PMID- 9258961 OWN - NLM STAT- MEDLINE DCOM- 19970926 LR - 20190909 IS - 0887-8994 (Print) IS - 0887-8994 (Linking) VI - 16 IP - 4 DP - 1997 May TI - Characteristic neuropathology of leukomalacia in extremely low birth weight infants. PG - 296-300 AB - Extremely low birth weight (ELBW) infants with periventricular leukomalacia (PVL) were examined by neuropathological and immunohistochemical methods. Thirteen ELBW infants of 85 infants with PVL, born at 23 to 27 weeks of gestation, showed a widespread type of distribution of PVL from the deep to intermediate white matter. Immunohistochemistry demonstrated glial fibrillary acidic protein (GFAP)-positive astrocytes to be increased in the deep white matter, often spreading to the intermediate white matter, in all cases of PVL. Tumor necrosis factor-alpha (TNF-alpha)-positive cells were found in the deep to intermediate white matter in 69% of PVL cases and appeared earlier, from 23 weeks of gestation, than in controls. beta-Amyloid precursor protein (beta APP)-positive axons were found around PVL in the deep to intermediate white matter in 85% of the cases. In age-matched control ELBW infants, GFAP-, TNF-alpha-, or beta APP-positive cells were never found. Therefore, in ELBW infants, widespread axonal damage and glial activation with cytokine production occur in the progression in characteristic PVL lesions. FAU - Deguchi, K AU - Deguchi K AD - Department of Mental Retardation and Birth Defect Research, National Institute of Neuroscience, Tokyo, Japan. FAU - Oguchi, K AU - Oguchi K FAU - Takashima, S AU - Takashima S LA - eng PT - Clinical Trial PT - Journal Article PL - United States TA - Pediatr Neurol JT - Pediatric neurology JID - 8508183 RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Amyloid beta-Protein Precursor/*analysis MH - Astrocytes/chemistry/pathology MH - Axons/chemistry/pathology MH - Glial Fibrillary Acidic Protein/*analysis MH - Humans MH - Immunoenzyme Techniques MH - Infant, Newborn MH - *Infant, Very Low Birth Weight MH - Leukomalacia, Periventricular/metabolism/*pathology MH - Microglia/chemistry/pathology MH - Tumor Necrosis Factor-alpha/*analysis EDAT- 1997/05/01 00:00 MHDA- 1997/05/01 00:01 CRDT- 1997/05/01 00:00 PHST- 1997/05/01 00:00 [pubmed] PHST- 1997/05/01 00:01 [medline] PHST- 1997/05/01 00:00 [entrez] AID - S0887899497000416 [pii] AID - 10.1016/s0887-8994(97)00041-6 [doi] PST - ppublish SO - Pediatr Neurol. 1997 May;16(4):296-300. doi: 10.1016/s0887-8994(97)00041-6.