Cortical sources of resting-state EEG rhythms in "experienced" HIV subjects under antiretroviral therapy.

Objective: Treatment-naïve patients with human immunodeficiency virus (HIV) are characterized by diffuse abnormalities of resting-state cortical electroencephalographic (EEG) rhythms (Babiloni et al., 2012a). Here, we tested the hypothesis that these EEG rhythms vary as a function of the systemic immune activity and antiretroviral therapy (ART) in HIV patients. Methods: Resting-state eyes-closed EEG data were recorded in 68 ART-HIV patients (mini mental state evaluation (MMSE) of 27.5. ±. 0.3 SEM), in 60 treatment-naïve HIV subjects (MMSE of 27.5. ±. 0.4 SEM) and in 75 age-matched cognitively normal subjects (MMSE of 29.3. ±. 0.1 SEM). Based on the CD4 lymphocytes' count, we divided ART-HIV subjects into two subgroups: those with CD4. >. 500. cells/μl (ART-HIV+) and those with CD4. <. 500. cells/μl (ART-HIV-). EEG rhythms of interest were delta (2-4. Hz), theta (4-8. Hz), alpha 1 (8-10.5. Hz), alpha 2 (10.5-12. Hz), beta 1 (13-20. Hz), and beta 2 (20-30. Hz). Cortical EEG sources were estimated by LORETA software. Results: Widespread theta, alpha, and beta sources were lower in ART-HIV subjects than in control subjects. Furthermore, occipital and temporal alpha 1 sources were lower in treatment-naïve HIV than in ART-HIV subjects. Moreover, the opposite was true for widespread pathological delta sources. Finally, parietal, occipital, and temporal alpha 1 sources were lower in ART-HIV- than in ART-HIV+ subjects. Conclusions: In ART-HIV subjects, cortical sources of resting-state alpha rhythms are related to systemic immune activity and cART. Significance: This EEG procedure may produce biomarkers of treatment response in patients' brain compartments for longitudinal clinical studies. © 2014 International Federation of Clinical Neurophysiology.