title: Disturbance in cerebral spinal fluid sphingolipid content is associated with memory impairment in subjects infected with the human immunodeficiency virus.
abstract: Despite widespread use of antiretroviral therapies to control replication of the human immunodeficiency virus (HIV), dysfunctions of cognition that are collectively termed HIV-associated neurocognitive disorders (HAND) still occur in approximately 50% of those infected by the virus. Currently there is not a biomarker that can identify HIV-infected people who are at risk for the development of HAND. Previous studies have identified particular sphingolipid species that are dysregulated in HAND, but the neurocognitive correlates of these biochemical findings are not currently understood. To address this question, we compared cerebrospinal fluid (CSF) levels of sphingomyelin, ceramide, and sterol species with performance on standard neurological tests designed to assess the function of multiple cognitive and motor domains in HIV-infected subjects. We found that sphingomyelin:ceramide ratios for acyl chain lengths of C16:0, C18:0, C22:0, and C24:0 were associated with worse performance on several indices of memory. The most striking finding was for the acyl chain of C18:0 that consistently associated with performance on multiple tests of memory. These findings suggest that the sphingomyelin:ceramide ratio for C18:0 may be a reasonable surrogate marker for memory dysfunction in HIV-infected subjects.
authors.affiliation: Department of Psychiatry, Richard T. Johnson Division of Neuroimmunology and Neurological Infections, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Mielke
authors.forename: Veera Venkata Ratnam
authors.initials: VV
authors.lastname: Bandaru
authors.forename: Justin C
authors.initials: JC
authors.lastname: McArthur
authors.forename: Michael
authors.initials: M
authors.lastname: Chu
authors.forename: Norman J
authors.initials: NJ
authors.lastname: Haughey
mesh_terms: D000328:Adult; D002518:Ceramides / Q000134:cerebrospinal fluid*; D002555:Cerebrospinal Fluid / Q000737:chemistry*; D003072:Cognition Disorders / Q000134:cerebrospinal fluid* / Q000209:etiology / Q000821:virology; D015331:Cohort Studies; D005260:Female; D006678:HIV / Q000472:pathogenicity; D015658:HIV Infections / Q000134:cerebrospinal fluid* / Q000150:complications; D006801:Humans; D016014:Linear Models; D008297:Male; D013058:Mass Spectrometry; D008569:Memory Disorders / Q000134:cerebrospinal fluid* / Q000209:etiology / Q000821:virology; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D009483:Neuropsychological Tests; D012367:RNA, Viral / Q000134:cerebrospinal fluid; D013107:Sphingolipids / Q000134:cerebrospinal fluid*; D013109:Sphingomyelins / Q000134:cerebrospinal fluid*
chemical_list: D002518:Ceramides; D012367:RNA, Viral; D013107:Sphingolipids; D013109:Sphingomyelins