The majority of AIDS patients will experience some degree of dementia
induced by human immunodeficiency virus (HIV-1). In this study, we rep
ort that treatment of human brain tissue with envelope gp120 of HIV-1
did not cause neuronal death but did cause astrocyte alterations and/o
r death. Human astrocyte cultures showed decreased expression of glial
fibrillary acidic protein (GFAP), as well as the diminution of a majo
r protein of 66 kDa. These findings are similar to the in vitro change
s observed when astrocytes are exposed to ammonia and in vivo changes
observed in experimental hepatic encephalopathy. We hypothesize that A
IDS dementia may partially involve a perturbation of astrocyte functio
n by gp120 that could indirectly impair neuronal function.