Journal of Internal Medicine Concepts & Practice ›› 2026, Vol. 21 ›› Issue (01): 62-67.doi: 10.16138/j.1673-6087.2026.01.09
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WANG Yao1a,2,*(
), WEI Lanlan1b,*, CHU Ming1c(
), WANG Fuxiang1a(
)
Received:2026-01-16
Revised:2026-03-03
Accepted:2026-03-05
Online:2026-02-25
Published:2026-04-08
CLC Number:
WANG Yao, WEI Lanlan, CHU Ming, WANG Fuxiang. Mechanisms and research progress of neurological damage caused by HIV and CMV from the perspective of co-infection[J]. Journal of Internal Medicine Concepts & Practice, 2026, 21(01): 62-67.
| [1] | UNAIDS. Global HIV & AIDS statistics — fact sheet [EB/OL]. (2025)[2025-12-07]. https://www.unaids.org/en/resources/fact-sheet. |
| [2] |
Mohammadzadeh N, Chomont N, Estaquier J, et al. Is the central nervous system reservoir a hurdle for an HIV cure?[J]. Viruses, 2023, 15(12):2385.
doi: 10.3390/v15122385 |
| [3] |
Flanders DW, Lally C, Dilley A, et al. Estimated cytomegalovirus seroprevalence in the general population of the United States and Canada[J]. J Med Virol, 2024, 96(3):e29525.
doi: 10.1002/jmv.29525 |
| [4] |
Gianella S, Massanella M, Wertheim JO, et al. The sordid affair between human herpesvirus and HIV[J]. J Infect Dis, 2015, 212(6):845-852.
doi: 10.1093/infdis/jiv148 |
| [5] |
Zhao M, Zhuo C, Li Q, et al. Cytomegalovirus (CMV) infection in HIV/AIDS patients and diagnostic values of CMV-DNA detection across different sample types[J]. Ann Palliat Med, 2020, 9(5):2710-2715.
doi: 10.21037/apm-20-1352 |
| [6] |
Tejada-Pineda MF, Hoyo-Ulloa I, Ortega-Porcayo LA, et al. Cytomegalovirus (CMV)-driven transformation: an uncommon cause of a central nervous system pseudotumor[J]. Cureus, 2023, 15(8):e44188.
doi: 10.7759/cureus.44188 |
| [7] |
Tanyel E, Tanyel C, Ersarı SS, et al. Management of CMV encephalitis with persistent CSF CMV DNA in a patient with HIV: a case report of successful treatment with ganciclovir-foscarnet combination therapy[J]. BMC Infect Dis, 2025, 25(1):1355.
doi: 10.1186/s12879-025-11767-9 |
| [8] | Oyedele BS, Ade TI, Famakinwa AA. Prevalence of cytomegalovirus among HIV patients attending Sobi Specialist Hospital, Ilorin, Nigeria[J/OL]. Int J Biomed Health Sci, (2024)[2025-12-18]. https://ijbhs.org/wp-content/uploads/2024/08/Oyedele-et-al_2024_Prevalence-of-cytomegalovirus-among-HIV-patients-attending-Sobi.pdf. |
| [9] |
Jabbari MR, Soleimanjahi H, Shatizadeh Malekshahi S, et al. Frequency of cytomegalovirus viral load in Iranian human immunodeficiency virus-1-infected patients with CD4+ counts <100 cells/mm3[J]. Intervirology, 2021, 64(3):135-139.
doi: 10.1159/000514385 |
| [10] |
Letendre S, Bharti A, Perez-Valero I, et al. Higher anti-cytomegalovirus immunoglobulin G concentrations are associated with worse neurocognitive performance during suppressive antiretroviral therapy[J]. Clin Infect Dis, 2018, 67(5):770-777.
doi: 10.1093/cid/ciy170 |
| [11] |
Li N, Zheng HY, Li W, et al. Limited restoration of T cell subset distribution and immune function in older people living with HIV-1 receiving HAART[J]. Immun Ageing, 2025, 22(1):3.
doi: 10.1186/s12979-024-00497-2 |
| [12] |
Joy J, Gervassi A, Chen L, et al. Antigen specificities and proviral integration sites differ in HIV-infected cells by timing of antiretroviral treatment initiation[J]. J Clin Invest, 2024, 134(14):e159569.
doi: 10.1172/JCI159569 |
| [13] | Vupmandla, N, Shivaswamy RP, Subhash Chandra BJ, et al. Challenges of managing HIV cytomegalovirus co-infection in the presence of pancytopenia[J/OL]. Indian Journal of Case Reports, (2023)[2025-12-20]. https://doi.org/10.32677/ijcr.v9i6.4026. |
| [14] |
Munks MW, Rott K, Nesterenko PA, et al. Latent CMV infection of lymphatic endothelial cells is sufficient to drive CD8 T cell memory inflation[J]. PLoS Pathog, 2023, 19(1):e1010351.
doi: 10.1371/journal.ppat.1010351 |
| [15] |
Huang SN, Pan YT, Zhou YP, et al. Human cytomegalovirus IE1 impairs neuronal migration by downregulating connexin 43[J]. J Virol, 2023, 97(5):e0031323.
doi: 10.1128/jvi.00313-23 |
| [16] |
Erice A, Tierney C, Hirsch M, et al. Cytomegalovirus (CMV) and human immunodeficiency virus (HIV) burden, CMV end-organ disease, and survival in subjects with advanced HIV infection (AIDS Clinical Trials Group Protocol 360)[J]. Clin Infect Dis, 2003, 37(4):567-578.
doi: 10.1086/375843 |
| [17] |
Calado M, Ferreira R, Pires D, et al. Unravelling the triad of neuroinvasion, neurodissemination, and neuroinflammation of human immunodeficiency virus type 1 in the central nervous system[J]. Rev Med Virol, 2024, 34(3):e2534.
doi: 10.1002/rmv.2534 |
| [18] |
Mielcarska MB, Rouse BT. Viruses and the brain-a relationship prone to trouble[J]. Viruses, 2025, 17(2):203.
doi: 10.3390/v17020203 |
| [19] |
Zhou Z, Wang W, Li H, et al. Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics[J]. Front Neurol, 2025, 16:1467175.
doi: 10.3389/fneur.2025.1467175 |
| [20] |
Zhao N, Chung TD, Guo Z, et al. The influence of physiological and pathological perturbations on blood-brain barrier function[J]. Front Neurosci, 2023, 17:1289894.
doi: 10.3389/fnins.2023.1289894 |
| [21] |
Wahl A, Al-Harthi L. HIV infection of non-classical cells in the brain[J]. Retrovirology, 2023, 20(1):1.
doi: 10.1186/s12977-023-00616-9 |
| [22] |
Chen W, Berkhout B, Pasternak AO. Phenotyping viral reservoirs to reveal HIV-1 hiding places[J]. Curr HIV/AIDS Rep, 2025, 22(1):15.
doi: 10.1007/s11904-025-00723-6 |
| [23] |
da Silva AL, Guedes BLM, Santos SN, et al. Beyond pathogens: the intriguing genetic legacy of endogenous retroviruses in host physiology[J]. Front Cell Infect Microbiol, 2024, 14:1379962.
doi: 10.3389/fcimb.2024.1379962 |
| [24] |
Kelnhofer-Millevolte LE, Smith JR, Nguyen DH, et al. Human cytomegalovirus induces neuronal gene expression through IE1 for viral maturation[J]. Nat Commun, 2025, 16(1):7316.
doi: 10.1038/s41467-025-61915-7 |
| [25] |
Nickoloff-Bybel EA, Festa L, Meucci O, et al. Co-receptor signaling in the pathogenesis of neuroHIV[J]. Retrovirology, 2021, 18(1):24.
doi: 10.1186/s12977-021-00569-x |
| [26] | Zou JH, Zhou BL, Chen JY, et al. HIV-1 gp120 impairs blood-brain barrier via inducing brain endothelial pyroptosis[J/OL]. Blood, (2024)[2025-12-20]. https://doi.org/10.1182/blood-2024-198575. |
| [27] |
Singh S, Deshetty UM, Ray S, et al. Non-coding RNAs in HIV infection, neuroHIV, and related comorbidities[J]. Cells, 2024, 13(11):898.
doi: 10.3390/cells13110898 |
| [28] |
Zhang H, Yuan S, Ding S, et al. Molecular interplay of ASNS and the PI3K-AKT-mTOR pathway in CMV and HIV co-infections: therapeutic implications[J]. PLoS One, 2026, 21(2):e0342050.
doi: 10.1371/journal.pone.0342050 |
| [29] | Tang QQ, Wu H, Tang MG. Recent advances in HIV-associated neurocognitive disorders[J/OL]. Journal of Biosciences and Medicines, (2023)[2025-12-21]. https://doi.org/10.4236/jbm.2023.119013. |
| [30] |
Wei J, Hou J, Su B, et al. The prevalence of Frascati-criteria-based HIV-associated neurocognitive disorder (HAND) in HIV-infected adults: a systematic review and meta-analysis[J]. Front Neurol, 2020, 11:581346.
doi: 10.3389/fneur.2020.581346 |
| [31] | Starnes V, Soewarna V, Hollingshead C, et al. CMV transverse myelitis in unmanaged HIV infection[J/OL]. Translation, (2023)[2025-12-22]. https://openjournals.utoledo.edu/index.php/translation/article/view/760. |
| [32] |
Behar R, Wiley C, McCutchan JA. Cytomegalovirus polyradiculoneuropathy in acquired immune deficiency syndrome[J]. Neurology, 1987, 37(4):557-561.
doi: 10.1212/wnl.37.4.557 |
| [33] |
Halichidis S, Aschie M, Cozaru GC, et al. CMV and HIV coinfection in women from a region in Eastern Europe[J]. J Pers Med, 2023, 13(11):1539.
doi: 10.3390/jpm13111539 |
| [34] |
Benadda S, Achour N, Ziane H, et al. CMV retinitis in HIV-infected patients: plasma viral load utility in diagnosis[J]. Diagn Microbiol Infect Dis, 2025, 113(2):116926.
doi: 10.1016/j.diagmicrobio.2025.116926 |
| [35] |
Davis K, Grant KG, Sousou JM, et al. Ethical and clinical considerations in the workup of HIV-associated neurocognitive decline[J]. Cureus, 2025, 17(11):e97348.
doi: 10.7759/cureus.97348 |
| [36] |
Luo H, Chen J, Liu J, et al. Bridging brain and blood: a prospective view on neuroimaging-exosome correlations in HIV-associated neurocognitive disorders[J]. Front Neurol, 2025, 15:1479272.
doi: 10.3389/fneur.2024.1479272 |
| [37] |
McCutchan JA. Cytomegalovirus infections of the nervous system in patients with AIDS[J]. Clin Infect Dis, 1995, 20(4):747-754.
doi: 10.1093/clinids/21.supplement_2.s196 |
| [38] |
中华医学会感染病学分会艾滋病丙型肝炎学组. 艾滋病合并巨细胞病毒病诊疗专家共识(2024年版)[J]. 中华传染病杂志, 2024, 42(3):129-140.
doi: 10.13718/j.cnki.xdzk.2020.07.002 |
|
AIDS and Hepatitis C Professional Group of Society of Infectious Diseases of Chinese Medical Association. Expert consensus on diagnosis and treatment of cytomegalovirus disease in acquired immunodeficiency syndrome patients in China (2024 edition)[J]. Chin J Infect Dis, 2024, 42(3):129-140.
doi: 10.13718/j.cnki.xdzk.2020.07.002 |
|
| [39] |
Allaw F, Haddad SF, Zakhour J, et al. Management of cytomegalovirus infection in allogeneic hematopoietic stem cell transplants[J]. Int J Antimicrob Agents, 2023, 62(2):106860.
doi: 10.1016/j.ijantimicag.2023.106860 |
| [40] |
Wang W, Yang J, Liu X, et al. Successfully salvaging a HIV-positive patient with mixed CIDP and meningoencephalitis: a case report[J]. Front Med (Lausanne), 2025, 12:1537160.
doi: 10.3389/fmed.2025.1537160 |
| [41] |
Porter LB, Kozakewich E, Clouser R, et al. Occam’s razor need not apply: advanced HIV infection presenting with five simultaneous opportunistic infections and central nervous system lymphoma[J]. IDCases, 2018, 13:e00437.
doi: 10.1016/j.idcr.2018.e00437 |
| [42] |
Hong S, Banks WA. Role of the immune system in HIV-associated neuroinflammation and neurocognitive implications[J]. Brain Behav Immun, 2015, 45:1-12.
doi: 10.1016/j.bbi.2014.10.008 |
| [43] |
Freeman ML, Mudd JC, Shive CL, et al. CD8 T-cell expansion and inflammation linked to CMV coinfection in ART-treated HIV infection[J]. Clin Infect Dis, 2016, 62(3):392-396.
doi: 10.1093/cid/civ840 |
| [44] |
Rinaldo CR. Cytomegalovirus: 40 years and still the major viral cofactor in HIV infection[J]. AIDS, 2022, 36(9):1311-1313.
doi: 10.1097/QAD.0000000000003284 |
| [45] | He Q, Liu J, Liang J, et al. Towards improvements for penetrating the blood-brain barrier-recent progress from a material and pharmaceutical perspective[J]. Cells, 2018, 7(4):24 |
| [46] |
Hameed H, Faheem S, Younas K, et al. A comprehensive review on lipid-based nanoparticles via nose to brain targeting as a novel approach[J]. J Microencapsul, 2024, 41(8):681-714.
doi: 10.1080/02652048.2024.2404414 |
| [47] |
Palma P, Costa A, Duro R, et al. Mononeuritis multiplex: an uncommon neurological manifestation of cytomegalovirus reactivation in an HIV-infected patient[J]. BMC Infect Dis, 2018, 18(1):554.
doi: 10.1186/s12879-018-3501-2 |
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