Table 4.
Summary of Immunohistological Findings
Class | HIVp24 | CD16 | CD163 | HLA-DR | GFAP | Vimentin |
---|---|---|---|---|---|---|
HIVE | FWM: 2+ BG: 2+ Nodules, cuffs and microglia with thickened processes |
FWM: 3½+ BG: 2¾+ Global and patchy positivity of microglia, nodules, cuffs and MNGC |
FWM and BG: 4+ Global positivity of microglia, nodules, cuffs and MNGC | FWM: 2½+ BG: 3+ Mostly nodules and pv MΦs/cuffs with patchy regions of positive microglia |
FWM: 3½+ Primarily dim hypertrophic astrocytes in WM with infrequent high-expressing ramified astrocytes in cortical GM |
FWM: 2+ Primarily hypertrophic astrocytes in WM with rare dim hypertrophic astrocytes in cortical GM |
HIVnoE | Negative | FWM: 2½+ BG: ¾+ Predominantly patchy microglial positivity with bright and dim cells; some cell aggregates (“soft nodules”) noted |
FWM: 2½+ BG: 1½+ Bright pv MΦs with patches of parenchymal positivity |
FWM: ½+ BG: 1+ Mostly patchy and limited to pv MΦs and regional microglia; some cell aggregates (“soft nodules”) noted |
FWM: 3+ Mostly bright ramified astrocytes in WM and at WM/GM boundary, infrequent dim hypertrophic astrocytes in WM, positivity in GM is largely limited to pv astrocytes |
FWM: ¾+ Rare, very dim hypertrophic astrocytes in WM, negative in cortical GM |
HIV− | n/a | FWM: <½+ BG: negative Rare, limited pv and parenchymal positivity observed in 2 of 5 cases |
FWM and BG: <½+ Limited pv MΦs slightly brighter than normal and rare parenchymal positivity |
FWM and BG: <½+ Limited, rare pv MΦs |
FWM: 2+ Primarily patchy, bright ramified astrocytes; when present, cortical GM positivity is limited to pv astrocytes |
Negative |
The average positivity score and most frequent findings from the immunohistochemical studies is tabulated for each class. Abbreviations: n/a = not applicable; pv = perivascular.