Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
Pt 5
pubmed:dateCreated
2001-5-3
pubmed:abstractText
Neuronal injury, dendritic loss and brain atrophy are frequent complications of infection with human immunodeficiency virus (HIV) type 1. Activated brain macrophages and microglia can release quinolinic acid, a neurotoxin and NMDA (N-methyl-D-aspartate) receptor agonist, which we hypothesize contributes to neuronal injury and cerebral volume loss. In the present cross-sectional study of 94 HIV-1-infected patients, elevated CSF quinolinic acid concentrations correlated with worsening brain atrophy, quantified by MRI, in regions vulnerable to excitotoxic injury (the striatum and limbic cortex) but not in regions relatively resistant to excitotoxicity (the non-limbic cortex, thalamus and white matter). Increased CSF quinolinic acid concentrations also correlated with higher CSF HIV-1 RNA levels. In support of the specificity of these associations, blood levels of quinolinic acid were unrelated to striatal and limbic volumes, and CSF levels of beta(2)-microglobulin, a non-specific and non-excitotoxic marker of immune activation, were unrelated to regional brain volume loss. These results are consistent with the hypothesis that quinolinic acid accumulation in brain tissue contributes to atrophy in vulnerable brain regions in HIV infection and that virus replication is a significant driver of local quinolinic acid biosynthesis.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0006-8950
pubmed:author
pubmed:issnType
Print
pubmed:volume
124
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1033-42
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:11335705-Adult, pubmed-meshheading:11335705-Atrophy, pubmed-meshheading:11335705-Biological Markers, pubmed-meshheading:11335705-Brain, pubmed-meshheading:11335705-Cohort Studies, pubmed-meshheading:11335705-Corpus Striatum, pubmed-meshheading:11335705-Cross-Sectional Studies, pubmed-meshheading:11335705-HIV Infections, pubmed-meshheading:11335705-HIV Seropositivity, pubmed-meshheading:11335705-HIV-1, pubmed-meshheading:11335705-Humans, pubmed-meshheading:11335705-Limbic System, pubmed-meshheading:11335705-Magnetic Resonance Imaging, pubmed-meshheading:11335705-Male, pubmed-meshheading:11335705-Middle Aged, pubmed-meshheading:11335705-Predictive Value of Tests, pubmed-meshheading:11335705-Quinolinic Acid, pubmed-meshheading:11335705-RNA, Viral, pubmed-meshheading:11335705-Virus Replication, pubmed-meshheading:11335705-beta 2-Microglobulin
pubmed:year
2001
pubmed:articleTitle
Elevated cerebrospinal fluid quinolinic acid levels are associated with region-specific cerebral volume loss in HIV infection.
pubmed:affiliation
Laboratory of Neurotoxicology, National Institute of Mental Health, Bethesda, Maryland, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S.