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Antiretroviral therapy and central nervous system HIV type 1 infection
Price RW, Spudich S.. The Journal of infectious diseases, 2008-05-01
Topic: Brain proteins, microglia and lab models
Plain-language summary
Central nervous system (CNS) human immunodeficiency virus type 1 (HIV-1) infection begins during primary viremia and continues throughout the course of untreated systemic infection. Although frequently accompanied by local inflammatory reactions detectable in cerebrospinal fluid (CSF), CNS HIV-1 infection usually is not clinically apparent. In a minority of patients, CNS HIV-1 infection evolves into encephalitis during the late stages of systemic infection, which compromises brain function and presents clinically as acquired immunodeficiency syndrome dementia complex (ADC). Combination antiretroviral therapy (ART) has had a major impact on all aspects of CNS HIV-1 infection and disease. In those with asymptomatic infection, ART usually effectively suppresses HIV-1 in CSF and markedly reduces the incidence of symptomatic ADC. In those presenting with ADC, ART characteristically prevents neurological progression and leads to variable, and at times substantial, recovery. Similarly, treatment has reduced CNS opportunistic infections. With better control of these severe disorders, attention has turned to the possible consequences of chronic silent infection and the issue of whether indolent, low-grade brain injury might require earlier treatment intervention.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Price, R. W., & Spudich, S. (2008). Antiretroviral therapy and central nervous system HIV type 1 infection. The Journal of infectious diseases. https://doi.org/10.1086/533419
Vancouver
Price RW, Spudich S. Antiretroviral therapy and central nervous system HIV type 1 infection. The Journal of infectious diseases. 2008. doi:10.1086/533419. PMID: 18447615.
BibTeX
@article{price2008-18447615,
author = {Price, R. W. and Spudich, S.},
title = {{Antiretroviral therapy and central nervous system HIV type 1 infection}},
journal = {The Journal of infectious diseases},
year = {2008},
doi = {10.1086/533419},
pmid = {18447615},
url = {https://doi.org/10.1086/533419}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Combination antiretroviral therapy (ART) has had a major impact on all aspects of CNS HIV-1 infection and disease.
- In those with asymptomatic infection, ART usually effectively suppresses HIV-1 in CSF and markedly reduces the incidence of symptomatic ADC.
- In those presenting with ADC, ART characteristically prevents neurological progression and leads to variable, and at times substantial, recovery.
- Similarly, treatment has reduced CNS opportunistic infections.
- With better control of these severe disorders, attention has turned to the possible consequences of chronic silent infection and the issue of whether indolent, low-grade brain injury might require earlier treatment intervention.
Why it matters
Combination antiretroviral therapy usually suppresses HIV in cerebrospinal fluid, reduces the incidence of AIDS dementia complex, and can prevent neurological progression or lead to recovery in those who have it. This concerns HIV-associated dementia, not Alzheimer's disease, and does not address treating, curing, or preventing Alzheimer's.
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Study details
- Evidence strengthLow
How this study scored 41/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (The Journal of infectious diseases) |
| Journal's citation record | 3 / 4 | The Journal of Infectious Diseases: journal h-index 370 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2008 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 131 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 6.5 citations a year over 20 year(s) since 2008 |
| Impact for its field and year | 3 / 6 | Cited 4.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 10 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Serena Spudich: h-index 58 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,915 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 18447615) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 41 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1086/533419
- PubMed: 18447615
- Original source →
- Free full text: The Journal of Infectious Diseases →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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