Evidence map›Paper›PMID 25347679›Full record

ArticlePloS one2014

Altered functional response to risky choice in HIV infection.

Colm G Connolly, Amanda Bischoff-Grethe, Stephan J Jordan, Steven Paul Woods, Ronald J Ellis, Martin P Paulus, Igor Grant, Translational Methamphetamine AIDS Research Center (TMARC) Group

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.5field-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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  6. Review
  7. Article
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  10. Article
  11. Inhibitory Control Deficits Associated with Upregulation of CBJournal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Article
  12. Review
  13. Article
  14. Effects of HIV and Methamphetamine on Brain and Behavior: Evidence from Human Studies and Animal Models.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2016
    Review
  15. Article
  16. HIV-1 Transgenic Rat Prefrontal Cortex Hyper-Excitability is Enhanced by Cocaine Self-Administration.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Article
  17. Health-Related Decision-Making in HIV Disease.Journal of clinical psychology in medical settings · 2016
    Article
  18. HIV infection is associated with attenuated frontostriatal intrinsic connectivity: a preliminary study.Journal of the International Neuropsychological Society : JINS · 2015
    Article
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 3 institutions in 1 country.

Colm G ConnollyDept of Psychiatry, University of California San Francisco, San Francisco, California, United States of America.
Amanda Bischoff-GretheDept of Psychiatry, University of California San Diego, La Jolla, California, United States of America.
Stephan J JordanDept of Psychiatry, University of California San Diego, La Jolla, California, United States of America.
Steven Paul WoodsDept of Psychiatry, University of California San Diego, La Jolla, California, United States of America; HIV Neurobehavioral Research Program, University of California San Diego, San Diego, California, United States of America.
Ronald J EllisDepartment of Neurosciences, University of California San Diego, San Diego, California, United States of America.
Martin P PaulusDept of Psychiatry, University of California San Diego, La Jolla, California, United States of America; Psychiatry Service, VA San Diego Healthcare System, La Jolla, California, United States of America.
Igor GrantDept of Psychiatry, University of California San Diego, La Jolla, California, United States of America; HIV Neurobehavioral Research Program, University of California San Diego, San Diego, California, United States of America.
Translational Methamphetamine AIDS Research Center (TMARC) Group
University of California, San Diego · USNeurobehavioral Research (United States) · USUniversity of California, San Francisco · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Translational Methamphetamine AIDS Research Center (TMARC)P50DA026306 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRANT, IGOR · 2009 to 2018
$33.9M
NIDA NIH HHS P50 DA026306
6 · The paper itself

Abstract

backgroundRisky decision-making is commonly observed in persons at risk for and infected with HIV and is associated with executive dysfunction. Yet it is currently unknown whether HIV alters brain processing of risk-taking decision-making.

methodsThis study examined the neural substrate of a risky decision-making task in 21 HIV seropositive (HIV+) and 19 seronegative (HIV-) comparison participants. Functional magnetic resonance imaging was conducted while participants performed the risky-gains task, which involves choosing among safe (20 cents) and risky (40/80 cent win or loss) choices. Linear mixed effects analyses examining group and decision type were conducted. Robust regressions were performed to examine the relationship between nadir CD4 count and Kalichman sexual compulsivity and brain activation in the HIV+ group. The overlap between the task effects and robust regressions was explored.

resultsAlthough there were no serostatus effects in behavioral performance on the risky-gains task, HIV+ individuals exhibited greater activation for risky choices in the basal ganglia, i.e. the caudate nucleus, but also in the anterior cingulate, dorsolateral prefrontal cortex, and insula relative to the HIV- group. The HIV+ group also demonstrated reduced functional responses to safe choices in the anterior cingulate and dorsolateral prefrontal cortex relative to the HIV- group. HIV+ individuals with higher nadir CD4 count and greater sexual compulsivity displayed lower differential responses to safe versus risky choices in many of these regions.

conclusionsThis study demonstrated fronto-striatal loop dysfunction associated with HIV infection during risky decision-making. Combined with similar between-group task behavior, this suggests an adaptive functional response in regions critical to reward and behavioral control in the HIV+ group. HIV-infected individuals with higher CD4 nadirs demonstrated activation patterns more similar to seronegative individuals. This suggests that the severity of past immunosuppression (CD4 nadir) may exert a legacy effect on processing of risky choices in the HIV-infected brain.

Indexed as

Brain MappingChoice BehaviorRisk-TakingAdultBrainCase-Control StudiesFemaleHIV InfectionsHumansMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID25347679
PMCPMC4210250
OpenAlexW2089102577

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.