Charlotte Blokhuis1, Nazli Demirkaya2, Sophie Cohen1, Ferdinand W N M Wit3, Henriëtte J Scherpbier1, Peter Reiss3, Michael D Abramoff4, Matthan W A Caan5, Charles B L M Majoie5, Frank D Verbraak6, Dasja Pajkrt1. 1. Department of Hematology Immunology and Infectious Diseases, Emma Children's Hospital/Academic Medical Center, University of Amsterdam, The Netherlands. 2. Department of Ophthalmology, Academic Medical Center, University of Amsterdam, The Netherlands. 3. Department of Global Health, Academic Medical Center, University of Amsterdam, and Amsterdam Institute for Global Health and Development, The Netherlands 4Department of Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity. 4. Department of Ophthalmology and Visual Sciences, Stephen A. Wynn Institute for Vision Research, University of Iowa, Iowa City, Iowa, United States 7Department of Biomedical Engineering and Department of Electrical and Computer Engineering, University of I. 5. Department of Radiology, Academic Medical Center, University of Amsterdam, The Netherlands. 6. Department of Ophthalmology, Academic Medical Center, University of Amsterdam, The Netherlands 9Department of Biomedical Engineering and Physics, Academic Medical Center, University of Amsterdam, The Netherlands 10Department of Ophthalmology, VU Universit.
Abstract
PURPOSE: Despite combination antiretroviral therapy (cART), perinatal HIV-infection can cause decreased gray and white matter volume, microstructural white matter injury, and retinal structural abnormalities. As neuroretinal tissue is directly connected to the brain, these deficits may have a shared pathogenesis. We aimed to assess associations between neuroretinal thickness and cerebral injury in cART-treated perinatally HIV-infected children and healthy controls. METHODS: This cross-sectional observational study included 29 cART-treated perinatally HIV-infected children and 35 matched healthy controls. All participants underwent 3.0 Tesla magnetic resonance imaging (MRI), determining gray and white matter volumes from T1-weighted sequences, and white matter diffusivity using diffusion tensor imaging (DTI). Regional individual and total neuroretinal layer thickness was quantified using spectral-domain optical coherence tomography. We explored associations between retinal and cerebral parameters using multivariable linear regression analysis. RESULTS: In HIV-infected children, lower foveal and pericentral neuroretinal thickness was associated with damaged white matter microstructure, in terms of lower fractional anisotropy and higher mean and radial diffusivity. In healthy controls only, neuroretinal thickness was associated with gray and white matter volume. CONCLUSIONS: Decreased neuroretinal thickness is associated with microstructural white matter injury, but not with lower cerebral volume in HIV-infected children. This suggests that HIV-induced retinal thinning and microstructural white matter injury may share a common pathogenesis, and longitudinal assessment of neuroretinal alterations in parallel with MRI and neuroinflammatory markers may further our insight into the pathogenesis of HIV-induced cerebral injury in children.
PURPOSE: Despite combination antiretroviral therapy (cART), perinatal HIV-infection can cause decreased gray and white matter volume, microstructural white matter injury, and retinal structural abnormalities. As neuroretinal tissue is directly connected to the brain, these deficits may have a shared pathogenesis. We aimed to assess associations between neuroretinal thickness and cerebral injury in cART-treated perinatally HIV-infectedchildren and healthy controls. METHODS: This cross-sectional observational study included 29 cART-treated perinatally HIV-infectedchildren and 35 matched healthy controls. All participants underwent 3.0 Tesla magnetic resonance imaging (MRI), determining gray and white matter volumes from T1-weighted sequences, and white matter diffusivity using diffusion tensor imaging (DTI). Regional individual and total neuroretinal layer thickness was quantified using spectral-domain optical coherence tomography. We explored associations between retinal and cerebral parameters using multivariable linear regression analysis. RESULTS: In HIV-infectedchildren, lower foveal and pericentral neuroretinal thickness was associated with damaged white matter microstructure, in terms of lower fractional anisotropy and higher mean and radial diffusivity. In healthy controls only, neuroretinal thickness was associated with gray and white matter volume. CONCLUSIONS:Decreased neuroretinal thickness is associated with microstructural white matter injury, but not with lower cerebral volume in HIV-infectedchildren. This suggests that HIV-induced retinal thinning and microstructural white matter injury may share a common pathogenesis, and longitudinal assessment of neuroretinal alterations in parallel with MRI and neuroinflammatory markers may further our insight into the pathogenesis of HIV-induced cerebral injury in children.
Authors: Nathalia Torres Jimenez; Justin W Lines; Rachel B Kueppers; Paulo Kofuji; Henry Wei; Amy Rankila; Joseph T Coyle; Robert F Miller; Linda K McLoon Journal: Invest Ophthalmol Vis Sci Date: 2020-02-07 Impact factor: 4.799
Authors: M Van den Hof; A M Ter Haar; H J Scherpbier; P Reiss; F W N M Wit; K J Oostrom; D Pajkrt Journal: PLoS One Date: 2019-12-05 Impact factor: 3.240
Authors: A M Ter Haar; M M Nap-van der Vlist; M Van den Hof; S L Nijhof; R R L van Litsenburg; K J Oostrom; D Pajkrt Journal: BMC Pediatr Date: 2021-11-20 Impact factor: 2.125
Authors: Jason G van Genderen; Malon Van den Hof; Anne Marleen Ter Haar; Charlotte Blokhuis; Vera C Keil; Dasja Pajkrt; Henk J M M Mutsaerts Journal: Viruses Date: 2021-10-28 Impact factor: 5.048