PMID- 11585631 OWN - NLM STAT- MEDLINE DCOM- 20011204 LR - 20190826 IS - 0165-5728 (Print) IS - 0165-5728 (Linking) VI - 119 IP - 2 DP - 2001 Oct 1 TI - Assessment of HIV-intrathecal humoral immune response in AIDS-related neurological disorders. PG - 278-86 AB - Intrathecal synthesis of IgG directed to HIV antigens was investigated by antibody specific index (ASI), affinity-mediated immunoblot (AMI) and Western blot (WB) assay in a group of 88 AIDS patients of which 28 with HIV-associated neurological disorders (HAND), 13 without associated neurological disorders (WAND) and 47 with non-HIV-associated neurological disorders (non-HAND). CD4+ count was above 50 cells/mm3 (CD4+>50) in 30 and below 50/mm3 (CD4+<50) in 58 patients, respectively. A significantly higher frequency for CSF complete anti-gag profile (p<0.001), and for HIV-specific oligoclonal patterns ("mixed" pattern=p<0.01) was observed in HAND as compared to patterns from the other clinical groups. A decrease in complete anti-env, anti-pol and anti-gag reactivity was present in CSF of patients with CD4+<50 as compared to those with CD4+>50. Our findings suggest that AIDS appears to be characterized by an anti-HIV intrathecal humoral immune response which is principally directed to env products with a prevalence of oligoclonal patterns and CSF complete anti-gag profile in HIV-associated neurological involvement. FAU - Fainardi, E AU - Fainardi E AD - Section of Neurology, University of Ferrara, Arcispedale S. Anna, Corso della Giovecca 203, 1-44100, Ferrara, Italy. henryfai@tin.it FAU - Contini, C AU - Contini C FAU - Benassi, N AU - Benassi N FAU - Bedetti, A AU - Bedetti A FAU - Castellazzi, M AU - Castellazzi M FAU - Vaghi, L AU - Vaghi L FAU - Govoni, V AU - Govoni V FAU - Paolino, E AU - Paolino E FAU - Balboni, P AU - Balboni P FAU - Granieri, E AU - Granieri E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Gene Products, env) RN - 0 (Gene Products, gag) RN - 0 (HIV Antibodies) RN - 0 (Immunoglobulin G) SB - IM MH - AIDS Dementia Complex/*immunology MH - Adult MH - Antibody Formation/*immunology MH - Antibody Specificity MH - Blotting, Western MH - CD4 Lymphocyte Count MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Gene Products, env/immunology MH - Gene Products, gag/immunology MH - HIV Antibodies/analysis/blood/*cerebrospinal fluid MH - Humans MH - Immunoglobulin G/analysis/blood/cerebrospinal fluid MH - Male MH - Prospective Studies EDAT- 2001/10/05 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/10/05 10:00 PHST- 2001/10/05 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/10/05 10:00 [entrez] AID - S0165572801003861 [pii] AID - 10.1016/s0165-5728(01)00386-1 [doi] PST - ppublish SO - J Neuroimmunol. 2001 Oct 1;119(2):278-86. doi: 10.1016/s0165-5728(01)00386-1.