Glutathione depletion |
Increases in oxidative stress in areas of infection increase inflammation and permits proliferation of HIV infected immune cells [54,67,71] |
Decrease in pro-inflammatory cytokines in chronic infection due to T cell exhaustion |
Decreased pro-inflammatory cytokines result in suboptimal immune responses to viral infection allowing for HIV disease progression [82,83,89,90,91,92]. |
Excess of TNF-α in acute infection |
TNF-α is a major cytokine in granuloma formation that recruits macrophages and T cells forming a replication hot-spot for HIV infected immune cells [97,110,111,112]. |
Increase in anti-inflammatory cytokines in chronic infection due to T-cell exhaustion |
Anti-inflammatory cytokines (mainly IL-10) are associated with increasing tunneling nanotubes which facilitate the transfer of HIV between T cells [103,105]. |