Skip to main content

Brain structural and functional recovery following initiation of combination antiretroviral therapy

Abstract

NeuroAIDS persists in the era of combination antiretroviral therapies. We describe here the recovery of brain structure and function following 6 months of therapy in a treatment-naive patient presenting with HIV-associated dementia. The patient’s neuropsychological test performance improved and his total brain volume increased by more than 5 %. Neuronal functional connectivity measured by magnetoencephalography changed from a pattern identical to that observed in other HIV-infected individuals to one that was indistinguishable from that of uninfected control subjects. These data suggest that at least some of the effects of HIV on the brain can be fully reversed with treatment.

This is a preview of subscription content, access via your institution.

Fig. 1

References

  • Becker JT, Fabrizio M, Sudre G et al (2012a) Potential utility of resting-state magnetoencephalography power spectra as a biomarker of CNS abnormality in HIV disease. J Neurosci Methods 206:176–182

    Article  PubMed  Google Scholar 

  • Becker JT, Bajo R, Fabrizio M et al. (2012) Functional connectivity measured with magnetoencephalography identifies persons with HIV disease. Brain Imaging Behav doi:10.1007/s11682-012-9149-4

  • Crawford JR, Garthwaite PH, Porter S (2010) Point and interval estimates of effect sizes for the case–controls design in neuropsychology: rationale, methods, implementations, and proposed reporting standards. Cogn Neuropsychol 27(3):245–260

    Article  PubMed  Google Scholar 

  • Cysique LA, Brew BJ, Halman M et al (2005) Undetectable cerebrospinal fluid HIV RNA and beta-2 microglobulin do not indicate inactive AIDS dementia complex in highly active antiretroviral therapy-treated patients. J Acquir Immune Defic Syndr 39(4):426–429

    Article  PubMed  CAS  Google Scholar 

  • Dore GJ, Correll PK, Li Y, Kaldor JM, Cooper DA, Brew BJ (1999) Changes to AIDS dementia complex in the era of highly active antiretroviral therapy. AIDS 13(10):1249–1253

    Article  PubMed  CAS  Google Scholar 

  • Heaton RK, Taylor MJ (2004) Revised comprehensive norms for an expanded Halstead–Reitan Battery: demographically adjusted neuropsychological norms for African American and Caucasian adults. Psychological Assessment Resources, Odessa

    Google Scholar 

  • Hlaváčková-Schindler K, Paluš M, Velmejka M, Bhattacharya J (2007) Causality detection based on information-theoretic approaches in time series analysis. Phys Rep 441(1):1–46

    Article  Google Scholar 

  • Mueller SG, Weiner MW, Thal LJ et al (2005) The Alzheimer’s disease neuroimaging initiative. Neuroimaging Clin N Am 15(4):869–877

    Article  PubMed  Google Scholar 

  • Price RW, Epstein LG, Becker JT et al (2007) Biomarkers of HIV-1 CNS infection and injury. Neurology 69(18):1781–1788

    Article  PubMed  CAS  Google Scholar 

  • Sacktor N, Lyles RH, Skolasky R et al (2001) HIV-associated neurologic disease incidence changes: Multicenter AIDS Cohort Study, 1990–1998. Neurology 56:257–260

    Article  PubMed  CAS  Google Scholar 

  • Sacktor N, McDermott MP, Marder K et al (2002) HIV-associated cognitive impairment before and after the advent of combination therapy. J Neurovirol 8:136–142

    Article  PubMed  Google Scholar 

  • Simioni S, Cavassini M, Annoni JM et al (2010) Cognitive dysfunction in HIV patients despite long-standing suppression of viremia. AIDS 24(9):1243–1250

    PubMed  Google Scholar 

  • Smith SM, Zhang Y, Jenkinson M, Chen J, Matthews PM, Federico A, De Stefano N (2002) Accurate, robust and automated longitudinal and cross-sectional brain change analysis. NeuroImage 17(1):479–489

    Google Scholar 

  • Woods SP, Rippeth JD, Frol AB et al (2004) Interrater reliability of clinical ratings and neurocognitive diagnoses in HIV. J Clin Exp Neuropsychol 26(6):759–778

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported in part by funds from the National Institute of Mental Health (R03-MH081721). The sponsor had no role in the design, analysis, or interpretation of this study. The authors are grateful to D. Martineck and L. Teverovsky for their assistance with this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James T. Becker.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Becker, J.T., Cuesta, P., Fabrizio, M. et al. Brain structural and functional recovery following initiation of combination antiretroviral therapy. J. Neurovirol. 18, 423–427 (2012). https://doi.org/10.1007/s13365-012-0115-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13365-012-0115-0

Keywords

  • HIV disease
  • NeuroAIDS
  • Magnetoencephalography
  • Functional connectivity