Evidence map›Paper›PMID 10203575›Full record

ArticleMolecular medicine (Cambridge, Mass.)1999

Rate and severity of HIV-associated dementia (HAD): correlations with Gp41 and iNOS.

D C Adamson, J C McArthur, T M Dawson, V L Dawson

Open access · hybridAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 92 citations in OpenAlex.

  1. The far-reaching HAND of cART: cART effects on astrocytes.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
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  8. Oxidative Stress during HIV Infection: Mechanisms and Consequences.Oxidative medicine and cellular longevity · 2016
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Methamphetamine abuse, HIV infection, and neurotoxicity.International journal of physiology, pathophysiology and pharmacology · 2009
    Article
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  15. Article
  16. Article
  17. Article
  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

D C AdamsonDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
J C McArthur
T M Dawson
V L Dawson
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

NINDS NIH HHS NS 26643
6 · The paper itself

Abstract

backgroundFifteen to thirty percent of AIDS patients develop some type of neurologic disorder during the course of their illness and the vast majority of these neurologic disorders will be HIV-associated dementia (HAD). These patients can exhibit varying degrees of severity and rates of progression of HAD. Neuropathologic variables that are associated with the rate of progression of HAD are not known. MATERIALS AND

methodsTissue was collected at autopsy from the Johns Hopkins University HIV Neurology Program. Seventy-one AIDS patients of this prospectively characterized population were followed until death to obtain information on dementia severity and the rate of neurological progression. Immunoblot analysis of immunological nitric oxide synthase (iNOS), HAM56, gp41, p24, gp120, and beta-tubulin was performed and the levels of iNOS, HAM56, gp41, and p24 were normalized to beta-tubulin and analyzed for significance by means of the Kruskal-Wallis test for multiple groups.

resultsWe have identified unique groups within this spectrum and designated them slow, moderate, and rapid progressors. Slow and moderate progressors' neurological progression occurs over a course of months to years, whereas the rapid progressors' disease shows rapid increases in severity over weeks to months. In the present study we demonstrate that the severity and rate of progression of HAD correlates significantly with levels of the HIV-1 coat protein, gp41, iNOS, and HAM56, a marker of microglial/macrophage activation.

conclusionThe severity and rate of progression of HAD correlates with indices of immune activation as well as levels of iNOS and gp41. There appears to be a threshold effect in which high levels of gp41, iNOS, and immune activation are particularly associated with severe (Memorial Sloan-Kettering score 3 to 4) and rapidly progressive HAD.

Indexed as

Acquired Immunodeficiency SyndromeAdultAIDS Dementia ComplexCerebral CortexCerebrospinal FluidDisease ProgressionHIV Core Protein p24HIV Envelope Protein gp120HIV Envelope Protein gp41HumansImmunoblottingMacrophagesMiddle AgedNitric Oxide SynthaseNitric Oxide Synthase Type IIPredictive Value of TestsHIV Core Protein p24HIV Envelope Protein gp120HIV Envelope Protein gp41Nitric Oxide SynthaseNitric Oxide Synthase Type IINOS2 protein, human

Identifiers

PMID10203575
PMCPMC2230416
OpenAlexW198793397

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.