Evidence map›Paper›PMID 26572785›Full record

ReviewJournal of neurovirology2016

The meningeal lymphatic system: a route for HIV brain migration?

Susanna L Lamers, Rebecca Rose, Lishomwa C Ndhlovu, David J Nolan, Marco Salemi, Ekaterina Maidji, Cheryl A Stoddart, Michael S McGrath

Abstract readReview
In one paragraph

Review 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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. SPIONActa neuropathologica communications · 2025
    Article
  3. Review
  4. Review
  5. Dopamine, Immunity, and Disease.Pharmacological reviews · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Development of a NovelJournal of virology · 2021
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Impact of Myeloid Reservoirs in HIV Cure Trials.Current HIV/AIDS reports · 2019
    Review
  17. Review
  18. Article
  19. FDC:TFH Interactions within Cervical Lymph Nodes of SIV-Infected Rhesus Macaques.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2018
    Article
  20. 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 2 institutions in 1 country.

Susanna L LamersBioinfoexperts, LLC, Thibodaux, LA, 70301, USA. susanna@bioinfox.com.
Rebecca RoseBioinfoexperts, LLC, Thibodaux, LA, 70301, USA.
Lishomwa C NdhlovuUniversity of Hawaii, Honolulu, HI, USA.
David J NolanUniversity of Florida, Gainesville, FL, USA.
Marco SalemiUniversity of Florida, Gainesville, FL, USA.
Ekaterina MaidjiUniversity of California and the AIDS and Cancer Specimen Resource, San Francisco, CA, USA.
Cheryl A StoddartUniversity of California and the AIDS and Cancer Specimen Resource, San Francisco, CA, USA.
Michael S McGrathUniversity of California and the AIDS and Cancer Specimen Resource, San Francisco, CA, USA.
University of Florida · USUniversity of Hawaii System · US

Funding

AIDS and Cancer Specimen Resource (ACSR)UM1CA181255 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jeffrey Michael Bethony, Anna Coghill · 2013 to 2026
$56.7M
Viral evolution in peropheral macrophages and brain during progression to AIDSR01NS063897 · NINDS · UNIVERSITY OF FLORIDA · PI SALEMI, MARCO · 2009 to 2021
$7.0M
Monocytes and HIV CNS Reservoirs in Super Acute HIV InfectionR01MH104141 · NIMH · UNIVERSITY OF HAWAII AT MANOA · PI NDHLOVU, LISHOMWA C · 2014 to 2018
$3.2M
Molecular Features of and Approach to the HIV CNS Reservoir Post cARTR01MH100984 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCGRATH, MICHAEL SHANNON · 2013 to 2017
$1.9M
NCI NIH HHS UM1 CA181255NIMH NIH HHS R01 MH100984NIMH NIH HHS R01 MH104141NINDS NIH HHS R01 NS063897
6 · The paper itself

Abstract

Two innovative studies recently identified functional lymphatic structures in the meninges that may influence the development of HIV-associated neurological disorders (HAND). Until now, blood vessels were assumed to be the sole transport system by which HIV-infected monocytes entered the brain by bypassing a potentially hostile blood-brain barrier through inflammatory-mediated semi-permeability. A cascade of specific chemokine signals promote monocyte migration from blood vessels to surrounding brain tissues via a well-supported endothelium, where the cells differentiate into tissue macrophages capable of productive HIV infection. Lymphatic vessels on the other hand are more loosely organized than blood vessels. They absorb interstitial fluid from bodily tissues where HIV may persist and exchange a variety of immune cells (CD4(+) T cells, monocytes, macrophages, and dendritic cells) with surrounding tissues through discontinuous endothelial junctions. We propose that the newly discovered meningeal lymphatics are key to HIV migration among viral reservoirs and brain tissue during periods of undetectable plasma viral loads due to suppressive combinational antiretroviral therapy, thus redefining the migration process in terms of a blood-lymphatic transport system.

Indexed as

AIDS Dementia ComplexBlood-Brain BarrierBrainCell MovementChemokinesDendritic CellsEndothelium, VascularHIV-1HumansLymphatic SystemMacrophagesMeningesMonocytesT-LymphocytesVirus InternalizationChemokinesHIV brain infectionLymphatic systemMacrophage-targeted therapyMeningesNeurological disease

Identifiers

PMID26572785
PMCPMC4868798
OpenAlexW2219244366

What OpenQuestion holds

Textmetadata
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.