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| Content Provider | Springer Nature Link |
|---|---|
| Author | Wojna, Valerie Robles, Lizbeth Skolasky, Richard L. Mayo, Raul Selnes, Ola Torre, Tania Maldonado, Elizabeth Nath, Avindra Meléndez, Loyda M. Lasalde Dominicci, Jose |
| Copyright Year | 2007 |
| Abstract | Cigarette smoking alters the immune system and may improve cognitive deficits in neuropsychiatric disorders. Smoking prevalence is high in human immunodeficiency virus (HIV)—infected patients; however, its effect on HIV-associated cognitive impairment remains unknown in the era of antiretroviral treatment. The authors examined associations of smoking with viral immune profile and cognitive function in a cohort of HIV-seropositive women. This observational cross-sectional study included 56 women (36 HIV-seropositive and 20 HIV-seronegative) surveyed with a tobacco questionnaire: the Fagerström Test for Nicotine Dependency. Viral immune status was obtained 6 to 12 months before questioned. Neurocognitive testing (NP) assessed verbal memory, frontal/executive function, psychomotor speed, and motor speed. A reference group of HIV-seronegative women was used to calculate standardized z-scores. Cognitive impairment was classified using a modified American Academy of Neurology criteria, adding an asymptomatic group based on NP tests. Statistics included parametric and nonparametric tests. HIV-seropositive women were more likely to report a history of smoking (P = 0.028). Among them, current smoking correlated with higher plasma viral load (P = 0.048), and history of smoking correlated with lower CD4 cell count (P = 0.027). The authors observed no associations between cognitive impairment and either current or past history of smoking and no differences in neurocognitive domain scores between HIV-seropositive and -seronegative women or between those with and without a history of smoking. However, restricting analysis to HIV-seropositives showed a significant better performance on the frontal/executive domain in those with history of smoking. In summary, history of smoking correlated with better frontal/executive cognitive domain performance in HIV-seropositive women and with worse viral immune profile. |
| Starting Page | 561 |
| Ending Page | 568 |
| Page Count | 8 |
| File Format | |
| ISSN | 13550284 |
| Journal | Journal of NeuroVirology |
| Volume Number | 13 |
| Issue Number | 6 |
| e-ISSN | 15382443 |
| Language | English |
| Publisher | Springer-Verlag |
| Publisher Date | 2007-01-01 |
| Publisher Place | New York |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | cigarette smoking cognitive impairment HIV nicotine viral immune profile women Neurosciences Virology Infectious Diseases Immunology Neurology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Virology Neurology (clinical) Cellular and Molecular Neuroscience |
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