How lasting immune changes in the brain may harm people with HIV on ART

Innate immune memory promotes neural damage in the ART suppressed HIV infected brain

NIH-funded research Tulane University of Louisiana · NIH-11310407

This work explores whether long-lived changes in brain immune cells cause nerve damage in people living with HIV whose virus is suppressed by antiretroviral therapy.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionTulane University of Louisiana NIH-funded
Lab location1 site (New Orleans, United States)
Project IDNIH-11310407 on NIH RePORTER

What this research studies

Researchers at Tulane are studying how brain immune cells called microglia stay ‘primed’ and promote inflammation and nerve-cell injury in people with HIV who are on ART. They focus on a lipid signal (ceramide) made by an enzyme called nSMase2 and use laboratory models, tissue samples, and animal experiments to trace how this pathway changes microglial behavior. The team will test whether blocking nSMase2 can reduce microglial reprogramming, inflammation, and neural damage in these models. The goal is to identify molecular targets that might prevent or treat thinking and mood problems linked to HIV despite viral suppression.

Who could benefit from this research

Good fit: Adults living with HIV who are on suppressive ART—especially those experiencing cognitive or mood symptoms or willing to donate blood or tissue samples—would be the most relevant group.

Not a fit: People without HIV or those seeking an immediate clinical therapy today are unlikely to receive direct benefit from this basic laboratory-focused work.

Why it matters

Potential benefit: If successful, the findings could point to new treatments that reduce brain inflammation and protect thinking and mental health in people living with HIV on ART.

How similar studies have performed: Related studies have connected microglial priming and ceramide signaling to neuroinflammation in other conditions, but applying this mechanism to the ART-suppressed HIV brain is relatively new.

Where this research is happening

New Orleans, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.