Preliminary comparative study of cortical thickness in HIV-infected patients with and without working memory deficit

Changes in cerebral cortical regions occur in HIV-infected patients, even in those with mild neurocognitive disorders. Working memory / attention is one of the most affected cognitive domain in these patients, worsening their quality of life. Our objective was to assess whether cortical thickness di...

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Veröffentlicht in:PloS one 2021-12, Vol.16 (12), p.e0261208-e0261208
Hauptverfasser: Cabral, Rafael Ferracini, Corrêa, Diogo Goulart, Zimmermann, Nicolle, Tukamoto, Gustavo, Kubo, Tadeu Takao Almodovar, Fonseca, Rochele Paz, Silva, Marcos Martins, Wilner, Nina Ventura, Bahia, Paulo Roberto Valle, Gasparetto, Emerson Leandro, Marchiori, Edson
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container_issue 12
container_start_page e0261208
container_title PloS one
container_volume 16
creator Cabral, Rafael Ferracini
Corrêa, Diogo Goulart
Zimmermann, Nicolle
Tukamoto, Gustavo
Kubo, Tadeu Takao Almodovar
Fonseca, Rochele Paz
Silva, Marcos Martins
Wilner, Nina Ventura
Bahia, Paulo Roberto Valle
Gasparetto, Emerson Leandro
Marchiori, Edson
description Changes in cerebral cortical regions occur in HIV-infected patients, even in those with mild neurocognitive disorders. Working memory / attention is one of the most affected cognitive domain in these patients, worsening their quality of life. Our objective was to assess whether cortical thickness differs between HIV-infected patients with and without working memory deficit. Forty-one adult HIV-infected patients with and without working memory deficit were imaged on a 1.5 T scanner. Working memory deficit was classified by composite Z scores for performance on the Digits and Letter-Number Sequencing subtests of the Wechsler Adult Intelligence Scale (third edition; WAIS-III). Cortical thickness was determined using FreeSurfer software. Differences in mean cortical thickness between groups, corrected for multiple comparisons using Monte-Carlo simulation, were examined using the query design estimate contrast tool of the FreeSurfer software. Greater cortical thickness in left pars opercularis of the inferior frontal gyrus, and rostral and caudal portions of the left middle frontal gyrus (cluster 1; p = .004), and left superior frontal gyrus (cluster 2; p = .004) was observed in HIV-infected patients with working memory deficit compared with those without such deficit. Negative correlations were found between WAIS-III-based Z scores and cortical thickness in the two clusters (cluster 1: ρ = -0.59; cluster 2: ρ = -0.47). HIV-infected patients with working memory deficit have regions of greater thickness in the left frontal cortices compared with those without such deficit, which may reflect increased synaptic contacts and/or an inflammatory response related to the damage caused by HIV infection.
doi_str_mv 10.1371/journal.pone.0261208
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Working memory / attention is one of the most affected cognitive domain in these patients, worsening their quality of life. Our objective was to assess whether cortical thickness differs between HIV-infected patients with and without working memory deficit. Forty-one adult HIV-infected patients with and without working memory deficit were imaged on a 1.5 T scanner. Working memory deficit was classified by composite Z scores for performance on the Digits and Letter-Number Sequencing subtests of the Wechsler Adult Intelligence Scale (third edition; WAIS-III). Cortical thickness was determined using FreeSurfer software. Differences in mean cortical thickness between groups, corrected for multiple comparisons using Monte-Carlo simulation, were examined using the query design estimate contrast tool of the FreeSurfer software. 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Working memory / attention is one of the most affected cognitive domain in these patients, worsening their quality of life. Our objective was to assess whether cortical thickness differs between HIV-infected patients with and without working memory deficit. Forty-one adult HIV-infected patients with and without working memory deficit were imaged on a 1.5 T scanner. Working memory deficit was classified by composite Z scores for performance on the Digits and Letter-Number Sequencing subtests of the Wechsler Adult Intelligence Scale (third edition; WAIS-III). Cortical thickness was determined using FreeSurfer software. Differences in mean cortical thickness between groups, corrected for multiple comparisons using Monte-Carlo simulation, were examined using the query design estimate contrast tool of the FreeSurfer software. Greater cortical thickness in left pars opercularis of the inferior frontal gyrus, and rostral and caudal portions of the left middle frontal gyrus (cluster 1; p = .004), and left superior frontal gyrus (cluster 2; p = .004) was observed in HIV-infected patients with working memory deficit compared with those without such deficit. Negative correlations were found between WAIS-III-based Z scores and cortical thickness in the two clusters (cluster 1: ρ = -0.59; cluster 2: ρ = -0.47). HIV-infected patients with working memory deficit have regions of greater thickness in the left frontal cortices compared with those without such deficit, which may reflect increased synaptic contacts and/or an inflammatory response related to the damage caused by HIV infection.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34890434</pmid><doi>10.1371/journal.pone.0261208</doi><tpages>e0261208</tpages><orcidid>https://orcid.org/0000-0002-7886-1164</orcidid><oa>free_for_read</oa></addata></record>
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1932-6203
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subjects Adult
Aged
Analysis
Attention
Biology and Life Sciences
Brain
Brazil - epidemiology
Care and treatment
Cerebral cortex
Cerebral Cortex - pathology
Cerebral Cortex - virology
Clusters
Cocaine
Cognition
Cognition disorders
Cognitive ability
Comparative studies
Computer programs
Contraindications
Dementia
Diagnosis
Ecstasy
Female
Frontal gyrus
HIV
HIV - isolation & purification
HIV Infections - epidemiology
HIV Infections - pathology
HIV Infections - psychology
HIV Infections - virology
HIV patients
Human immunodeficiency virus
Humans
Infections
Inflammation
Inflammatory response
Intelligence
Male
Measurement
Medicine and Health Sciences
Memory
Memory Disorders - epidemiology
Memory Disorders - pathology
Memory Disorders - psychology
Memory Disorders - virology
Memory, Short-Term - physiology
Middle Aged
Monte Carlo simulation
Mortality
Neuroimaging
Neuropsychological Tests
Neuropsychology
Quality of life
Ratings & rankings
Research and Analysis Methods
Risk factors
Sequences
Short term memory
Social Sciences
Software
Thickness
title Preliminary comparative study of cortical thickness in HIV-infected patients with and without working memory deficit
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