Evidence map›Paper›PMID 41087367›Full record

ArticleNature communications2025

Transcriptional impacts of substance use disorder and HIV on human ventral midbrain neurons and microglia.

Alyssa M Wilson, Michelle M Jacobs, Tova Y Lambert, Aditi Valada, Gregory Meloni, Evan Gilmore, Jacinta Murray, Susan Morgello, Schahram Akbarian

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alyssa M WilsonDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. alyssa.wilson@mssm.edu.ORCID http://orcid.org/0000-0002-3822-5200
Michelle M JacobsDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0009-0003-0950-3237
Tova Y LambertDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-5005-0087
Aditi ValadaDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Gregory MeloniDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Evan GilmoreDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jacinta MurrayDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Susan Morgello *Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Schahram Akbarian *Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0001-7700-0891

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
The Manhattan HIV Brain BankU24MH100931 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2013 to 2023
$14.0M
THE NNTC COLLECTS, STORE, AND PROVIDE CLINICAL DATA AND WELL CHARACTERIZED BIOLOGICAL SPECIMENS, INCLUDING POST-MORTEM TISSUE FROM STUDY VOLUNTEERS AND/OR ORGAN DONORS WITH HIV AS WELL AS HIV-NEGATIVE75N95023C00015 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HADIJAH, VACTOR · 2023 to 2025
$9.0M
Single nuclei transcriptome profiling in addiction circuitry of the HIV+ brainU01DA053600 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI AKBARIAN, SCHAHRAM, MORGELLO, SUSAN · 2021 to 2025
$4.3M
Motor Dysfunction in cART-era HIV: Neural Circuitry and PathogenesisR01NS108801 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2018 to 2022
$3.5M
COVID and Translational Science supercomputer (CATS)S10OD030463 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KOVATCH, PATRICIA · 2021 to 2021
$2.0M
Big Omics Data Engine 2 SupercomputerS10OD026880 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KOVATCH, PATRICIA · 2019 to 2019
$2.0M
CELL - AND CIRCUIT - SPECIFIC EXPLORATION OF HIV NEUROGENOMICS IN CONTEXT OF OPIATE AND COCAINE ABUSER61DA048207 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI AKBARIAN, SCHAHRAM, MORGELLO, SUSAN · 2019 to 2021
$1.8M
CELL - AND CIRCUIT - SPECIFIC EXPLORATION OF HIV NEUROGENOMICS IN CONTEXT OF OPIATE AND COCAINE ABUSER33DA048207 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI AKBARIAN, SCHAHRAM, MORGELLO, SUSAN · 2023 to 2024
$1.3M
NCATS NIH HHS UL1 TR004419NIDA NIH HHS 75N95023C00015NIDA NIH HHS R33 DA048207NIDA NIH HHS R61 DA048207NIDA NIH HHS U01 DA053600NIH HHS S10 OD026880NIH HHS S10 OD030463NIMH NIH HHS U24 MH100931NINDS NIH HHS R01 NS108801U.S. Department of Health & Human Services | National Institutes of Health (NIH) U01DA053600
6 · The paper itself

Abstract

For people with HIV, substance use disorders are a prominent neurological risk factor, and the impacts of both on dopaminergic pathways may pose a deleterious convergence. Here, we profile, at single nucleus resolution, substantia nigra transcriptomes of 90 postmortem donors in the context of chronic HIV and opioid/cocaine use disorders, including 67 prospectively characterized people with HIV. We report altered microglial expression for hundreds of pro- and anti-inflammatory regulators attributable to HIV, and separately, to opioid/cocaine disorders. Stepwise, progressive microglial dysregulation coupled to altered dopaminergic/GABAergic signaling is associated with substance/HIV dual diagnosis, and further with lack of viral suppression in blood. In suppressed donors, opioid/cocaine comorbidity is associated with microglial transcriptional changes permissive for HIV infection. Finally, HIV-related downregulation of monoamine reuptake transporters emerges specifically in dopaminergic neurons regardless of substance use disorder status or viral load, as do transcriptional signatures consistent with selective vulnerability of dopamine neurons.

Indexed as

Dopaminergic NeuronsHIV InfectionsMicrogliaSubstance-Related DisordersAdultCocaine-Related DisordersFemaleHumansMaleMiddle AgedOpioid-Related DisordersSubstantia NigraTranscription, GeneticTranscriptomeViral Load

Identifiers

PMID41087367
PMCPMC12521487

What Socratic holds

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LicenceCC BY-NC-ND
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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.