Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia

<p>Abstract</p> <p>Background</p> <p>HIV-1 penetrates the central nervous system, which is vital for HIV-associated dementia (HAD). But the role of cellular infiltration and activation together with HIV in the development of HAD is poorly understood.</p> <p>...

Full description

Bibliographic Details
Main Authors: Hsu Kenneth, Geczy Carolyn, Ho Yung S, Vongrad Valentina, Ng Thomas, Rua Rejane, Zhou Li, Brew Bruce J, Saksena Nitin K
Format: Article
Language:English
Published: BMC 2009-12-01
Series:BMC Infectious Diseases
Online Access:http://www.biomedcentral.com/1471-2334/9/192
_version_ 1828256544490258432
author Hsu Kenneth
Geczy Carolyn
Ho Yung S
Vongrad Valentina
Ng Thomas
Rua Rejane
Zhou Li
Brew Bruce J
Saksena Nitin K
author_facet Hsu Kenneth
Geczy Carolyn
Ho Yung S
Vongrad Valentina
Ng Thomas
Rua Rejane
Zhou Li
Brew Bruce J
Saksena Nitin K
author_sort Hsu Kenneth
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>HIV-1 penetrates the central nervous system, which is vital for HIV-associated dementia (HAD). But the role of cellular infiltration and activation together with HIV in the development of HAD is poorly understood.</p> <p>Methods</p> <p>To study activation and infiltration patterns of macrophages, CD8+ T cells in relation to HIV in diverse CNS areas of patients with and without dementia. 46 brain regions from two rapidly progressing severely demented patients and 53 regions from 4 HIV+ non-dementia patients were analyzed. Macrophage and CD8+ T cell infiltration of the CNS in relation to HIV was assessed using immuno-histochemical analysis with anti-HIV (P24), anti-CD8 and anti-CD68, anti-S-100A8 and granzyme B antibodies (cellular activation). Statistical analysis was performed with SPSS 12.0 with Student's t test and ANOVA.</p> <p>Results</p> <p>Overall, the patterns of infiltration of macrophages and CD8+ T cells were indiscernible between patients with and without dementia, but the co-localization of macrophages and CD8+ T cells along with HIV P24 antigen in the deeper midline and mesial temporal structures of the brain segregated the two groups. This predilection of infected macrophages and CD8+ T cells to the middle part of the brain was unique to both HAD patients, along with unique nature of provirus gag gene sequences derived from macrophages in the midline and mesial temporal structures.</p> <p>Conclusion</p> <p>Strong predilection of infected macrophages and CD8+ T cells was typical of the deeper midline and mesial temporal structures uniquely in HAD patients, which has some influence on neurocognitive impairment during HIV infection.</p>
first_indexed 2024-04-13T02:30:36Z
format Article
id doaj.art-af6c3363f6434d1db2ecad870b7b8a43
institution Directory Open Access Journal
issn 1471-2334
language English
last_indexed 2024-04-13T02:30:36Z
publishDate 2009-12-01
publisher BMC
record_format Article
series BMC Infectious Diseases
spelling doaj.art-af6c3363f6434d1db2ecad870b7b8a432022-12-22T03:06:37ZengBMCBMC Infectious Diseases1471-23342009-12-019119210.1186/1471-2334-9-192Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementiaHsu KennethGeczy CarolynHo Yung SVongrad ValentinaNg ThomasRua RejaneZhou LiBrew Bruce JSaksena Nitin K<p>Abstract</p> <p>Background</p> <p>HIV-1 penetrates the central nervous system, which is vital for HIV-associated dementia (HAD). But the role of cellular infiltration and activation together with HIV in the development of HAD is poorly understood.</p> <p>Methods</p> <p>To study activation and infiltration patterns of macrophages, CD8+ T cells in relation to HIV in diverse CNS areas of patients with and without dementia. 46 brain regions from two rapidly progressing severely demented patients and 53 regions from 4 HIV+ non-dementia patients were analyzed. Macrophage and CD8+ T cell infiltration of the CNS in relation to HIV was assessed using immuno-histochemical analysis with anti-HIV (P24), anti-CD8 and anti-CD68, anti-S-100A8 and granzyme B antibodies (cellular activation). Statistical analysis was performed with SPSS 12.0 with Student's t test and ANOVA.</p> <p>Results</p> <p>Overall, the patterns of infiltration of macrophages and CD8+ T cells were indiscernible between patients with and without dementia, but the co-localization of macrophages and CD8+ T cells along with HIV P24 antigen in the deeper midline and mesial temporal structures of the brain segregated the two groups. This predilection of infected macrophages and CD8+ T cells to the middle part of the brain was unique to both HAD patients, along with unique nature of provirus gag gene sequences derived from macrophages in the midline and mesial temporal structures.</p> <p>Conclusion</p> <p>Strong predilection of infected macrophages and CD8+ T cells was typical of the deeper midline and mesial temporal structures uniquely in HAD patients, which has some influence on neurocognitive impairment during HIV infection.</p>http://www.biomedcentral.com/1471-2334/9/192
spellingShingle Hsu Kenneth
Geczy Carolyn
Ho Yung S
Vongrad Valentina
Ng Thomas
Rua Rejane
Zhou Li
Brew Bruce J
Saksena Nitin K
Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia
BMC Infectious Diseases
title Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia
title_full Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia
title_fullStr Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia
title_full_unstemmed Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia
title_short Evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with HIV-associated dementia
title_sort evidence for predilection of macrophage infiltration patterns in the deeper midline and mesial temporal structures of the brain uniquely in patients with hiv associated dementia
url http://www.biomedcentral.com/1471-2334/9/192
work_keys_str_mv AT hsukenneth evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT geczycarolyn evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT hoyungs evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT vongradvalentina evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT ngthomas evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT ruarejane evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT zhouli evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT brewbrucej evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia
AT saksenanitink evidenceforpredilectionofmacrophageinfiltrationpatternsinthedeepermidlineandmesialtemporalstructuresofthebrainuniquelyinpatientswithhivassociateddementia