Evidence map›Paper›PMID 24027056›Full record

ArticleNeurology2013

A lipid storage-like disorder contributes to cognitive decline in HIV-infected subjects.

Veera Venkata Ratnam Bandaru, Michelle M Mielke, Ned Sacktor, Justin C McArthur, Igor Grant, Scott Letendre, Linda Chang, Valerie Wojna, Carlos Pardo, Peter Calabresi and 2 more

Open access · bronzeAbstract readMulticenter Study
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 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

47 citing papers in PubMed, 60 citations in OpenAlex.

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  15. Cerebrospinal fluid lipidomics: effects of an intravenous triglyceride infusion and apoE status.Metabolomics : Official journal of the Metabolomic Society · 2019
    Article
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  20. GBA1 deficiency negatively affects physiological α-synuclein tetramers and related multimers.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Veera Venkata Ratnam BandaruFrom the Department of Neurology, Division of Neuroimmunology and Neurological Infections (V.V.R.B., N.S., J.C.M., C.P., P.C., N.J.H.), and the Department of Psychiatry (N.J.H.), The Johns Hopkins University, School of Medicine, Baltimore, MD; the Department of Health Sciences Research (M.M.M.), Division of Epidemiology, The Mayo Clinic, Rochester, MN; HIV Neurobehavioral Research Program and Department of Psychiatry (I.G., S.L.), School of Medicine, University of California, San Diego, La Jolla; the Department of Psychiatry (L.C., S.M.), University of Hawaii, John A. Burns School of Medicine, Honolulu; and the Department of Neurology (V.W.), Specialized Neurosciences Research Program, University of Puerto Rico Medical Sciences Campus, San Juan.
Michelle M Mielke
Ned Sacktor
Justin C McArthur
Igor Grant
Scott Letendre
Linda Chang
Valerie Wojna
Carlos Pardo
Peter Calabresi
Sody Munsaka
Norman J Haughey
University of California, San Diego · USUniversity of Hawaiʻi at Mānoa · USMayo Clinic in Florida · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Therapeutic CoreP30MH075673 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Leah Helane Rubin · 2006 to 2026
$33.2M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., NOBOA, CARIAMARIE · 2012 to 2018
$23.2M
Immunopathogenesis of HIV Neurological DisordersU54NS043011 · NINDS · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI KRAISELBURD, EDMUNDO NELSON · 2001 to 2011
$14.6M
California NeuroAIDS Tissue NetworkU24MH100928 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ACHIM, CRISTIAN L, MOORE, DAVID J · 2013 to 2023
$13.9M
Imaging Studies in Neurotoxicity and NeurodevelopmentU54NS056883 · NINDS · UNIVERSITY OF HAWAII AT MANOA · PI CHANG, LINDA · 2007 to 2011
$8.4M
TRCLU54RR026139 · NCRR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FRONTERA, WALTER R. · 2010 to 2011
$8.4M
California NeuroAIDS Tissue Network (CNTN)U01MH083506 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRANT, IGOR · 2008 to 2012
$8.1M
Mechanisms of Neuroinflammation in HANDR01MH077542 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HAUGHEY, NORMAN J · 2007 to 2016
$3.4M
BRAIN ACTIVATION STUDIES WITH EARLY HIV DEMENTIAR01MH061427 · NIMH · UNIVERSITY OF HAWAII AT MANOA · PI CHANG, LINDA · 1999 to 2008
$2.4M
Oxidative Stress Markers and HIV DementiaR01MH071150 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SACKTOR, NED C · 2005 to 2009
$2.0M
Interaction of Alcohol with HIV-ProteinR01AA017408 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI HAUGHEY, NORMAN J · 2007 to 2011
$1.9M
NCRR NIH HHS 1U54RR026139-01A1NCRR NIH HHS U54 RR026139NIAAA NIH HHS AA0017408NIAAA NIH HHS R01 AA017408NIA NIH HHS AG034849NIA NIH HHS R21 AG034849NIDA NIH HHS DA61427NIMHD NIH HHS 8U54MD007587NIMHD NIH HHS U54 MD007587NIMH NIH HHS HHSN271201000027CNIMH NIH HHS HHSN271201000030CNIMH NIH HHS MH071150NIMH NIH HHS MH075673NIMH NIH HHS MH077542NIMH NIH HHS MH22005NIMH NIH HHS MH61427NIMH NIH HHS N01 MH022005NIMH NIH HHS P30 MH075673NIMH NIH HHS R01 MH061427NIMH NIH HHS R01 MH071150NIMH NIH HHS R01 MH077542NIMH NIH HHS U01 MH083506NIMH NIH HHS U24 MH100928NINDS NIH HHS NS56883NINDS NIH HHS S11NS46278NINDS NIH HHS U54 NS043011NINDS NIH HHS U54 NS056883NINDS NIH HHS U54NS43011
6 · The paper itself

Abstract

objectiveIn this multicenter cohort study, we sought to identify prognostic and associative metabolic indicators for HIV-associated neurocognitive disorders (HAND).

methodsA quantitative lipidomic analysis was conducted on 524 longitudinal CSF samples collected from 7 different performance sites across the mainland United States, Hawaii, and Puerto Rico. Subjects included HIV-infected individuals with longitudinal clinical and cognitive testing data and cognitively normal HIV-negative healthy controls.

resultsAt baseline, HIV+ subjects could be differentiated from HIV- controls by reductions in a single ceramide species and increases in multiple forms of cholesterol. Perturbations in cholesterol metabolism and ceramide were influenced by combined antiretroviral therapy (cART) use. There were no cross-sectional baseline differences in any lipid metabolite when HIV+ subjects were grouped according to cognitive status. However, a single sphingolipid metabolite and reduced levels of esterified cholesterols were prognostic indicators of incident cognitive decline. Longitudinal patterns of these disturbances in sphingolipid and sterol metabolism suggest that a progressive disorder of lipid metabolism that is similar to disorders of lipid storage may contribute to the pathogenesis of HAND.

conclusionsThese findings suggest that HIV infection and cART are independently associated with a CNS metabolic disturbance, identify surrogate markers that are prognostic for cognitive decline, and implicate a lipid storage-like disorder in the progression of HAND.

Indexed as

AdultAIDS Dementia ComplexAntiretroviral Therapy, Highly ActiveBiomarkersCeramidesCholesterolFemaleHIV InfectionsHumansLipid Metabolism DisordersLongitudinal StudiesMalePredictive Value of TestsSphingolipidsBiomarkersCeramidesCholesterolSphingolipids

Identifiers

PMID24027056
PMCPMC3888167
OpenAlexW2011442035

What OpenQuestion holds

Textmetadata
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.