Evidence map›Paper›PMID 25776527›Full record

ArticleJournal of neurovirology2015

Quinolinic acid/tryptophan ratios predict neurological disease in SIV-infected macaques and remain elevated in the brain under cART.

Julia L Drewes, Kelly A Meulendyke, Zhaohao Liao, Kenneth W Witwer, Lucio Gama, Ceereena Ubaida-Mohien, Ming Li, Francesca M Notarangelo, Patrick M Tarwater, Robert Schwarcz and 2 more

Abstract read
In one paragraph

Article in Journal of neurovirology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.3field-weighted citation impact, top 24% 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

23 citing papers in PubMed, 55 citations in OpenAlex.

  1. Exploratory Cohort Study of Depressive Symptoms in South Africans with HIV-1 Subtype C: Associations with Kynurenine Pathway Metabolites and Inflammatory Markers.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
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  10. Abnormal Tryptophan Metabolism in HIV andFrontiers in microbiology · 2021
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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

12 authors at 4 institutions in 1 country.

Julia L DrewesDepartment of Molecular and Comparative Pathobiology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA.
Kelly A Meulendyke
Zhaohao Liao
Kenneth W Witwer
Lucio Gama
Ceereena Ubaida-Mohien
Ming Li
Francesca M Notarangelo
Patrick M Tarwater
Robert Schwarcz
David R Graham
M Christine Zink
Johns Hopkins Medicine · USJohns Hopkins University · USUniversity of Maryland, Baltimore · USTexas Tech University Health Sciences Center · US

Funding

Project 4: Intracellular mechanism of virus persistence in astrocytes/macrophagesP01MH070306 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CLEMENTS, JANICE E · 2004 to 2015
$16.0M
Development of an SPF Macaca nemestrina Breeding ColonyP40OD013117 · OD · JOHNS HOPKINS UNIVERSITY · PI ADAMS, ROBERT J. · 2012 to 2016
$4.9M
Minocycline Immune Effects on SIV CNS DiseaseR01MH087233 · NIMH · JOHNS HOPKINS UNIVERSITY · PI GRAHAM, DAVID R. M., ZINK, M CHRISTINE · 2010 to 2014
$3.0M
IDO Regulation in the SIV Model of HIV CNS DiseaseR01MH085554 · NIMH · JOHNS HOPKINS UNIVERSITY · PI ZINK, M CHRISTINE · 2009 to 2013
$2.9M
NIH HHS P40 OD013117NIMH NIH HHS P01 MH070306NIMH NIH HHS R01 MH085554NIMH NIH HHS R01 MH087233
6 · The paper itself

Abstract

Activation of the kynurenine pathway (KP) of tryptophan catabolism likely contributes to HIV-associated neurological disorders. However, KP activation in brain tissue during HIV infection has been understudied, and the effect of combination antiretroviral therapy (cART) on KP induction in the brain is unknown. To examine these questions, tryptophan, kynurenine, 3-hydroxykynurenine, quinolinic acid, and serotonin levels were measured longitudinally during SIV infection in the striatum and CSF from untreated and cART-treated pigtailed macaques. Messenger RNA (mRNA) levels of KP enzymes also were measured in the striatum. In untreated macaques, elevations in KP metabolites coincided with transcriptional induction of upstream enzymes in the KP. Striatal KP induction was also temporally associated-but did not directly correlate-with serotonin losses in the brain. CSF quinolinic acid/tryptophan ratios were found to be the earliest predictor of neurological disease in untreated SIV-infected macaques, outperforming other KP metabolites as well as the putative biomarkers interleukin-6 (IL-6) and monocyte chemoattractant protein-1 (MCP-1). Finally, cART did not restore KP metabolites to control levels in the striatum despite the control of the virus, though CSF metabolite levels were normalized in most animals. Overall, these results demonstrate that cerebral KP activation is only partially resolved with cART and that CSF QUIN/TRP ratios are an early, predictive biomarker of CNS disease.

Indexed as

AnimalsAnti-Retroviral AgentsBrainEnzyme-Linked Immunosorbent AssayGas Chromatography-Mass SpectrometryImmunohistochemistryKynurenineMacacaPolymerase Chain ReactionQuinolinic AcidSimian Acquired Immunodeficiency SyndromeTryptophanAnti-Retroviral AgentsKynurenineQuinolinic AcidTryptophan

Identifiers

PMID25776527
PMCPMC4512924
OpenAlexW1984363989

What OpenQuestion holds

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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.