白色和灰色物质的变化与艾滋病毒感染的神经认知能力下降有关
Alice Chien1, Tianxia Wu1, Chuen-Yen Lau2
1National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Annals of neurology
|February 16, 2024
概括
即使控制了艾滋病毒,大脑损伤仍然存在. 灰质缩和白质变化与艾滋病毒感染者 (PLWH) 的认知能力下降相关.
科学领域:
- 神经科学是一个神经科学.
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 接受联合抗逆转录病毒疗法 (cART) 的艾滋病毒感染者 (PLWH) 可能仍然会出现神经认知缺陷.
- 磁共振成像 (MRI) 上的结构性大脑变化在PLWH中被怀疑,尽管有病毒学控制.
研究的目的:
- 研究与对照组相比,病毒学控制的PLWH中神经认知缺陷和大脑结构变化之间的关系.
- 在PLWH中评估大脑体积的纵向变化.
主要方法:
- 截面和纵向MRI扫描从PLWH获得,病毒载量<50c/mL和对照.
- 收集了神经心理学数据和临床参数.
- 多重回归和随机系数模型分析了大脑体积,认知得分和临床因素之间的关联.
主要成果:
- PLWH显示灰色物质 (GM) 缩率明显高于对照组.
- 转基因缩和全球缩与神经心理学领域得分相关.
- 白质过强度与心血管疾病风险以及PLWH中执行功能和记忆力较差有关.
结论:
- 即使在有效的病毒学控制下,PLWH中也会发生持续的神经损伤.
- 这些发现突显出需要在PLWH中持续监测和管理神经健康.
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