Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics

Currently, HIV-associated neurocognitive disorders (HAND) remains one of the major challenges faced by people living with HIV (PLWH). HAND involves the vulnerability of neural circuits caused by synaptic degeneration and abnormal synaptic pruning. In recent years, connectomics has been gradually app...

Full description

Saved in:
Bibliographic Details
Main Authors: Zhongkai Zhou, Wei Wang, Hui Li, Ying Shi, Lingling Zhao, Yibo Lu, Xingchen Wei, Hongjun Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1467175/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832582959512682496
author Zhongkai Zhou
Wei Wang
Hui Li
Ying Shi
Lingling Zhao
Yibo Lu
Xingchen Wei
Hongjun Li
author_facet Zhongkai Zhou
Wei Wang
Hui Li
Ying Shi
Lingling Zhao
Yibo Lu
Xingchen Wei
Hongjun Li
author_sort Zhongkai Zhou
collection DOAJ
description Currently, HIV-associated neurocognitive disorders (HAND) remains one of the major challenges faced by people living with HIV (PLWH). HAND involves the vulnerability of neural circuits caused by synaptic degeneration and abnormal synaptic pruning. In recent years, connectomics has been gradually applied to HAND research as a cutting-edge method for describing the structural and functional connectivity patterns of the brain, to further elucidate the specific mechanisms underlying these neural circuit vulnerabilities. Using multimodal neuroimaging techniques such as diffusion tensor imaging (DTI), structural magnetic resonance imaging (sMRI), and resting-state functional magnetic resonance imaging (rs-fMRI), researchers can detail the connectome network changes in the brains of PLWH. These technologies offer potential biomarkers for the early diagnosis, prognosis, and treatment monitoring of HAND, while also providing new avenues for personalized prediction of cognitive status. Here, we start with the pathogenesis and risk factors of HAND, providing a comprehensive review of the basic concepts of unimodal and multimodal macro connectomics and related graph theory methods, and we review the latest progress in HAND connectomics research. We emphasize the use of connectomics to identify specific disease patterns of HIV-associated neurodegeneration and discuss the potential research directions and challenges in understanding these diseases from a connectomics perspective.
format Article
id doaj-art-8aada8246e3f4531bfed7c3a3e12c2b2
institution Kabale University
issn 1664-2295
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj-art-8aada8246e3f4531bfed7c3a3e12c2b22025-01-29T05:21:18ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011610.3389/fneur.2025.14671751467175Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomicsZhongkai Zhou0Wei Wang1Hui Li2Ying Shi3Lingling Zhao4Yibo Lu5Xingchen Wei6Hongjun Li7Department of Radiology, Beijing Youan Hospital, Capital Medical University, Beijing, ChinaDepartment of Radiology, Beijing Youan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Magnetic Resonance, The First Affiliated Hospital of Harbin Medical University, Harbin, ChinaDepartment of Radiology, The Sixth People's Hospital of Zhengzhou, Zhengzhou, ChinaDepartment of Radiology, The Fourth People's Hospital of Nanning, Nanning, ChinaDepartment of Joint Surgery, Shandong Provincial Hospital, Jinan, ChinaDepartment of Radiology, Beijing Youan Hospital, Capital Medical University, Beijing, ChinaCurrently, HIV-associated neurocognitive disorders (HAND) remains one of the major challenges faced by people living with HIV (PLWH). HAND involves the vulnerability of neural circuits caused by synaptic degeneration and abnormal synaptic pruning. In recent years, connectomics has been gradually applied to HAND research as a cutting-edge method for describing the structural and functional connectivity patterns of the brain, to further elucidate the specific mechanisms underlying these neural circuit vulnerabilities. Using multimodal neuroimaging techniques such as diffusion tensor imaging (DTI), structural magnetic resonance imaging (sMRI), and resting-state functional magnetic resonance imaging (rs-fMRI), researchers can detail the connectome network changes in the brains of PLWH. These technologies offer potential biomarkers for the early diagnosis, prognosis, and treatment monitoring of HAND, while also providing new avenues for personalized prediction of cognitive status. Here, we start with the pathogenesis and risk factors of HAND, providing a comprehensive review of the basic concepts of unimodal and multimodal macro connectomics and related graph theory methods, and we review the latest progress in HAND connectomics research. We emphasize the use of connectomics to identify specific disease patterns of HIV-associated neurodegeneration and discuss the potential research directions and challenges in understanding these diseases from a connectomics perspective.https://www.frontiersin.org/articles/10.3389/fneur.2025.1467175/fullconnectomicsHIV-associated neurocognitive disordersstructural connectivityfunctional connectivitydefault mode network
spellingShingle Zhongkai Zhou
Wei Wang
Hui Li
Ying Shi
Lingling Zhao
Yibo Lu
Xingchen Wei
Hongjun Li
Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics
Frontiers in Neurology
connectomics
HIV-associated neurocognitive disorders
structural connectivity
functional connectivity
default mode network
title Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics
title_full Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics
title_fullStr Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics
title_full_unstemmed Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics
title_short Decoding HIV-associated neurocognitive disorders: a new perspective from multimodal connectomics
title_sort decoding hiv associated neurocognitive disorders a new perspective from multimodal connectomics
topic connectomics
HIV-associated neurocognitive disorders
structural connectivity
functional connectivity
default mode network
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1467175/full
work_keys_str_mv AT zhongkaizhou decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT weiwang decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT huili decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT yingshi decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT linglingzhao decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT yibolu decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT xingchenwei decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics
AT hongjunli decodinghivassociatedneurocognitivedisordersanewperspectivefrommultimodalconnectomics