Evidence map›Paper›PMID 19398702›Full record

ArticleNeurology2009

Changes in MRS neuronal markers and T cell phenotypes observed during early HIV infection.

M R Lentz, W K Kim, V Lee, S Bazner, E F Halpern, N Venna, K Williams, E S Rosenberg, R G González

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

67 citing papers in PubMed, 91 citations in OpenAlex.

  1. Trial
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  9. Neurocognitive Complications of Pediatric HIV Infections.Current topics in behavioral neurosciences · 2021
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. MicroRNA 155 and viral-induced neuroinflammation.Journal of neuroimmunology · 2017
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Neurobehavioral Disturbances During Acute and Early HIV Infection.Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology · 2016
    Article

7 more citing papers are in PubMed but not listed here.

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

9 authors at 1 institution in 1 country.

M R LentzHarvard Medical School/Massachusetts General Hospital, Building 149, 13th Street, Rm 2301, Charlestown, MA 02129, USA. mlentz@nmr.mgh.harvard.edu
W K Kim
V Lee
S Bazner
E F Halpern
N Venna
K Williams
E S Rosenberg
R G González
Eastern Virginia Medical School · US

Funding

MONOCYTE TRAFFIC AND THE NEUROPATHOGENESIS OF AIDSR01NS040237 · NINDS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Robert Blair, Woong-Ki Kim · 1999 to 2026
$11.4M
PBI Manufacture CoreU19MH081835 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HADLOCK, KENNETH · 2007 to 2011
$8.9M
MR Spectroscopy of SIV Brain InjuryR01NS050041 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GONZALEZ, RAMON GILBERTO · 2005 to 2009
$3.4M
MICROGLIA AND SIV NEUROPATHOGENESISR01NS037654 · NINDS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WILLIAMS, KENNETH C · 1998 to 2008
$2.4M
HIV 1 SPECIFIC CD4 CELLS IN DISEASE PATHOGENESISR01AI040873 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI ROSENBERG, ERIC S · 1997 to 2006
$1.8M
MR Spectroscopy of the Brain during Acute HIV infectionK25NS051129 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LENTZ, MARGARET R · 2005 to 2009
$745k
HIV-1 specific CD4 Cells in Disease PathogenesisR21AI040873 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI ROSENBERG, ERIC S · 2001 to 2001
$320k
NIAID NIH HHS AI040873NIMH NIH HHS U19MH81835NINDS NIH HHS NS037654NINDS NIH HHS NS040237NINDS NIH HHS NS050041NINDS NIH HHS NS051129
6 · The paper itself

Abstract

objectiveTo determine if changes in brain metabolites are observed during early HIV infection and correlate these changes with immunologic alterations.

methodsEight subjects with early HIV infection, 9 HIV-seronegative controls, and 10 chronically HIV-infected subjects without neurologic impairment underwent 1H magnetic resonance spectroscopy. Subjects with early stage infection were identified near the time of HIV seroconversion and imaged within 60 days of an evolving Western blot, while still having detectable plasma virus. Subjects had blood drawn for viral RNA and T cell quantification.

resultsBoth N-acetylaspartate (NAA) and Glx (glutamate + glutamine) were decreased in the frontal cortical gray matter of seropositive subjects. NAA levels were found to be decreased in the centrum semiovale white matter of chronically HIV-infected subjects, but not in those with early infection. Both HIV-infected cohorts demonstrated a lower number of CD4+ T lymphocytes and a higher number of CD8+ T lymphocytes in their blood. Lower NAA levels in the frontal cortex of subjects with early infection were associated with an expansion of CD8+ T cells, especially effector CD8+ T cells.

conclusionsThese results verify metabolism changes occurring in the brain early during HIV infection. Lower NAA and Glx levels in the cortical gray matter suggests that HIV causes neuronal dysfunction soon after infection, which correlates to the expansion of CD8+ T cells, specifically to an activated phenotype. Utilizing magnetic resonance spectroscopy to track NAA levels may provide important information on brain metabolic health while allowing better understanding of the virus-host interactions involved in CNS functional deficits.

Indexed as

AdultAIDS Dementia ComplexAspartic AcidBiomarkersBrainCD4-CD8 RatioDisease ProgressionEarly DiagnosisFrontal LobeGlutamic AcidHIV SeropositivityHumansImmunophenotypingMagnetic Resonance SpectroscopyMiddle AgedNeuronsAspartic AcidBiomarkersGlutamic AcidN-acetylaspartate

Identifiers

PMID19398702
PMCPMC2677480
OpenAlexW2034759520

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.