Evidence map›Paper›PMID 31425903›Full record

ArticleNeurobiology of aging2019

Longitudinal brain atrophy patterns and neuropsychological performance in older adults with HIV-associated neurocognitive disorder compared with early Alzheimer's disease.

Benedetta Milanini, Vishal Samboju, Yann Cobigo, Robert Paul, Shireen Javandel, Joanna Hellmuth, Isabel Allen, Bruce Miller, Victor Valcour

Abstract readComparative Study
In one paragraph

Article in Neurobiology of aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Alzheimer Dementia in People Living With HIV.Neurology. Clinical practice · 2021
    Article
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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

9 authors.

Benedetta MilaniniDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA. Electronic address: Benedetta.Milanini@ucsf.edu.
Vishal SambojuDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA.
Yann CobigoDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA.
Robert PaulMissouri Institute of Mental Health, University of Missouri, St. Louis, MO, USA.
Shireen JavandelDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA.
Joanna HellmuthDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA.
Isabel AllenDepartment of Epidemiology, University of California, San Francisco, CA, USA.
Bruce MillerDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA.
Victor ValcourDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, CA, USA.

Funding

TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
PrPSc SPECIFIC INTERACTION WITH NOVEL PrP-Fc FUSION PROTEINSP50AG023501 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, YADONG · 2004 to 2018
$27.1M
NCANDA: Data Analysis Resource - Uploading Legacy Data to NDAU24AA021697 · NIAAA · STANFORD UNIVERSITY · PI Adolf Pfefferbaum, Kilian Maria Pohl · 2016 to 2026
$12.2M
Multidisciplinary Research Fellowship in Alzheimer’s disease and Related DementiasT32AG023481 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BRUCE L MILLER, HOWARD J ROSEN · 2005 to 2026
$7.4M
Machine learning to distinguish HAND from Alzheimer's disease in HIV over age 60R01MH113406 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POHL, KILIAN MARIA, VALCOUR, VICTOR · 2017 to 2021
$5.5M
Interventions for Symptom Management in Older Patients with HANDR01NR015223 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MOSKOWITZ, JUDITH T., VALCOUR, VICTOR · 2014 to 2018
$3.5M
Midcareer Mentoring Award for Patient-Oriented Research in HIV and CognitionK24MH098759 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VALCOUR, VICTOR · 2013 to 2017
$887k
NIAAA NIH HHS U24 AA021697NIA NIH HHS P01 AG019724NIA NIH HHS P50 AG023501NIA NIH HHS T32 AG023481NIMH NIH HHS K24 MH098759NIMH NIH HHS R01 MH113406NINR NIH HHS R01 NR015223
6 · The paper itself

Abstract

Older HIV-infected patients are at risk for both HIV-associated neurocognitive disorder (HAND) and Alzheimer's disease. We investigated neuroimaging and neuropsychological performance of 61 virally suppressed older adults with HAND (mean (SD) age 64.3 (3.9) years), 53 demographically matched individuals with mild cognitive impairment of the Alzheimer's type (MCI-AD; 65.0 [4.8]), and 89 healthy controls (65.0 [4.3]) cross-sectionally and over 20 months. At the baseline, both disease groups exhibited lower volumes in multiple cortical and subcortical regions compared with controls. Hippocampal volume differentiated MCI-AD from HAND. Cognitively, MCI-AD performed worse on memory and language compared with HAND. Adjusted longitudinal models revealed greater diffuse brain atrophy in MCI-AD compared with controls, whereas HAND showed greater atrophy in frontal gray matter and cerebellum compared with controls. Comparing HAND with MCI-AD showed similar atrophy rates in all brain regions explored, with no significant findings. MCI-AD exhibited more pronounced language decline compared with HAND. These findings reveal the need for further work on unique cognitive phenotypes and neuroimaging signatures of HAND compared with early AD, providing preliminary clinical insight for differential diagnosis of age-related brain dysfunction in geriatric neuroHIV.

Indexed as

Neuropsychological TestsAgedAged, 80 and overAIDS Dementia ComplexAlzheimer DiseaseAtrophyBrainCohort StudiesFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedNeurocognitive DisordersAlzheimer diseaseCognitive dysfunctionHIVMild cognitive impairmentNeuroimaging

Identifiers

PMID31425903
PMCPMC6823146

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Registered trials

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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.