Evidence map›Paper›PMID 26765935›Full record

ArticleAIDS (London, England)2016

Brain large artery inflammation associated with HIV and large artery remodeling.

Jose Gutierrez, Khaled Menshawy, Marco Gonzalez, James Goldman, Mitchell S V Elkind, Randolph Marshall, Susan Morgello

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Assessing changes on large cerebral arteries in CADASIL: Preliminary insights from a case-control analysis.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
    Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Cerebrovascular Contributions to Neurocognitive Disorders in People Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. HIV Associated Risk Factors for Ischemic Stroke and Future Perspectives.International journal of molecular sciences · 2020
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Stroke in HIV.The Canadian journal of cardiology · 2019
    Review
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

7 authors at 5 institutions in 2 countries.

Jose GutierrezaDepartment of Neurology, College of Physicians and Surgeons, Columbia University Medical Center, New York, USAbAlexandria Faculty of Medicine, EgyptcDepartment of Neurological Sciences, University of Nebraska Medical Center, NebraskadDepartment of Pathology and Cell Biology, College of Physicians and Surgeons, Columbia University Medical CentereDepartment of Epidemiology, Mailman School of Public Health, Columbia University Medical CenterfDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, USA.
Khaled Menshawy
Marco Gonzalez
James Goldman
Mitchell S V Elkind
Randolph Marshall
Susan Morgello
Columbia University · USAlexandria University · EGColumbia University Irving Medical Center · USIcahn School of Medicine at Mount Sinai · USNebraska Medical Center · US

Funding

The Manhattan HIV Brain BankU24MH100931 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2013 to 2023
$14.0M
Golgi Studies of SchizophreniaR01MH064168 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI DWORK, ANDREW J · 2001 to 2013
$4.3M
The Mount Sinai Institute for NeuroAIDS DisparitiesR25MH080663 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2007 to 2015
$2.1M
NIMH NIH HHS R01 MH064168NIMH NIH HHS R01MH64168NIMH NIH HHS R25 MH080663NIMH NIH HHS U24 MH100931
6 · The paper itself

Abstract

objectiveTo test the hypothesis that brain arteries from HIV+ cases have a greater degree of inflammation than brain arteries from HIV- cases, and that inflammation is associated with brain arterial remodeling.

designCase-control study, cross-sectional.

methodsBrain arteries from 162 autopsy cases (84 with HIV) were systematically analyzed for thickness of the intima, media, and adventitia, and atherosclerosis and dolichoectasia. Inflammation was assessed with CD68 immunohistochemistry, and measured with a semiquantitative score reflecting the number and location (i.e., arterial layer) of activated macrophages infiltrating the arterial wall. Latent varicella zoster virus (VZV) was assessed with anti-VZV gene 63 product immunohistochemistry. Demographic and clinical variables were available in all cases, and longitudinal data about CD4 cell counts were available among cases with HIV. Multilevel generalized linear models were used to test the association between inflammation and HIV.

resultsArteries from HIV+ cases had a higher inflammation score (B = 0.36, P = 0.05) compared with arteries from HIV- cases, although the association was attenuated after controlling for demographic variables, vascular risk factors, and latent VZV (B = 0.20, P = 0.18). Although intimal inflammation was similar in cases with and without HIV, adventitial inflammation was associated with HIV. Intimal inflammation was associated with intracranial atherosclerosis independent of HIV status, but adventitial inflammation was associated with HIV-associated dolichoectasia in arteries with a thin media.

conclusionsAdventitial inflammation is associated with HIV and dolichoectasia independent of intracranial atherosclerosis. This suggests that differential inflammatory responses may play a role in intracranial atherosclerosis and dolichoectasia.

Indexed as

Vascular RemodelingAdultAgedAged, 80 and overAntigens, CDAntigens, Differentiation, MyelomonocyticArteritisAutopsyBrainCase-Control StudiesCD68 MoleculeCross-Sectional StudiesFemaleHIV InfectionsHumansImmunohistochemistryAntigens, CDAntigens, Differentiation, MyelomonocyticCD68 antigen, humanCD68 Molecule

Identifiers

PMID26765935
PMCPMC5203930
OpenAlexW2474627282

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.