Evidence mapPaperPMID 34589872Full record

ArticleBrain, behavior, & immunity - health2020

Sympathetic function and markers of inflammation in well-controlled HIV.

Jessica Robinson-Papp, Varuna Astha, Alexandra Nmashie, Sandeep K Sharma, Seunghee Kim-Schulze, Jacinta Murray, Mary Catherine George, Susan Morgello, Bridget R Mueller, Steven A Lawrence and 1 more

Open access · goldAbstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Baroreflex sensitivity is associated with markers of hippocampal gliosis and dysmyelination in patients with psychosis.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  9. Article
  10. Neuropathogenesis of HIV and emerging therapeutic targets.Expert opinion on therapeutic targets · 2022
    Review
  11. Review
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

11 authors at 2 institutions in 1 country.

Jessica Robinson-PappIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Varuna AsthaIcahn School of Medicine at Mount Sinai, Center for Scientific Diversity, Center for Biostatistics & Department of Population Health Science and Policy, United States.
Alexandra NmashieIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Sandeep K SharmaIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Seunghee Kim-SchulzeIcahn School of Medicine at Mount Sinai, Human Immune Monitoring Center, United States.
Jacinta MurrayIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Mary Catherine GeorgeIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Susan MorgelloIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Bridget R MuellerIcahn School of Medicine at Mount Sinai, Department of Neurology, United States.
Steven A LawrenceIcahn School of Medicine at Mount Sinai, Center for Scientific Diversity, Center for Biostatistics & Department of Population Health Science and Policy, United States.
Emma K T BennIcahn School of Medicine at Mount Sinai, Center for Scientific Diversity, Center for Biostatistics & Department of Population Health Science and Policy, United States.
Icahn School of Medicine at Mount Sinai · USColumbia University · US

Funding

NIDDK NIH HHS R01 DK122853NIDDK NIH HHS R21 DK105917
6 · The paper itself

Abstract

purposeHIV-associated autonomic neuropathy (HIV-AN) is common and may be associated with both sympathetic and parasympathetic dysfunction. Sympathetic nervous system (SNS) dysfunction occurs on a continuum of hyper-to hypo-adrenergic function, and may be a mediator between psychological stress and chronic inflammation. We sought to describe patterns of SNS dysfunction in people living with HIV, and to determine whether SNS dysfunction is associated with markers of systemic inflammation (focusing on IL-6 and TNF-α) and pain and anxiety.

methodsForty-seven people with well-controlled HIV and without confounding medical conditions or medications completed the Medical Outcomes Survey (MOS-HIV), quantification of a panel of 41 plasma cytokines/chemokines, and a standardized, non-invasive autonomic reflex screen (ARS). Adrenergic baroreflex sensitivity (BRSA) was calculated from the ARS as a measure of SNS function.

resultsPain (46%) and anxiety (52%) were commonly reported on the MOS-HIV. BRSA was reduced in 30% of participants and elevated in 9% with the latter occurring only in participants with normal to mild HIV-AN. BRSA was significantly associated with IL-6, but not with TNF-α, pain or anxiety. Exploratory analyses also revealed positive associations of BRSA with numerous other cytokines with no significant inverse associations.

conclusionHigher BRSA, indicative of a more hyperadrenergic state, can be part of the spectrum of early HIV-AN, and may be associated with elevations in multiple cytokines including IL-6. These associations do not appear to be driven by stressors such as pain or anxiety.

Indexed as

AutonomicCytokinesHIVIL-6InflammationSympathetic

Identifiers

PMID34589872
PMCPMC8474355
OpenAlexW3047147464

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.