Evidence map›Paper›PMID 37475160›Full record

ArticleAnnals of clinical and translational neurology2023

Cocaine use is associated with cerebral white matter hyperintensities in HIV disease.

Christina S Meade, Ryan P Bell, Sheri L Towe, Christopher D Lascola, Kareem Al-Khalil, Matthew J Gibson

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Christina S MeadeDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, 27710, USA.ORCID 0000-0002-0864-1123
Ryan P BellDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Sheri L ToweDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Christopher D LascolaBrain Imaging and Analysis Center, Duke University Medical Center, Durham, North Carolina, 27710, USA.
Kareem Al-KhalilDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Matthew J GibsonDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Duke University · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
A Systems Biology Approach to HIV-associated Neurocognitive Impairment: Role of Drug Abuse and NeuroinflammationR01DA043241 · NIDA · DUKE UNIVERSITY · PI MEADE, CHRISTINA S, MURDOCH, DAVID MARTIN · 2016 to 2020
$3.4M
MRI data fusion to investigate effects of drug abuse on HIV neurological complicationsR01DA045565 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MEADE, CHRISTINA S · 2018 to 2022
$2.0M
NIAID NIH HHS P30 AI064518NIDA NIH HHS R01 DA043241NIDA NIH HHS R01 DA045565
6 · The paper itself

Abstract

backgroundWhite matter hyperintensities (WMH), a marker of cerebral small vessel disease and predictor of cognitive decline, are observed at higher rates in persons with HIV (PWH). The use of cocaine, a potent central nervous system stimulant, is disproportionately common in PWH and may contribute to WMH.

methodsThe sample included of 110 PWH on antiretroviral therapy. Fluid-attenuated inversion recovery (FLAIR) and T1-weighted anatomical MRI scans were collected, along with neuropsychological testing. FLAIR images were processed using the Lesion Segmentation Toolbox. A hierarchical regression model was run to investigate predictors of WMH burden [block 1: demographics; block 2: cerebrovascular disease (CVD) risk; block 3: lesion burden].

resultsThe sample was 20% female and 79% African American with a mean age of 45.37. All participants had persistent HIV viral suppression, and the median CD4

conclusionsWMH burden is associated with poorer cognitive performance in PWH. Cocaine use and CVD risk independently contribute to WMH, and addressing these conditions as part of HIV care may mitigate brain injury underlying neurocognitive impairment.

Indexed as

Cardiovascular DiseasesCocaineHIV InfectionsWhite MatterFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedCocaine

Identifiers

PMID37475160
PMCPMC10502656
OpenAlexW4384924464

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.