How a brain gene (GRIN2), HIV medicines, and cocaine may harm the brain

Role of GRIN2 in ART and SUD associated neurological deficits.

NIH-funded research Meharry Medical College · NIH-11171682

This project looks at how commonly used HIV drugs called INSTIs together with cocaine use may change brain cells and mental health in people living with HIV.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMeharry Medical College NIH-funded
Lab location1 site (Nashville, United States)
Project IDNIH-11171682 on NIH RePORTER

What this research studies

If you have HIV, this work will look at how INSTI antiretroviral drugs and long-term cocaine use together affect brain function, focusing on a gene called GRIN2 that helps control calcium signaling in nerve cells. The team will use laboratory models and biological samples to see how these drugs and cocaine change neuronal signaling and behavior. Their experiments aim to link molecular changes in GRIN2 and calcium handling with the neuropsychiatric symptoms some patients report. Understanding these links could explain why mood, cognition, or other brain problems develop in some people on INSTI regimens, especially when cocaine use is present.

Who could benefit from this research

Good fit: Ideal participants are people living with HIV who are taking an INSTI-containing antiretroviral regimen and have current or past cocaine use.

Not a fit: People without HIV, people not taking INSTI drugs, or those without cocaine exposure are unlikely to directly benefit from this project.

Why it matters

Potential benefit: If successful, this work could help explain and prevent ART-related brain or mood problems and guide safer treatment choices for people with HIV who use cocaine.

How similar studies have performed: Previous reports have linked INSTI drugs to neuropsychiatric side effects and some lab studies exist, but focusing on GRIN2 and the combined effect with chronic cocaine is relatively new.

Where this research is happening

Nashville, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.