Evidence map›Paper›PMID 27981189›Full record

ReviewNeurobiology of stress2016

Untangling the Gordian knot of HIV, stress, and cognitive impairment.

Arielle N Valdez, Leah H Rubin, Gretchen N Neigh

Abstract readReview
In one paragraph

Review in Neurobiology of stress, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Neuroimaging the Neuropathogenesis of HIV.Current HIV/AIDS reports · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Review
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

3 authors.

Arielle N ValdezEmory University Medical Scientist Training Program, USA; Emory University Department of Cell Biology, USA.
Leah H RubinUniveristy of Illinois at Chicago, Department of Psychiatry, USA.
Gretchen N NeighEmory University Department of Physiology, USA; Emory University Department of Psychiatry & Behavioral Sciences, USA.

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008169 · NIGMS · EMORY UNIVERSITY · PI GROSS, ROBERT E · 1987 to 2021
$20.3M
Developing Research At The Interface Of HIV And AgingR24AG044325 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HIGH, KEVIN P. · 2013 to 2017
$2.4M
Biological Mechanisms of Stress Disorders Co-Morbid with HIV in African American WomenR01MH110364 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI JOVANOVIC, TANJA, NEIGH, GRETCHEN N · 2016 to 2020
$2.0M
Effects of Stress and Stress Hormones on Cognition in HIV-Infected WomenK01MH098798 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI RUBIN, LEAH HELANE · 2012 to 2015
$650k
GLUT 1 Polymorphism Decreases Incidence of Depression and PTSD after TraumaK18MH105098 · NIMH · EMORY UNIVERSITY · PI NEIGH, GRETCHEN N · 2014 to 2014
$79k
NIAID NIH HHS P30 AI050409NIA NIH HHS R24 AG044325NIGMS NIH HHS T32 GM008169NIMH NIH HHS K01 MH098798NIMH NIH HHS K18 MH105098NIMH NIH HHS R01 MH110364
6 · The paper itself

Abstract

As individuals live longer with HIV, this "graying of the HIV epidemic" has introduced a new set of challenges including a growing number of age and inflammation-related diseases such as cardiovascular disease, type II diabetes, cancer, and dementia. The biological underpinnings of these complex and co-morbid diseases are not fully understood and become very difficult to disentangle in the context of HIV and aging. In the current review we examine the contributions and interactions of HIV, stress, and cognitive impairment and query the extent to which inflammation is the linchpin in these dynamic interactions. Given the inter-relatedness of stress, inflammatory mechanisms, HIV, and cognitive impairment, future work will either need to address multiple dimensions simultaneously or embrace the philosophy that breaking the aberrant cycle at any one point will subsequently remedy the other related systems and processes. Such a single-point intervention may be effective in early disease states, but after perpetuation of an aberrant cycle, adaptations in an attempt to internally resolve the issue will likely lead to the need for multifaceted interventions. Acknowledging that HIV, inflammation, and stress may interact with one another and collectively impact cognitive ability is an important step in fully understanding an individual's complete clinical picture and moving towards personalized medicine.

Indexed as

ACTH, Adrenocorticotropic hormoneAIDS, Acquired immune deficiency syndromeANI, Asymptomatic neurocognitive impairmentART, Antiretroviral therapyCBSM, Cognitive behavioral stress managementCD4CNS, Central Nervous SystemCognitionCRP, C-reactive proteinGALT, Gut-associated lymphoid tissueGR, Glucocorticoid receptorHAD, HIV-associated dementiaHANA, HIV-associated, Non-AIDSHAND, HIV-associated neurocognitive disordersHIVHPA, Hypothalamic–Pituitary AdrenalHRV, Heart rate variabilityhsCRP, High-sensitivity C-reactive proteinIL-12, Interleukin-12IL-18, Interleukin-18IL-1β, Interleukin-1βIL-2, Interleukin-2IL-6, Interleukin-6InflammationINSTIs, Integrase strand transfer inhibitorsLPS, LipopolysaccharideLTP, Long-term potentiationMND, Mild neurocognitive disorderNNRTIs, Non-nucleoside reverse transcriptase inhibitorsNRTIs, Nucleoside reverse transcriptase inhibitorsPFC, Prefrontal cortexPIs, Protease inhibitorsPLWH, People living with HIVPTSD, Posttraumatic stress disorderROS, Reactive oxygen speciesStressTNFα, Tumor necrosis factor alphaVpr, Viral protein rWIHS, Women's Interagency HIV Study

Identifiers

PMID27981189
PMCPMC5146199

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.