Evidence map›Paper›PMID 27913960›Full record

ArticleJournal of neurovirology2017

Neuroimaging abnormalities in clade C HIV are independent of Tat genetic diversity.

Robert H Paul, Sarah Phillips, Jacqueline Hoare, David H Laidlaw, Ryan Cabeen, Gayla R Olbricht, Yuqing Su, Dan J Stein, Susan Engelbrecht, Soraya Seedat and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurovirology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.9field-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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  7. Observational
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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

14 authors at 8 institutions in 2 countries.

Robert H PaulMissouri Institute of Mental Health, University of Missouri, St. Louis, MO, USA. paulro@umsl.edu.
Sarah PhillipsMissouri Institute of Mental Health, University of Missouri, St. Louis, MO, USA.
Jacqueline HoareDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, 7700, South Africa.
David H LaidlawDepartment of Computer Science, Brown University, Providence, RI, 02912, USA.
Ryan CabeenDepartment of Computer Science, Brown University, Providence, RI, 02912, USA.
Gayla R OlbrichtDepartment of Mathematics and Statistics, Missouri University of Science and Technology, Rolla, MO, 65409, USA.
Yuqing SuDepartment of Mathematics and Statistics, Missouri University of Science and Technology, Rolla, MO, 65409, USA.
Dan J SteinDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, 7700, South Africa.
Susan EngelbrechtDivision of Medical Virology, Stellenbosch University and National Health Laboratory Services (NHLS), Cape Town, South Africa.
Soraya SeedatMRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Stellenbosch, 7599, South Africa.
Lauren E SalminenMark and Mary Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, 90007, USA.
Laurie M BakerMissouri Institute of Mental Health, University of Missouri, St. Louis, MO, USA.
Jodi HeapsMissouri Institute of Mental Health, University of Missouri, St. Louis, MO, USA.
John JoskaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, 7700, South Africa.
Missouri Institute of Mental Health · USUniversity of Cape Town · ZABrown University · USMissouri University of Science and Technology · USNational Health Laboratory Service · ZAStellenbosch University · ZAUniversity of Missouri–St. Louis · USUniversity of Southern California · US

Funding

Neuropathogenesis of clade C HIV in South AfricaR01MH085604 · NIMH · UNIVERSITY OF MISSOURI-ST. LOUIS · PI PAUL, ROBERT HARRIS · 2009 to 2013
$2.9M
NIMH NIH HHS R01 MH085604
6 · The paper itself

Abstract

Controversy remains regarding the neurotoxicity of clade C human immunodeficiency virus (HIV-C). When examined in preclinical studies, a cysteine to serine substitution in the C31 dicysteine motif of the HIV-C Tat protein (C31S) results in less severe brain injury compared to other viral clades. By contrast, patient cohort studies identify significant neuropsychological impairment among HIV-C individuals independent of Tat variability. The present study clarified this discrepancy by examining neuroimaging markers of brain integrity among HIV-C individuals with and without the Tat substitution. Thirty-seven HIV-C individuals with the Tat C31S substitution, 109 HIV-C individuals without the Tat substitution (C31C), and 34 HIV- controls underwent 3T structural magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI). Volumes were determined for the caudate, putamen, thalamus, corpus callosum, total gray matter, and total white matter. DTI metrics included fractional anisotropy (FA), radial diffusivity (RD), and axial diffusivity (AD). Tracts of interest included the anterior thalamic radiation (ATR), cingulum bundle (CING), uncinate fasciculus (UNC), and corpus callosum (CC). HIV+ individuals exhibited smaller volumes in subcortical gray matter, total gray matter and total white matter compared to HIV- controls. HIV+ individuals also exhibited DTI abnormalities across multiple tracts compared to HIV- controls. By contrast, neither volumetric nor diffusion indices differed significantly between the Tat C31S and C31C groups. Tat C31S status is not a sufficient biomarker of HIV-related brain integrity in patient populations. Clinical attention directed at brain health is warranted for all HIV+ individuals, independent of Tat C31S or clade C status.

Indexed as

Amino Acid SubstitutionAdultBrain MappingCase-Control StudiesCaudate NucleusCorpus CallosumDiffusion Tensor ImagingFemaleGene ExpressionGenetic VariationGenotypeGray MatterHIVHIV InfectionsHumansImage Processing, Computer-Assistedtat Gene Products, Human Immunodeficiency VirusC30C31 dicysteine motifClade CHIVNeuroimagingTat C31S

Identifiers

PMID27913960
PMCPMC5334278
OpenAlexW2557482022

What OpenQuestion holds

Textmetadata
LicenceTDM
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.