4.4 Article

Incidence and nature of cognitive decline over 1 year among HIV-infected former plasma donors in China

期刊

AIDS
卷 24, 期 7, 页码 983-990

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAD.0b013e32833336c8

关键词

antiretroviral therapy; China; highly active; HIV/AIDS; incidence studies; longitudinal studies; neurocognitive disorders; neuropsychological tests

资金

  1. NIMH [5 R01 MH073433-04, MH62512]
  2. NIMH

向作者/读者索取更多资源

Objective: To quantify and characterize the nature of cognitive change over 1 year in a cohort of HIV-positive former plasma donors in rural China. Design: The present study is an observational cohort study. Methods: One hundred and ninety-two HIV-positive and 101 demographically comparable HIV-negative individuals, all former plasma donors, who lived in a rural part of China, received comprehensive medical and neuropsychological examinations. At study entry, 56% of HIV-positive group was on combination antiretroviral treatment and 60.9% at follow-up. Multiple regression change score approach was used with the HIV-negative sample to develop norms for change that would be then applied to the HIV-positive participants. Follow-up test scores adjusted for the control group practice effect. Results: Fifty-three HIV-positive individuals (27%) developed significant cognitive decline as compared with five (5%) HIV-negative individuals. Cognitive decline was predicted at baseline by AIDS status, lower nadir CD4, and worse processing speed; at follow-up, it was associated with lower current CD4 cell count and failure of viral suppression on combination antiretroviral treatment. Neuropsychological decline also was associated with decreased independence in activities of daily living. Using neuropsychological impairment scores that were corrected for 'practice' on repeated testing, we found that among the decliners, 41.5% (N = 22) had incident impairment, whereas 38% (N = 20) declined within the impaired range and another 20.7% (N = 11) declined within the normal range. Conclusion: The present study demonstrates that despite ongoing combination antiretroviral treatment, cognitive decline in HIV-positive people is common over a 1-year follow-up. Regression-based norms for change on western neuropsychological tests can be used to detect disease-related cognitive decline in a developing country. (C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Review Clinical Neurology

Assessment of Neurocognitive Functions, Olfaction, Taste, Mental, and Psychosocial Health in COVID-19 in Adults: Recommendations for Harmonization of Research and Implications for Clinical Practice

Lucette A. Cysique, Emilia Lojek, Theodore Ching-Kong Cheung, Breda Cullen, Anna Rita Egbert, Jonathan Evans, Maite Garolera, Natalia Gawron, Hetta Gouse, Karolina Hansen, Pawel Holas, Sylwia Hyniewska, Ewa Malinowska, Bernice A. Marcopulos, Tricia L. Merkley, Jose A. Munoz-Moreno, Clare Ramsden, Christian Salas, Sietske A. M. Sikkes, Ana Rita Silva, Imane Zouhar

Summary: The study proposed a set of internationally harmonized procedures and methods for assessing neurocognitive functions, smell, taste, mental, and psychosocial health in adults with COVID-19. Three levels of harmonization were suggested, including screening, medium-sized assessment, and comprehensive evaluation, each with specific contexts and guidance outlined.

JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY (2022)

Article Immunology

Brain aging and cardiovascular factors in HIV: a longitudinal volume and shape MRI study

David Jakabek, Caroline D. Rae, Bruce J. Brew, Lucette A. Cysique

Summary: The study aimed to investigate the contributions of HIV infection, age, and cardiovascular risk factors to subcortical brain atrophy in PWH. The results showed that HIV infection was associated with smaller volumes of most subcortical structures, older PWH had a more rapid decline in caudate volumes, and cardiovascular risk factors were associated with smaller volumes and a more rapid decline in striatal volumes.
Article Neurosciences

S-Nitrosylation of p62 Inhibits Autophagic Flux to Promote α-Synuclein Secretion and Spread in Parkinson's Disease and Lewy Body Dementia

Chang-Ki Oh, Nima Dolatabadi, Piotr Cieplak, Maria T. Diaz-Meco, Jorge Moscat, John P. Nolan, Tomohiro Nakamura, Stuart A. Lipton

Summary: This article investigates the mechanism by which dysregulation of autophagic pathways leads to the accumulation of abnormal proteins and damaged organdies in neurodegenerative disorders. The authors found that pathologic protein S-nitrosylation of p62 is a critical factor for autophagic inhibition and cell-to-cell spread.

JOURNAL OF NEUROSCIENCE (2022)

Review Biochemistry & Molecular Biology

Potential Therapeutic Use of the Rosemary Diterpene Carnosic Acid for Alzheimer's Disease, Parkinson's Disease, and Long-COVID through NRF2 Activation to Counteract the NLRP3 Inflammasome

Takumi Satoh, Dorit Trudler, Chang-Ki Oh, Stuart A. Lipton

Summary: This article reviews the potential applications of carnosic acid (CA) and carnosol (CS) in rosemary for conditions such as Alzheimer's disease, Parkinson's disease, and COVID-19. It highlights the antioxidant, anti-inflammatory, and neuroprotective effects of CA, as well as its potential to inhibit the NLRP3 inflammasome. The article suggests that CA-related compounds could serve as therapeutics for acute and chronic neurological effects caused by SARS-CoV-2 infection and other neurodegenerative diseases.

ANTIOXIDANTS (2022)

Article Clinical Neurology

Baseline cognitive functioning can predict the trajectory of acute treatment in first-episode major depressive disorder

Sha Liu, Yujie Tong, Xiao Wang, Xin Yu, Yong Xu

Summary: This study investigates the role of cognitive function in predicting the efficacy of SSRIs for depression patients and enhances the understanding of the relationship between baseline cognitive function and depression trajectory. Baseline cognitive function can help clinicians better understand the trajectory of first-episode depression patients during acute treatment with SSRIs.

EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE (2023)

Article Psychology, Clinical

Anterior cingulate glutamate levels associate with functional activation and connectivity during sensory integration in schizophrenia: a multimodal 1H-MRS and fMRI study

Xin-lu Cai, Cheng-cheng Pu, Shu-zhe Zhou, Yi Wang, Jia Huang, Simon S. Y. Lui, Arne Moller, Eric F. C. Cheung, Kristoffer H. Madsen, Rong Xue, Xin Yu, Raymond C. K. Chan

Summary: This study found that schizophrenia patients have sensory integration deficits which are positively correlated with anterior cingulate cortex (ACC) glutamate levels. Multimodal analysis showed that in a specific network, blood oxygenation level dependent (BOLD) activation and task-dependent functional connectivity (FC) have opposite correlations between schizophrenia patients and healthy controls.

PSYCHOLOGICAL MEDICINE (2023)

Article Behavioral Sciences

The protocol for assessing olfactory working memory capacity in mice

Li-Xin Jiang, Geng-Di Huang, Hua-Li Wang, Chen Zhang, Xin Yu

Summary: This study developed an olfactory working memory capacity paradigm to evaluate the memory capacity of Alzheimer's disease mouse models. The results showed that the memory capacity of the 5xFAD mice was similar to wild-type mice in certain task phases, but significantly diminished in capacity testing.

BRAIN AND BEHAVIOR (2022)

Article Psychiatry

The Chinese Brief Cognitive Test: Normative Data Stratified by Gender, Age and Education

Shuling Ye, Mengjuan Xie, Xin Yu, Renrong Wu, Dengtang Liu, Shaohua Hu, Yong Xu, Huanzhong Liu, Xijin Wang, Gang Zhu, Huaning Wang, Shaohong Zou, Tao Li, Wanjun Guo, Xiufeng Xu, Yuqi Cheng, Yi Li, Juan Yang, Min Peng, Nan Li, Chuan Shi

Summary: The aim of this study was to develop a brief version of cognitive assessment test for evaluating the efficacy of treatments targeting cognitive impairments in Chinese schizophrenia patients. The test, called C-BCT, showed good internal consistency and test-retest reliability. Normative data of C-BCT were generated by gender, age, and education.

FRONTIERS IN PSYCHIATRY (2022)

Article Immunology

Current Challenges and Solutions for Clinical Management and Care of People with HIV: Findings from the 12th Annual International HIV and Aging Workshop

Xiaoying Yu, Judith D. D. Lobo, Erin Sundermann, Darren J. J. Baker, Russell P. P. Tracy, George A. A. Kuchel, Kathryn E. E. Stephenson, Scott L. L. Letendre, Bruce Brew, Lucette A. A. Cysique, Sannisha K. K. Dale, Chelsie Wallen, Ken M. M. Kunisaki, Giovanni Guaraldi, Jovana Milic, Alan Winston, David J. J. Moore, Joseph B. B. Margolick, Kristine M. M. Erlandson

Summary: This article summarizes the key oral presentations from the 12th Annual International Workshop on HIV and Aging, providing insights into the challenges and opportunities of HIV and aging research under the COVID-19 pandemic. The workshop enriched our understanding of HIV and aging, identified the impact of COVID-19 on HIV communities, and offered future research directions.

AIDS RESEARCH AND HUMAN RETROVIRUSES (2023)

Article Psychiatry

The relevant research of adverse childhood experiences and risky drinking in children of alcoholics in China

Guangqiang Sun, Tingfang Wu, Chengbing Huang, Mingchao Yu, Yan Guo, Xihua Zhu, Xin Yu, Yujia Qiu

Summary: This study aimed to determine the association between adverse childhood experiences (ACEs) of children of alcoholics (COA) in males and their current risky drinking. A case-control study was conducted using the AUDIT to divide participants into risky drinking and non-risky drinking groups. The relationships between ACEs and risky drinking were explored using various assessment tools.

BMC PSYCHIATRY (2023)

Article Neurosciences

Incongruent gray matter atrophy and functional connectivity of striatal subregions in behavioral variant frontotemporal dementia

Huizi Li, Lingchuan Xiong, Teng Xie, Zhijiang Wang, Tao Li, Haifeng Zhang, Luchun Wang, Xin Yu, Huali Wang

Summary: Previous studies have shown that the striatum plays a role in cognitive function and psychiatric symptoms in bvFTD patients. However, the existing studies on striatal subregions have inconsistent and unclear results. This study found that bvFTD patients have smaller volumes in striatal subregions compared to controls and that the degree of atrophy varied across these subregions, with more significant atrophy in the right striatum.

CEREBRAL CORTEX (2023)

Article Neurosciences

Low incidence of advanced neurological burden but high incidence of age-related conditions that are dementia risk factors in aging people living with HIV: a data-linkage 10-year follow-up study

Htein Linn Aung, Mark Bloch, Trina Vincent, Limin Mao, Bruce J. Brew, Lucette A. Cysique

Summary: This study aims to assess the incidence rate of non-HIV age-related neurological disorders among PLHIV and found that older PLHIV had a higher incidence of cardiovascular disease, osteoporosis, and combined ARC. However, non-HIV age-related neurological disorders are uncommon in older PLHIV.

JOURNAL OF NEUROVIROLOGY (2023)

Letter Psychology, Experimental

The Binding Problem 2.0: Beyond Perceptual Features

Xinchi Yu, Ellen Lau

Summary: The binding problem, a central question in vision science for 30 years, addresses how we represent the correspondence between a specific feature and its corresponding object when encoding or maintaining multiple objects in working memory. This letter argues that the research program of the binding problem is not limited to vision and calls for coordinated pursuit across the broader cognitive science community of this central question for cognition, referred to as Binding Problem 2.0.

COGNITIVE SCIENCE (2023)

Article Immunology

Decrease in naturally occurring antibodies against epitopes of Alzheimer's disease (AD) risk gene products is associated with cognitive decline in AD

Dongmei Gu, Luchun Wang, Nan Zhang, Huali Wang, Xin Yu

Summary: This study found that the levels of naturally occurring antibodies (NAbs) decrease in individuals with Alzheimer's disease (AD), and a specific antibody, NAb-TREM2, has the highest sensitivity as a potential biomarker. Further analysis showed that AD-related pathological processes were enriched in the protein-protein interaction network. The findings suggest that the levels of circulating NAbs may serve as biomarkers for monitoring the progression of AD.

JOURNAL OF NEUROINFLAMMATION (2023)

Article Psychiatry

Childhood experiences and needs of offspring living with paternal and maternal severe mental illness: A retrospective study in China

Weiran Chen, Xun Wang, Tianhang Zhou, Liping Wen, Xianmei Yang, Bingbing Chen, Tao Zhang, Changchun Zhang, Juan Hua, Qi Tang, Xu Hong, Wenhui Liu, Chunyu Du, Chenmei Xie, Hong Ma, Xin Yu, Lili Guan

Summary: This study aimed to describe the adverse childhood experiences and needs of offspring living with parental severe mental illness (SMI) in China and compared the differences in needs between offspring living with maternal SMI and those living with paternal SMI. The findings showed that the percentages of poverty, family care, and housework were significantly higher in both the paternal SMI group and maternal SMI group compared with the control group. The maternal SMI group also had higher rates of school dropout and relationship problems with friends. There was a greater need for stigma reduction in the maternal SMI group compared to the paternal SMI group. Therefore, there is a need for a national program to assist families with mentally ill parents and provide services for children living with parental SMI.

ASIAN JOURNAL OF PSYCHIATRY (2023)

暂无数据