Table 3.
HIV/SIV status | Case | Brain region studied | 1 Notable pathology | Antibody | 3 Microglia/Macrophages | 3 Astrocytes | 3 Neurons | 3 Vessel Stain |
---|---|---|---|---|---|---|---|---|
HIV− | 16 | White matter (2 w.m.) | 2 p | ++ | + | + | + | |
2 m | ++ | ± | - | + | ||||
18 | Cortex and w.m. | p | + | + | + | + | ||
m | + | ± | − | + | ||||
19 | Cortex and w.m. | p | + | − | + | + | ||
m | + | + | − | + | ||||
28 | Cortex and w.m. | p | ± | − | − | - | ||
m | + | − | − | + | ||||
| ||||||||
HIV+ | 13 | Cortex and w.m. | p | + | + metabolic glia (2 m.g.) | + | + | |
m | + | + m.g. | − | + | ||||
14 | Cortex and w.m. | 2 N.A. | ||||||
m | ± | − | − | + | ||||
15 | Cortex and w.m. | p | ++ | + m.g. | + | + | ||
m | ++ | + m.g. | − | + | ||||
25 | Cortex and w.m. | p | − | − | ± | ± | ||
m | − | − | − | + | ||||
26 | Cortex and w.m. | p | − | − | ± | ± | ||
m | − | − | + | |||||
| ||||||||
HIVE | 1 | Cortex and w.m. | p | +++ | + | ± | + | |
N.A. | ||||||||
43 | 5 Gray matter (2 g.m.)/w.m. | Diffuse HIV, prominent multinucleated giant cells (2 m.g.c.) | p | ++++ | ++ hyper-trophic (2 ht) | + | + | |
N.A. | ||||||||
4 | G.m./w.m. | p | ++ | ++ ht | ++ | + | ||
m | ++ | ++ ht | − | ++ | ||||
5 | W.m. | p | + | + | N.A. | + | ||
N.A. | ||||||||
8 | Basal ganglia (2 b.g.) | Prominent microglial nodules (2 m.n.) | p | +++ | ++ ht | ++ | + | |
m | +++ | ++ ht | ++ | |||||
9 | Cortex and w.m. | p | ++ | + ht | ++ | + | ||
m | ++ | ++ ht | + | |||||
20 | Cortex and w.m. | p | ++ | + ht | + | + | ||
N.A. | ||||||||
22 | W.m. | Macrophages/amoeboid microglia | p | + | ++ ht | N.A. | + | |
m | ++ | + ht | N.A. | ++ | ||||
423 | Multiple areas (Cortex and w.m.) | Prominent m.n., lymphoma | p | +++ | ++ ht | ++ | + | |
m | +++ | + ht | ++ | |||||
38 | Cortex and w.m. | Diffuse vacuoles | p | ++++ | ++ ht | + | + | |
m | +++ | + ht | + | |||||
| ||||||||
SIV− | CW97–421 | Anterior b.g. & adjacent cortex and w.m. | p | − | − | + | ± | |
m | − | − | − | + | ||||
SIV+ | CW99–224 | Anterior b.g. & adjacent cortex and w.m. | p | ± | − | ± | + | |
m | − | − | − | + | ||||
SIVE | CW00–221 | Anterior b.g. & adjacent cortex and w.m. | prominent m.g.c. | p | ++ | − | + | ± |
and focal gliosis | m | +++ | − | − | + | |||
CW00–220 | Anterior b.g. & adjacent cortex and w.m. | Diffuse microgliosis | p | +++ | − | + | + | |
m | ++++ | − | − | ++ |
For HIVE and SIVE, standard pathology, including multinucleated giant cells and microglial nodules, was present. Notable pathology is in addition to standard pathology.
Abbreviations used: white matter (w.m.), polyclonal (p), monoclonal (m), gray matter (g.m.), basal ganglia (b.g.), multinucleated giant cells (m.g.c.), microglial nodules (m.n.), not available (N.A.), hypertrophic (h.t.) and metabolic glia (m.g.).
The semi-quantitative grading system was applied to the average number of cells in ten 400X fields such that (−) indicates no staining; (±), TSPO+ punctuate spots only; (+), 1–5 TSPO+ cells; (++), 5–10 TSPO+ cells; (+++), 10–15 TSPO+ cells and (++++), 15 –>20 TSPO+ cells. TSPO+ Neurons were only assessed when gray matter was present. Astrocytes may be hypertrophic (ht) or metabolic glia (m.g.). Vessel staining includes both TSPO+ endothelial cells and smooth muscle cells.
Case 23 is the lymphoma case; Case 3 also had neurosyphillis.
The term “gray matter” is used when the anatomic region cannot be positively identified from the section.