Evidence map›Paper›PMID 37816937›Full record

ReviewNature reviews. Neurology2023

Mechanisms underlying HIV-associated cognitive impairment and emerging therapies for its management.

Ronald J Ellis, María J Marquine, Marcus Kaul, Jerel Adam Fields, Johannes C M Schlachetzki

Erratum issuedOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
9.8field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Increased Amyloidogenic Neuronal Injury in HIV-1-infected APP-KI Alzheimer's disease mice.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Low-Dose Cannabidiol Treatment does not Alter Cognitive Performance in the HIV-1 Transgenic Rat Model of NeuroHIV.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Article
  7. Review
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  9. Vascular and inflammatory biomarkers linked to neurocognition in Ugandan youth with perinatal HIV on dolutegravir.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Article
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ronald J EllisDepartment of Neurosciences, University of California San Diego, La Jolla, CA, USA. roellis@ucsd.edu.ORCID 0000-0003-4931-752X
María J MarquineDepartment of Medicine, Duke University, Durham, NC, USA.
Marcus KaulSchool of Medicine, Division of Biomedical Sciences, University of California Riverside, Riverside, CA, USA.
Jerel Adam FieldsDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Johannes C M SchlachetzkiDepartment of Cellular and Molecular Medicine, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0002-7801-9743
University of California San Diego · USDuke University · USUniversity of California, Riverside · US

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jessica Lynette Montoya · 2001 to 2026
$50.4M
Neuroprotection by IFN-beta in AIDSR01MH087332 · NIMH · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI KAUL, MARCUS · 2010 to 2019
$5.2M
Effects of Cannabidiol and Tetrahydrocannabinol on the Microbiome, Endocannabinoids and Neuroinflammation in HIVR01DA056058 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RONALD J. ELLIS · 2022 to 2026
$4.5M
Biopsychosocial Phenotypes and Potential Mechanisms in CHARTERR01MH125720 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J., LETENDRE, SCOTT L · 2021 to 2025
$3.7M
Immunometabolicgene expression profiles associated with depressed mood and behavioral domains inpeople with HIVR01MH128869 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J., YOUNG, JARED WILLIAM · 2021 to 2025
$3.6M
Methamphetamine Effect on HIV PersistenceR01DA052209 · NIDA · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI KAUL, MARCUS · 2020 to 2024
$3.2M
Effect of Cannabis Administration and Endocannabinoids on HIV Neuropathic PainR01DA043430 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J., HENRY, BROOK · 2017 to 2020
$2.4M
The role of TFAM alterations in HIV- and ART-induced mitochondrial dysfunction in the brainR01MH128108 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jerel Adam Fields · 2022 to 2026
$2.3M
Lipocalin-2 in HIV-Associated Neuronal InjuryR01MH104131 · NIMH · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI KAUL, MARCUS · 2015 to 2019
$2.2M
Research and Mentoring on Neurocognitive Disparities in AgingK24AG075240 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maria Marquine · 2022 to 2026
$1.1M
The role of TREM2 in Alzheimer's disease neuropathogenesis in HIV+ individualsR56AG066215 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIELDS, JEREL ADAM · 2020 to 2020
$749k
NIAID NIH HHS P30 AI036214NIA NIH HHS K24 AG075240NIA NIH HHS R56 AG066215NIDA NIH HHS R01 DA043430NIDA NIH HHS R01 DA052209NIDA NIH HHS R01 DA056058NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH087332NIMH NIH HHS R01 MH104131NIMH NIH HHS R01 MH125720NIMH NIH HHS R01 MH128108NIMH NIH HHS R01 MH128869NIMH NIH HHS R21 MH134401
6 · The paper itself

Abstract

People living with HIV are affected by the chronic consequences of neurocognitive impairment (NCI) despite antiretroviral therapies that suppress viral replication, improve health and extend life. Furthermore, viral suppression does not eliminate the virus, and remaining infected cells may continue to produce viral proteins that trigger neurodegeneration. Comorbidities such as diabetes mellitus are likely to contribute substantially to CNS injury in people living with HIV, and some components of antiretroviral therapy exert undesirable side effects on the nervous system. No treatment for HIV-associated NCI has been approved by the European Medicines Agency or the US Food and Drug Administration. Historically, roadblocks to developing effective treatments have included a limited understanding of the pathophysiology of HIV-associated NCI and heterogeneity in its clinical manifestations. This heterogeneity might reflect multiple underlying causes that differ among individuals, rather than a single unifying neuropathogenesis. Despite these complexities, accelerating discoveries in HIV neuropathogenesis are yielding potentially druggable targets, including excessive immune activation, metabolic alterations culminating in mitochondrial dysfunction, dysregulation of metal ion homeostasis and lysosomal function, and microbiome alterations. In addition to drug treatments, we also highlight the importance of non-pharmacological interventions. By revisiting mechanisms implicated in NCI and potential interventions addressing these mechanisms, we hope to supply reasons for optimism in people living with HIV affected by NCI and their care providers.

Indexed as

Central Nervous System DiseasesCognitive DysfunctionHIV InfectionsHumans

Identifiers

PMID37816937
PMCPMC11052664
OpenAlexW4387498549

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.