Evidence map›Paper›PMID 33165125›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2021

Blue Monday: Co-occurring Stimulant Use and HIV Persistence Predict Dysregulated Catecholamine Synthesis.

Antonio Chahine, Tulay Koru-Sengul, Daniel J Feaster, Samantha E Dilworth, Michael H Antoni, Nichole Klatt, Margaret E Roach, Suresh Pallikkuth, Mark Sharkey, Jessica Salinas and 4 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Stimulant Use, HIV, and Plasma Metabolites Among Men.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
  5. Overamped: Stimulant Use and HIV Pathogenesis.Current HIV/AIDS reports · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. 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

14 authors at 3 institutions in 1 country.

Antonio ChahineDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL.
Tulay Koru-SengulDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL.
Daniel J FeasterDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL.
Samantha E DilworthDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco School of Medicine, University of California, San Francisco, CA.
Michael H AntoniDepartment of Psychology, College of Arts and Sciences, University of Miami, Coral Gables, FL.
Nichole KlattDepartment of Surgery, University of Minnesota School of Medicine, Minneapolis, MN.
Margaret E RoachDepartments of Microbiology and Immunology, Universit of Miami Miller School of Medicine, Miami, FL; and.
Suresh PallikkuthDepartments of Microbiology and Immunology, Universit of Miami Miller School of Medicine, Miami, FL; and.
Mark SharkeyDepartment of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, Miami, FL; and.
Jessica SalinasDepartment of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, Miami, FL; and.
Mario StevensonDepartment of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, Miami, FL; and.
Savita PahwaDepartments of Microbiology and Immunology, Universit of Miami Miller School of Medicine, Miami, FL; and.
Dietmar FuchsInstitute for Biochemistry, Innsbruck Medical University, Biocentre, Innsbruck, Austria .
Adam W CarricoDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL.
University of Miami · USSan Francisco AIDS Foundation · USUniversity of Minnesota · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Savita Pahwa · 2007 to 2026
$33.8M
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)P30MH116867 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2019 to 2023
$6.5M
RCT of an integrative intervention for non-treatment-seeking meth usersR01DA033854 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CARRICO, ADAM WAYNE, MOSKOWITZ, JUDITH T. · 2013 to 2017
$2.8M
NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI073961NIDA NIH HHS R01 DA033854NIMH NIH HHS P30 MH116867
6 · The paper itself

Abstract

backgroundThis longitudinal study examined whether co-occurring stimulant use and HIV disease processes predicted greater risk for depression via dysregulated metabolism of amino acid precursors for neurotransmitters.

methodsIn total, 110 sexual minority men (ie, gay, bisexual, and other men who have sex with men) living with HIV who had biologically confirmed recent methamphetamine use were enrolled in a randomized controlled trial. The kynurenine/tryptophan (K/T) and phenylalanine/tyrosine (P/T) ratios were measured over 15 months to index dysregulated metabolism of amino acid precursors for serotonin and catecholamines. Markers of gut-immune dysregulation such as lipopolysaccharide binding protein and soluble CD14 (sCD14), HIV persistence in immune cells (ie, proviral HIV DNA), and stimulant use were examined as predictors. These bio-behavioral measures, including the K/T and P/T ratios, were also examined as predictors of greater risk for depression over 15 months.

resultsHigher time-varying sCD14 levels (β = 0.13; P = 0.04) and time-varying detectable viral loads (β = 0.71; P < 0.001) were independent predictors of a higher K/T ratio. Time-varying reactive urine toxicology results for stimulants (β = 0.53; P < 0.001) and greater proviral HIV DNA at baseline (β = 0.34; P < 0.001) independently predicted an increased P/T ratio. Greater time-varying, self-reported methamphetamine use uniquely predicted higher odds of screening positive for depression (Adjusted Odds Ratio = 1.08; 95% confidence interval: 1.01 to 1.17).

conclusionsOngoing stimulant use and HIV persistence independently predict dysregulated metabolism of amino acid precursors for catecholamines, but this did not explain amplified risk for depression.

Indexed as

AdultCatecholaminesCentral Nervous System StimulantsCross-Sectional StudiesDepressionHIV InfectionsHomosexuality, MaleHumansLipopolysaccharide ReceptorsLipopolysaccharidesLongitudinal StudiesMaleMethamphetamineMiddle AgedSelf ReportSexual and Gender MinoritiesCatecholaminesCentral Nervous System StimulantsLipopolysaccharide ReceptorsLipopolysaccharidesMethamphetamine

Identifiers

PMID33165125
PMCPMC11215553
OpenAlexW3100660218

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.