- Research article
- Open Access
Axonal chronic injury in treatment-naïve HIV+ adults with asymptomatic neurocognitive impairment and its relationship with clinical variables and cognitive status
BMC Neurology volume 18, Article number: 66 (2018)
HIV is a neurotropic virus, and it can bring about neurodegeneration and may even result in cognitive impairments. The precise mechanism of HIV-associated white matter (WM) injury is unknown. The effects of multiple clinical contributors on WM impairments and the relationship between the WM alterations and cognitive performance merit further investigation.
Diffusion tensor imaging (DTI) was performed in 20 antiretroviral-naïve HIV-positive asymptomatic neurocognitive impairment (ANI) adults and 20 healthy volunteers. Whole-brain analysis of DTI metrics between groups was conducted by employing tract-based spatial statistics (TBSS), including fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD) and radial diffusivity (RD). DTI parameters were correlated with clinical variables (age, CD4+ cell count, CD4+/CD8+ ratio, plasma viral load and duration of HIV infection) and multiple cognitive tests by using multilinear regression analyses.
DTI quantified diffusion alterations in the corpus callosum and corona radiata (MD increased significantly, P < 0.05) and chronic axonal injury in the corpus callosum, corona radiata, internal capsule, external capsule, posterior thalamic radiation, sagittal stratum, and superior longitudinal fasciculus (AD increased significantly, P < 0.05). The impairments in the corona radiata had significant correlations with the current CD4+/CD8+ ratios. Increased MD or AD values in multiple white matter structures showed significant associations with many cognitive domain tests.
WM impairments are present in neurologically asymptomatic HIV+ adults, periventricular WM (corpus callosum and corona radiata) are preferential occult injuries, which is associated with axonal chronic damage rather than demyelination. Axonopathy may exist before myelin injury. DTI-TBSS is helpful to explore the WM microstructure abnormalities and provide a new perspective for the investigation of the pathomechanism of HIV-associated WM injury.
HIV can enter the central nervous system (CNS) soon after seroconversion and cause persistent CNS inflammation . With ongoing injury to the brain, it may lead to cognitive, behavioural and motor abnormalities, which are called HIV-associated neurocognitive disorders (HAND) . HAND can be clinically subdivided into three categories: asymptomatic neurocognitive impairment (ANI), mild neurocognitive disorder (MND) and HIV-associated dementia (HAD) . ANI is the mildest and most common type of HAND (accounting for 70%), which is characterized by mild cognitive impairment on neuropsychological performance tests without obvious accompanying difficulties in daily functioning . HAD is the most severe form. These definitions are mainly based upon an individual’s performance on multiple cognitive domains and a brief self-report of cognitive difficulties in daily life. These neuropsychological tests are time consuming (~ 3 h) and are usually performed in specific research institutions , so patients in ANI stages are rarely diagnosed in traditional outpatient visits (15–30 min).
Conventional structural magnetic resonance imaging (MRI) scans are unable to detect early HIV-associated brain white matter (WM) abnormalities . As a noninvasive and rapidly evolving MRI technique, diffusion tensor imaging (DTI) can measure the diffusion of water molecules in WM, and more recently, it has become a popular method for studying HIV-induced WM microstructural integrity [6,7,8,9,10,11,12]. So far, tract-based spatial statistics (TBSS) is the most frequently recommended and employed method of analysis for DTI , which overcomes the limitations of conventional methods (region of interest, ROI; voxel-based analysis, VBA). There are four parameters for DTI, including fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD). As a marker of the diffusion directionality of water molecules, FA can reflect the deviation of water motion and provide information about the microstructural integrity of highly oriented microstructures . MD is a marker of the molecular motion speed and can reflect the average diffusion in all three directions . AD is assumed to reflect diffusivity parallel to the WM tract, and RD represents diffusion perpendicular to the tract . Generally, FA and MD are influenced by AD and RD. Decreased FA and increased MD are measures of neuronal injury, increased AD is a measure of axonal chronic damage, and increased RD is a measure of myelin damage [7, 17].
Though many DTI studies on HIV have reported a loss of WM integrity [6,7,8,9,10,11,12], few studies have focused on the WM microstructure in neuroasymptomatic HIV+ individuals without treatment. Zhu T et al. found that WM injuries in neurologically asymptomatic HIV patients are mainly located in the posterior part of both hemispheres (MD, AD, RD increased significantly) . Wang B et al. observed a decrease in FA in the corpus callosum and anterior corona radiata and an increase in MD, RD, and AD in most skeleton locations . In both studies, the neuropsychological tests were assessed by AIDS Dementia Complex (ADC) staging according to the Memorial Sloan Kettering (MSK) staging system, and an ADC score of 0 or 0.5 was considered neurocognitive asymptomatic. Zhuang Y et al. investigated WM changes in ANI patients diagnosed according to the Frascati criteria  and found no significant WM microstructural differences between HIV-infected and healthy controls . Cysique LA et al. reported that the location of WM injury in ANI cases was the anterior limb of the internal capsule . The above findings still exhibit differences.
HIV-associated WM damage includes demyelination and axonal injury; however, the relationship between them and the neuropathology of HIV-related WM impairment is still unclear. The primary oligodendrocyte and myelin damage leading to secondary axonal damage (outside-in) or primary axonopathy triggering oligodendrocyte injury and demyelination (inside-out) are indistinguishable . WM alterations may contribute to cognitive deficits in HIV-infected patients [7, 18, 21]. It is worth noting that the relationship between WM abnormalities and cognitive status has not been well characterized or systematically assessed.
Moreover, the effects of multiple clinical contributors on cerebral WM integrity merit further investigation. The various potential clinical influencing variables include factors that are directly related to HIV disease (i.e., CD4+ level, CD4+/CD8+ ratio, plasma viral load and duration of HIV infection) and factors that can affect the CNS, such as ageing. Recent studies have identified that HIV duration was significantly correlated with DTI parameters [7, 22]. FA values in the corpus callosum were negatively correlated with the duration of infection in antiretroviral-naïve primary HIV infection patients . Cohen RA et al. reported that the CD4 nadir and the duration of HIV infection may be risk factors for cerebral injury . However, other studies showed dissenting results that age can exacerbate HIV-associated WM abnormalities [11, 25]. Regrettably, there were discrepancies in previous findings.
In the present study, we aimed to investigate the WM microstructural changes in treatment-naïve HIV patients with ANI through DTI-TBSS technology. In particular, the current study was confined to treatment-naïve patients to rule out the possibility of antiretroviral therapy (ART) erosion on WM integrity. We also wanted to quantify the relationships between WM damage and age, CD4+ counts, CD4+/CD8+ ratio, plasma viral load, duration of HIV infection and cognitive status.
The protocol was approved by the ethics committee. HIV participants were recruited from infectious disease outpatient clinic of Beijing YouAn Hospital, Capital Medical University. The inclusion criteria for patients were as follows: age ≥ 18 years, naïve to ART prior to enrolment, and HAND stage of ANI. According to the inclusion criteria, we enrolled twenty patients from June 2014 to July 2016. Twenty seronegative healthy volunteers matched for age, gender and education level were recruited from the same community by advertisements. All subjects provided written informed consent prior to enrolment. The exclusion criteria for both HIV-infected and HIV-negative participants were as follows: 1) age < 18 years; 2) neurological disorders: epilepsy, stroke, an active or known past opportunistic infection of the CNS; 3) alcohol or drug abuse within the last 6 months; 4) stable anxiety or depression, including those managed by stable anti-anxiety or antidepressant therapy; 5) contraindication to MR; 6) trauma, tumours, infection (except HIV), vascular diseases and other visible brain lesions on standard MRI (T1WI and T2-fluid attenuated inversion recovery (FLAIR)).
In the HIV-infected individuals, HIV was confirmed by an enzyme-linked immunosorbent assay and western blot analysis. The duration of HIV infection was determined according to patients’ self-reports on their risk behaviours. The recent CD4+ counts were performed within 2 weeks of neuroimaging. HIV RNA levels were measured from blood plasma. The mode of HIV infection was sexual contact (male homosexual contact for 14 patients, heterosexual contact for 6 patients). The years of education ranged from 13 to 19 years (mean: 16.5 ± 1.8 years).
Two to three hours prior to the MRI scanning, each patient underwent a comprehensive neuropsychological assessment, including 6 cognitive domains and a report of cognitive difficulties in daily life. Self-questionnaires of daily functioning were assessed with a short Activity of Daily Living scale . The neurocognitive evaluation surveys the following abilities: verbal fluency (Animal Verbal Fluency Test, AFT), attention/working memory (Continuous Performance Test-Identical Pair, CPT-IP; Wechsler Memory Scale, WMS-III; Paced Auditory Serial Addition Test, PASAT), executive function (Wisconsin Card Sorting Tests, WCST-64), memory (learning and delayed recall) (Hopking Verbal Learning Test, HVLT-R; Brief Visuospatial Memory Test, BVMT-R), speed of information processing (Trail Marking Test A, TMT- A) and fine motor skills (Grooved Pegboard, dominant and non-dominant Hands) [4, 27]. Raw scores for each test were transformed into T-scores and adjusted for age, gender, and education level. T-scores across more tests for one cognitive domain were averaged to calculate domain-specific T-scores. Patients whose cognitive impairment involved two or more cognitive abilities (performance of at least one standard deviation below the mean for norms on neuropsychological tests) and presented no cognitive difficulties in everyday life were diagnosed with ANI . All patients were diagnosed with ANI according to the Frascati criteria .
Twenty patients and twenty healthy controls received MRIs. All scans were reviewed by an experienced neuroradiologist for motion artefacts and evidence of unknown brain lesion, which could have affected DTI indices. The image quality of one patient was poor. After communicating with the patient, we immediately reacquired data and obtained good image quality. No MRI scans were required to be excluded from DTI analysis. Thus, we presented data for 20 patients and 20 controls.
All MRI scans were performed on a Siemens Trio 3.0 Tesla imager. Standard structural images were acquired using axial T1WI (repetition time (TR) = 250 ms, echo time (TE) = 2.46 ms) and T2-FLAIR combined fat saturation (TR = 8000 ms, TE = 2370.9 ms, inversion time = 97 ms) sequences to check whether there were visible intracranial lesions. For DTI data, a single-shot echo-planar imaging sequence was used for acquisition. The parameters for DTI were: TR = 3300 ms, TE = 90 ms, slice thickness = 4 mm with 1.2 mm gap, number of slices = 63, matrix size = 128 × 128, field of view = 230 × 230 mm, number of excitations = 3, space resolution = 1.8 mm × 1.8 mm × 1.8 mm, total acquisition time = 3.39 min. Diffusion sensitizing gradients were applied along 20 non-collinear directions with b = 1000 s/mm2, and one b = 0 s/mm2.
DTI datasets were performed and analysed using FSL5.0 (FMRIB Image Analysis Group, Oxford, UK, http://www.fmrib.ox.ac.uk/fsl) . Details of the DTI processing steps, including pre-processing and TBSS processing, have been described previously [8, 29]. There were three steps for pre-processing. The raw DTI images were first corrected for the effects of eddy currents and head movements and deformations using eddy current correction within FDT. Then, brain mask extraction was performed on one of the no-diffusion-weighting (b = 0) images by running the Brain Extraction Tool in FSL. Finally, the diffusion tensor model was computed using DTIFIT within FDT for whole brain volumes to generate tensor-derived maps, including FA, MD, AD, and RD. TBSS-processing includes four steps. The first is image registration. Using the FA map as a target template for registration, more accurate results can be achieved, as FA is a normalized measure of eigenvalue standard deviation and represents the degree of diffusion directionality. A common registration target brain image template (FMRIB58_FA) was identified, and all subjects’ FA images were aligned to this target using FMRIB’s non-linear image registration tool, through which all the FA volumes were aligned to a 1.0 × 1.0 × 1.0 mm3 Montreal Neurological Institute standard space. Second, the mean of all aligned FA images was skeletonized, and a mean FA skeleton image (threshold = 0.2) was generated. Third, the aligned FA image for each subject was projected onto the mean FA skeleton by filling the skeleton with maximum FA values from the nearest relevant tract centre to generate a skeletonized FA map. Corresponding skeletonized maps for the other diffusion measures (MD, AD and RD) were also similarly generated. Lastly, voxelwise statistical analyses of DTI metrics were carried out on the skeleton space.
Demographic characteristics of the HIV+ participants and healthy controls were analysed with IBM SPSS Statistics (version 22.0). Chi-squared analysis was used to evaluate the sex distribution between HIV+ patients and healthy controls. Independent t-test analysis was used to calculate the differences in age and education level between the two groups. Significance was defined as p < 0.05.
For TBSS analysis, voxel-wised statistics of the DTI parameters (FA, MD, AD, RD) for the two group differences were tested in the general linear model framework using the FSL randomize tool with a non-parametric permutation testing (5000 random permutations) . The threshold-free cluster enhancement (TFCE) method with a threshold set at 0.95 was used to obtain correction for multiple comparisons , and statistical maps were obtained with family-wise error (FWE) correction at the p < 0.05 level. The significant group differences in tracts were located with the Johns Hopkins University (JHU)-ICBM-DTI-81 WM Label Atlas.
To investigate the relationships between DTI metrics and clinical variables and cognitive performance for HIV-positive patients, multiple linear regression analysis between DTI indices and age, CD4+ counts, CD4+/CD8+ ratio, plasma viral load, duration of HIV infection and scores of cognitive performance was performed. A significance level of 0.05 was obtained using IBM SPSS Statistics (version 22.0).
The demographic and clinical information for HIV+ patients and healthy controls are listed in Table 1. There were no significant differences in age, sex, or education level (in years) between the HIV+ patients and healthy controls.
White matter abnormalities in ART-naïve HIV+ patients at ANI stage
Voxel-based TBSS demonstrated significant differences in DTI parameters (MD and AD values) of HIV-infected individuals compared to controls. The FA map and RD map revealed no significant differences between the two groups. The results were illustrated in Fig. 1 and Table 2. Compared with healthy controls, HIV-positive patients exhibited significantly higher MD in the genu, body and splenium of corpus callosum, bilateral anterior and superior corona radiate. Increased AD was observed in extensive brain regions, including the genu, body and splenium of the corpus callosum; bilateral anterior and superior corona radiata, anterior limb of the internal capsule, external capsule; left retrolenticular part of the internal capsule, posterior corona radiata, posterior thalamic radiation, sagittal stratum, superior longitudinal fasciculus (all P < 0.05). Regions of increased AD were much more prevalent than those of MD.
Correlations between DTI metrics and clinical variables for HIV-infected patients
Fig. 2 shows the regression coefficients and significance for clinical clinics on MD and AD values in the regions of white matter impairment. The increased MD values in the right anterior corona radiate were negatively correlated with CD4+/CD8+ ratios (r = − 0.437, P = 0.05) (Table 3). Similar analyses showed that the increased AD values in the left posterior corona radiata were negatively correlated with CD4+/CD8+ ratios (r = − 0.488, P = 0.029) (Table 4). The increased AD values in the right anterior limb of the internal capsule were positively correlated with viral load (r = − 0.848, P = 0.019) and CD4+/CD8+ ratios (r = − 0.717, P = 0.003) (Table 4).
Correlations between DTI metrics and cognitive performance for HIV-infected patients
Reduced cognitive scores were significantly correlated with either increased MD or AD in multiple white matter structures (Fig. 3, Table 3 and Table 4). Verbal fluency scores were negatively correlated with AD values in the left anterior corona radiata, anterior limb of the internal capsule and right superior corona radiata. Attention/working memory scores were positively correlated with AD values in the left anterior limb of the internal capsule and right superior corona radiate. Memory (learning and delayed recall) test scores were negatively correlated with MD values in the genu of the corpus callosum, anterior corona radiata (bilateral) and superior corona radiata (right). A positive correlation was observed between the speed of information processing scores and MD values in the genu of the corpus callosum, anterior corona radiata (bilateral) and superior corona radiata (right), AD values in the genu of the corpus callosum, anterior limb of the internal capsule (bilateral) and posterior thalamic radiation (left). Fine motor scores were negatively correlated with MD values in the genu of the corpus callosum, anterior and superior corona radiata (right), and AD values in the superior corona radiata (right).
This study not only supports but also further extends previous DTI findings in neuroasymptomatic HIV-positive individuals. One purpose of this study is to explore the microstructure changes of WM in treatment-naïve ANI patients employing the DTI-TBSS method. Compared with healthy controls, ANI patients exhibited significantly increased MD and AD in the corpus callosum and anterior and superior corona radiate. The corpus callosum and corona radiata were distributed around the lateral ventricle. The anterior limb of internal capsule, external capsule, retrolenticular part of the internal capsule, posterior corona radiata, posterior thalamic radiation, sagittal stratum, and superior longitudinal fasciculus presented significantly increased AD, and we found that most of them were also close to the ventricles. It is speculated that HIV-associated WM involvement is selective rather than random. Periventricular WM, especially the corpus callosum and corona radiata, are more vulnerable to viral invasion and neuroinflammation in early HIV infection in adults, which are consistent with previous studies [6,7,8, 32, 33]. Ragin et al. even found a loss of WM integrity in the corpus callosum within 100 days of HIV infection . It is not clear why these regions were vulnerable to viral invasion and neuroinflammation. One possible explanation is that the choroid plexus is the blood-cerebrospinal fluid (CSF) barrier, and HIV can accumulate in the CSF when it is destroyed. Studies have shown that HIV can infiltrate the CSF as early as 8 days after exposure , and CSF serves as a proxy for the brain parenchyma and the reservoir for monocytes linked to HIV neuropathogenesis . Early neuroinvasion was identified by measurable markers of CSF inflammation , and the WM tracts around the ventricle might be affected gradually. The interpretation of these results requires caution, and future investigation will be needed to better characterize them.
WM tracts with increased AD are more extensive than those of increased MD. The overlap and differences of the two DTI parameters (MD and AD) in significantly altered cerebral regions reflect differences in the nature and degree of WM injury. Increased MD indicates an increase of the water molecules’ diffusion speed, which is caused by cell degeneration and a decrease of membrane density. Increased MD may reflect inflammation or increased glial activation, a measure of neuronal injury. Increased AD is a marker of axonal chronic damage [7, 36]. Increased RD is associated with the destruction of myelin integrity and is used as a marker for demyelination [16, 17, 37]. RD abnormalities were not found in the current ANI study. It was concluded that MD changes in ANI subjects were mainly attributable to increased AD, suggesting chronic axonal injury rather than the disruption integrity of myelin in early HIV infection. A similar study found elevated CSF neurofilament light chain concentration and its correlation with MRS-based metabolites in primary HIV infection , and the neurofilament light chain is a sensitive marker of axonal injury. These findings demonstrate that axonopathy may exist before myelin injury, and this may be a novel observation. However, whether can axonal injury trigger demyelination (inside-out) is not yet clear. In recent DTI studies on ultra-early HIV infection, the authors focused only on FA and MD, and AD and RD were not calculated [23, 33]. AD and RD are also important, as they provide information on the nature of the WM microstructure alterations observed in HIV patients. Researching on multiple metrics of DTI may help us to comprehend the pathophysiology of HIV-related WM injury. The relationship of axonal and myelin injury needs to be better characterized in future HAND pathology studies.
FA abnormalities were also not found in ANI patients, which implies that RD maybe the predominant factor that contributes to decreased FA. Similar findings also have been reported, which showed that FA changes were attributable to increased RD [14, 38]. In addition, several DTI studies noted that significant alterations in FA were found mainly in cognitively impaired HIV-infected patients [7, 39]. Thus, MD may be a more sensitive biomarker than FA in evaluating WM injury in early HIV infection.
Our previous DTI study in early HIV infection showed significant differences in MD, AD, and RD values between a therapy naïve HIV+ group and healthy control group . One resemblance between the two studies is the distribution of white matter abnormalities. Another similarity is that white matter abnormalities are all reflected in the changes of MD and AD values, rather than FA values. The difference is that the previous study has a wider range of WM injury. Additionally, changes of RD values can be seen in a few WM tracts (genu of corpus callosum and superior corona radiate), which indicates myelin damage. A possible reason is that HIV-infected patients in the previous study were classified into ADC stage 0 according to the MSK classification. While MSK is a decent scale to globally express the state of cognitive functioning, it is not very sensitive to changes in less affected patients. The Frascati scale used in the current study may be more sensitive to identify and classify individuals with subclinical impairment. More detailed neuropsychological assessment for earlier HIV-infected patients is the novel element of the current study relative to the previous study. Corrêa et al. found that HIV patients with planning deficits had significantly decreased FA, increased MD and RD values, predominantly in frontal lobes, genu and splenium of the corpus callosum, and much less widespread abnormalities were seen in the AD values compared with normal controls. HIV+ patients with planning deficits also had significantly decreased FA values and increased MD and RD values in some white matter regions compared to those without planning deficits . No significant abnormalities AD values were seen between the two groups. These results indicated that RD abnormal values predominated in the areas of decreased FA compared to AD values, suggesting that demyelination could play a role in the physiopathology of HIV-related WM injury, which is not completely consistent with our results. The possible reason for the difference between the two results was that participants in the previous article all received ART, and with longer known infection. Antiretroviral drugs may be injurious to brain cell elements. The influence of treatment on brain structure and function are less clear . HIV+ patients on low CNS penetration ART had a significantly greater fMRI response amplitude compared to the HIV+ patients on high CNS penetration ART or normal controls . To the best of our knowledge, no studies have detected the effects of ART regimen CNS penetration effectiveness on WM microstructure. Effects of treatment should be explored in future studies.
The MD values in the right anterior corona radiata and AD values in the left posterior corona radiata have a significantly negative correlation with CD4+/CD8+ ratios, and the regression coefficient is 0.437 and 0.488, respectively; in other words, WM microstructure changes (43.7% in the anterior corona radiata, 48.8% in the posterior corona radiate) can be influenced by CD4+/CD8+ ratios. The abnormality of AD values was related to axonal chronic injury. Clinically, the lower CD4+/CD8+ ratios were related to immunosenescence . This might imply that immunosenescence among the ANI patients would accelerate the axonal chronic injury in the corona radiata, and the lower CD4+/CD8+ ratio might be an important predictor of WM injury in the corona radiata. Furthermore, we found that plasma viral load remained independently associated with AD values in the right anterior limb of the internal capsule, and the regression coefficient was 0.533. The higher the plasma viral load, the higher are the AD values in the right anterior limb of the internal capsule. The higher plasma viral load represents the activity and replication of HIV in the human internal environment. The positive correlation indicates that the WM microstructure in the anterior limb of the internal capsule was susceptible to viral replication in HIV infection. The current findings were not fully consistent with previous studies [7, 11, 22,23,24,25], and the results of previous studies also varied. This may be due to the difference and heterogeneity in participants with diverse treatments, sample size, cognitive status, and disease durations. Further studies are needed to resolve this incongruity and reliability.
Associations between WM microstructure alterations and cognitive impairment were observed in the current study. Several other studies have reported that WM changes were related to HIV-associated cognitive difficulties [44,45,46]. WM microstructure changes in the anterior and superior corona radiata and anterior limb of the internal capsule were significantly correlated with poorer verbal fluency. WM damage in the genu of the corpus callosum and anterior and superior corona radiata were significantly correlated with poorer memory (learning and delayed recall) and slower fine motor speed. The corona radiata is the radiated projection fibre connecting the internal capsule to the cerebral cortex. The corona radiata and internal capsule are important WM nodes that promote the transfer of sensorimotor information between the brain stem, thalamus and frontostriatal circuit . The anterior corona radiate connects the anterior and medial nuclei of the thalamus to the prefrontal cortex. The superior corona radiate involves corticospinal tracts and the posterior frontal part of the anterior thalamic radiation . The corpus callosum is the largest and most prominent WM tract, which is responsible for the communication of interhemispheric information. The genu of the corpus callosum contains the posterior frontal part of callosal fibres . The corpus callosum and corona radiate are pivotal in extensive cognitive function, such as verbal fluency, attention, memory, psychomotor speed and executive functioning. The significant correlation between neurocognitive performance and MD and AD values from multiple WM microstructures suggests that WM abnormalities have functional consequences. HIV-related cognitive impairment may be associated with cortical and subcortical track loss caused by WM fibre bundle damage, and the WM microstructure may serve as an indicator to objectively predict cognitive deficits and progression. However, a multivariate model also showed that the WM microstructure alterations in the superior corona radiate and anterior limb of the internal capsule better predicted sustained attention/working memory. WM injury in the genu of the corpus callosum, anterior and superior corona radiata, anterior limb of the internal capsule and posterior thalamic radiation were significantly correlated with faster speed of information processing. A potential explanation for this may be some sort of compensatory mechanism, and it needs to be further verified in future multimodal studies (DTI combined functional MRI).
There were several limitations in the current study. First, the study was limited to a small sample size. A larger sample size would be more helpful to improve the power of the statistical analysis. Second, the participants were almost exclusively male, which may prevent the generalization of these results to HIV-infected women. Certainly, given that the gender gap is narrowing with rates of infection increasing in women, we are trying our best to extend our studies to include female patients in the future. Third, a cognitively intact HIV-positive group will be studied in further work. Fourth, a longitudinal follow-up study is imperative to observe the dynamic changes of WM after ART.
The observations of the current study strengthen the possibility that HIV-infected individuals at the ANI stage have underlying WM fibre abnormalities, which could be measured by increased MD, and the pathogenesis of this damage is likely to be predominantly the axonal chronic injury associated with increased AD. DTI has the potential to promote a better understanding of the pathogenesis of brain WM changes. Specific brain regions around the ventricle, especially the corpus callosum and corona radiata, are susceptible to be involved. Relationship exists between WM damage, HIV-related clinical factors, and cognitive status. HIV patients with a history of advanced immune suppression and higher viral load may be at high risk of WM injury. WM damage and disconnection to the cortex probably contribute to cognitive impairments.
AIDS Dementia Complex
Asymptomatic neurocognitive impairment
Central nervous system
Diffusion tensor imaging
Fluid attenuated inversion recovery
HIV-associated neurocognitive disorders
Magnetic resonance imaging
Memorial Sloan Kettering
Tract-based spatial statistics
Ances BM, Ellis RJ. Dementia and neurocognitive disorders due to HIV-1 infection. Semin Neurol. 2007;27(1):86–92.
Heaton RK, Franklin DR, Ellis RJ, McCutchan JA, Letendre SL, Leblanc S, Corkran SH, Duarte NA, Clifford DB, Woods SP, et al. HIV-associated neurocognitive disorders before and during the era of combination antiretroviral therapy: differences in rates, nature, and predictors. J Neuro-Oncol. 2011;17(1):3–16.
Antinori A, Arendt G, Becker JT, Brew BJ, Byrd DA, Cherner M, Clifford DB, Cinque P, Epstein LG, Goodkin K, et al. Updated research nosology for HIV-associated neurocognitive disorders. Neurology. 2007;69(18):1789–99.
Heaton RK, Clifford DB, Franklin DR Jr, Woods SP, Ake C, Vaida F, Ellis RJ, Letendre SL, Marcotte TD, Atkinson JH, et al. HIV-associated neurocognitive disorders persist in the era of potent antiretroviral therapy: CHARTER study. Neurology. 2010;75(23):2087–96.
Tucker KA, Robertson KR, Lin W, Smith JK, An H, Chen Y, Aylward SR, Hall CD. Neuroimaging in human immunodeficiency virus infection. J Neuroimmunol. 2004;157(1–2):153–62.
Tang Z, Liu Z, Li R, Yang X, Cui X, Wang S, Yu D, Li H, Dong E, Tian J. Identifying the white matter impairments among ART-naïve HIV patients: a multivariate pattern analysis of DTI data. Eur Radiol. 2017;27(10):4153–62.
Zhu T, Zhong J, Hu R, Tivarus M, Ekholm S, Harezlak J, Ombao H, Navia B, Cohen R, Schifitto G. Patterns of white matter injury in HIV infection after partial immune reconstitution: a DTI tract-based spatial statistics study. J Neuro-Oncol. 2013;19(1):10–23.
Wang B, Liu Z, Liu J, Tang Z, Li H, Tian J. Gray and white matter alterations in early HIV-infected patients: combined voxel-based morphometry and tract-based spatial statistics. J Magn Reson Imaging. 2016;43(6):1474–83.
Towgood KJ, Pitkanen M, Kulasegaram R, Fradera A, Kumar A, Soni S, Sibtain NA, Reed L, Bradbeer C, Barker GJ, et al. Mapping the brain in younger and older asymptomatic HIV-1 men: frontal volume changes in the absence of other cortical or diffusion tensor abnormalities. Cortex. 2012;48(2):230–41.
Tate DF, Sampat M, Harezlak J, Fiecas M, Hogan J, Dewey J, McCaffrey D, Branson D, Russell T, Conley J, et al. Regional areas and widths of the midsagittal corpus callosum among HIV-infected patients on stable antiretroviral therapies. J Neuro-Oncol. 2011;17(4):368–79.
Gongvatana A, Cohen RA, Correia S, Devlin KN, Miles J, Kang H, Ombao H, Navia B, Laidlaw DH, Tashima KT. Clinical contributors to cerebral white matter integrity in HIV-infected individuals. J Neuro-Oncol. 2011;17(5):477–86.
Muller-Oehring EM, Schulte T, Rosenbloom MJ, Pfefferbaum A, Sullivan EV. Callosal degradation in HIV-1 infection predicts hierarchical perception: a DTI study. Neuropsychologia. 2010;48(4):1133–43.
Smith SM, Jenkinson M, Johansen-Berg H, Rueckert D, Nichols TE, Mackay CE, Watkins KE, Ciccarelli O, Cader MZ, Matthews PM. Tract-based spatial statistics: Voxelwise analysis of multi-subject diffusion data. NeuroImage. 2006;31(4):1487–505.
Ackermann C, Andronikou S, Saleh MG, Laughton B, Alhamud AA, van der Kouwe A, Kidd M, Cotton MF, Meintjes EM. Early antiretroviral therapy in HIV-infected children is associated with diffuse white matter structural abnormality and Corpus callosum sparing. AJNR Am J Neuroradiol. 2016;37(12):2363–9.
Nakamoto BK, Jahanshad N, McMurtray A, Kallianpur KJ, Chow DC, Valcour VG, Paul RH, Marotz L, Thompson PM, Shikuma CM. Cerebrovascular risk factors and brain microstructural abnormalities on diffusion tensor images in HIV-infected individuals. J Neuro-Oncol. 2012;18(4):303–12.
Song SK, Sun SW, Ramsbottom MJ, Chang C, Russell J, Cross AH. Dysmyelination revealed through MRI as increased radial diffusion of water. NeuroImage. 2002;17(3):1429–36.
Hoare J, Fouche JP, Phillips N, Joska JA, Donald KA, Thomas K, Stein DJ. Clinical associations of white matter damage in cART-treated HIV-positive children in South Africa. J Neuro-Oncol. 2015;21(2):120–8.
Zhuang Y, Qiu X, Wang L, Ma Q, Mapstone M, Luque A, Weber M, Tivarus M, Miller E, Arduino RC, et al. Combination antiretroviral therapy improves cognitive performance and functional connectivity in treatment- naïve HIV-infected individuals. J Neuro-Oncol. 2017;23(5):704–12.
Cysique LA, Soares JR, Geng G, Scarpetta M, Moffat K, Green M, Brew BJ, Henry RG, Rae C. White matter measures are near normal in controlled HIV infection except in those withcognitive impairment and longer HIV duration. J Neuro-Oncol. 2017;23(4):539–47.
Liu H, Xu E, Liu J, Xiong H. Oligodendrocyte injury and pathogenesis of HIV-1-associated neurocognitive disorders. Brain Sci. 2016;6(3):E23.
Xuan A, Wang GB, Shi DP, Xu JL, Li YL. Initial study of magnetic resonance diffusion tensor imaging in brain white matter of early aids patients. Chin Med J. 2013;126(14):2720–4.
Heaps-Woodruff JM, Wright PW, Ances BM, Clifford D, Paul RH. The impact of human immune deficiency virus and hepatitis C coinfection on white matter microstructural integrity. J Neuro-Oncol. 2016;22(3):389–99.
Wright PW, Vaida FF, Fernández RJ, Rutlin J, Price RW, Lee E, Peterson J, Fuchs D, Shimony JS, Robertson KR, et al. Cerebral white matter integrity during primary HIV infection. AIDS. 2015;29(4):433–42.
Cohen RA, Harezlak J, Schifitto G, Hana G, Clark U, Gongvatana A, Paul R, Taylor M, Thompson P, Alger J, et al. Effects of nadir CD4 count and duration of HIV infection on brain volumes in the HAART era. J Neuro-Oncol. 2010;16(1):25–32.
Seider TR, Gongvatana A, Woods AJ, Chen H, Porges EC, Cummings T, Correia S, Tashima K, Cohen RA. Age exacerbates HIV-associated white matter abnormalities. J Neuro-Oncol. 2016;22(2):201–12.
Gandhi NS, Skolasky RL, Peters KB, Moxley RT 4th, Creighton J, Roosa HV, Selnes OA, McArthur J, Sacktor N. A comparison of performance-based measures of function in HIV-associated neurocognitive disorders. J Neuro-Oncol. 2011;17(2):159–65.
Carey CL, Woods SP, Gonzalez R, Conover E, Marcotte TD, Grant I, Heaton RK, HNRC Group. Predictive validity of global deficit scores in detecting neuropsychological impairment in HIV infection. J Clin Exp Neuropsychol. 2004;26(3):307–19.
Jenkinson M, Beckmann CF, Behrens TE, Woolrich MW, Smith SM. FSL. NeuroImage. 2012;62(2):782–90.
Li R, Tang Z, Mi H, Zhao J, Yuan D, Li H. Diffusion tensor imaging study of early white matter integrity in HIV-infected patients: a tract-based spatial statistics analysis. Radiology of Infectious Diseases. 2015;2(4):183–91.
Winkler AM, Ridgway GR, Webster MA, Smith SM, Nichols TE. Permutation inference for the general linear model. NeuroImage. 2014;92:381–97.
Smith SM, Nichols TE. Threshold-free cluster enhancement: addressing problems of smoothing, threshold dependence and localisation in cluster inference. NeuroImage. 2009;44(1):83–98.
Peluso MJ, Meyerhoff DJ, Price RW, Peterson J, Lee E, Young AC, Walter R, Fuchs D, Brew BJ, Cinque P, et al. Cerebrospinal fluid and neuroimaging biomarker abnormalities suggest early neurological injury in a subset of individuals during primary HIV infection. J Infect Dis. 2013;207(11):1703–12.
Ragin AB, Wu Y, Gao Y, Keating S, Du H, Sammet C, Kettering CS, Epstein LG. Brain alterations within the first 100 days of HIV infection. Ann Clin Transl Neurol. 2015;2(1):12–21.
Valcour V, Chalermchai T, Sailasuta N, Marovich M, Lerdlum S, Suttichom D, Suwanwela NC, Jagodzinski L, Michael N, Spudich S, et al. Central viral invasion and inflammation during acute HIV infection. J Infect Dis. 2012;206(2):275–82.
Shiramizu B, Gartner S, Williams A, Shikuma C, Ratto-Kim S, Watters M, Aguon J, Valcour V. Circulating proviral HIV DNA and HIV-associated dementia. AIDS. 2005;19(1):45–52.
Sun SW, Liang HF, Trinkaus K, Cross AH, Armstrong RC, Song SK. Noninvasive detection of cuprizone induced axonal damage and demyelination in the mouse corpus callosum. Magn Reson Med. 2006;55(2):302–8.
MacDonald CL, Dikranian K, Bayly P, Holtzman D, Brody D. Diffusion tensor imaging reliably detects experimental traumatic axonal injury and indicates approximate time of injury. J Neurosci. 2007;27(44):11869–76.
Li J, Wu G, Wen Z, Zhang J, Lei H, Gui X, Lin F. White matter development is potentially influenced in adolescents with vertically transmitted HIV infections: a tract-based spatial statistics study. AJNR Am J Neuroradiol. 2015;36(11):2163–9.
Pfefferbaum A, Rosenbloom MJ, Rohlfing T, Kemper CA, Deresinski S, Sullivan EV. Frontostriatal fiber bundle compromise in HIV infection without dementia. AIDS. 2009;23(15):1977–85.
Corrêa DG, Zimmermann N, Doring TM, Wilner NV, Leite SC, Cabral RF, Fonseca RP, Bahia PR, Gasparetto EL. Diffusion tensor MR imaging of white matter integrity in HIV-positive patients with planning deficit. Neuroradiology. 2015;57(5):475–82.
O'Connor EE, Jaillard A, Renard F, Zeffiro TA. Reliability of white matter microstructural changes in HIV infection: meta-analysis and confirmation. AJNR Am J Neuroradiol. 2017;38(8):1510–9.
Ances BM, Roc AC, Korczykowski M, Wolf RL, Kolson DL. Combination antiretroviral therapy modulates the blood oxygen level-dependent aplitude in human immunodeficiency virus-seropositive patients. J Neuro-Oncol. 2008;14(5):418–24.
Sainz T, Serrano-Villar S, Diaz L, González Tomé MI, Gurbindo MD, de José MI, Mellado MJ, Ramos JT, Zamora J, Moreno S, et al. The CD4/CD8 ratio as a marker T-cell activation, senescence and activation/exhaustion in treated HIV-infected children and young adults. AIDS. 2013;27(9):1513–6.
Gongvatana A, Schweinsburg BC, Taylor MJ, Theilmann RJ, Letendre SL, Alhassoon OM, Jacobus J, Woods SP, Jernigan TL, Ellis RJ, et al. White matter tract injury and cognitive impairment in human immunodeficiency virusinfected individuals. J Neuro-Oncol. 2009;15(2):187–95.
Stubbe-Drger B, Deppe M, Mohammadi S, Keller SS, Kugel H, Gregor N, Evers S, Young P, Ringelstein EB, Arendt G, et al. Early microstructural white matter changes in patients with HIV: a diffusion tensor imaging study. BMC Neurol. 2012;12:23.
Nir TM, Jahanshad N, Busovaca E, Wendelken L, Nicolas K, Thompson PM, Valcour VG. Mapping white matter integrity in elderly people with HIV. Hum Brain Mapp. 2014;35(3):975–92.
Schmahmann JD, Smith EE, Eichler FS, Filley CM. Cerebral white matter: neuroanatomy, clinical neurology, and neurobehavioral correlates. Ann N Y Acad Sci. 2008;1142:266–309.
This work was supported by the Beijing Municipal Administration of Hospitals Incubating Program (PX2016036), The Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding (ZYLX201511), The National Nature Science Foundation of China (81571634, 81771806), The capital medical university research and incubation funding (PYZ2017124).
Availability of data and materials
The datasets used in this manuscript will be available from the corresponding author on reasonable request.
Ethical approval and consent to participate
This research was approved by the ethics committee of Beijing Youan Hospital. All participants provided written informed consent prior to enrolment.
HJL, the corresponding author of this article, is a member of the editorial board (Associate Editor) of BMC Neurology. The authors declare that they have no competing interests.
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Li, R., Sun, J., Tang, Z. et al. Axonal chronic injury in treatment-naïve HIV+ adults with asymptomatic neurocognitive impairment and its relationship with clinical variables and cognitive status. BMC Neurol 18, 66 (2018). https://doi.org/10.1186/s12883-018-1069-5
- Asymptomatic neurocognitive impairment
- White matter
- Diffusion tensor imaging