Evidence map›Paper›PMID 33359628›Full record

ArticleBrain, behavior, and immunity2021

Sex-specific associations between cerebrospinal fluid inflammatory marker levels and cognitive function in antiretroviral treated people living with HIV in rural Uganda.

Alyssa C Vecchio, Dionna W Williams, Yanxun Xu, Danyang Yu, Deanna Saylor, Sarah Lofgren, Riley O'Toole, David R Boulware, Noeline Nakasujja, Gertrude Nakigozi and 10 more

Abstract read
In one paragraph

Article in Brain, behavior, and immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Charting the Next Road Map for CSF Biomarkers in Alzheimer's Disease and Related Dementias.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  6. 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

20 authors.

Alyssa C VecchioInstitute of Global Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, United States. Electronic address: alyssacv@med.unc.edu.
Dionna W WilliamsDepartment of Molecular and Comparative Pathobiology, Johns Hopkins University School of Medicine, Baltimore, United States; Division of Clinical Pharmacology, Johns Hopkins University School of Medicine, Baltimore, United States.
Yanxun XuDepartment of Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, United States; Division of Biostatistics and Bioinformatics at The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, United States.
Danyang YuDepartment of Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, United States.
Deanna SaylorDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, United States.
Sarah LofgrenDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, United States.
Riley O'TooleJohns Hopkins University School of Arts and Sciences, Baltimore, United States.
David R BoulwareDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, United States.
Noeline NakasujjaDepartment of Psychiatry, Makerere University, Kampala, Uganda.
Gertrude NakigoziRakai Health Sciences Program, Kalisizo, Uganda.
Alice KisakyeRakai Health Sciences Program, Kalisizo, Uganda.
James BatteRakai Health Sciences Program, Kalisizo, Uganda.
Richard MayanjaRakai Health Sciences Program, Kalisizo, Uganda.
Aggrey AnokRakai Health Sciences Program, Kalisizo, Uganda.
Steven J ReynoldsDivision of Intramural Research, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, United States; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, United States.
Thomas C QuinnDivision of Intramural Research, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, United States; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, United States.
Ronald H GrayDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States.
Maria J WawerDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States.
Ned SacktorDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, United States.
Leah H RubinDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, United States; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, United States.

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ALLISON L AGWU · 2012 to 2026
$67.0M
Therapeutic CoreP30MH075673 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Leah Helane Rubin · 2006 to 2026
$33.2M
International Center for Excellence in Research (ICER) in Uganda: Impact of ARVsZIAAI001040 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REYNOLDS, STEVEN · 2009 to 2025
$23.5M
International Studies of the Acquired Immune Deficiency Syndrome (AIDS)ZIAAI000361 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REDD, ANDREW · 2009 to 2025
$15.8M
Cannabidiol and Macrophage Chronic Inflammation in a Virally Suppressed Rhesus Macaque ModelR01DA052859 · NIDA · JOHNS HOPKINS UNIVERSITY · PI WILLIAMS, DIONNA WHITNEY · 2020 to 2024
$3.6M
Research Education Program for Residents and Fellows in Neurology - PorrasR25NS065729 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HILLIS, ARGYE E. · 2009 to 2024
$3.3M
Neurologic Sequelae of HIV Subtype A and D Infection and ART Rakai UgandaR01MH099733 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SACKTOR, NED C, WAWER, MARIA J · 2013 to 2017
$3.0M
Translational Research in Neuro-AIDS and Mental HealthR25MH080661 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MCARTHUR, JUSTIN CHARLES. · 2007 to 2019
$2.9M
Mental Health and Cognition in HIV Infection in Rakai UgandaR01MH120693 · NIMH · JOHNS HOPKINS UNIVERSITY · PI PAUL, ROBERT HARRIS, RUBIN, LEAH HELANE · 2019 to 2023
$2.9M
COCAINE USE AND HIV ANTIRETROVIRAL THERAPY EFFICACY IN THE CNSR00DA044838 · NIDA · JOHNS HOPKINS UNIVERSITY · PI WILLIAMS, DIONNA WHITNEY · 2019 to 2021
$817k
NIAID NIH HHS P30 AI094189NIDA NIH HHS R00 DA044838NIDA NIH HHS R01 DA052859NIMH NIH HHS P30 MH075673NIMH NIH HHS R01 MH099733NIMH NIH HHS R01 MH120693NIMH NIH HHS R25 MH080661NINDS NIH HHS L30 NS088658NINDS NIH HHS R25 NS065729
6 · The paper itself

Abstract

People with HIV (PWH) taking antiretroviral therapy (ART) have persistent cognitive impairment. The prevalence of cognitive impairment is higher in women with HIV (WWH) compared to men with HIV (MWH), possibly due to sex differences in immune function. Here we report sex differences in cerebrospinal fluid (CSF) immune markers in relation to cognitive performance. A subset of 83 PWH on ART (52% WWH; mean age = 37.6 years, SD = 7.9) from the Rakai community cohort study Cohort and Rakai Health Sciences Program supported clinics in rural Uganda completed a neuropsychological (NP) assessment and a lumbar puncture. CSF was used to measure 16 cytokines/chemokines. Individual NP test z-scores were generated based on local normative data. A series of least absolute shrinkage and selection operator (lasso) regressions examined associations between CSF inflammatory markers and NP outcomes. Overall, there were no sex differences in CSF inflammatory marker levels. However, MWH displayed more associations between inflammatory markers and cognitive performance than WWH. Among MWH, inflammatory markers were associated with a number of cognitive domains, including attention, processing speed, fluency, executive function, learning and memory. MIP-1β, INF-γ, GM-CSF, IL-7 and IL-12p70 were associated with multiple domains. Among WWH, few inflammatory markers were associated cognition. Degree of associations between CSF inflammatory biomarkers and cognitive performance varied by sex in this young, ART-treated, Ugandan cohort. Further investigation into sex-specific inflammatory mechanisms of cognitive impairment among PWH is warranted to inform sex-specific management strategies.

Indexed as

CognitionHIV InfectionsAdultBiomarkersCohort StudiesFemaleHumansMaleNeuropsychological TestsUgandaBiomarkersCognitionGlobal healthHIVInflammationSex

Identifiers

PMID33359628
PMCPMC8023502

What Socratic 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 Socratic graph.