Anne K. Goplen's research while affiliated with Oslo University Hospital and other places

Publications (15)

Article
An immunocompetent young man became critically ill with multi-organ failure due to primary toxoplasmosis. Although treated successfully, he relapsed after 1 y with bilateral toxoplasmic chorioretinitis. Severe disseminated toxoplasmosis rarely occurs in immunocompetent patients and may reflect an increased risk of relapse. Secondary prophylaxis mus...
Article
Full-text available
Primary central nervous system lymphoma (PCNSL) is a frequent complication in acquired immunodeficiency syndrome (AIDS). The objective of this survey was to investigate incidence, clinical features, radiological findings, histologic diagnosis, treatment and outcome for all patients with histologically verified AIDS-related PCNSL diagnosed in Norway...
Article
Full-text available
Patients with advanced HIV infection at the time of diagnosis and patients not responding to antiretroviral therapy are at risk of cytomegalovirus (CMV) disease. Earlier studies of patients with HIV infection have demonstrated that the diagnosis is often first made post-mortem. In recent years new molecular biological tests have become available fo...
Article
OBJECTIVES- To ask if slowed motor speed predicts later human immunodeficiency virus (HIV) dementia and HIV encephalitis. METHODS- In 100 deceased acquired immunodeficiency syndrome (AIDS) patients prior results from repeated testing of the movement reaction time test were correlated with later clinical signs of HIV dementia and with neuropathologi...
Article
CMV disease is an important cause of morbidity and mortality in patients with AIDS. The purpose of this study was to investigate the incidence of CMV disease in a well-defined population of AIDS patients with a high rate of autopsy. No such study has previously been published from Scandinavia. A total of 248 patients who developed clinical AIDS in...
Article
In a well-defined population of adult AIDS patients from Oslo, we studied the correlation between clinical dementia and autopsy results. The study included 91% of all adult AIDS patients from Oslo who died between 1983 and 1996. The autopsy rate was 73% (167/229). Twenty-three percent of patients had definite dementia and 24% possible dementia. In...
Article
The apolipoprotein E (apoE) genotype was determined in 197 deceased acquired immunodeficiency syndrome (AIDS) patients treated at Ullevaal Hospital in Oslo, Norway. A full autopsy had been performed on all. Cancer had developed in 71 individuals, mainly lymphomas (46) and Kaposi's sarcomas (18). The apoE genotype distribution was consistent with Ha...
Article
The effect of apolipoprotein E genotypes on the occurrence of HIV dementia and HIV encephalitis was studied in a sample of 132 AIDS patients in whom clinical data on dementia was available and full autopsy had been performed. There was no statistically significant correlation between risk of HIV dementia or HIV encephalitis in relation to apolipopr...
Article
This study comprises the 255 adult AIDS patients treated at Ullevål hospital 1983-1995. These patients, fulfilling the Centers of Disease Control (CDC) clinical criteria for AIDS, correspond to 91% of all adult AIDS cases in Oslo. By the end of the study period, 44 patients were alive and 211 had died. Full autopsy was performed on 153 (73%) of the...
Article
This study comprises the 255 adult AIDS patients treated at Ullevål hospital 1983-1995. These patients, fulfilling the Centers of Disease Control(CDC) clinical criteria for AIDS, correspond to 91% of all adult AIDS cases in Oslo. By the end of the study period, 44 patients were alive and 211 had died. Full autopsy was performed on 153 (73%) of the...
Article
The spectrum of cancers advanced by AIDS is disputed. To supplement the register-based investigations, we have studied the occurrence of non-AIDS-defining malignancies in a closely followed population of AIDS patients. The population comprises 255 patients fulfilling CDC's clinical AIDS definition, representing 91% of all adult AIDS patients from O...
Article
To establish the indications for primary prophylaxis against toxoplasmic encephalitis in the Norwegian HIV-positive population, we estimated the incidence of toxoplasmic encephalitis, and related the degree of immunodeficiency and the presence of IgG antibodies against Toxoplasma gondii (T. gondii) to the development of toxoplasmic encephalitis. Th...
Article
To investigate the relation between HIV-induced brain lesions, zidovudine (ZDV) treatment and survival length in a well-defined population of HIV-positive patients. Ulleval Hospital has the responsibility for treating all AIDS patients from the city of Oslo except haemophiliac patients. The patient population in this autopsy study comprised all adu...
Article
Objective: To investigate the relation between HIV-induced brain lesions, zidovudine (ZDV) treatment and survival length in a well-defined population of HIV-positive patients. Methods and patients: Ulleval Hospital has the responsibility for treating all AIDS patients from the city of Oslo except haemophiliac patients. The patient population in thi...

Citations

... T. gondii infection after birth can have an asymptomatic course or it can affect other organs including the eyes causing fever and lymphadenopathy (115)(116)(117)(118). The virulence of the disease varies depending on the individual's genetic characteristics, susceptibility, and the strain of the parasite (119). ...
... PCNSL accounts for 1%-2% of non-Hodgkin lymphoma (NHL) and most of the cases (over 90%) are diffuse large B-cell lymphoma (DLBCL) (2,3). Immunocompromised individuals, such as HIV-infected or immunosuppressive patients, are deemed to have a higher risk of developing PCNSL (4,5). PCNSL was historically associated with poor prognosis, with an overall survival (OS) of 1.5 months if the patient did not receive proper treatment. ...
... HIV patients in the UCSD cohort who had failed cART showed even more signs of encephalitis and severe leukoencephalopathy (Langford et al. 2003b). Another autopsy cohort from a population in Oslo, Norway, has found that HIV-induced brain lesions increased with lengthened survival times (Maehlen et al. 1995). Interestingly, this study noted that antiretroviral treatment, particularly ZDV/AZT, reduced the incidence of brain lesions but only if continued until death; those who discontinued use presented an increase in HIVE. ...
... Vi har tidligere også vist at det hos hivpasienter er økt forekomst av maligne sykdommer som ikke er inkludert i aidsdefinisjonen (18). Det har vaert diskutert om moderne behandling kan ha mindre effekt når det gjelder å unngå malign aidsdefinerende sykdom (7)(8)(9). ...
... Two autopsy studies from India on AIDS patients have also not documented even a single PCNSL case, (Lanjewar et al., 1998;Satishchandra et al., 2000) although autopsy studies in the west have demonstrated that PCNSL occurs frequently (12-40%) in patients with AIDS (Loureiro et al., 1988;Goplen et al., 1997). These facts appear paradoxical because HIV prevalence is quite high in India. ...
... Transmission can also occur from the mother to the child causing severe congenital toxoplasmosis with various malformations and late onset ocular lesions. The risk of maternal-fetal transmission of congenital toxoplasmosis increases with the age of pregnancy at the time of maternal infection, Toxoplasma gondii infection is responsible for severe encephalitis in nearly 40% of patients with acquired immunodeficiency syndrome (AIDS) and causes the death of about a third of these patients [8]. Toxoplasmosis is one of the most common congenital infections in the world [9]. ...
... Of seven epigenetic studies analyzing post-mortem brain tissues of HIV + individuals, only four specifically addressed HAND (Yelamanchili et al., 2010;Zhou et al., 2012;Levine et al., 2016;Xu et al., 2017) (part of Table 3). Of 40 genetic studies testing association of candidate genes with HIV-associated neurocognitive impairment, neuropsychiatric problems or HAND, only eight specifically stated that they analyzed brain tissues (Dunlop et al., 1997;Sato-Matsumura et al., 1998;Boven et al., 1999;Quasney et al., 2001;Cutler et al., 2004;Diaz-Arrastia et al., 2004;Levine et al., 2009;Soontornniyomkij et al., 2012) while most used peripheral blood mononuclear cells (PBMC), whole blood or other tissues (Table 4). Four genome-wide association studies have addressed HAND but only three specified the cell types used, which were PBMC or whole blood (Levine et al., 2012a;van Manen et al., 2012;Jia et al., 2017;Hulgan et al., 2019) (Table 4). ...
... Supporting this possibility, recent studies have shown that levels Trophic factors, immunity, and viral infection of CNS D Langford and E Masliah 633 of FGF are increased in HIVE patients with preserved neuronal architecture and that this trophic factor protects primary cultured neurons from the neurotoxic effects of HIV gp120 (Everall et al, 2001) (Figure 7). Moreover, in patients with KS, high levels of FGF2 (Faris et al, 1998) produced by the tumor are associated with a decreased risk for neuronal degeneration and neurological impairment (Liestael et al, 1998). In contrast, neurodegeneration in patients with HIV is associated with low levels of FGF1 expression (Everall et al, 2001) (Figure 7). ...
... Significant scientific evidence has shown that APOE4 could able to aggravate more neurodegeneration, tau pathology and inflammation [85][86][87]. Liestøl et al., 2000 have observed that genotypes of APOE4 increases the risk of cancer in patients with immunodeficiency. Interestingly, 24.6% of APOE4 alleles have been found in variant cancer cases where 13.5% were found in noncancerous cases [88]. ...
... Similarly, in a combined group of schizophrenics and controls the CMV-infected subjects performed worse than those uninfected as measured by the Wisconsin Card Sorting Test 13 . Goplen et al. 14 conclude that CMV can act as a cause or an important cofactor of dementia symptoms in AIDS patients. Moreover, Lin et al. 62 found much higher percentage of CMV DNA in brains of individuals with vascular dementia compared to controls in an elderly sample. ...