Page last updated: 2024-10-18

kynurenine and AIDS Dementia Complex

kynurenine has been researched along with AIDS Dementia Complex in 12 studies

Kynurenine: A metabolite of the essential amino acid tryptophan metabolized via the tryptophan-kynurenine pathway.
kynurenine : A ketone that is alanine in which one of the methyl hydrogens is substituted by a 2-aminobenzoyl group.

AIDS Dementia Complex: A neurologic condition associated with the ACQUIRED IMMUNODEFICIENCY SYNDROME and characterized by impaired concentration and memory, slowness of hand movements, ATAXIA, incontinence, apathy, and gait difficulties associated with HIV-1 viral infection of the central nervous system. Pathologic examination of the brain reveals white matter rarefaction, perivascular infiltrates of lymphocytes, foamy macrophages, and multinucleated giant cells. (From Adams et al., Principles of Neurology, 6th ed, pp760-1; N Engl J Med, 1995 Apr 6;332(14):934-40)

Research Excerpts

ExcerptRelevanceReference
"Quinolinic acid is an agonist at the population of glutamate receptors which are sensitive to N-methyl-D-aspartate (NMDA), and kynurenic acid is an antagonist at several glutamate receptors."6.42Tryptophan metabolites and brain disorders. ( Clark, CJ; Darlington, LG; Forrest, CM; Mackay, GM; Stone, TW, 2003)
"There is good evidence that the kynurenine pathway (KP) and one of its products, quinolinic acid (QUIN), play a role in the pathogenesis of neurological diseases, in particular AIDS dementia complex."3.71Kynurenine pathway metabolism in human astrocytes: a paradox for neuronal protection. ( Armati, PJ; Brew, BJ; Croitoru, J; Guillemin, GJ; Kapoor, V; Kerr, SJ; Smith, DG; Smythe, GA, 2001)
"Quinolinic acid is an agonist at the population of glutamate receptors which are sensitive to N-methyl-D-aspartate (NMDA), and kynurenic acid is an antagonist at several glutamate receptors."2.42Tryptophan metabolites and brain disorders. ( Clark, CJ; Darlington, LG; Forrest, CM; Mackay, GM; Stone, TW, 2003)
"Quinolinic acid (QUIN) is an neurotoxic N-methyl-D-aspartate receptor agonist and an L-tryptophan metabolite of the kynurenine pathway."1.28Inter-relationships between quinolinic acid, neuroactive kynurenines, neopterin and beta 2-microglobulin in cerebrospinal fluid and serum of HIV-1-infected patients. ( Bhalla, RB; Brew, BJ; Der, M; Heyes, MP; Lee, K; Markey, SP; Price, RW; Quearry, BJ; Saito, K, 1992)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (41.67)18.2507
2000's4 (33.33)29.6817
2010's2 (16.67)24.3611
2020's1 (8.33)2.80

Authors

AuthorsStudies
Jadhav, S1
Nema, V1
Sacktor, N1
Miyahara, S1
Evans, S1
Schifitto, G1
Cohen, B1
Haughey, N1
Drewes, JL1
Graham, D1
Zink, MC1
Anderson, C1
Nath, A1
Pardo, CA1
McCarthy, S1
Hosey, L1
Clifford, D1
Samikkannu, T1
Rao, KV1
Gandhi, N1
Saxena, SK1
Nair, MP1
Stone, TW1
Mackay, GM1
Forrest, CM1
Clark, CJ1
Darlington, LG1
Klivényi, P1
Toldi, J1
Vécsei, L1
Saito, K2
Sardar, AM1
Bell, JE1
Reynolds, GP1
Huengsberg, M1
Winer, JB1
Gompels, M1
Round, R1
Ross, J1
Shahmanesh, M1
Baran, H1
Hainfellner, JA1
Kepplinger, B1
Mazal, PR1
Schmid, H1
Budka, H1
Guillemin, GJ1
Kerr, SJ1
Smythe, GA1
Smith, DG1
Kapoor, V1
Armati, PJ1
Croitoru, J1
Brew, BJ2
Heyes, MP1
Quearry, BJ1
Price, RW1
Lee, K1
Bhalla, RB1
Der, M1
Markey, SP1
Schwarcz, R1
Du, F1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase II, Randomized, Placebo-Controlled, Double-Blind Study of Minocycline in the Treatment of HIV-Associated Cognitive Impairment[NCT00361257]Phase 2107 participants (Actual)Interventional2007-03-31Terminated (stopped due to This study was terminated early due to futility.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Cognitive Gross Motor Function Domain Z-Score

The cognitive gross motor function is a age and education adjusted z score of Timed Gait (TIG). The outcome is the 24 week change of cognitive gross motor function domain z-scores (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.22
Matching Placebo0.08

Change in Cognitive Performance Compared to Baseline

"Th cognitive performance is measured by NPZ-8. NPZ-8 is defined as the average of age and education adjusted z-scores of eight neuropsychological tests subcomponents in the neuropsychological test battery. These eight tests are:~Grooved Pegboard Dominant Hand (GPD)~Grooved Pegboard Non-dominant hand (GPN)~Choice Reaction Time (CRT)~Sequential Reaction Time (QRT)~Timed Gait (TIG)~Trail Making Part A (TMA)~Trail Making Part B (TMB)~Symbol Digit (SYD) The primary outcome is NPZ-8 score at week24 - NPZ-8 score at baseline." (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.12
Matching Placebo0.17

Change in Fine Motor Function Domain Z-Score

The fine motor function domain score is an average of age, sex, education, and African-American ethnicity adjusted z scores of Grooved Pegboard Dominant Hand (GPD) and Grooved Pegboard Non-dominant hand (GPN). The outcome is a 24 week change of the fine motor function domain z-score (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.27
Matching Placebo0.05

Change in Fine Motor/Nonverbal Function Domain Z-Score

The fine motor/nonverbal function domain score is a age and education adjusted z score of Symbol Digit Test (SYD) The outcome is the 24 change of fine motor/nonverbal function domain z-score (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline-0.15
Matching Placebo-0.07

Change in Frontal Systems Function Domain Z-Score

The frontal systems function domain score is the average of age and education adjusted z scores of Stroop Color Interference Test (CTP) and interference task (STP). The outcome is the 24 week change of frontal systems function domain z-score (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline-0.04
Matching Placebo0.21

Change in Global Deficit Z-Score (GDS)

GDS on the test battery is the simple average of all 14 individual deficit scores in the test battery, including Time Gait, Grooved Pegboard Test for the dominant and non-dominant hands, Trail Making Test parts A and B, Symbol Digit Test, simple and sequential reaction time - CalCAP, Hopkins Verbal Learning Test (Revised)- Learning, Delayed Recall and Recognition trials, and Stroop Color Interference Test-color, word, and interference tasks. The outcome is the 24 week change of GDS Z-score (24 week-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.11
Matching Placebo0.09

Change in Information Processing Function Domain Z-Score

The information processing function domain score is the average of age and education adjusted z scores of simple and sequential reaction time - CalCAP. The outcome is the 24 week change of information processing function domain z-scores (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.14
Matching Placebo0.20

Change in Psychomotor Function Domain Z-Score

The psychomotor function domain score us the average of age, sex, education, and African-American ethnicity adjusted z scores of Trail Making Part A (TMA) and Trail Making Part B (TMB). The outcome is the 24 week change of psychomotor function domain z-scores (week24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.07
Matching Placebo0.15

Change in Verbal Memory Domain Z-Score

The verbal memory domain score is the average of age and education adjusted z scores of Hopkins Verbal Learning Test- Revised, Learning and Delayed Recall. The outcome is the 24 week change of verbal memory domain z-scores (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.18
Matching Placebo0.02

Changes in Alternate Frontal Systems Z-Score

The alternate frontal systems was defined as a mean of age and education adjusted z score of Interference task, and age, sex, education, and African-American ethnicity adjusted z score of Trail Making Part B. The outcome was the 24 week change in alternate frontal systems z-score (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.03
Matching Placebo-0.07

Changes in Alternate Psychomotor Function Z-Score

The alternate psychomotor function is defined as the mean of age, sex, education, and African-American ethnicity adjusted z scores of Trail Making Part A (TMA), and age and education adjusted z score of Symbol Digit (SYD). The outcome is the 24 week change in alternate psychomotor function z-score (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline-0.03
Matching Placebo0.05

Changes in Alternate Verbal Memory Z-Score

The alternate verbal memory was defined as a mean of age and education adjusted z score of trials 1 to 3 and delayed recall tests. The outcome is the 24 week change in alternate verbal memory z-score (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventionz-score (Mean)
Minocycline0.18
Matching Placebo0.02

Changes in Cluster of Differentiation 4 (CD4) Cell Counts (24 Weeks)

The outcome was the 24 week change in CD4 cell count (week 24-baseline). (NCT00361257)
Timeframe: At baseline and weeks 24

Interventioncells/mm^3 (Mean)
Minocycline24.10
Matching Placebo8.24

Changes in Cluster of Differentiation 8 (CD8) Cell Counts (24 Weeks)

The outcome was the 24 week change of CD8 cell counts (week 24-baseline). (NCT00361257)
Timeframe: At baseline and week 24

Interventioncells/mm^3 (Mean)
Minocycline43.90
Matching Placebo0.00

Changes in Markers of Oxidative Stress (Unit = Pixels/mm2 Only)

Protein marker of oxidative stress (Neurofilament heavy polypeptide). The outcome is the 24 week change (week 24-baseline). (NCT00361257)
Timeframe: At pre-entry and Week 24

InterventionPixels/mm^2 (Median)
Arm 1: Minocycline-59.3
Arm 2: Matching Placebo-3.04

Changes in Medication Management Test (Modified)

The medication management test (modified) is designed to assess participants' medication management ability and their own medications and management. It's the number of how many times participants correctly answered 16 questions. The score ranges between 0 and 16, and higher score indicates better medication management. (NCT00361257)
Timeframe: At baseline and weeks 24

Interventionscores on a scale (Mean)
Minocycline0.16
Matching Placebo0.48

Change in Investigator's Clinical Global Impression Score (ICGIS)

"Clinicians were asked to rate their overall impression about the clinical improvement or worsening of his/her study participants. They can choose from the following 7 levels: (0) No Change, (1) Mild Improvement, (2) Moderate Improvement, (3) Marked Improvement, (4) Mild Worsening, (5) Moderate Worsening, and (6) Marked Worsening.~For the analysis, we simplified the outcome into the following 3 levels: (0) worsened, (1) No Change, and (2) Improved." (NCT00361257)
Timeframe: At week 24

,
Interventionparticipants (Number)
WorsenedNo ChangeImproved
Matching Placebo23112
Minocycline4289

Change in Karnofsky Performance Score

"The original Karnofsky performance score is 11 level score which ranges between 0 to 100. The score 100 means normal and 0 means death; therefore, higher score means higher ability to perform daily tasks.~For the analysis, a new dichotomous variable (no change/worse vs. better at 24 weeks compared to baseline) was created." (NCT00361257)
Timeframe: At baseline and week 24

,
Interventionparticipants (Number)
No Change/WorseBetter
Matching Placebo423
Minocycline336

Change of HIV Plasma RiboNucleic Acid (RNA) Viral Load

The original scale of HIV RNA viral load is between 30 copies/mL to infinitive. The minimum score of 30 is the lowest detectable value. The summary table categorized this continuous value to a dichotomous variable (<30 copies/mL and >= 30 copies/mL). (NCT00361257)
Timeframe: At baseline and week 24

,
Interventionparticipants (Number)
>= 30 copies/mL at base, >= 30 at week 24>= 30 copies/mL at base, < 30 at week 24< 30 copies/mL at base, >= 30 at week 24< 30 copies/mL at base, < 30 at week 24
Matching Placebo02019
Minocycline10217

Changes in Instrumental Activities of Daily Living Questionnaire

The Instrumental Activities of Daily Living (IADL) questionnaire is designed to learn more about how subjects are able to perform common tasks. There are 16 common tasks. For each task, if the score at the time of evaluation is worse than the best in the past, an indicator of 1 is given. Otherwise, the indicator is 0. The overall IADL score is a sum of 16 indicators divided by 16; therefore, the range is between 0 and 1 and the lower score is better. The 24-week change of IADL score was changed into a categorical variable (no change/worse vs. better) at week 24 compare to baseline. (NCT00361257)
Timeframe: At baseline and week 24

,
Interventionparticipants (Number)
No Change/WorseBetter
Matching Placebo3211
Minocycline3012

Changes in Markers of Oxidative Stress and Immune Activation (Unit=pg/mL Only)

Protein markers of oxidative stress (Protein carbonyls) and markers of immune activation (TNF-a, IL-6,CXCL8, Hepatocyte growth factor, Osteopontin, sFAS, sFAS ligand, and CXCL12). For all markers, the outcome is the 24 week change (week 24-baseline). (NCT00361257)
Timeframe: At pre-entry and Week 24

,
Interventionpg/mL (Median)
Protein carbonyls (pg/ml)TNF-α (pg/mL)IL-6 (pg/mL)CXCL8 (pg/mL)Hepatocyte growth factor (pg/mL)Osteopontin (pg/mL)sFAS (pg/mL)sFAS ligand (pg/mL)CXCL12 (pg/mL)
Arm 1: Minocycline4.00.04-0.290.3416.09-5208.940.68-0.27204.39
Arm 2: Matching Placebo13.20.140.95-6.1390.48673.55134.10.111,071.84

Changes in Neurotransmitter Levels (Unit = uM Only)

Neurotransmitter levels (Glutamate, Tryptophan, Anthranilic Acid, Quinolinic Acid, Kynurenin, and 3-Hydroxykynurenine). The outcome is the 24 week change (week 24-baseline). (NCT00361257)
Timeframe: At pre-entry and Week 24

,
InterventionuM (Median)
Glutamate (uM)Tryptophan (uM)Anthranilic Acid (uM)Quinolinic Acid (uM)Kynurenin (uM)3-Hydroxykynurenine (uM)
Arm 1: Minocycline5.09-0.210.0-0.556.85-4.09
Arm 2: Matching Placebo-1.080.070.00.06.97-0.83

Changes in Protein Markers of Oxidative Stress (Unit = Counts Per Second Only)

Protein marker of oxidative stress (Ceramides, Monohexosylceramides, Dihydro Glycosyl Galceramides, and Dihexosylceramides). For all markers, the outcome is the 24 week change (week 24-baseline). (NCT00361257)
Timeframe: At pre-entry and Week 24

,
Interventioncounts per second (Median)
Ceramides (counts per second)Monohexosylceramides (counts per second)Dihydro Glycosyl Galceramides (counts per second)Dihexosylceramides (counts per second)
Arm 1: Minocycline0.00070.00130.02010.0005
Arm 2: Matching Placebo-0.0051-0.0066-0.0048-0.0043

Number of Participants With Grade 2 or Higher Toxicity and/or Signs and Symptoms

Grade or higher means that adverse events were moderate, severe, or life-threatening, or death. Grade 2 or higher adverse events are lised in the Adverse Event section. (NCT00361257)
Timeframe: Throughout study up to week 48

,
Interventionparticipants with an event (Number)
0 - 4 weeks4.01 - 12 weeks12.01 - 24 weeks24.01 - 48 weeks
Matching Placebo32312
Minocycline29521

Reviews

5 reviews available for kynurenine and AIDS Dementia Complex

ArticleYear
HIV-Associated Neurotoxicity: The Interplay of Host and Viral Proteins.
    Mediators of inflammation, 2021, Volume: 2021

    Topics: AIDS Dementia Complex; Anti-Retroviral Agents; Astrocytes; Central Nervous System; Genome; HIV Envel

2021
Tryptophan metabolites and brain disorders.
    Clinical chemistry and laboratory medicine, 2003, Volume: 41, Issue:7

    Topics: AIDS Dementia Complex; Brain Diseases; Central Nervous System Diseases; Humans; Huntington Disease;

2003
Kynurenines in neurodegenerative disorders: therapeutic consideration.
    Advances in experimental medicine and biology, 2004, Volume: 541

    Topics: AIDS Dementia Complex; Animals; Central Nervous System Diseases; Down Syndrome; Enzyme Inhibitors; H

2004
[Biochemical studies on AIDS dementia complex--possible contribution of quinolinic acid during brain damage].
    Rinsho byori. The Japanese journal of clinical pathology, 1995, Volume: 43, Issue:9

    Topics: AIDS Dementia Complex; Animals; Brain; Cytokines; Humans; Kynurenine; Macrophage Activation; Quinoli

1995
Quinolinic acid and kynurenic acid in the mammalian brain.
    Advances in experimental medicine and biology, 1991, Volume: 294

    Topics: 3-Hydroxyanthranilate 3,4-Dioxygenase; AIDS Dementia Complex; Animals; Aspartic Acid; Biological Tra

1991

Trials

1 trial available for kynurenine and AIDS Dementia Complex

ArticleYear
Impact of minocycline on cerebrospinal fluid markers of oxidative stress, neuronal injury, and inflammation in HIV-seropositive individuals with cognitive impairment.
    Journal of neurovirology, 2014, Volume: 20, Issue:6

    Topics: Acquired Immunodeficiency Syndrome; Administration, Oral; Adult; AIDS Dementia Complex; Anti-HIV Age

2014

Other Studies

6 other studies available for kynurenine and AIDS Dementia Complex

ArticleYear
Human immunodeficiency virus type 1 clade B and C Tat differentially induce indoleamine 2,3-dioxygenase and serotonin in immature dendritic cells: Implications for neuroAIDS.
    Journal of neurovirology, 2010, Volume: 16, Issue:4

    Topics: AIDS Dementia Complex; Blotting, Western; Cell Separation; Dendritic Cells; Flow Cytometry; Gene Exp

2010
Increased concentrations of the neurotoxin 3-hydroxykynurenine in the frontal cortex of HIV-1-positive patients.
    Journal of neurochemistry, 1995, Volume: 64, Issue:2

    Topics: Adult; AIDS Dementia Complex; Female; Frontal Lobe; HIV Seropositivity; HIV-1; Humans; Kynurenine; M

1995
Serum kynurenine-to-tryptophan ratio increases with progressive disease in HIV-infected patients.
    Clinical chemistry, 1998, Volume: 44, Issue:4

    Topics: Acquired Immunodeficiency Syndrome; Adult; Aged; AIDS Dementia Complex; CD4 Lymphocyte Count; Female

1998
Kynurenic acid metabolism in the brain of HIV-1 infected patients.
    Journal of neural transmission (Vienna, Austria : 1996), 2000, Volume: 107, Issue:10

    Topics: Adult; AIDS Dementia Complex; Brain; Cerebellum; Female; Frontal Lobe; HIV-1; Humans; Kynurenic Acid

2000
Kynurenine pathway metabolism in human astrocytes: a paradox for neuronal protection.
    Journal of neurochemistry, 2001, Volume: 78, Issue:4

    Topics: AIDS Dementia Complex; Astrocytes; Brain; Cells, Cultured; Cytokines; Enzymes; Fetus; Humans; Kynure

2001
Inter-relationships between quinolinic acid, neuroactive kynurenines, neopterin and beta 2-microglobulin in cerebrospinal fluid and serum of HIV-1-infected patients.
    Journal of neuroimmunology, 1992, Volume: 40, Issue:1

    Topics: Acquired Immunodeficiency Syndrome; AIDS Dementia Complex; beta 2-Microglobulin; Biopterins; Blood-B

1992