  {"id":50250,"date":"2016-09-19T14:56:22","date_gmt":"2016-09-20T00:56:22","guid":{"rendered":"http:\/\/www.hawaii.edu\/news\/?p=50250"},"modified":"2020-03-13T15:42:21","modified_gmt":"2020-03-14T01:42:21","slug":"researchers-find-potential-signature-of-cognitive-function-in-people-living-with-hiv","status":"publish","type":"post","link":"https:\/\/www.hawaii.edu\/news\/2016\/09\/19\/researchers-find-potential-signature-of-cognitive-function-in-people-living-with-hiv\/","title":{"rendered":"Researchers find potential signature of cognitive function in people living with HIV"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading time: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><figure id=\"attachment_50293\" aria-describedby=\"caption-attachment-50293\" style=\"width: 630px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/09\/manoa-jabsom-hiv1.jpg\" alt=\"\" width=\"620\" height=\"399\" class=\"size-full wp-image-50293\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/09\/manoa-jabsom-hiv1.jpg 620w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/09\/manoa-jabsom-hiv1-260x167.jpg 260w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><figcaption id=\"caption-attachment-50293\" class=\"wp-caption-text\"><abbr title=\"University of Hawaii\">ÌÇÐÄVlog¹Ù·½<\/abbr> M&#257;noa researchers Lishomwa Ndhlovu and Michael Corley<\/figcaption><\/figure>\n<p class=\"clear-photo\"><a href=\"https:\/\/www.hawaii.edu\/\">University of <span aria-label=\"Hawaii\">Hawai&#699;i<\/span><\/a> researchers have identified a unique epigenetic footprint in specific types of immune cells from blood that can identify individuals with <abbr title=\"human immunodeficiency virus\">HIV<\/abbr> that have a range of impairments in cognitive function.<\/p>\n<p>Reliable biomarkers such as that identified by the researchers offer insight into how HIV associated cognitive impairment develops but also promises improved diagnostic testing and improved treatment decisions.<\/p>\n<p>The findings are published in the September 2016 issue of <a href=\"http:\/\/www.nature.com\/articles\/srep33310.epdf?shared_access_token=lhtCumdfDl8Whck4LhRAltRgN0jAjWel9jnR3ZoTv0PAcnJ0kR-vE-35UWj9xwKLOlhSRiME0xf6haHp78TCWOreDAEjw2zDHk-FW4nf9GPnXk4DYEzuTctBHxVtqQvFhWvpZGPwoYmnsTJTmf8vOVVMnp2TLD9OjCdi9OKhqUA%3D\"><em>Nature Scientific Reports<\/a><\/em> (<small><abbr>PDF<\/abbr><\/small>) by <a href=\"https:\/\/manoa.hawaii.edu\/\">University of <span aria-label=\"Hawaii\">Hawai&#699;i<\/span> at M&#257;noa<\/a> scientists <strong><a href=\"http:\/\/manoa.hawaii.edu\/tropicalmedicine\/?page_id=1526\">Lishomwa Ndhlovu<\/a><\/strong> and <strong><a href=\"http:\/\/www.ibr.hawaii.edu\/faculty\/maunakea.html\">Alika Maunakea<\/a><\/strong> at the <a href=\"http:\/\/jabsom.hawaii.edu\/\">John A. Burns School of Medicine<\/a> (JABSOM) and collaborators at the University of <span aria-label=\"Hawaii\">Hawai&#699;i<\/span> at M&#257;noa and the <a href=\"https:\/\/www.ucsf.edu\/\">University of California San Francisco<\/a>.<\/p>\n<p>&ldquo;These results offer the first significant window into the mechanisms driving <abbr>HIV<\/abbr>-related brain damage and how to track the disease,&rdquo; said Ndhlovu, an associate professor in the <a href=\"http:\/\/manoa.hawaii.edu\/tropicalmedicine\/\">Department of Tropical Medicine<\/a>, <abbr>JABSOM<\/abbr>.<\/p>\n<p>Combination antiretroviral therapies have improved <abbr>HIV<\/abbr> survival. If started early and taken daily for life, antiretroviral therapies can result in fewer non-<abbr title=\"acquired immune deficiency syndrome\">AIDS<\/abbr> related complications. However, <abbr>HIV<\/abbr> still impacts the brain. Around 40 percent of individuals even on antiretroviral therapy still suffer <abbr>HIV<\/abbr>-related neurocognitive disorders that can affect living activities.<\/p>\n<p>It has long been suspected that changes to cells of the monocyte\/macrophage lineage, a type of immune cell, influence the development of cognitive impairment in <abbr>HIV<\/abbr>. Since <abbr>HIV<\/abbr> infection itself alters epigenetic processes in the immune system, the research team wondered whether a distinct <abbr title=\"deoxyribonucleic acid\">DNA<\/abbr> methylation profile, a major epigenetic modification where methyl groups are added to <abbr>DNA<\/abbr>, occurs in those with <abbr>HIV<\/abbr> associated-cognitive impairment and whether it exists in distinct immune cell populations from the blood.<\/p>\n<p>By evaluating <abbr>DNA<\/abbr> methylation, the researchers discovered differences in gene networks and gene expression linked to the central nervous system and interactions with <abbr>HIV<\/abbr> that appeared uniquely in monocytes of HIV infected study participants with cognitive impairment.<\/p>\n<p>&ldquo;Strikingly, further analysis showed a strong association between <abbr>DNA<\/abbr> methylation levels of these markers in monocytes and neuropsychological test function, measured using a composite score of multiple cognitive domains&rdquo; said Maunakea, an assistant professor in <abbr>JABSOM<\/abbr>&#8217;s <a href=\"http:\/\/jabsom.hawaii.edu\/departments\/dnhh\/\">Department of Native Hawaiian Health<\/a> and co-senior author of the study.<\/p>\n<figure id=\"attachment_50298\" aria-describedby=\"caption-attachment-50298\" style=\"width: 260px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/09\/manoa-jabsom-corley-260x166.jpg\" alt=\"researcher in lab\" width=\"260\" height=\"166\" class=\"size-medium wp-image-50298\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/09\/manoa-jabsom-corley-260x166.jpg 260w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/09\/manoa-jabsom-corley.jpg 620w\" sizes=\"auto, (max-width: 260px) 100vw, 260px\" \/><figcaption id=\"caption-attachment-50298\" class=\"wp-caption-text\">Michael Corley<\/figcaption><\/figure>\n<p>According to <strong>Michael Corley<\/strong>, a junior researcher in <abbr>JABSOM<\/abbr>&#8217;s Department of Native Hawaiian Health and lead author of the study, the field of epigenetics has ushered in a new era of discovery in immunology and neuroscience. &ldquo;Combined with the advancement of <abbr sequencing technologies to capture epigenetic profiles in unique clinical samples, researchers can make discoveries that were previously not possible.&rdquo;<\/p>\n<p>Currently there is no treatment for individuals with <abbr>HIV<\/abbr> associated cognitive impairment. &ldquo;The advancement in epigenetic therapeutics also affords promising new interventions that should be considered for the management of <abbr>HIV<\/abbr> associated cognitive impairment, provided they are selective to the appropriate immune cell target,&rdquo; added Ndhlovu.<\/p>\n<p>&ldquo;There is still much we need to understand about how <abbr title=\"human immunodeficiency virus\">HIV<\/abbr> affects the brain and several findings from this study are highly relevant to this field of neuro<abbr title=\"acquired immune deficiency syndrome\">AIDS<\/abbr>,&rdquo; said Ndhlovu.<\/p>\n<p><em>&#8212;By Tina Shelton<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p><abbr>ÌÇÐÄVlog¹Ù·½<\/abbr> researchers identify a unique footprint in specific types of immune cells from blood that can identify individuals with <abbr title=\"human immunodeficiency virus\">HIV<\/abbr> that have impairments in cognitive function.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[993,31,242,429,9],"class_list":["post-50250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","tag-hivaids","tag-john-a-burns-school-of-medicine","tag-native-hawaiian-health","tag-tropical-medicine-and-medical-microbiology","tag-uh-manoa","entry","has-media"],"aioseo_notices":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/50250","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/comments?post=50250"}],"version-history":[{"count":22,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/50250\/revisions"}],"predecessor-version":[{"id":113755,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/50250\/revisions\/113755"}],"wp:attachment":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/media?parent=50250"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/categories?post=50250"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/tags?post=50250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}