Evidence map›Paper›PMID 27856671›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2016

Deformed Subcortical Structures Are Related to Past HIV Disease Severity in Youth With Perinatally Acquired HIV Infection.

C Paula Lewis-de Los Angeles, Kathryn I Alpert, Paige L Williams, Kathleen Malee, Yanling Huo, John G Csernansky, Ram Yogev, Russell B Van Dyke, Elizabeth R Sowell, Lei Wang and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01418014 (Adolescent Master Protocol), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT01418014 completednot on this map

Adolescent Master Protocol

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2021Enrolled678ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 29 citations in OpenAlex.

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  17. Early Sites of Virus Replication After Oral SIVAIDS research and human retroviruses · 2018
    Article
  18. Perinatal HIV Infection or Exposure Is Associated With LowFrontiers in human neuroscience · 2018
    Article
  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

11 authors at 5 institutions in 1 country.

C Paula Lewis-de Los AngelesNorthwestern University Interdepartmental Neuroscience Program.
Kathryn I AlpertDepartment of Psychiatry and Behavioral Sciences.
Paige L WilliamsDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Kathleen MaleeDepartment of Psychiatry and Behavioral Sciences.
Yanling HuoDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
John G CsernanskyDepartment of Psychiatry and Behavioral Sciences.
Ram YogevDepartment of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Illinois.
Russell B Van DykeDepartment of Pediatrics, Tulane University School of Medicine, New Orleans, Louisiana.
Elizabeth R SowellDepartment of Pediatrics, Children's Hospital Los Angeles.
Lei WangDepartment of Psychiatry and Behavioral Sciences.
Pediatric HIV/AIDS Cohort Study (PHACS)
Harvard University · USLurie Children's Hospital · USNorthwestern University · USTulane University · USUniversity of Southern California · US

Funding

PHACS - Data and Operations CenterU01HD052102 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLIAMS, PAIGE L · 2005 to 2019
$242.7M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008152 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ARDEHALI, HOSSEIN · 1987 to 2021
$24.0M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
TRAINING PROGRAM IN THE NEUROSCIENCE OF HUMAN COGNITIONT32NS047987 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Rodrigo M Braga, Christina Maria Zelano · 2006 to 2026
$5.6M
NICHD NIH HHS U01 HD052102NICHD NIH HHS U01 HD052104NIGMS NIH HHS T32 GM008152NINDS NIH HHS T32 NS047987
6 · The paper itself

Abstract

backgroundCombination antiretroviral therapy has led to increased survival among youth with perinatally acquired HIV (PHIV). However, cognitive deficits continue to be common. Histopathological studies in adults have found HIV concentrated in subcortical structures, which are involved in sensory processing, movement, and higher-order cognition that emerges with development.

methodsWe conducted magnetic resonance imaging and cognitive testing in 40 youth with PHIV at one site of the Adolescent Master Protocol of the Pediatric HIV/AIDS Cohort Study. We collected HIV disease-severity measures and substance-use reports. Subcortical volume and shape deformation were generated with FreeSurfer-Initiated Large Deformation Diffeomorphic Metric Mapping. Inward shape deformation was defined as negative displacement. We evaluated associations of subcortical shape deformation with past HIV severity after adjustment for sex, age at neuroimaging, age at HIV severity marker, and substance use. We examined associations between subcortical deformation and cognitive function.

resultsNegative correlations between shape deformation and peak HIV viral load (VL) were found in clusters in the caudate tail, globus pallidus, lateral putamen, and anterior and medial thalamus. Positive correlations between shape deformation and nadir CD4-positive T-lymphocyte percentage (CD4%) were found in clusters in the medial and posterior thalamus. Inward deformation in caudate and thalamic clusters correlated with worse cognition.

conclusionsYouth with PHIV have demonstrable subcortical shape deformation related to past HIV severity and cognition; inward deformation was associated with higher peak VL, lower nadir CD4%, and worse cognition. Identifying subcortical deformation may inform clinical practice for early intervention to help improve cognitive outcomes and assess the neuroefficacy of combination antiretroviral therapy in youth with PHIV.

Indexed as

Magnetic Resonance ImagingAdolescentAntiretroviral Therapy, Highly ActiveBrainBrain MappingCD4 Lymphocyte CountChildCognition DisordersFemaleHIV InfectionsHumansInfectious Disease Transmission, VerticalMaleNeuropsychological TestsSeverity of Illness IndexSubstance-Related Disordersadolescenceneuroimagingperinatally acquired HIVsubcorticalviral load

Identifiers

PMID27856671
PMCPMC5181545
OpenAlexW2557109303

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Registered trials

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.