Evidence map›Paper›PMID 23838849›Full record

ArticleJournal of neurovirology2013

Increases in brain white matter abnormalities and subcortical gray matter are linked to CD4 recovery in HIV infection.

Christine Fennema-Notestine, Ronald J Ellis, Sarah L Archibald, Terry L Jernigan, Scott L Letendre, Randy J Notestine, Michael J Taylor, Rebecca J Theilmann, Michelle D Julaton, David J Croteau and 14 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurovirology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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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

24 authors at 6 institutions in 1 country.

Christine Fennema-NotestineDepartment of Psychiatry, University of California, San Diego, CA 92093-0738, USA. fennema@ucsd.edu
Ronald J Ellis
Sarah L Archibald
Terry L Jernigan
Scott L Letendre
Randy J Notestine
Michael J Taylor
Rebecca J Theilmann
Michelle D Julaton
David J Croteau
Tanya Wolfson
Robert K Heaton
Anthony C Gamst
Donald R Franklin
David B Clifford
Ann C Collier
Benjamin B Gelman
Christina Marra
Justin C McArthur
J Allen McCutchan
Susan Morgello
David M Simpson
Igor Grant
CHARTER Group
University of California San Diego · USUniversity of Washington · USJohns Hopkins University · USSan Diego Supercomputer Center · USIcahn School of Medicine at Mount Sinai · USWashington University in St. Louis · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Role of evolving white matter damage in neurocognitive effects of HIV and HCVR01MH079752 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JERNIGAN, TERRY L. · 2007 to 2011
$1.9M
Multi-channel Enhancement and Validation of Subcortical Morphometry in HIVR21NS069355 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FENNEMA-NOTESTINE, CHRISTINE · 2009 to 2010
$423k
MAJOR PSYCHOSES--PHENOMENOLOGY, BEHAVIOR, GENETICSK05MH000625 · NIMH · UNIVERSITY OF IOWA · PI ANDREASEN, NANCY C · 1986 to 2000
$102k
CNS HIV ANTI-RETROVIRAL THERAPY EFFECTS RESEARCH /CHARTER/ -278022005-278022005N01MH022005 · NIMH · UNIVERSITY OF CA -SAN DIEGO · PI GRANT, IGOR · 2003 to 2006
–
NIMH NIH HHS HHSN271201000027CNIMH NIH HHS N01 MH022005NIMH NIH HHS P30 MH0625NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH079752NINDS NIH HHS R21NS0692NINDS NIH HHS R21 NS069355
6 · The paper itself

Abstract

MRI alterations in the cerebral white (WM) and gray matter (GM) are common in HIV infection, even during successful combination antiretroviral therapy (CART), and their pathophysiology and clinical significance are unclear. We evaluated the association of these alterations with recovery of CD4+ T cells. Seventy-five HIV-infected (HIV+) volunteers in the CNS HIV Anti-Retroviral Therapy Effects Research study underwent brain MRI at two visits. Multi-channel morphometry yielded volumes of total cerebral WM, abnormal WM, cortical and subcortical GM, and ventricular and sulcal CSF. Multivariable linear regressions were used to predict volumetric changes with change in current CD4 and detectable HIV RNA. On average, the cohort (79 % initially on CART) demonstrated loss of total cerebral WM alongside increases in abnormal WM and ventricular volumes. A greater extent of CD4 recovery was associated with increases in abnormal WM and subcortical GM volumes. Virologic suppression was associated with increased subcortical GM volume, independent of CD4 recovery. These findings suggest a possible link between brain alterations and immune recovery, distinct from the influence of virologic suppression. The association of increasing abnormal WM and subcortical GM volumes with CD4+ T cell recovery suggests that neuroinflammation may be one mechanism in CNS pathogenesis.

Indexed as

AdultBrainCD4-Positive T-LymphocytesFemaleHIV InfectionsHumansInflammationMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID23838849
PMCPMC3776609
OpenAlexW1983116240

What OpenQuestion holds

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LicenceTDM
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.