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10.1097/QAD.0000000000001858

http://scihub22266oqcxt.onion/10.1097/QAD.0000000000001858
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suck abstract from ncbi


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pmid29746297      AIDS 2018 ; 32 (12): 1661-1667
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  • Microglial activation is inversely associated with cognition in individuals living with HIV on effective antiretroviral therapy #MMPMID29746297
  • Rubin LH; Sacktor N; Creighton J; Du Y; Endres CJ; Pomper MG; Coughlin JM
  • AIDS 2018[Jul]; 32 (12): 1661-1667 PMID29746297show ga
  • OBJECTIVE: Despite viral suppression, HIV-associated cognitive impairment persists and may be partially due to persistent immune signalling by cells of the myeloid-lineage. Here, we aimed to understand the contribution of activated microglia located in vulnerable brain regions (e.g. frontal, subcortical) of HIV-infected, virally suppressed (HIV+VS) individuals in relation to cognitive and motor function. DESIGN: Twenty-one HIV+VS individuals underwent PET with [11C]DPA-713 to image the translocator protein 18 kDa (TSPO), a marker of microglial activation, and completed a comprehensive neuropsychological test battery. METHODS: Multivariable linear regressions were used to examine the contribution of [11C]DPA-713 binding to cognitive performance. RESULTS: Higher [11C]DPA-713 binding was associated with lower cognition among HIV+VS individuals. [11C]DPA-713 binding in middle frontal gyrus/frontal cortex, hippocampus/temporal cortex and occipital cortex was inversely associated with performance on a number of cognitive domains, including verbal memory, processing speed/attention/concentration, executive function, working memory and motor function. [C]DPA-713 binding in parietal cortex, cerebellum and thalamus was associated with only specific cognitive domains including visual construction and verbal memory. Binding was not associated with global cognitive performance. CONCLUSION: The findings add to the growing body of evidence that immune-mediated brain injury may contribute to domain specific, HIV-associated, cognitive vulnerabilities despite viral suppression.
  • |AIDS Dementia Complex/*pathology[MESH]
  • |Adult[MESH]
  • |Anti-Retroviral Agents/*therapeutic use[MESH]
  • |Female[MESH]
  • |HIV Infections/complications/*drug therapy/*pathology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Microglia/*pathology[MESH]
  • |Middle Aged[MESH]
  • |Neuropsychological Tests[MESH]
  • |Positron-Emission Tomography[MESH]


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