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HIV and Dementia pp 151–166Cite as

Selected Models of HIV-Induced Neurological Disease

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Part of the book series: Current Topics in Microbiology and Immunology ((CT MICROBIOLOGY,volume 202))

Abstract

The encephalopathy associated with HIV infection consists of a constellation of histopathological abnormalities including gliosis, multinucleated giant cell encephalitis, vacuolar myelopathy and white matter pallor, each of which may be evident singly or in combination in different individuals (Kure et al. 1990; Budka 1986). In infants, the lesions are more severe and include degeneration and mineralization in the basal ganglia, necrotizing encephalitis in cortical and subcortical structures and acquired microcephaly (Sharer et al. 1986), reflecting the massive loss of brain substance that occurs during infection in the brain. These changes are accompanied by production of β2-microglobulin, neopterin and quinolinic acid which are markers of immune activation, especially of macrophages (Brew et al. 1990, 1992; Heyes et al. 1991). Histological changes in such brains are marked by nodular accumulations of microglial cells, activation of perivascular macrophages and microglia, many of which express MHC II antigens, and activation and proliferation of astrocytes. Paradoxically, these signs of immune activation in the brain occur on a background of severe immunosuppression in the affected persons (Navia et al. 1986; Price 1994).

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Authors and Affiliations

  1. Department of Microbiology, Marion Merrell Dow Laboratory of Viral Pathogenesis, University of Kansas Medical Center, Kansas City, KS, 66160-7424, USA

    O. Narayan, S. V. Joag & E. B. Stephens

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  1. O. Narayan
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  2. S. V. Joag
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  3. E. B. Stephens
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Editors and Affiliations

  1. Department of Neuropharmacology, Division of Virology, The Scripps Research Institute, 10666 North Torrey Pines Road, 92037, La Jolla, CA, USA

    Michael B. A. Oldstone

  2. Molecular and Cellular Neuroscience Research Branch, Division of Neuroscience and Behavioral Science, National Institutes of Health, National Institute of Mental Health, 5600 Fishers Lane, Rm 11C-06, 20857, Rockville, MD, USA

    Ljubiša Vitković (Chief, Neuroimmunology/Neurovirology Program) (Chief, Neuroimmunology/Neurovirology Program)

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© 1995 Springer-Verlag Berlin Heidelberg

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Narayan, O., Joag, S.V., Stephens, E.B. (1995). Selected Models of HIV-Induced Neurological Disease. In: Oldstone, M.B.A., Vitković, L. (eds) HIV and Dementia. Current Topics in Microbiology and Immunology, vol 202. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79657-9_11

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  • DOI: https://doi.org/10.1007/978-3-642-79657-9_11

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