Evidence map›Paper›PMID 27549585›Full record

ArticleThe Journal of infectious diseases2016

Metalloproteinases and Brain Arterial Remodeling Among Individuals With and Those Without HIV Infection.

Jose Gutierrez, Khaled Menshawy, James Goldman, Andrew J Dwork, Mitchell S V Elkind, Randolph S Marshall, Susan Morgello

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 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
2.2field-weighted citation impact, top 13% 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, 24 citations in OpenAlex.

  1. Review
  2. 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
  3. Review
  4. Article
  5. Review
  6. Article
  7. Dolichoectasia: a brain arterial disease with an elusive treatment.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  8. Review
  9. Metalloproteinases and their inhibitors in neurological disease.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Global HIV neurology: a comprehensive review.AIDS (London, England) · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. 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

7 authors at 5 institutions in 3 countries.

Jose GutierrezDepartment of Neurology.
Khaled MenshawyAlexandria Faculty of Medicine, Alexandria University, Egypt.
James GoldmanDepartment of Pathology and Cell Biology, College of Physicians and Surgeons.
Andrew J DworkDepartment of Pathology and Cell Biology, College of Physicians and Surgeons.
Mitchell S V ElkindDepartment of Neurology.
Randolph S MarshallDepartment of Neurology.
Susan MorgelloDepartments of Neurology, Neuroscience, and Pathology, Icahn School of Medicine at Mount Sinai, New York, New York.
Alexandria University · EGColumbia University · USColumbia University Irving Medical Center · USIcahn School of Medicine at Mount Sinai · USRoyal College of Physicians · GB

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 R25 MH080663NIMH NIH HHS U24 MH100931
6 · The paper itself

Abstract

backgroundThis study tests the hypothesis that increased elastolytic activity is associated differentially with dolichoectasia in individuals with and those without human immunodeficiency virus (HIV) infection.

methodsLarge arteries from 84 autopsied brains from HIV-positive individuals and 78 autopsied brains from HIV-negative individuals were stained for metalloproteinase 2 (MMP-2), MMP-3, MMP-9, tissue inhibitor of metalloproteinases 1 (TIMP-1), TIMP-2, CD68, and caspase 3. Average pixel intensity was automatically obtained and categorized as high, moderate, or low. Dolichoectasia was defined as a lumen to wall ratio ≥95th percentile.

resultsHigh MMP-9 staining alone (P = .001) or coexistent with low TIMP-2 staining was associated with dolichoectasia only in HIV-negative individuals (P = <.001). In HIV-positive individuals, MMP-9 was associated with dolichoectasia only when coexpressed with caspase 3 (P = .01). Thinning of the media was associated with CD68 staining (P = <.001) in HIV-negative individuals, while caspase 3 was associated with a thinner media only in HIV-positive individuals (P = .01). Media thickness modified the association between lumen to wall ratio and MMP expression.

conclusionsA role for MMP/TIMP balance in dolichoectasia appears more prominent in HIV-negative individuals, while apoptosis, mediated by caspase 3, is the most important determinant of media thinning in HIV-infected individuals. Furthermore, apoptosis and media thickness appear to mediate the effects of MMP in the HIV-infected population.

Indexed as

Antigens, CDAntigens, Differentiation, MyelomonocyticArteriesBrainCaspase 3CD68 MoleculeFemaleHIV InfectionsHumansMaleMiddle AgedTissue Inhibitor of Metalloproteinase-1Tissue Inhibitor of Metalloproteinase-2Antigens, CDAntigens, Differentiation, MyelomonocyticCaspase 3CD68 antigen, humanCD68 MoleculeTIMP1 protein, humanTIMP2 protein, humanTissue Inhibitor of Metalloproteinase-1Tissue Inhibitor of Metalloproteinase-2braindolichoectasiahistopathologyHIVremodeling

Identifiers

PMID27549585
PMCPMC5079372
OpenAlexW2510344149

What OpenQuestion holds

Textmetadata
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.