Evidence map›Paper›PMID 40469287›Full record

ArticleFrontiers in immunology2025

Neuroinflammation associated with proviral DNA persists in the brain of virally suppressed people with HIV.

Sarah J Byrnes, Janna Jamal Eddine, Jingling Zhou, Emily Chalmers, Emma Wanicek, Narin Osman, Trisha A Jenkins, Michael Roche, Bruce J Brew, Jacob D Estes and 2 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

12 authors.

Sarah J ByrnesATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Janna Jamal EddineATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Jingling ZhouATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Emily ChalmersATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Emma WanicekATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Narin OsmanATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Trisha A JenkinsATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Michael RocheATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Bruce J BrewDepartment of Neurology and Immunology, Peter Duncan Neuroscience Unit, St Vincent's Hospital, University of New South Wales, Darlinghurst, NSW, Australia.
Jacob D EstesATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Thomas A Angelovich *ATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Melissa J Churchill *ATRACT Research Centre, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite viral suppression with antiretroviral therapy (ART), people with HIV (PWH) continue to exhibit brain pathology, and ~20% of individuals develop HIV-associated neurocognitive disorders. However, the state of cellular activation in the brain of virally suppressed (VS) PWH and the impact of local viral reservoirs on cellular activation are unclear. Using multiplex immunofluorescence imaging, here, we demonstrate that the frontal cortex brain tissue from both non-virally suppressed (nVS; n=17) and VS PWH (n=18) have higher frequencies of astrocytes and myeloid cells expressing interferon-inducible Mx-1 and proinflammatory TNFα relative to HIV-seronegative individuals (p<0.05 for all). The frequency of TGF-β1+ cells were also elevated in the brain tissue from both nVS and VS PWH, which may support active immunoregulatory responses despite ART. Importantly, the frequency of Mx1+ myeloid cells correlated with levels of total HIV DNA and intact and 5' defective HIV proviral DNA (p<0.05 for all) in the brain of VS PWH. These findings demonstrate that cell activation persists in the brain of VS PWH and is associated with HIV DNA in the brain, which may contribute to neuropathology.

Indexed as

BrainDNA, ViralHIV-1HIV InfectionsNeuroinflammatory DiseasesProvirusesAdultAstrocytesFemaleHumansMaleMiddle AgedMyeloid CellsMyxovirus Resistance ProteinsDNA, ViralMyxovirus Resistance ProteinsastrocytesbrainHIVmicroglianeuroinflammationreservoirs

Identifiers

PMID40469287
PMCPMC12135078

What Socratic 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 Socratic graph.