Evidence map›Paper›PMID 29957870›Full record

ArticleAlcoholism, clinical and experimental research2018

The Impact of Alcohol Use on Frontal White Matter in HIV.

Joseph M Gullett, Damon G Lamb, Eric Porges, Adam J Woods, Jake Rieke, Paul Thompson, Neda Jahanshad, Talia M Nir, Karen Tashima, Ronald A Cohen

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Neuroimaging the Neuropathogenesis of HIV.Current HIV/AIDS reports · 2021
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Heavy Alcohol Use and Age Effects on HIV-Associated Neurocognitive Function.Alcoholism, clinical and experimental research · 2019
    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

10 authors.

Joseph M GullettCenter for Cognitive Aging and Memory , McKnight Brain Institute, University of Florida, Gainesville, Florida.ORCID 0000-0002-8184-7187
Damon G LambCenter for Cognitive Aging and Memory , McKnight Brain Institute, University of Florida, Gainesville, Florida.
Eric PorgesCenter for Cognitive Aging and Memory , McKnight Brain Institute, University of Florida, Gainesville, Florida.
Adam J WoodsCenter for Cognitive Aging and Memory , McKnight Brain Institute, University of Florida, Gainesville, Florida.
Jake RiekeBrain Rehabilitation Research Center , Malcom Randall VA Medical Center, Gainesville, Florida.
Paul ThompsonImaging Genetics Center , Mark and Mary Stevens Neuroimaging and Informatics Institute, USC Keck School of Medicine, Marina del Rey, California.
Neda JahanshadImaging Genetics Center , Mark and Mary Stevens Neuroimaging and Informatics Institute, USC Keck School of Medicine, Marina del Rey, California.
Talia M NirImaging Genetics Center , Mark and Mary Stevens Neuroimaging and Informatics Institute, USC Keck School of Medicine, Marina del Rey, California.
Karen TashimaThe Miriam Hospital , Alpert College of Medicine, Brown University, Providence, Rhode Island.
Ronald A CohenCenter for Cognitive Aging and Memory , McKnight Brain Institute, University of Florida, Gainesville, Florida.ORCID 0000-0002-8863-8847

Funding

Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI KAHLER, CHRISTOPHER W. · 2010 to 2024
$19.7M
Pharmacotherapy for alcohol consumptionin HIV-infected women: randomized trialU01AA020797 · NIAAA · UNIVERSITY OF FLORIDA · PI COHEN, RONALD A, COOK, ROBERT L · 2011 to 2021
$7.2M
Translational Science Training to Reduce the Impact of Alcohol on HIV InfectionT32AA025877 · NIAAA · UNIVERSITY OF FLORIDA · PI Robert L Cook, DEBRA E LYON · 2018 to 2026
$3.3M
ENIGMA-SD: Understanding Sex Differences in Global Mental Health through ENIGMAR01MH116147 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2018 to 2021
$2.5M
Age Effects on HIV-associated Brain DysfunctionR01MH074368 · NIMH · MIRIAM HOSPITAL · PI COHEN, RONALD A · 2006 to 2010
$1.7M
NIAAA NIH HHS P01 AA019072NIAAA NIH HHS T32 AA025877NIAAA NIH HHS U01 AA020797NIMH NIH HHS R01 MH074368NIMH NIH HHS R01 MH116147
6 · The paper itself

Abstract

backgroundAlcohol use disorder (AUD) is prevalent among individuals diagnosed with human immunodeficiency virus (HIV), and both HIV and alcohol use have been shown to negatively affect the integrity of white matter pathways in the brain. Behavioral, functional, and anatomical impairments have been linked independently to HIV and alcohol use, and these impairments have bases in specific frontally mediated pathways within the brain.

methodsMagnetic resonance imaging data were acquired for 37 HIV+ participants without dementia or hepatitis C. Imaging data were processed through the FreeSurfer and TraCULA pipelines to obtain 4 bilateral frontal white matter tracts for each participant. Diffusion metrics of white matter integrity along the highest probability pathway for each tract were analyzed with respect to demographics, disease-specific variables, and reported substance use.

resultsSignificantly increased axial diffusivity (decreased axonal integrity) and a trending increase in mean diffusivity were observed along the anterior thalamic radiation (ATR) in participants with a history of AUD. A diagnosis of AUD explained over 36% of the variance in diffusivity along the ATR overall when accounting for clinical variables including nadir CD4 and age-adjusted HIV infection length.

conclusionsThis study provides evidence of HIV-related associations between alcohol use and indicators of axonal integrity loss along the ATR, a frontal pathway involved in the inhibition of addictive or unwanted behaviors. Reduced axonal integrity of this pathway was greatest in HIV+ participants with an AUD, even when considering the effect of age-adjusted disease length and severity (nadir CD4). This finding implicates a potential biological mechanism linking reduced integrity of frontal white matter to the high prevalence of AUD in an HIV+ population without dementia or hepatitis C.

Indexed as

National Institute on Alcohol Abuse and Alcoholism (U.S.)AdultAlcohol DrinkingCross-Sectional StudiesDiffusion Tensor ImagingFemaleFrontal LobeHIV InfectionsHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsUnited StatesWhite MatterAlcohol Use DisorderHIVNeuroimagingTractographyWhite Matter

Identifiers

PMID29957870
PMCPMC6120768

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.