Evidence map›Paper›PMID 20721831›Full record

ReviewCurrent opinion in investigational drugs (London, England : 2000)2010

Brain dysfunction in the era of combination antiretroviral therapy: implications for the treatment of the aging population of HIV-infected individuals.

Uraina S Clark, Ronald A Cohen

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current opinion in investigational drugs (London, England : 2000), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05678660 (Study of Neurological Aging Among People Living With HIV), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 32% 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.

NCT05678660 active not recruitingnot on this mapstarted 2022, after this paper: background citation

Study of Neurological Aging Among People Living With HIV (SNAP)

TypeobservationalSponsorUniversity of RochesterRan2022 to 2027Enrolled298ConditionsAging, Premature
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Effects of Early-Life Adversities on Neuropsychiatric and Executive Functions in HIV-Positive Adults.Journal of the International Neuropsychological Society : JINS · 2023
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Exercise and the brain: a slap on the HAND.Journal of neurovirology · 2013
    Article
  20. Effects of HIV and early life stress on amygdala morphometry and neurocognitive function.Journal of the International Neuropsychological Society : JINS · 2012
    Article
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

2 authors at 1 institution in 1 country.

Uraina S ClarkBrown University, Department of Community Health, Box G-S121-2, 121 South Main Street, Providence, RI 02912, USA. Uraina_Clark@Brown.edu
Ronald A Cohen
Brown University · US

Funding

ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
The Mount Sinai Institute for NeuroAIDS DisparitiesR25MH080663 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2007 to 2015
$2.1M
Age Effects on HIV-associated Brain DysfunctionR01MH074368 · NIMH · MIRIAM HOSPITAL · PI COHEN, RONALD A · 2006 to 2010
$1.7M
NIAAA NIH HHS T32 AA007459NIA NIH HHS L30 AG032932NIMH NIH HHS R01 MH074368NIMH NIH HHS R25 MH080663
6 · The paper itself

Abstract

Improvements in the treatment of HIV infection and in the advancement of combination antiretroviral therapy (cART) have led to an increase in the number of individuals with HIV who are surviving to an older age. Preventing the development of neurocognitive abnormalities has become an increasingly important issue in this aging patient population, which is already at risk for cognitive impairment as a result of the neuropathological effects of HIV. cART has been critical in reducing the overall severity of HIV-associated neurocognitive disorders (HAND), but numerous challenges remain, as the prevalence of HAND continues to be high. There are several key areas in which treatment could be improved to reduce the incidence and severity of HAND. The use of well-tolerated cART medications that are able to penetrate the blood-brain barrier hold particular promise, as these agents may enable increased viral suppression in the parenchyma and may reduce neurocognitive dysfunction. In addition, the improved treatment of comorbid medical conditions that are common in patient populations with HIV (eg, HCV, liver failure and metabolic syndrome) is critical, as several of these conditions are known to have a significant effect on neural functions. Various research approaches indicate that the development of agents that control free radicals, neurotoxicity, proinflammatory processes and apoptosis may also have substantial potential in this field.

Indexed as

AgingAntiretroviral Therapy, Highly ActiveCognition DisordersHIV-1AIDS Dementia ComplexAnti-HIV AgentsBlood-Brain BarrierBrainComorbidityDrug DesignHepacivirusHIV InfectionsHumansAnti-HIV Agents

Identifiers

PMID20721831
PMCPMC4021717
OpenAlexW1632487469

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.