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Dissociation of AIDS-Related Vacuolar Myelopathy and Productive HIV-1 Infection of the Spinal Cord
Neurol 39:892-896, Rosenblum,M.,et al, 1989
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Article 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 assess 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.
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acquired immunodeficiency syndrome
acquired immunodeficiency syndrome myelopathy
human immunodeficiency virus type 1
myelopathy
myelopathy,vacuolar
neuropathology
spinal cord
spinal cord,lesion of
spinal cord,pathologic exam of
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