PMID- 11316993 OWN - NLM STAT- MEDLINE DCOM- 20010705 LR - 20190718 IS - 0269-9370 (Print) IS - 0269-9370 (Linking) VI - 15 IP - 5 DP - 2001 Mar 30 TI - Beta amyloid precursor protein and patterns of HIV p24 immunohistochemistry in different brain areas of AIDS patients. PG - 571-5 AB - OBJECTIVES: To evaluate the correlation between immunohistochemical positive patterns (globular and filamentous structures) of beta-amyloid precursor protein (beta-APP), used as a marker of axonal damage, and the different distribution of HIV p24 antigens, in three different brain areas of AIDS patients. METHODS: Eighteen AIDS patients with HIV-related brain lesions were included in the study. Forty-nine sections from basal ganglia, frontal cortex and hippocampus were selected. After microwave oven pre-treatment, the sections were incubated with anti-HIV p24 and anti-beta-APP monoclonal antibodies; the reactions were developed with peroxidase/3,3'diaminobenzidine. The positivity was graded by semi-quantitative scores. Double immunohistochemical staining was used to evaluate the co-localization of the antigens. RESULTS: HIV p24 immunohistochemistry was positive in 44 of 49 sections (89%), with a prevalence of interstitial positive cells and positive microglial nodules in 27 and 13 sections respectively. beta-APP-positive structures were demonstrated in 23 of 44 sections (52%) with HIV-related lesions, and were absent from the five sections without viral expression. Globular and filamentous lesions were observed in 21 of 23 sections and 10 of 23 lesions respectively. Moreover, a high grade of globular type lesion was related to an elevated presence of diffuse interstitial HIV p24-positive cells in basal ganglia; double immunohistochemical reactions demonstrated the co-localization of beta-APP globules and HIV p24 antigens. CONCLUSIONS: The data obtained confirm the coexpression of beta-APP and viral antigens in particular areas of the brain with HIV-related lesions; there is a strict correlation between beta-APP globules (indicating chronic cerebral damage) and the interstitial pattern of HIV p24 immunohistochemistry. FAU - Nebuloni, M AU - Nebuloni M AD - Pathology Unit, 'Ospedale Civile', Vimercate, the Pathologhy Unit, 'L. Sacco' Institute of Medical Science, University of Milan, Italy. FAU - Pellegrinelli, A AU - Pellegrinelli A FAU - Ferri, A AU - Ferri A FAU - Bonetto, S AU - Bonetto S FAU - Boldorini, R AU - Boldorini R FAU - Vago, L AU - Vago L FAU - Grassi, M P AU - Grassi MP FAU - Costanzi, G AU - Costanzi G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Biomarkers) RN - 0 (HIV Core Protein p24) SB - IM MH - Acquired Immunodeficiency Syndrome/epidemiology/*metabolism/pathology/virology MH - Amyloid beta-Protein Precursor/*metabolism MH - Basal Ganglia/*metabolism/pathology/virology MH - Biomarkers MH - Frontal Lobe/*metabolism/pathology/virology MH - HIV Core Protein p24/*metabolism MH - *HIV-1 MH - Hippocampus/*metabolism/pathology/virology MH - Humans MH - Italy/epidemiology MH - Retrospective Studies EDAT- 2001/04/24 10:00 MHDA- 2001/07/06 10:01 CRDT- 2001/04/24 10:00 PHST- 2001/04/24 10:00 [pubmed] PHST- 2001/07/06 10:01 [medline] PHST- 2001/04/24 10:00 [entrez] AID - 10.1097/00002030-200103300-00005 [doi] PST - ppublish SO - AIDS. 2001 Mar 30;15(5):571-5. doi: 10.1097/00002030-200103300-00005.