Evidence map›Paper›PMID 23596064›Full record

ArticleNeurology2013

Peripheral blood HIV DNA is associated with atrophy of cerebellar and subcortical gray matter.

Kalpana J Kallianpur, Cecilia Shikuma, Gregory R Kirk, Bruce Shiramizu, Victor Valcour, Dominic Chow, Scott Souza, Beau Nakamoto, Napapon Sailasuta

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  9. Observational
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  14. Differential Effects of AIDS and Chronic Human Immunodeficiency Virus Infection on Gray Matter Volume.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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  18. Review
  19. Logistic Regression Confined by Cardinality-Constrained Sample and Feature Selection.IEEE transactions on pattern analysis and machine intelligence · 2020
    Article
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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 3 institutions in 1 country.

Kalpana J KallianpurDepartment of Medicine, Hawaii Center for AIDS, University of Hawaii, Honolulu, HI, USA. kalpana@hawaii.edu
Cecilia Shikuma
Gregory R Kirk
Bruce Shiramizu
Victor Valcour
Dominic Chow
Scott Souza
Beau Nakamoto
Napapon Sailasuta
Straub Medical Center · USUniversity Memory and Aging Center · USUniversity of Wisconsin–Madison · US

Funding

RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MOKUAU, NOREEN, SHIRAMIZU, BRUCE T · 2012 to 2018
$21.1M
WILLINGNESS OF PRIMARY CARE PHYSICIANS TO ADOPT HANDHELD COMPUTINGP20RR011091 · NCRR · UNIVERSITY OF HAWAII AT MANOA · PI ERDEM, GULIZ · 1995 to 2009
$16.5M
PBI Manufacture CoreU19MH081835 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HADLOCK, KENNETH · 2007 to 2011
$8.9M
RESEARCH ETHICSU54RR026136 · NCRR · UNIVERSITY OF HAWAII AT MANOA · PI INAZU, JUDITH · 2010 to 2011
$8.5M
Peripheral Reservoir of HIV DNA in Monocytes Pivotal to Cognition in HIVR01NS061696 · NINDS · UNIVERSITY OF HAWAII AT MANOA · PI VALCOUR, VICTOR · 2008 to 2012
$3.2M
NCRR NIH HHS P20 RR011091NCRR NIH HHS P20RR011091NCRR NIH HHS U54 RR026136NCRR NIH HHS U54RR026136NIMHD NIH HHS U54 MD007584NIMHD NIH HHS U54MD007584NIMH NIH HHS U19MH081835NINDS NIH HHS R01 NS061696NINDS NIH HHS R01NS061696
6 · The paper itself

Abstract

objectiveWe evaluated regional brain volumes and cerebral metabolite levels as correlates of HIV DNA in peripheral blood mononuclear cells (PBMCs).

methodsIn this cross-sectional study, 35 HIV+ subjects aged ≥40 years (25 with detectable PBMC HIV DNA; 10 with HIV DNA <10 copies/10(6) cells, the threshold of detection) and 12 seronegative controls underwent structural brain MRI and magnetic resonance spectroscopy at 3 T. HIV+ subjects were on combination antiretroviral therapy ≥1 year; all but 1 had plasma HIV RNA <50 copies/mL. We used logistic regression to evaluate relationships of likely predictor variables to the outcome of PBMC HIV DNA detectability in the HIV+ subjects. Effects of serostatus and HIV DNA on regional brain volumes (normalized to intracranial volume) and on metabolite ratios over creatine were evaluated by analyses of covariance, controlling for age.

resultsRelative to the HIV+ group with undetectable HIV DNA, subjects with detectable HIV DNA demonstrated decreased volumes of cerebellar (-14%, p = 0.020) and total subcortical (-10%, p = 0.024) gray matter. Compared to healthy controls, only the detectable HIV DNA group showed significant (p < 0.05) enlargement of lateral ventricles and volumetric reductions of caudate, putamen, thalamus, hippocampus, nucleus accumbens, brainstem, total cortical gray matter, and cerebral white matter. Detectable HIV DNA was not associated with significantly altered cerebral metabolite levels.

conclusionInability to clear peripheral blood of HIV DNA is associated with regional brain atrophy in well-controlled HIV infection, supporting the involvement of peripheral viral reservoirs in the neuropathogenesis of persistent HIV-related neurocognitive disorders.

Indexed as

AdultAtrophyCerebellumCerebral CortexCross-Sectional StudiesDNA, ViralFemaleHIV InfectionsHIV SeropositivityHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleMiddle AgedPilot ProjectsDNA, Viral

Identifiers

PMID23596064
PMCPMC3719430
OpenAlexW2008339309

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.