Evidence map›Paper›PMID 22269799›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2012

Independent effects of HIV, aging, and HAART on brain volumetric measures.

Beau M Ances, Mario Ortega, Florin Vaida, Jodi Heaps, Robert Paul

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02571504 (Brain Imaging to Understand HIV-associated Neurocognitive Disorder and Predict Response to Cognitive Training), which is not on this map. Cited by 168 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 4 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT02571504 nacompletednot on this mapstarted 2015, after this paper: background citation

Brain Imaging to Understand HIV-associated Neurocognitive Disorder and Predict Response to Cognitive Training

TypeinterventionalSponsorMcGill UniversityRan2015 to 2017Enrolled81ConditionsHIV - Human Immunodeficiency Virus, Cognitive ImpairmentArmsPlasticity-based Adaptive Cognitive Remediation (PACR)
3 · Its place in the literature

Who cites it

168 citing papers in PubMed, 4 syntheses or guidelines pooled it, 243 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Brain Structural Changes following HIV Infection: Meta-Analysis.AJNR. American journal of neuroradiology · 2018
    Pooled it
  5. Trial
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  12. Review
  13. Article
  14. The Effects of Prescribed Medications on Depressive Symptoms and Neurocognitive Performance in People With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

108 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

5 authors at 2 institutions in 1 country.

Beau M AncesDepartment of Neurology, Washington University School of Medicine, St Louis, MO 63110, USA. bances@wustl.edu
Mario Ortega
Florin Vaida
Jodi Heaps
Robert Paul
Washington University in St. Louis · USUniversity of California, San Diego · US

Funding

TRANSMISSION AND VIRAL DYMANICS OF DRUG RESISTANT HIV-1R01AI047033 · NIAID · AARON DIAMOND AIDS RESEARCH CENTER · PI MARKOWITZ, MARTIN H · 2000 to 2011
$6.0M
Neuropathogenesis of clade C HIV in South AfricaR01MH085604 · NIMH · UNIVERSITY OF MISSOURI-ST. LOUIS · PI PAUL, ROBERT HARRIS · 2009 to 2013
$2.9M
NEUROIMAGING AND NEUROBEHAVIORAL BASIS OF RISKY DECISION-MAKING IN ADOLESCENTSR01NR012907 · NINR · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2011 to 2015
$1.9M
THE EFFECTS OF AGE AND HIGHLY ACTIVE ANTIRETROVIRAL THERAPY ON BRAIN FUNCTIONR01NR012657 · NINR · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2010 to 2014
$1.9M
Calibrated BOLD fMRI of HIV Associated Neurocognitive Impairment (HNCI)K23MH081786 · NIMH · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2007 to 2012
$820k
CNS HIV ANTI-RETROVIRAL THERAPY EFFECTS RESEARCH /CHARTER/ -278022005-278022005N01MH022005 · NIMH · UNIVERSITY OF CA -SAN DIEGO · PI GRANT, IGOR · 2003 to 2006
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NIAID NIH HHS R01 AI047033NIAID NIH HHS R01AI47033NIMH NIH HHS K23 MH081786NIMH NIH HHS K23MH081786NIMH NIH HHS N01 MH022005NIMH NIH HHS R01 MH085604NIMH NIH HHS R01MH085604NIMH NIH HHS R01MH22005NINR NIH HHS R01 NR012657NINR NIH HHS R01NR012657NINR NIH HHS R01 NR012907NINR NIH HHS R01NR012907
6 · The paper itself

Abstract

backgroundNeurocognitive impairment remains prevalent in HIV-infected (HIV+) individuals despite highly active antiretroviral therapy (HAART). We assessed the impact of HIV, HAART, and aging using structural neuroimaging.

methodsSeventy-eight participants [HIV- (n = 26), HIV+ on stable HAART (HIV+/HAART+; n = 26), HIV+ naive to HAART (HIV+/HAART-; n = 26)] completed neuroimaging and neuropsychological testing. A subset of HIV+ subjects (n = 12) performed longitudinal assessments before and after initiating HAART. Neuropsychological tests evaluated memory, psychomotor speed, and executive function, and a composite neuropsychological score was calculated based on normalized performances (neuropsychological summary Z score, NPZ-4). Volumetrics were evaluated for the amygdala, caudate, thalamus, hippocampus, putamen, corpus callosum, and cerebral gray and white matter. A 3-group 1-way analysis of variance assessed differences in neuroimaging and neuropsychological indices. Correlations were examined between NPZ-4 and volumetrics. Exploratory testing using a broken-stick regression model evaluated self-reported duration of HIV infection on brain structure.

resultsHIV+ individuals had significant reductions in brain volumetrics within select subcortical regions (amygdala, caudate, and corpus callosum) compared with HIV- participants. However, HAART did not affect brain structure as regional volumes were similar for HIV+/HAART- and HIV+/HAART+. No association existed between NPZ-4 and volumetrics. HIV and aging were independently associated with volumetric reductions. Exploratory analyses suggest caudate atrophy due to HIV slowly occurs after self-reported seroconversion.

conclusionsHIV associated volumetric reductions within the amygdala, caudate, and corpus callosum occurs despite HAART. A gradual decline in caudate volume occurs after self-reported seroconversion. HIV and aging independently increase brain vulnerability. Additional longitudinal structural magnetic resonance imaging studies, especially within older HIV+ participants, are required.

Indexed as

AdultAgingAnalysis of VarianceAntiretroviral Therapy, Highly ActiveAtrophyBrainExecutive FunctionFemaleHIV InfectionsHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMemoryMiddle AgedNeuropsychological Tests

Identifiers

PMID22269799
PMCPMC3302928
OpenAlexW2039742816

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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.