Evidence map›Paper›PMID 26428514›Full record

ArticleJournal of neurovirology2016

Cell-free mitochondrial DNA in CSF is associated with early viral rebound, inflammation, and severity of neurocognitive deficits in HIV infection.

Josué Pérez-Santiago, Rachel D Schrier, Michelli F de Oliveira, Sara Gianella, Susanna R Var, Tyler R C Day, Miguel Ramirez-Gaona, Jesse D Suben, Ben Murrell, Marta Massanella and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurovirology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 14% 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, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. New Perspectives on the Importance of Cell-Free DNA Biology.Diagnostics (Basel, Switzerland) · 2022
    Review
  6. Review
  7. Review
  8. Article
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  13. Review
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  15. Article
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  17. Observational
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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

15 authors at 3 institutions in 2 countries.

Josué Pérez-SantiagoUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA. joperez@ucsd.edu.
Rachel D SchrierUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Michelli F de OliveiraUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Sara GianellaUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Susanna R VarUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Tyler R C DayUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Miguel Ramirez-GaonaUniversity of Alberta, Edmonton, AB, Canada.
Jesse D SubenUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Ben MurrellUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Marta MassanellaUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Mariana ChernerUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Davey M SmithUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Ronald J EllisUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Scott L LetendreUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
Sanjay R MehtaUniversity of California San Diego, 9500 Gilman Drive MC 0679, La Jolla, CA, 92093-0679, USA.
University of California, San Diego · USVA San Diego Healthcare System · USUniversity of Alberta · CA

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maile Ann Young Karris · 1994 to 2026
$78.4M
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
HOPE Training GrantT32AI007384 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sara Gianella Weibel, Scott L Letendre · 1990 to 2026
$9.7M
Interdisciplinary Research Fellowship in NeuroAIDSR25MH081482 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MARIANA CHERNER · 2007 to 2026
$5.2M
Molecular Epidemiology for HIV Prevention for Drug Users and Other Risk Groups DP1DA034978 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SMITH, DAVID MITCHELL · 2012 to 2016
$4.1M
Mentoring Translational Research in HIVK24AI100665 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SMITH, DAVID MITCHELL · 2012 to 2021
$1.5M
Intrahost HIV population dynamics in CNS and other tissuesR01MH101012 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J. · 2013 to 2015
$1.2M
Midcareer Investigator Award in Patient-Oriented NeuroAIDS ResearchK24MH097673 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LETENDRE, SCOTT L · 2013 to 2017
$917k
Molecular Epidemiology of HIV-1 in the California-Mexico Border RegionK23AI093163 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MEHTA, SANJAY R · 2011 to 2015
$643k
Compartmentalization of HIV within the genital tractK23AI055276 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SMITH, DAVID MITCHELL · 2003 to 2007
$585k
Milliplex FlexMAP 3DS10RR031646 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LETENDRE, SCOTT L · 2011 to 2011
$153k
NCRR NIH HHS 1S10RR031646-01NCRR NIH HHS S10 RR031646NIAID NIH HHS AI007384NIAID NIH HHS AI036214NIAID NIH HHS AI093163NIAID NIH HHS AI100665NIAID NIH HHS K23 AI055276NIAID NIH HHS K23 AI093163NIAID NIH HHS K24 AI100665NIAID NIH HHS P30 AI036214NIAID NIH HHS T32 AI007384NIDA NIH HHS DA026306NIDA NIH HHS DP1 DA034978NIDA NIH HHS P50 DA026306NIMH NIH HHS K24 MH097673NIMH NIH HHS MH062512NIMH NIH HHS MH081482NIMH NIH HHS MH097673NIMH NIH HHS MH101012NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH101012NIMH NIH HHS R25 MH081482
6 · The paper itself

Abstract

Cell-free mitochondiral DNA (mtDNA) is an immunogenic molecule associated with many inflammatory conditions. We evaluated the relationship between cell-free mtDNA in cerebrospinal fluid (CSF) and neurocognitive performance and inflammation during HIV infection. In a cross-sectional analysis, we evaluated the association of mtDNA levels with clinical assessments, inflammatory markers, and neurocognitive performance in 28 HIV-infected individuals. In CSF, we measured mtDNA levels by droplet digital PCR, and soluble CD14 and CD163, neurofilament light, and neopterin by ELISA. In blood and CSF, we measured soluble IP-10, MCP-1, TNF-α, and IL-6 by ELISA, and intracellular expression of IL-2, IFN-γ, and TNF-α in CD4(+) and CD8(+) T cells by flow cytometry. We also evaluated the relationship between CSF pleocytosis and mtDNA longitudinally in another set of five individuals participating in an antiretroviral treatment (ART) interruption study. Cell-free CSF mtDNA levels strongly correlated with neurocognitive performance among individuals with neurocognitive impairment (NCI) (r = 0.77, p = 0.001). CSF mtDNA also correlated with levels of IP-10 in CSF (r = 0.70, p = 0.007) and MCP-1 in blood plasma (r = 0.66, p = 0.01) in individuals with NCI. There were no significant associations between inflammatory markers and mtDNA in subjects without NCI, and levels of mtDNA did not differ between subjects with and without NCI. MtDNA levels preceded pleocytosis and HIV RNA following ART interruption. Cell-free mtDNA in CSF was strongly associated with the severity of neurocognitive dysfunction and inflammation only in individuals with NCI. Our findings suggest that within a subset of subjects cell-free CSF mtDNA is associated with inflammation and degree of NCI.

Indexed as

AdultAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenChemokine CCL2Chemokine CXCL10Cognitive DysfunctionCross-Sectional StudiesDNA, MitochondrialExecutive FunctionFemaleGene ExpressionHIV-1HIV InfectionsHumansInterleukin-6Antigens, CDAntigens, Differentiation, MyelomonocyticCCL2 protein, humanCD163 AntigenChemokine CCL2Chemokine CXCL10CXCL10 protein, humanDNA, MitochondrialIL6 protein, humanInterleukin-6Lipopolysaccharide ReceptorsNeopterinneurofilament protein LNeurofilament ProteinsReceptors, Cell SurfaceTumor Necrosis Factor-alphaDroplet digital PCRHANDInflammationMitochondrial DNAPleocytosis

Identifiers

PMID26428514
PMCPMC4862614
OpenAlexW1875968318

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Registered trials

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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.