Evidence map›Paper›PMID 21646912›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2011

Plasma sCD14 is a biomarker associated with impaired neurocognitive test performance in attention and learning domains in HIV infection.

Jennifer L Lyons, Hajime Uno, Petronela Ancuta, Anupa Kamat, David J Moore, Elyse J Singer, Susan Morgello, Dana Gabuzda

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 143 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 3% 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

143 citing papers in PubMed, 2 syntheses or guidelines pooled it, 224 citations in OpenAlex.

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83 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

8 authors at 5 institutions in 2 countries.

Jennifer L LyonsDana Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA.
Hajime Uno
Petronela Ancuta
Anupa Kamat
David J Moore
Elyse J Singer
Susan Morgello
Dana Gabuzda
Dana-Farber Cancer Institute · USHarvard University · USUniversité de Montréal · CAUniversity of California, Los Angeles · USUniversity of California, San Diego · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
The Manahattan HIV Brain BankR24MH059724 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI MORGELLO, SUSAN · 1998 to 2007
$15.4M
The Manhattan HIV Brain BankU24MH100931 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2013 to 2023
$14.0M
NEUROAIDS TISSUE NETWORKR24MH059745 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRANT, IGOR · 1998 to 2007
$13.2M
NATIONAL NEUROLOGICAL AIDS BANKU24MH100929 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 2013 to 2023
$12.5M
National Neurological AIDS Bank (NNAB)R24NS038841 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 1998 to 2007
$12.0M
The Manhattan HIV Brain BankU01MH083501 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2008 to 2012
$8.9M
California NeuroAIDS Tissue Network (CNTN)U01MH083506 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRANT, IGOR · 2008 to 2012
$8.1M
TEXAS REPOSITORY FOR AIDS NEUROPATHOGENESIS RESEARCHR24NS045491 · NINDS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI GELMAN, BENJAMIN B. · 2002 to 2007
$8.1M
National Neurological AIDS BankU01MH083500 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 2008 to 2012
$7.2M
Texas Repository for AIDS Neuropathogenesis ResearchU01MH083507 · NIMH · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GELMAN, BENJAMIN B. · 2008 to 2012
$5.1M
NIAID NIH HHS P30 AI060354NIDA NIH HHS DA26322NIDA NIH HHS R21 DA026322NIMH NIH HHS 5U01MH083500NIMH NIH HHS MH083588NIMH NIH HHS N01 MH022005NIMH NIH HHS N01 MH032002NIMH NIH HHS R01 MH083588NIMH NIH HHS R24 MH059724NIMH NIH HHS R24 MH059745NIMH NIH HHS R24MH59724NIMH NIH HHS R24MH59745NIMH NIH HHS R25 MH080663NIMH NIH HHS R25MH080663NIMH NIH HHS U01 MH083500NIMH NIH HHS U01 MH083501NIMH NIH HHS U01MH083501NIMH NIH HHS U01 MH083506NIMH NIH HHS U01MH083506NIMH NIH HHS U01 MH083507NIMH NIH HHS U01MH083507NIMH NIH HHS U01 MH083545NIMH NIH HHS U01MH083545NIMH NIH HHS U24 MH100929NIMH NIH HHS U24 MH100931NINDS NIH HHS NS38841NINDS NIH HHS R24 NS038841NINDS NIH HHS R24 NS045491NINDS NIH HHS R24NS45491
6 · The paper itself

Abstract

objectiveMild forms of HIV-associated neurocognitive disorders (HAND) remain prevalent in the era of combination antiretroviral therapy (cART). Although elevated lipopolysaccharide (LPS) and immune activation are implicated in HAND pathogenesis, relationships of LPS and inflammatory markers to mild forms of HAND or impairment in specific cognitive domains are unknown. To examine these relationships, we compared plasma soluble CD14 (sCD14), CCL2, and LPS levels with neurocognitive test scores in a cART era cohort.

methodsWe analyzed plasma from HIV+ subjects (n = 97) with nadir CD4 counts <300 and high frequency of hepatitis C virus coinfection and illicit drug use for relationships between sCD14, CCL2, and LPS levels and neurocognitive test scores.

resultsPlasma sCD14 levels were higher in subjects with test scores indicating global impairment (P = 0.007), particularly in attention and learning domains (P = 0.015 and P = 0.03, respectively), regardless of HAND diagnosis. Plasma sCD14 levels correlated inversely with global, attention, and learning T scores (P = 0.036, 0.047, and 0.007, respectively) and yielded higher area under receiver operating characteristic values for predicting impaired scores than single-marker models based on plasma or cerebrospinal fluid viral load or CD4 count (area under receiver operating characteristic values = 0.71, 0.81, and 0.71, respectively) and in 4-marker models based on plasma sCD14 and 3 conventional markers compared with the 3-marker models.

conclusionsPlasma sCD14 is a biomarker associated with impaired neurocognitive testing in attention and learning domains in HIV-infected individuals with advanced disease, suggesting involvement of cortical and limbic pathways by inflammatory processes in the cART era. Plasma sCD14 is a potential biomarker to monitor HAND progression and therapeutic responses.

Indexed as

AttentionLearningNeuropsychological TestsAdultAgedAIDS Dementia ComplexBiomarkersCD4 Lymphocyte CountCohort StudiesFemaleHepatitis CHumansLipopolysaccharide ReceptorsLipopolysaccharidesMaleMiddle AgedBiomarkersLipopolysaccharide ReceptorsLipopolysaccharides

Identifiers

PMID21646912
PMCPMC3159710
OpenAlexW2062715939

What OpenQuestion holds

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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.