedback in an attempt to reduce GR sensitivity in the setting of chronic stress-induced elevation of GR-mediated signaling inherent in HIV infection. 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Neurovirol</stitle><addtitle>J Neurovirol</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>18</volume><issue>4</issue><spage>313</spage><epage>322</epage><pages>313-322</pages><issn>1355-0284</issn><eissn>1538-2443</eissn><abstract>FK506 binding protein (FKBP)-51 and FKBP52 act as molecular chaperones to control glucocorticoid receptor (GR) sensitivity. Dysregulation of proteins involved in GR-mediated signaling can lead to maladaptive stress response and aging-related cognitive decline. As HIV infection is related to chronic stress, we hypothesized that altered cortical expression of these proteins was associated with HIV-associated neurocognitive disorders (HAND). We used quantitative immunohistochemistry to assess expression levels of these proteins in the mid-frontal gyrus of 55 HIV-infected subjects free of cerebral opportunistic diseases compared to 20 age-matched non-HIV controls. 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subjects Adult
AIDS Dementia Complex - complications
AIDS Dementia Complex - drug therapy
AIDS Dementia Complex - genetics
AIDS Dementia Complex - metabolism
Anatomy
Anti-Retroviral Agents - administration & dosage
Anti-Retroviral Agents - therapeutic use
Antiviral agents
Biomedical and Life Sciences
Biomedicine
Case-Control Studies
Chaperones
Chronic infection
Cognition
Cognitive ability
Cortex
Feedback
Female
Gene Expression
Glucocorticoid receptors
Hand
Hepacivirus - physiology
Hepatitis C virus
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - drug therapy
Hepatitis C, Chronic - genetics
Hepatitis C, Chronic - metabolism
Human immunodeficiency virus
Humans
Immunohistochemistry
Immunology
Infectious Diseases
Male
Methamphetamine
Methamphetamine - administration & dosage
Methamphetamine - adverse effects
Middle Aged
Neurology
Neurosciences
Parahippocampal Gyrus - metabolism
Parahippocampal Gyrus - pathology
Parahippocampal Gyrus - virology
Signal Transduction - genetics
Stress
Stress, Physiological - genetics
Substance-Related Disorders - complications
Substance-Related Disorders - genetics
Substance-Related Disorders - metabolism
Substantia alba
Tacrolimus
Tacrolimus Binding Proteins - genetics
Tacrolimus Binding Proteins - metabolism
Tacrolimus-binding protein
Virology
title Increased cortical expression of FK506 binding protein-51 in HIV-associated neurocognitive disorders
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