Free circulating ICAM-1 in serum and cerebrospinal fluid of HIV-1 infected patients correlate with TN and blood-brain barrier damage
1992

Free Circulating ICAM-1 in HIV-1 Infected Patients

Sample size: 37 publication Evidence: moderate

Author Information

Author(s): M. K. Sharief, M. Ciardi, M. A. Noori, E. J. Thompson, A. Salotti, F. Sorice, F. Rossia, A. Cirelli

Primary Institution: Institute of Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK

Hypothesis

Does free circulating ICAM-1 correlate with TNF levels and blood-brain barrier damage in HIV-1 infected patients?

Conclusion

High levels of free circulating ICAM-1 in HIV-1 infected patients correlate with TNF concentrations and the degree of blood-brain barrier damage.

Supporting Evidence

  • High levels of free circulating ICAM-1 were detected in serum of 25 HIV-1 seropositive patients.
  • Free circulating ICAM-1 correlated with TNF levels in both serum and CSF.
  • All HIV-1 seropositive patients with neurologic involvement had detectable levels of ICAM-1 in CSF.

Takeaway

This study found that a substance called ICAM-1 in the blood and spinal fluid of HIV-1 patients is linked to brain damage and inflammation.

Methodology

Paired CSF and serum samples were obtained from HIV-1 seropositive patients and analyzed for ICAM-1 and TNF levels.

Limitations

The study does not clarify whether the release of ICAM-1 occurs before or during blood-brain barrier damage.

Participant Demographics

28 males, 9 females; median age 27.6 years, age range 19-49 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

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