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J Neuroimmune Pharmacol · Sep 2011
HIV and chronic methamphetamine dependence affect cerebral blood flow.
- Beau M Ances, Florin Vaida, Mariana Cherner, Melinda J Yeh, Christine L Liang, Carly Gardner, Igor Grant, Ronald J Ellis, Richard B Buxton, and HIV Neurobehavioral Research Center (HNRC) Group.
- Department of Neurology, Washington University in St. Louis, 660 South Euclid Ave, Box 08111, St. Louis, MO 63110, USA. bances@wustl.edu
- J Neuroimmune Pharmacol. 2011 Sep 1; 6 (3): 409-19.
AbstractHuman immunodeficiency virus (HIV) and methamphetamine (METH) dependence are independently associated with neuronal dysfunction. The coupling between cerebral blood flow (CBF) and neuronal activity is the basis of many task-based functional neuroimaging techniques. We examined the interaction between HIV infection and a previous history of METH dependence on CBF within the lenticular nuclei (LN). Twenty-four HIV-/METH-, eight HIV-/METH+, 24 HIV+/METH-, and 15 HIV+/METH+ participants performed a finger tapping paradigm. A multiple regression analysis of covariance assessed associations and two-way interactions between CBF and HIV serostatus and/or previous history of METH dependence. HIV+ individuals had a trend towards a lower baseline CBF (-10%, p = 0.07) and greater CBF changes for the functional task (+32%, p = 0.01) than HIV- subjects. Individuals with a previous history of METH dependence had a lower baseline CBF (-16%, p = 0.007) and greater CBF changes for a functional task (+33%, p = 0.02). However, no interaction existed between HIV serostatus and previous history of METH dependence for either baseline CBF (p = 0.53) or CBF changes for a functional task (p = 0.10). In addition, CBF and volume in the LN were not correlated. A possible additive relationship could exist between HIV infection and a history of METH dependence on CBF with a previous history of METH dependence having a larger contribution. Abnormalities in CBF could serve as a surrogate measure for assessing the chronic effects of HIV and previous METH dependence on brain function.
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