Evidence map›Paper›PMID 26965674›Full record

ReviewNature reviews. Neurology2016

HIV-associated neurocognitive disorder--pathogenesis and prospects for treatment.

Deanna Saylor, Alex M Dickens, Ned Sacktor, Norman Haughey, Barbara Slusher, Mikhail Pletnikov, Joseph L Mankowski, Amanda Brown, David J Volsky, Justin C McArthur

Erratum issuedOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 618 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
618citing papers in PubMed, 2 pooled it
51.5field-weighted citation impact, top 1% 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

618 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,022 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effects of Semaglutide on Cognitive Function in People With HIV: A Randomized, Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  5. Molecular therapy. Nucleic acids · 2026
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558 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Deanna SaylorDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Alex M DickensDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Ned SacktorDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Norman HaugheyDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Barbara SlusherDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Mikhail PletnikovDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Joseph L MankowskiDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Amanda BrownDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
David J VolskyThe Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, New York, New York 10029, USA.
Justin C McArthurDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6113, 600 N Wolfe St, Baltimore, Maryland 21287, USA.
Johns Hopkins University · USJohns Hopkins Medicine · USIcahn School of Medicine at Mount Sinai · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Multicenter Aids Cohort Study- Part B (Baltimore Site)U01AI035042 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T, MARGOLICK, JOSEPH B. · 1993 to 2018
$61.5M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI MARSH, LAURA · 1985 to 2007
$37.3M
Therapeutic CoreP30MH075673 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Barbara Stauch Slusher · 2006 to 2026
$33.2M
Center for the Analysis & Management of the Multicenter AIDS Cohort StudyUM1AI035043 · NIAID · JOHNS HOPKINS UNIVERSITY · PI D'SOUZA, GYPSYAMBER, JACOBSON, LISA P · 2012 to 2018
$20.7M
Project 3P50MH094268 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SAWA, AKIRA · 2011 to 2020
$19.9M
Project 4: Intracellular mechanism of virus persistence in astrocytes/macrophagesP01MH070306 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CLEMENTS, JANICE E · 2004 to 2015
$16.0M
Cardiovascular and HIV/AIDS Effects on Brain Structure/Function and CognitionR01AG034852 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 2010 to 2020
$9.2M
Age related determinants of HAND: A 12 year follow-up of CHARTER participantsR01MH107345 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HEATON, ROBERT KERNACHAN, LETENDRE, SCOTT L · 2015 to 2021
$7.9M
Surrogate Marker CoreP01MH105280 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HAUGHEY, NORMAN J, MCARTHUR, JUSTIN CHARLES. · 2015 to 2019
$6.5M
Toward a Mouse Model of HIV-1 Infection and Drug AddictionR01DA017618 · NIDA · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI POTASH, MARY JANE, VOLSKY, DAVID J · 2004 to 2015
$6.2M
Mutant DISC 1 and Abnormal Neurodevelopment in Mental IllnessR01MH083728 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI PLETNIKOV, MIKHAIL V · 2009 to 2020
$4.9M
NCRR NIH HHS M01 RR000052NIAID NIH HHS P30 AI094189NIAID NIH HHS P30AI094189NIAID NIH HHS U01 AI035042NIAID NIH HHS U01AI035042NIAID NIH HHS UM1 AI035043NIA NIH HHS AG034852NIA NIH HHS R01 AG034852NIDA NIH HHS 5R01DA040390NIDA NIH HHS DA017618NIDA NIH HHS DA037611NIDA NIH HHS P20 DA026164NIDA NIH HHS R01 DA017618NIDA NIH HHS R01 DA037611NIDA NIH HHS R01 DA040390NIDA NIH HHS R03 DA032470NIDA NIH HHS R03DA032470NIMH NIH HHS 1P01MH105280NIMH NIH HHS 1R01MH096636NIMH NIH HHS 2P30MH075673NIMH NIH HHS 2R01MH077542NIMH NIH HHS 5R01MH099733NIMH NIH HHS MH104145NIMH NIH HHS MH107345NIMH NIH HHS N01 MH022005NIMH NIH HHS P01 MH070306NIMH NIH HHS P01 MH105280NIMH NIH HHS P30 MH075673NIMH NIH HHS P50 MH094268NIMH NIH HHS P50MH‑094268NIMH NIH HHS R01 MH077542NIMH NIH HHS R01 MH083728NIMH NIH HHS R01MH083728NIMH NIH HHS R01 MH096636NIMH NIH HHS R01 MH099733NIMH NIH HHS R01 MH104145NIMH NIH HHS R01 MH107345NIMH NIH HHS R01 MH110246NIMH NIH HHS R03 MH103985NIMH NIH HHS R03MH103985NIMH NIH HHS R21 MH083465NIMH NIH HHS R21MH083465NIMH NIH HHS R25 MH080661NINDS NIH HHS NS081196NINDS NIH HHS R01 NS077869NINDS NIH HHS R01NS077869NINDS NIH HHS R01 NS081196NINDS NIH HHS R01 NS089482NINDS NIH HHS R01NS089482NINDS NIH HHS R21NS07062NINDS NIH HHS T32 NS007062
6 · The paper itself

Abstract

In the past two decades, several advancements have improved the care of HIV-infected individuals. Most importantly, the development and deployment of combination antiretroviral therapy (CART) has resulted in a dramatic decline in the rate of deaths from AIDS, so that people living with HIV today have nearly normal life expectancies if treated with CART. The term HIV-associated neurocognitive disorder (HAND) has been used to describe the spectrum of neurocognitive dysfunction associated with HIV infection. HIV can enter the CNS during early stages of infection, and persistent CNS HIV infection and inflammation probably contribute to the development of HAND. The brain can subsequently serve as a sanctuary for ongoing HIV replication, even when systemic viral suppression has been achieved. HAND can remain in patients treated with CART, and its effects on survival, quality of life and everyday functioning make it an important unresolved issue. In this Review, we describe the epidemiology of HAND, the evolving concepts of its neuropathogenesis, novel insights from animal models, and new approaches to treatment. We also discuss how inflammation is sustained in chronic HIV infection. Moreover, we suggest that adjunctive therapies--treatments targeting CNS inflammation and other metabolic processes, including glutamate homeostasis, lipid and energy metabolism--are needed to reverse or improve HAND-related neurological dysfunction.

Indexed as

AnimalsAnti-HIV AgentsAnti-Inflammatory AgentsCognition DisordersHIV InfectionsHumansNervous System DiseasesRisk FactorsTreatment OutcomeAnti-HIV AgentsAnti-Inflammatory Agents

Identifiers

PMID26965674
PMCPMC4937456
OpenAlexW2295774726

What OpenQuestion holds

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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.