Evidence map›Paper›PMID 28327462›Full record

ArticleAntiviral therapy2017

Neurocognitive dysfunction in HIV-infected youth: investigating the relationship with immune activation.

Allison Ross Eckard, Julia C Rosebush, Mary Ann O'Riordan, Chanda C Graves, Ashley Alexander, Anita K Grover, S Thera Lee, Jakob G Habib, Joshua H Ruff, Ann Chahroudi and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Antiviral therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01523496 (Vitamin D Supplementation and HIV-related Complications in Children and Young Adults), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT01523496 phase2 / phase3completednot on this map

Vitamin D Supplementation and HIV-related Complications in Children and Young Adults

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2011 to 2016Enrolled190ConditionsHIV InfectionsArmsVitamin D control dose, Vitamin D supplementation-
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Plasma Citrate and Succinate Are Associated With Neurocognitive Impairment in Older People With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  12. Observational
  13. Article
  14. Article
  15. 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

11 authors at 5 institutions in 1 country.

Allison Ross EckardDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Julia C RosebushDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Mary Ann O'RiordanRainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Chanda C GravesDepartment of Psychology, Emory University School of Medicine, Atlanta, GA, USA.
Ashley AlexanderChildren's Healthcare of Atlanta, Atlanta, GA, USA.
Anita K GroverDepartment of Psychology, Georgia State University, Atlanta, GA, USA.
S Thera LeeDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Jakob G HabibDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Joshua H RuffDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Ann ChahroudiDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Grace A McComseyRainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Emory University · USCase Western Reserve University · USChildren's Healthcare of Atlanta · USGeorgia State University · USMedical University of South Carolina · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Alan David Levine · 1994 to 2026
$50.0M
Atlanta Pediatric Scholars ProgramK12HD072245 · NICHD · EMORY UNIVERSITY · PI Shari Barkin · 2012 to 2026
$5.5M
Vitamin D, drug metabolism, and cardiovascular complications in pediatric HIVR01HD070490 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2011 to 2015
$1.7M
Vitamin D status and HIV-related complications in children and young adultsK23HD069199 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ECKARD, ALLISON ROSS · 2012 to 2016
$631k
NCATS NIH HHS UL1 TR000439NIAID NIH HHS P30 AI036219NIAID NIH HHS P30 AI050409NICHD NIH HHS K12 HD072245NICHD NIH HHS K23 HD069199NICHD NIH HHS R01 HD070490
6 · The paper itself

Abstract

backgroundHIV-infected individuals are at increased risk of neurocognitive impairment compared to the general population. Studies suggest that, despite combination antiretroviral therapy (cART), HIV infection causes immune activation which results in neural damage; however, few data exist in HIV-infected youth.

methodsHIV-infected youth 8-26-years-old on cART with virological suppression were prospectively enrolled along with healthy controls. Neurocognitive performance was assessed by age-appropriate Wechsler Intelligence Scales. Soluble and cellular markers of T-lymphocyte and monocyte activation were measured by ELISA and flow cytometry, respectively.

results45 HIV-infected subjects and 21 controls were enrolled. Markers of T-cell and monocyte activation were higher in the HIV-infected subjects compared to controls, but proportions of inflammatory and patrolling monocytes were similar. Although there were no significant differences in neurocognitive scores between the HIV-infected and control groups, scores were low-average for four of five testing domains for the HIV-infected subjects and average for all five in the controls, and % of HIV-infected subjects with scores classified as 'low average' or below was higher than in the controls. Variables most associated with neurocognitive performance among HIV-infected subjects included activated CD4

conclusionsHIV-infected youth on cART with virological suppression show subtle evidence of neurocognitive impairment compared to healthy controls, and increased immune activation appears to play a role. Additional studies are needed to develop strategic interventions beyond cART to potentially improve neurocognitive performance and/or minimize further impairment in this vulnerable population. ClinicalTrials.gov Identifier: NCT01523496.

Indexed as

ImmunityAdolescentAdultAntiretroviral Therapy, Highly ActiveBiomarkersCD4 Lymphocyte CountChildCognitive DysfunctionCross-Sectional StudiesFemaleHIVHIV InfectionsHumansImmunophenotypingLymphocyte ActivationMaleBiomarkers

Identifiers

PMID28327462
PMCPMC5940002
OpenAlexW2601297103

What OpenQuestion holds

Textmetadata
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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.