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Research ArticlePEDIATRICS
Open Access

White Matter Development is Potentially Influenced in Adolescents with Vertically Transmitted HIV Infections: A Tract-Based Spatial Statistics Study

J. Li, G. Wu, Z. Wen, J. Zhang, H. Lei, X. Gui and F. Lin
American Journal of Neuroradiology November 2015, 36 (11) 2163-2169; DOI: https://doi.org/10.3174/ajnr.A4417
J. Li
aFrom the Departments of Magnetic Resonance Imaging (J.L., G.W., Z.W., J.Z.)
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G. Wu
aFrom the Departments of Magnetic Resonance Imaging (J.L., G.W., Z.W., J.Z.)
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Z. Wen
aFrom the Departments of Magnetic Resonance Imaging (J.L., G.W., Z.W., J.Z.)
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J. Zhang
aFrom the Departments of Magnetic Resonance Imaging (J.L., G.W., Z.W., J.Z.)
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H. Lei
cNational Center for Magnetic Resonance in Wuhan (H.L., F.L.), State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China.
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X. Gui
bInfectious Diseases (X.G.), Zhongnan Hospital of Wuhan University, Wuhan, China
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F. Lin
cNational Center for Magnetic Resonance in Wuhan (H.L., F.L.), State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China.
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  • Fig 1.
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    Fig 1.

    TBSS analysis of fractional anisotropy maps. Areas in red are brain regions where FA is significantly reduced (P < .05, corrected by multiple comparison) in HIV-positive subjects relative to HIV-negative controls. The results are shown overlaid on the Montreal Neurological Institute 152-T1 template and the mean FA skeleton (green). The left side of the image corresponds to the right hemisphere of the brain. FA changes occur in the region with Montreal Neurological Institute coordinates in the z-direction between z = 6 and z = 63.

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    Fig 2.

    Correlation results between FA alterations and clinical measures in the HIV-positive subjects. A, FA values in the right frontal WM (rFWM) are negatively correlated with the duration of HAART (r = −0.634, P = .011). B, FA values in the left frontal WM (lFWM) are negatively correlated with the duration of HAART (r = −0.623, P = .013). C, FA values in the rFWM are positively correlated with the age at onset of HAART (r = 0.615, P = .015). D, FA values in the lFWM are positively correlated with the age at onset of HAART (r = 0.553, P = .032).

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    Table 1:

    Demographic information for subjects in each group

    HIV(+)HIV(−)P Value
    Age (yr)15.3 ± 1.315.0 ± 1.6.54
    Sex (male/female)8:713:13.84
    Education level (yr)7.5 ± 1.28.7 ± 1.9.05
    Current CD4 (cells/mL)605.8 ± 345.0NANA
    Age at first HIV treatment (yr)9.5 ± 3.4NANA
    HIV treatment duration (mo)68.3 ± 39.5NANA
    % Treated at younger than 2 yr13.3 (n = 2)NANA
    Plasma viral load (copies/mL)0–50NANA
    MoCA total score25.7 ± 3.827.1 ± 3.1.21
    MMSE total score25.8 ± 2.127.3 ± 2.4.05
    • Note:—NA indicates not applicable or available; MoCa, Montreal Cognitive Assessment; MMSE, Mini-Mental State Examination.

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    Table 2:

    Neuroanatomic regions with decreased FA in HIV-positive subjects relative to HIV-negative controlsa

    Anatomic RegionHemisphereMNI Coordinates (mm)Cluster Size (mm3)
    XYZ
    Genu of corpus callosumBilateral−132024530
    Body of corpus callosumBilateral−1116242228
    SpleniumBilateral−11−3524564
    Superior corona radiataLeft−20−2539497
    Superior corona radiataRight20−2437386
    Posterior corona radiataLeft−21−2834262
    Posterior corona radiataRight25−2733249
    Frontal WMLeft−18543164
    Frontal WMRight171944399
    Pre-/postcentral gyrus WMLeft−21−2542269
    Pre-/postcentral gyrus WMRight21−2442524
    Parietal WMLeft−22−3140149
    Parietal WMRight17−5428437
    SLFLeft−30−173485
    • Note:—MNI indicates Montreal Neurological Institute; SLF, superior longitudinal fasciculus.

    • ↵a P < .05, threshold-free cluster enhancement multiple comparison–corrected. Coordinates for the peak voxels are displayed.

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    Table 3:

    Group differences in diffusivity indices from VOIs

    Anatomic RegionHemisphereAD (×10−3mm2/s) (Mean)RD (×10−3mm2/s) (Mean)MD (×10−3mm2/s) (Mean)
    HIV−HIV+P ValueHIV−HIV+P ValueHIV−HIV+P Value
    Genu of corpus callosumBilateral1.62 ± 0.081.58 ± 0.08.160.36 ± 0.030.40 ± 0.06.0040.78 ± 0.030.79 ± 0.05.22
    Body of corpus callosumBilateral1.78 ± 0.061.78 ± 0.06.990.41 ± 0.050.49 ± 0.07.0003a0.87 ± 0.040.92 ± 0.05.002a
    SpleniumBilateral1.66 ± 0.061.67 ± 0.05.410.33 ± 0.030.37 ± 0.04.0003a0.77 ± 0.020.80 ± 0.03.001a
    Superior corona radiataLeft1.21 ± 0.041.20 ± 0.03.330.53 ± 0.020.56 ± 0.04.0003a0.76 ± 0.020.78 ± 0.03.01
    Superior corona radiataRight1.26 ± 0.051.26 ± 0.04.780.49 ± 0.020.53 ± 0.03.00009a0.74 ± 0.020.77 ± 0.02.001a
    Posterior corona radiataLeft1.23 ± 0.061.23 ± 0.03.810.59 ± 0.030.62 ± 0.03.002a0.80 ± 0.030.82 ± 0.02.02
    Posterior corona radiataRight1.26 ± 0.041.25 ± 0.03.320.57 ± 0.030.61 ± 0.04.002a0.80 ± 0.030.82 ± 0.04.05
    Frontal WMLeft1.35 ± 0.071.32 ± 0.05.220.44 ± 0.030.48 ± 0.04.001a0.74 ± 0.030.76 ± 0.03.09
    Frontal WMRight1.37 ± 0.061.32 ± 0.07.020.40 ± 0.030.48 ± 0.03.0003a0.72 ± 0.030.73 ± 0.03.21
    Pre-/postcentral gyrus WMLeft1.32 ± 0.061.29 ± 0.06.140.47 ± 0.030.50 ± 0.03.0007a0.75 ± 0.020.76 ± 0.02.06
    Pre-/postcentral gyrus WMRight1.30 ± 0.041.27 ± 0.04.010.44 ± 0.020.48 ± 0.03.00009a0.73 ± 0.020.74 ± 0.02.08
    Parietal WMLeft1.31 ± 0.051.31 ± 0.05.940.57 ± 0.040.61 ± 0.03.001a0.82 ± 0.030.84 ± 0.03.02
    Parietal WMRight1.29 ± 0.061.27 ± 0.04.280.58 ± 0.030.62 ± 0.05.002a0.81 ± 0.030.84 ± 0.04.07
    SLFLeft1.11 ± 0.041.09 ± 0.03.130.54 ± 0.030.57 ± 0.04.0040.73 ± 0.020.75 ± 0.03.05
    • Note:—HIV- indicates HIV-negative controls; HIV+, HIV-positive subjects.

    • ↵a P < .05/14 ≈ .0035 (Bonferroni-corrected for multiple comparisons).

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American Journal of Neuroradiology: 36 (11)
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J. Li, G. Wu, Z. Wen, J. Zhang, H. Lei, X. Gui, F. Lin
White Matter Development is Potentially Influenced in Adolescents with Vertically Transmitted HIV Infections: A Tract-Based Spatial Statistics Study
American Journal of Neuroradiology Nov 2015, 36 (11) 2163-2169; DOI: 10.3174/ajnr.A4417

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White Matter Development is Potentially Influenced in Adolescents with Vertically Transmitted HIV Infections: A Tract-Based Spatial Statistics Study
J. Li, G. Wu, Z. Wen, J. Zhang, H. Lei, X. Gui, F. Lin
American Journal of Neuroradiology Nov 2015, 36 (11) 2163-2169; DOI: 10.3174/ajnr.A4417
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