Evidence map›Paper›PMID 20442634›Full record

ArticleAIDS (London, England)2010

APOE epsilon4 and MBL-2 O/O genotypes are associated with neurocognitive impairment in HIV-infected plasma donors.

Stephen A Spector, Kumud K Singh, Saurabh Gupta, Lucette A Cystique, Hua Jin, Scott Letendre, Rachel Schrier, Zunyou Wu, Kun X Hong, Xin Yu and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in AIDS (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01340950 (Clinical Trial of CNS Penetrating ART to Prevent NeuroAIDS in China), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

NCT01340950 phase4completednot on this map

Clinical Trial of CNS Penetrating ART to Prevent NeuroAIDS in China

TypeinterventionalSponsorUniversity of California, San DiegoRan2010 to 2015Enrolled250ConditionsHIV Infections, Central Nervous System Diseases, DementiaArmszidovudine-lamivudine-nevirapine, tenofovir-lamivudine-efavirenz
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Neurocognitive Impairment and Associated Genetic Aspects in HIV Infection.Current topics in behavioral neurosciences · 2021
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Lipid Profiles and APOE4 Allele Impact Midlife Cognitive Decline in HIV-Infected Men on Antiretroviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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  19. Article
  20. Genetic, transcriptomic, and epigenetic studies of HIV-associated neurocognitive disorder.Journal of acquired immune deficiency syndromes (1999) · 2014
    Review
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

13 authors.

Stephen A SpectorDepartment of Pediatrics, University of California San Diego, La Jolla, California 92093-0672, USA. saspector@ucsd.edu
Kumud K Singh
Saurabh Gupta
Lucette A Cystique
Hua Jin
Scott Letendre
Rachel Schrier
Zunyou Wu
Kun X Hong
Xin Yu
Chuan Shi
Robert K Heaton
HNRC Group

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Neurobehavioral Effects of HIV &Host Genetics in ChinaR01MH073433 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HEATON, ROBERT KERNACHAN · 2005 to 2009
$3.2M
Mannose Binding Lectin in Neuroinflammation and NeuroAIDSR01MH085608 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SINGH, KUMUD K · 2009 to 2013
$1.8M
NIMH NIH HHS 5R01MH073433NIMH NIH HHS 5R01MH085608NIMH NIH HHS MH 62512NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH073433NIMH NIH HHS R01 MH085608
6 · The paper itself

Abstract

backgroundHost genetic factors are important determinants for risk of HIV-1 infection and disease progression. This study examined associations of host genetic variants and neurocognitive impairment in Chinese individuals infected through contaminated blood products.

methodsTwo hundred and one HIV-infected patients from Anhui, China, had neuropsychological tests at baseline and 12 months. DNA was genotyped for APOE epsilon2, epsilon3 and epsilon4 alleles; MBL2-A/O; CCR5-wt/Delta32; CCR5-59029-G/A; CCR2-180-G/A; SDF-1-G/A; IL4-589-C/T; MCP-1-2518-A/G; CX3CR1-745-G/A; -849-C/T polymorphisms and CCL3L1 copy number variants using real-time PCR. Univariate and multivariate analyses were performed.

resultsThe cohort included 61% men, with mean education 5.5 years, AIDS diagnosis 113 (55%), on antiretrovirals 114 (56%), mean baseline CD4(+) cell count 349 cells/microl and mean log10 RNA 4.09. At baseline, 37% had global neuropsychological impairment increasing to 44% after 12 months. Of 43 patients with the APOE epsilon4 allele, 58% were cognitively impaired compared with 31% without the epsilon4 allele (P = 0.001, odds ratio 3.09, 95% confidence interval 1.54-6.18). The mean global deficit score (GDS) for epsilon4-positive participants on antiretrovirals for 12 months was 0.88 (0.55) compared with 0.63 (0.54) for epsilon4-negative participants (P = 0.053, 95% confidence interval -0.004 to 0.51). For MBL2, 52% of patients with the O/O genotype declined in cognitive function over 12 months compared with 23% with A/A (odds ratio 3.62, 95% confidence interval 1.46-9.03, P = 0.004). No associations were observed for the other genetic variants.

conclusionThe APOE epsilon4 allele was associated with increased risk for cognitive deficits, whereas the MBL2 O/O genotype was associated with increased risk for progressive cognitive decline in Chinese individuals infected with HIV through contaminated blood products.

Indexed as

Blood DonorsHIV-1AdultApolipoproteins EChinaCognition DisordersDisease ProgressionFemaleGenotypeHIV InfectionsHumansMaleMannose-Binding LectinNeuropsychological TestsApolipoproteins EMannose-Binding LectinMBL2 protein, human

Identifiers

PMID20442634
PMCPMC3063510

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