Evidence map›Paper›PMID 32394397›Full record

ArticleJournal of neurovirology2020

A candidate gene study of intermediate histopathological phenotypes in HIV-associated neurocognitive disorders.

Andrew J Levine, Virawudh Soontornniyomkij, Eliezer Masliah, Janet S Sinsheimer, Sarah S Ji, Steve Horvath, Elyse J Singer, Asha Kallianpur, David J Moore

Erratum issuedAbstract read
In one paragraph

Article in Journal of neurovirology, 2020. 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Andrew J LevineDepartment of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA. ajlevine@mednet.ucla.edu.ORCID 0000-0001-9683-1746
Virawudh SoontornniyomkijDepartment of Psychiatry, University of California San Diego School of Medicine, San Diego, CA, USA.
Eliezer MasliahDepartments of Neurosciences and Pathology, University of California San Diego School of Medicine, San Diego, CA, USA.
Janet S SinsheimerDepartments of Human Genetics and Computational Biology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Sarah S JiDepartment of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Steve HorvathDepartment of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Elyse J SingerDepartment of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Asha KallianpurDepartment of Molecular Medicine, Genomic Medicine, Medicine, & Pediatrics, Cleveland Clinic/Lerner Research Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
David J MooreDepartment of Psychiatry, University of California San Diego School of Medicine, San Diego, CA, USA.

Funding

The Manhattan HIV Brain BankU24MH100931 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2013 to 2023
$14.0M
California NeuroAIDS Tissue NetworkU24MH100928 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ACHIM, CRISTIAN L, MOORE, DAVID J · 2013 to 2023
$13.9M
NATIONAL NEUROLOGICAL AIDS BANKU24MH100929 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SINGER, ELYSE J · 2013 to 2023
$12.5M
Texas NeuroAIDS Research CenterU24MH100930 · NIMH · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GELMAN, BENJAMIN B. · 2013 to 2023
$12.1M
NNTC Data Coordinating CenterU24MH100925 · NIMH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI FOX, HOWARD S, SHERMAN, SETH · 2013 to 2022
$9.5M
A multi-systems study of HIV neuropathogenesis: genetics-neuropathology-behaviorR01MH096648 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEVINE, ANDREW J, MOORE, DAVID J · 2012 to 2016
$1.6M
Pathways to HIV-Associated Neurocognitive Disorders: A Systems Biology ApproachR01DA030913 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HORVATH, STEVE, LEVINE, ANDREW J · 2010 to 2014
$1.5M
NIDA NIH HHS R01 DA030913NIMH NIH HHS R01 MH096648NIMH NIH HHS R01MH096648NIMH NIH HHS U24 MH100925NIMH NIH HHS U24 MH100928NIMH NIH HHS U24 MH100929NIMH NIH HHS U24 MH100930NIMH NIH HHS U24 MH100931
6 · The paper itself

Abstract

HIV-associated neurocognitive disorders (HAND) describe a spectrum of neuropsychological impairment caused by HIV-1 infection. While the sequence of cellular and physiological events that lead to HAND remains obscure, it likely involves chronic neuroinflammation. Host genetic markers that increase the risk for HAND have been reported, but replication of such studies is lacking, possibly due to inconsistent application of a behavioral phenotype across studies. In the current study, we used histopathologic phenotypes in order to validate putative risk alleles for HAND. The National NeuroAIDS Tissue Consortium, a longitudinal study of the neurologic manifestations of HIV. Data and specimens were obtained from 175 HIV-infected adults. After determining several potential covariates of neurocognitive functioning, we quantified levels of six histopathological markers in the frontal lobe in association with neurocognitive functioning: SYP, MAP 2, HLA-DR, Iba1, GFAP, and β-amyloid. We then determined alleles of 15 candidate genes for their associations with neurocognitive functioning and histopathological markers. Finally, we identified the most plausible causal pathway based on our data using a multi-stage linear regression-based mediation analysis approach. None of the genetic markers were associated with neurocognitive functioning. Of the histopathological markers, only MAP 2 and SYP were associated with neurocognitive functioning; however, MAP 2 and SYP did not vary as a function of genotype. Mediation analysis suggests a causal pathway in which presynaptic degeneration (SYP) leads to somatodendritic degeneration (MAP 2) and ultimately neurocognitive impairment. This study did not support the role of host genotype in the histopathology underlying HAND. The findings lend further support for synaptodendritic degeneration as the proximal underlying neuropathological substrate of HAND.

Indexed as

AdultCognitive DysfunctionCytokinesDendritesFemaleFrontal LobeGene ExpressionGenotypeHIV InfectionsHumansLongitudinal StudiesMaleMicrotubule-Associated ProteinsMiddle AgedNeuropsychological TestsPhenotypeCytokinesMAP2 protein, humanMicrotubule-Associated ProteinsSynaptophysinSYP protein, humanGeneticHistopathologyHIV-associated neurocognitive disorderNeuroAIDSNeuropathologySynaptodendritic

Identifiers

PMID32394397
PMCPMC7442707

What Socratic holds

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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 Socratic graph.