Evidence map›Paper›PMID 27812290›Full record

ArticleInternational journal of tryptophan research : IJTR2016

Tryptophan Metabolism and Its Relationship with Depression and Cognitive Impairment Among HIV-infected Individuals.

Michael R Keegan, Seetharamaiah Chittiprol, Scott L Letendre, Alan Winston, Dietmar Fuchs, Adriano Boasso, Jennifer Iudicello, Ronald J Ellis

Open access · goldAbstract read
In one paragraph

Article in International journal of tryptophan research : IJTR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 24% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Exploratory Cohort Study of Depressive Symptoms in South Africans with HIV-1 Subtype C: Associations with Kynurenine Pathway Metabolites and Inflammatory Markers.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Serotonin Levels in Newly-Infected HIV-Positive: A Preliminary Study.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2024
    Article
  11. In Vitro Human Monoamine Oxidase Inhibition and Human Dopamine DInternational journal of molecular sciences · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Role of Tryptophan Metabolites in Neuropsychiatric Disorders.International journal of molecular sciences · 2022
    Review
  19. 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 1 institution in 1 country.

Michael R KeeganImperial College London, Department of Medicine, London, United Kingdom.; ViiV Healthcare Ltd., Clinical Sciences Group, London, United Kingdom.
Seetharamaiah ChittiprolUniversity of California, San Diego, Departments of Neurosciences and Psychiatry, San Diego, CA, USA.; Memorial Healthcare System, Department of Pathology, Hollywood, FL, USA.
Scott L LetendreUniversity of California, San Diego, Departments of Neurosciences and Psychiatry, San Diego, CA, USA.
Alan WinstonImperial College London, Department of Medicine, London, United Kingdom.
Dietmar FuchsInnsbruck Medical University, Centre for Chemistry and Biomedicine, Innsbruck, Austria.
Adriano BoassoImperial College London, Centre for Immunology and Vaccinology, London, United Kingdom.
Jennifer IudicelloUniversity of California, San Diego, Departments of Neurosciences and Psychiatry, San Diego, CA, USA.
Ronald J EllisUniversity of California, San Diego, Departments of Neurosciences and Psychiatry, San Diego, CA, USA.
Imperial College London · GB

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Biomarkers of Blood Brain Barrier Injury in Methamphetamine Use and HIV DiseaseK23DA037793 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI IUDICELLO, JENNIFER E · 2014 to 2018
$915k
NIMH NIH HHS P30 MH062512
6 · The paper itself

Abstract

objectiveCognitive impairment (CI) and major depressive disorder (MDD) remain prevalent in treated HIV-1 disease; however, the pathogenesis remains elusive. A possible contributing mechanism is immune-mediated degradation of tryptophan (TRP) via the kynurenine (KYN) pathway, resulting in decreased production of serotonin and accumulation of TRP degradation products. We explored the association of these biochemical pathways and their relationship with CI and MDD in HIV-positive (HIV+) individuals.

methodsIn a cross-sectional analysis, concentrations of neopterin (NEO), tumor necrosis factor-alpha, TRP, KYN, KYN/TRP ratio, phenylalanine (PHE), tyrosine (TYR), PHE/TYR ratio, and nitrite were assessed in the cerebrospinal fluid (CSF) and plasma of HIV+ (

resultsFollowing Bonferroni correction, NEO concentrations were found to be greater in CSF and TRP concentration was found to be lower in the plasma of HIV+ versus HIV- individuals, including a subgroup of aviremic (defined as HIV-1 RNA <50 cps/mL) HIV+ participants receiving antiretroviral therapy (

conclusionsWe observed a trend toward lower KYN/TRP ratios in aviremic HIV+ patients with CI and MDD.

Indexed as

cognitive impairmentdepressionHIVIDOkynureninetryptophan

Identifiers

PMID27812290
PMCPMC5083113
OpenAlexW2541174001

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.