Evidence map›Paper›PMID 33554325›Full record

ArticleJournal of neurovirology2022

Accelerated epigenetic aging in adolescents living with HIV is associated with altered development of brain structures.

Jacqueline Hoare, Dan J Stein, Sarah J Heany, Jean-Paul Fouche, Nicole Phillips, Sebnem Er, Landon Myer, Heather J Zar, Steve Horvath, Andrew J Levine

Open access · greenAbstract read
In one paragraph

Article in Journal of neurovirology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Using Epigenetic Clocks to Characterize Biological Aging in Studies of Children and Childhood Exposures: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2023
    Pooled it
  2. Article
  3. Article
  4. Epigenetic age acceleration and mortality among persons with poorly controlled HIV.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  5. Review
  6. Review
  7. Epigenetic mechanisms of HIV and opioid-induced neuropathology: Potential therapies and interventions.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. A new perspective on HIV: effects of HIV on brain-heart axis.Frontiers in cardiovascular medicine · 2023
    Review
  16. Cellular senescence in brain aging and cognitive decline.Frontiers in aging neuroscience · 2023
    Review
  17. Article
  18. Review
  19. 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 at 3 institutions in 2 countries.

Jacqueline HoareDepartment of Psychiatry and Mental Health, SA MRC Unit On Risk & Resilience in Mental Disorders, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa. hoare.jax@gmail.com.ORCID 0000-0002-6963-3557
Dan J SteinDepartment of Psychiatry and Mental Health, SA MRC Unit On Risk & Resilience in Mental Disorders, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa.
Sarah J HeanyDepartment of Psychiatry and Mental Health, SA MRC Unit On Risk & Resilience in Mental Disorders, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa.
Jean-Paul FoucheDepartment of Psychiatry and Mental Health, SA MRC Unit On Risk & Resilience in Mental Disorders, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa.
Nicole PhillipsDepartment of Psychiatry and Mental Health, SA MRC Unit On Risk & Resilience in Mental Disorders, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa.
Sebnem ErDepartment of Statistics, University of Cape Town, Rondebosch, Cape Town, South Africa.
Landon MyerCentre for Infectious Disease Epidemiology and Research, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
Heather J ZarDepartment of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, SA Medical Research Council Unit On Child and Adolescent Health, Cape Town, South Africa.
Steve HorvathHuman Genetics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Andrew J LevineDepartment of Neurology, David Geffen School of Medicine, at the University of California, Los Angeles, CA, USA.
University of Cape Town · ZAUniversity of California, Los Angeles · USRed Cross War Memorial Children's Hospital · ZA

Funding

Validation and optimization of epigenetic clocksU01AG060908 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2018 to 2022
$3.4M
Cape Town Adolescent Antiretroviral Cohort (CTAAC)R01HD074051 · NICHD · UNIVERSITY OF CAPE TOWN · PI ZAR, HEATHER JOY · 2012 to 2016
$3.0M
Epigenetic and Psychosocial Drivers of NeuroHIV in HIV+ South African AdolescentsR21MH107327 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HOARE, JACQUELINE, LEVINE, ANDREW J · 2016 to 2017
$373k
NIA NIH HHS U01 AG060908NICHD NIH HHS R01 HD074051NIMH NIH HHS R21 MH107327
6 · The paper itself

Abstract

We recently demonstrated that adolescents perinatally infected with HIV-1 (PHIV+) have accelerated aging as measured by a highly accurate epigenetic biomarker of aging known as the epigenetic clock. However, whether epigenetic age acceleration in PHIV+ impacts brain development at the macro- and microstructural levels of brain anatomy has not been studied. We report on a cross-sectional study of PHIV+ enrolled in the Cape Town Adolescent Antiretroviral Cohort (CTAAC). The Illumina Infinium Methylation EPIC array was used to generate DNA methylation data from the blood samples of 180 PHIV+ aged 9 to 12 years. The epigenetic clock software and method was used to estimate two measures, epigenetic age acceleration (AgeAccelerationResidual) and extrinsic epigenetic age acceleration (EEAA). Each participant underwent T1 structural magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI). In order to investigate the associations of chronological age, sex, epigenetic age acceleration and treatment variables (CNS penetration effectiveness score (CPE)) of antiretroviral regimen on brain structure in PHIV+, we developed stepwise multiple regression models in R (version 3.4.3, 2017) including grey and white matter volumes, cortical thickness, cortical surface area and DTI measures of white matter microstructural integrity. The mean DNAm age (16.01 years) of the participants was higher than their mean chronological age (10.77 years). Epigenetic age acceleration contributed more to regional alterations of brain volumes, cortical thickness, cortical surface areas and neuronal microstructure than chronological age, in a range of regions. CPE positively contributed to volume of the brain stem. Understanding the drivers of epigenetic age acceleration could lead to valuable insights into structural brain alterations, and the persistence of neurocognitive disorders in seen in PHIV+ .

Indexed as

Diffusion Tensor ImagingHIV InfectionsAdolescentAgingBrainCross-Sectional StudiesEpigenesis, GeneticHumansSouth AfricaBrain imagingDNA methylationDTIEpigenetic clockHIVMRIPerinatal HIV

Identifiers

PMID33554325
PMCPMC8346577
OpenAlexW3128792177

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.