Abstract: |
Although merging clinically within the spectrum of the AIDS dementia complex, vacuolar myelopathy is a pathologically distinct entity detected in up to 30% of autopsied patients succumbing to the late complications of human immunodeficiency virus type 1 (HIV-1) infection. Using immunohistochemistry and in situ hybridization to detect an HIV-1 core protein and viral mRNA, respectively, in tissue sections, and culture isolation to asaess infectious virus in tissue homogenates, we found that vacuolar myelopathy was independent of productive HIV-1 infection of the spinal cord and brain. These results indicate that AIDS-associated vacuolar myelopathy is either not related directly to spinal cord HIV-1 infection or involves nonproductive infection and pathobiological processes distinct from those responsible for the multinucleated-cell inflammatory infiltrates that serve as histopathologic markers of productive CNS HIV-1 infection. © 1989 American Academy of Neurology. |
Keywords: |
immunohistochemistry; clinical article; human immunodeficiency virus infection; genetic engineering; brain; rna, messenger; spinal cord; histochemistry; acquired immune deficiency syndrome; acquired immunodeficiency syndrome; nucleic acid hybridization; autopsy; encephalitis; rna, viral; spinal cord disease; human immunodeficiency virus 1; hiv-1; spinal cord diseases; vacuoles; human; priority journal; support, non-u.s. gov't; support, u.s. gov't, p.h.s.
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