Brain morphometric correlates of metabolic variables in HIV: the CHARTER study.

TitleBrain morphometric correlates of metabolic variables in HIV: the CHARTER study.
Publication TypeJournal Article
Year of Publication2014
AuthorsArchibald, SL, McCutchan, JA, Sanders, C, Wolfson, T, Jernigan, TL, Ellis, RJ, Ances, BM, Collier, AC, McArthur, JC, Morgello, S, Simpson, DM, Marra, C, Gelman, BB, Clifford, DB, Grant, I, Fennema-Notestine, C
Corporate AuthorsCHARTER Group
JournalJ Neurovirol
Volume20
Issue6
Pagination603-11
Date Published2014 Dec
ISSN1538-2443
KeywordsAdult, Aged, Antiretroviral Therapy, Highly Active, Blood Glucose, Blood Pressure, Body Mass Index, Cerebral Cortex, Cerebrum, Cholesterol, HDL, Cholesterol, LDL, Cohort Studies, Cross-Sectional Studies, Diabetes Complications, Diabetes Mellitus, Female, Gray Matter, HIV, HIV Infections, Humans, Male, Middle Aged, Regression Analysis, White Matter
Abstract

Obesity and other metabolic variables are associated with abnormal brain structural volumes and cognitive dysfunction in HIV-uninfected populations. Since individuals with HIV infection on combined antiretroviral therapy (CART) often have systemic metabolic abnormalities and changes in brain morphology and function, we examined associations among brain volumes and metabolic factors in the multisite CNS HIV AntiRetroviral Therapy Effects Research (CHARTER) cohort, cross-sectional study of 222 HIV-infected individuals. Metabolic variables included body mass index (BMI), total blood cholesterol (C), low- and high-density lipoprotein C (LDL-C and HDL-C), blood pressure, random blood glucose, and diabetes. MRI measured volumes of cerebral white matter, abnormal white matter, cortical and subcortical gray matter, and ventricular and sulcal CSF. Multiple linear regression models allowed us to examine metabolic variables separately and in combination to predict each regional volume. Greater BMI was associated with smaller cortical gray and larger white matter volumes. Higher total cholesterol (C) levels were associated with smaller cortex volumes; higher LDL-C was associated with larger cerebral white matter volumes, while higher HDL-C levels were associated with larger sulci. Higher blood glucose levels and diabetes were associated with more abnormal white matter. Multiple atherogenic metabolic factors contribute to regional brain volumes in HIV-infected, CART-treated patients, reflecting associations similar to those found in HIV-uninfected individuals. These risk factors may accelerate cerebral atherosclerosis and consequent brain alterations and cognitive dysfunction.

DOI10.1007/s13365-014-0284-0
Alternate JournalJ. Neurovirol.
PubMed ID25227933
PubMed Central IDPMC4268263
Grant ListHHSN271201000027C / MH / NIMH NIH HHS / United States
HHSN271201000027C / / PHS HHS / United States
HHSN271201000030C / MH / NIMH NIH HHS / United States
HHSN271201000030C / / PHS HHS / United States
N01 MH022005 / MH / NIMH NIH HHS / United States
N01 MH22005 / MH / NIMH NIH HHS / United States
P30 MH062512 / MH / NIMH NIH HHS / United States
P30 MH075673 / MH / NIMH NIH HHS / United States
P30 MH62512 / MH / NIMH NIH HHS / United States
R01 MH079752 / MH / NIMH NIH HHS / United States
R01 MH79752 / MH / NIMH NIH HHS / United States