Evidence map›Paper›PMID 26689571›Full record

ArticleJournal of neurovirology2016

Accelerated epigenetic aging in brain is associated with pre-mortem HIV-associated neurocognitive disorders.

Andrew J Levine, Austin Quach, David J Moore, Cristian L Achim, Virawudh Soontornniyomkij, Eliezer Masliah, Elyse J Singer, Benjamin Gelman, Natasha Nemanim, Steve Horvath

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 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. A Systematic Review and Meta-analysis of Environmental, Lifestyle, and Health Factors Associated With DNA Methylation Age.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
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  9. Epigenetic mechanisms of HIV and opioid-induced neuropathology: Potential therapies and interventions.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
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  11. Article
  12. Article
  13. Article
  14. Review
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  17. Epigenetic Age Acceleration Markers Are Associated With Physiologic Frailty and All-Cause Mortality in People With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  18. Article
  19. Article
  20. Review

23 more citing papers are in PubMed but not listed here.

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

10 authors at 3 institutions in 1 country.

Andrew J LevineDepartment of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA. ajlevine@mednet.ucla.edu.
Austin QuachDepartment of Human Genetics, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
David J MooreDepartment of Psychiatry, San Diego School of Medicine, University of California, La Jolla, CA, USA.
Cristian L AchimDepartment of Psychiatry, San Diego School of Medicine, University of California, La Jolla, CA, USA.
Virawudh SoontornniyomkijDepartment of Psychiatry, San Diego School of Medicine, University of California, La Jolla, CA, USA.
Eliezer MasliahDepartments of Neuroscience and Pathology, San Diego School of Medicine, University of California, La Jolla, CA, USA.
Elyse J SingerDepartment of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Benjamin GelmanDepartment of Pathology, University of Texas Medical Branch, Galveston, TX, USA.
Natasha NemanimDepartment of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Steve HorvathDepartments of Human Genetics and Biostatistics, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
University of California, Los Angeles · USUniversity of California, San Diego · USThe University of Texas Medical Branch at Galveston · US

Funding

ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HAAS, RICHARD H · 1985 to 2010
$74.3M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jennifer E Iudicello · 2001 to 2026
$50.4M
California NeuroAIDS Tissue NetworkU24MH100928 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ACHIM, CRISTIAN L, MOORE, DAVID J · 2013 to 2023
$13.9M
NEUROAIDS TISSUE NETWORKR24MH059745 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRANT, IGOR · 1998 to 2007
$13.2M
NATIONAL NEUROLOGICAL AIDS BANKU24MH100929 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 2013 to 2023
$12.5M
National Neurological AIDS Bank (NNAB)R24NS038841 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 1998 to 2007
$12.0M
National Neurological AIDS BankU01MH083500 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 2008 to 2012
$7.2M
Brain Amyloid and HAND in the cART eraR01MH105319 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ACHIM, CRISTIAN L · 2015 to 2019
$2.5M
A multi-systems study of HIV neuropathogenesis: genetics-neuropathology-behaviorR01MH096648 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEVINE, ANDREW J, MOORE, DAVID J · 2012 to 2016
$1.6M
Pathways to HIV-Associated Neurocognitive Disorders: A Systems Biology ApproachR01DA030913 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HORVATH, STEVE, LEVINE, ANDREW J · 2010 to 2014
$1.5M
Cross-tissue study of an accelerated epigenetic aging mechanism caused by HIVR21AG046954 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HORVATH, STEVE, LEVINE, ANDREW J · 2015 to 2016
$424k
NCATS NIH HHS UL1 TR000124NCRR NIH HHS M01 RR000827NIA NIH HHS R21 AG046954NIDA NIH HHS R01 DA030913NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH096648NIMH NIH HHS R01 MH105319NIMH NIH HHS R24 MH059745NIMH NIH HHS U01 MH083500NIMH NIH HHS U24 MH100928NIMH NIH HHS U24 MH100929NINDS NIH HHS R24 NS038841
6 · The paper itself

Abstract

HIV infection leads to age-related conditions in relatively young persons. HIV-associated neurocognitive disorders (HAND) are considered among the most prevalent of these conditions. To study the mechanisms underlying this disorder, researchers need an accurate method for measuring biological aging. Here, we apply a recently developed measure of biological aging, based on DNA methylation, to the study of biological aging in HIV+ brains. Retrospective analysis of tissue bank specimens and pre-mortem data was carried out. Fifty-eight HIV+ adults underwent a medical and neurocognitive evaluation within 1 year of death. DNA was obtained from occipital cortex and analyzed with the Illumina Infinium Human Methylation 450K platform. Biological age determined via the epigenetic clock was contrasted with chronological age to obtain a measure of age acceleration, which was then compared between those with HAND and neurocognitively normal individuals. The HAND and neurocognitively normal groups did not differ with regard to demographic, histologic, neuropathologic, or virologic variables. HAND was associated with accelerated aging relative to neurocognitively normal individuals, with average relative acceleration of 3.5 years. Age acceleration did not correlate with pre-mortem neurocognitive functioning or HAND severity. This is the first study to demonstrate that the epigenetic age of occipital cortex samples is associated with HAND status in HIV+ individuals pre-mortem. While these results suggest that the increased risk of a neurocognitive disorder due to HIV might be mediated by an epigenetic aging mechanism, future studies will be needed to validate the findings and dissect causal relationships and downstream effects.

Indexed as

AccelerationEpigenesis, GeneticAdultAgingAutopsyCognitive DysfunctionDNA MethylationFemaleHIV InfectionsHumansMaleMiddle AgedOccipital LobeRetrospective StudiesEpigeneticEpigenetic clockHANAHANDHIVHIV-associated neurocognitive disorder

Identifiers

PMID26689571
PMCPMC4900944
OpenAlexW2271634742

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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.