Cardiovascular Disease, Brain Glucose Metabolism, and Neurocognitive Decline in People With Human Immunodeficiency Virus

We found that high ASCVD scores in a group of treated PWH were related to thalamic hypometabolism, which in turn correlated with neurocognitive decline. Our findings support the contribution of CVD to neurocognitive dysfunction. More proactive CVD management may have a role in mitigating progression of cognitive impairment. Lack of change in global brain glucose metabolism despite documented accelerated gray matter volume loss over the same period suggests that FDG PET might underestimate neuronal injury in PWH compared to structural magnetic resonance imaging.

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Publication Details

Journal
Open Forum Infectious Diseases
Published
2024-09-20
DOI
https://doi.org/10.1093/ofid/ofae552
Citations
2
Primary Topic
HIV Research and Treatment
Type
article
Field-Weighted Citation Impact
0.59

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Cardiovascular Disease, Brain Glucose Metabolism, and Neurocognitive Decline in People With Human Immunodeficiency Virus

Avindra Nath, Bryan Smith, Chuen‐Yen Lau, Swati Shah et al.
2 citations
Open Forum Infectious Diseases
HIV Research and Treatment
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article

Cardiovascular Disease, Brain Glucose Metabolism, and Neurocognitive Decline in People With Human Immunodeficiency Virus

Avindra Nath, Bryan Smith, Chuen‐Yen Lau, Swati Shah, Alice Chien, Erin Kelly, Paul Wakim, Govind Nair, Elizabeth Horne, Dima A. Hammoud, Alan Kim, Amelia L. Mitchell, Cynthia McMahan, Joseph Snow, Anna Lyndaker, Elyse Gollomp, Cynthia Monroe, Alicia Spiegel
article en
2 citations

Abstract

We found that high ASCVD scores in a group of treated PWH were related to thalamic hypometabolism, which in turn correlated with neurocognitive decline. Our findings support the contribution of CVD to neurocognitive dysfunction. More proactive CVD management may have a role in mitigating progression of cognitive impairment. Lack of change in global brain glucose metabolism despite documented accelerated gray matter volume loss over the same period suggests that FDG PET might underestimate neuronal injury in PWH compared to structural magnetic resonance imaging.

Open Forum Infectious DiseasesVol. 11(10)
National Institutes of Health (US), National Institute of Neurological Disorders and Stroke (US), National Cancer Institute (US), Center for Cancer Research (US), National Institutes of Health Clinical Center (US), National Institute of Mental Health (US)
National Institute of Mental Health, National Cancer Institute, National Institute of Neurological Disorders and Stroke, NIH Clinical Center, Office of AIDS Research
Good health and well-being
Openalex Percentile: Top 32%
HIV Research and Treatment
0.59
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