Evidence map›Paper›PMID 33585975›Full record

ReviewCellular and molecular life sciences : CMLS2021

Mechanisms of neuronal dysfunction in HIV-associated neurocognitive disorders.

Elena Irollo, Jared Luchetta, Chunta Ho, Bradley Nash, Olimpia Meucci

Open access · hybridAbstract readReview
In one paragraph

Review in Cellular and molecular life sciences : CMLS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
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  9. CXCL12 Engages Cortical Inhibitory Neurons to Enhance Dendritic Spine Plasticity and Structured Network Activity.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
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  14. Neutral sphingomyelinase 2: A promising drug target for CNS disease.Advances in pharmacology (San Diego, Calif.) · 2025
    Review
  15. Neurocognitive function and its influencing factors in people living with HIV/AIDS.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  16. Article
  17. 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

5 authors at 1 institution in 1 country.

Elena IrolloDepartment of Pharmacology and Physiology, Drexel University College of Medicine, 245 N. 15th Street, Philadelphia, PA, 19102, USA.
Jared LuchettaDepartment of Pharmacology and Physiology, Drexel University College of Medicine, 245 N. 15th Street, Philadelphia, PA, 19102, USA.
Chunta HoDepartment of Pharmacology and Physiology, Drexel University College of Medicine, 245 N. 15th Street, Philadelphia, PA, 19102, USA.
Bradley NashDepartment of Pharmacology and Physiology, Drexel University College of Medicine, 245 N. 15th Street, Philadelphia, PA, 19102, USA.
Olimpia MeucciDepartment of Pharmacology and Physiology, Drexel University College of Medicine, 245 N. 15th Street, Philadelphia, PA, 19102, USA. om29@drexel.edu.ORCID http://orcid.org/0000-0001-8333-4804
Drexel University · US

Funding

Interdisciplinary And Translational Research Training In NeurohivT32MH079785 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI Kamel Khalili · 2008 to 2026
$5.4M
Role of chemokine receptors in neuronal survivalR01DA015014 · NIDA · MCP HAHNEMANN UNIVERSITY · PI MEUCCI, OLIMPIA · 2001 to 2017
$4.3M
Effects of opiates on neurons and their impact on HIV neuropathologyR01DA032444 · NIDA · DREXEL UNIVERSITY · PI MEUCCI, OLIMPIA · 2012 to 2023
$3.8M
Role of chemokines in neuronal function and survivalR37DA015014 · NIDA · DREXEL UNIVERSITY · PI Olimpia Meucci · 2018 to 2026
$3.7M
NIDA NIH HHS DA015014NIDA NIH HHS DA032444NIDA NIH HHS R01 DA015014NIDA NIH HHS R01 DA032444NIDA NIH HHS R37 DA015014NIMH NIH HHS MH079785 (Training grant)NIMH NIH HHS T32 MH079785
6 · The paper itself

Abstract

HIV-associated neurocognitive disorder (HAND) is characterized by cognitive and behavioral deficits in people living with HIV. HAND is still common in patients that take antiretroviral therapies, although they tend to present with less severe symptoms. The continued prevalence of HAND in treated patients is a major therapeutic challenge, as even minor cognitive impairment decreases patient's quality of life. Therefore, modern HAND research aims to broaden our understanding of the mechanisms that drive cognitive impairment in people with HIV and identify promising molecular pathways and targets that could be exploited therapeutically. Recent studies suggest that HAND in treated patients is at least partially induced by subtle synaptodendritic damage and disruption of neuronal networks in brain areas that mediate learning, memory, and executive functions. Although the causes of subtle neuronal dysfunction are varied, reversing synaptodendritic damage in animal models restores cognitive function and thus highlights a promising therapeutic approach. In this review, we examine evidence of synaptodendritic damage and disrupted neuronal connectivity in HAND from clinical neuroimaging and neuropathology studies and discuss studies in HAND models that define structural and functional impairment of neurotransmission. Then, we report molecular pathways, mechanisms, and comorbidities involved in this neuronal dysfunction, discuss new approaches to reverse neuronal damage, and highlight current gaps in knowledge. Continued research on the manifestation and mechanisms of synaptic injury and network dysfunction in HAND patients and experimental models will be critical if we are to develop safe and effective therapies that reverse subtle neuropathology and cognitive impairment.

Indexed as

Actin CytoskeletonAnimalsAstrocytesDendritic SpinesHIV InfectionsHumansNeurocognitive DisordersNeuronsReceptors, Ionotropic GlutamateSubstance-Related DisordersReceptors, Ionotropic GlutamateCognitive impairmentDendritic spinesDrug abuseHANDNeuroinflammationNeuronal connectivity

Identifiers

PMID33585975
PMCPMC8164580
OpenAlexW3132855859

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.