Summary
We report finding tubuloreticular inclusions (TRI) in the endothelial cells of endo- and epineurial vessels in the sural nerve of 11 patients with AIDS. Six patients had a painful peripheral neuropathy, one a non-painful sensory neuropathy, one an acute inflammatory demyelinating polyradiculoneuropathy and one a thalidomide-related neuropathy. Two patients had no clinical evidence of neuropathy. The TRI are not specific to one neuropathy and are unlikely to contribute to the pathogenesis of peripheral nerve syndromes in AIDS.
Similar content being viewed by others
References
Anderson MG, Dixey J, Key P, Ellis DS, Tovey G, McCaul TF, Murray-Lyon IM, Gazzard B, Lawrence A, Evans B, Byron N, Zuckerman AJ (1984) Persistent lymphadenopathy in homosexual men: a clinical and ultrastructural study. Lancet I: 880–882
Bailey RO, Baltch AL, Venkatesh R, Singh JK, Bishop MB (1988). Sensory motor neuropathy associated with AIDS. Neurology 38: 886–891
Barringer JR (1971) Tubular aggregates in endoplasmic reticulum in Herpes simplex encephalitis. N Engl J Med 285: 943–945
Behar R, Wiley C, McCutchan A (1987) Cytomegalovirus polyradiculoneuropathy in acquired immune deficiency syndrome. Neurology 37: 557–561
Bockus D, Remington F, Luu J, Bean M, Hammar S (1988) Induction of cylindrical confronting cisternae (AIDS inclusions) in Daudi lymphoblastoid cells by recombinant alpha-interferon. Hum Pathol 19: 78–82
Cornblath DR, Mc Arthur JC (1988), Predominantly sensory neuropathy in patients with AIDS and AIDS related complex. Neurology 38: 794–796
Cornblath DR, McArthur JC, Kennedy PGE, Witte AS, Griffin JW (1987) Inflammatory demyelinating peripheral neuropathies association with human T cell lymphotropic virus type III infections. Ann Neurol 21: 32–40
Dalakas MC, Pezeshkpour GH (1988) Neuromuscular diseases associated with the human immunodeficiency virus infection. Ann Neurol 23 [Suppl]: S38-S48
Eidelberg D, Sotrel A, Vogel M, Walker P, Kleefield J, Coumpadur CS (1986) Progressive polyradiculopathy in acquired immune deficiency syndrome. Neurology 36: 912–916
Grimley PM, Davis GL, Kang Y-H, Dooley JS, Strohmaier J, Hoofnagle JH (1985) Tubuloreticular inclusions in peripheral blood mononuclear cells related to systemic therapy with alpha-interferon. Lab Invest 52: 638–649
Gyorkey F, Sinkovics JG (1971) Microtubules of systemic lupus erythematosus. Lancet I: 131–132
Gyorkey F, Sinkovics JG, Gyorkey P (1982) Tubuloreticular structures in Kaposi's sarcoma. Lancet II: 984–985
Hammar SP, Winterbauer RH, Bockus D, Remington F, Sale GE, Meyers JD (1983) Endothelial cell damage and tubuloreticular structures in interstitial lung diseases associated with collagen vascular disease and viral pneumonia. Am Rev Respir Dis 127: 77–84
Helder AW, Feltkamp-Vroon TM (1976) Tubuloreticular structures and antinuclear antibodies in autoimmune and non-autoimmune diseases. J Pathol 119: 49–56
Humphrey CD, Pittman FE (1974) A simple methylene blueazure II — basis fuchsin stain for epoxy-embedded tissue sections. Stain Technol 49: 9–14
Jensen O (1985) Cytoplasmic structures in endothelial cells of the choroid. Ultrastruct Pathol 8: 375–379
Kostianovsky M, Kang YH, Grimley PM, (1983) Disseminated tubuloreticular inclusions in acquired immunodeficiency syndrome (AIDS). Ultrastruct Pathol 4: 331–336
Kostianovsky M, Ornstein JM, Schaff Z, Grimley PM (1987) Cytomembranous inclusions observed in acquired immunodeficiency syndrome. Arch Pathol Lab Med 111: 218–223
Lange DJ, Britton CB, Younger DS, Hays AP (1988) The neuromuscular manifestations of human immunodeficiency virus infections. Arch Neurol 45: 1084–1088
Lee S, Harris C, Hirschfeld A, Dickson DW (1988) Cytomembranous inclusion in the brain of a patient with the acquired immunodeficiency syndrome. Acta Neuropathol 76: 101–106
Leger JM, Bolert F, Bouche P, Chaunu MP, Hauw JJ, Cathala HP, Brunet P (1988) Système nerveux périphérique et infection par VIH. Rev Neurol (Paris) 12: 789–795
Mahieux F, Gray F, Fenelon G, Gherardi R, Adams D, Guillard A, Poirier J (1989) Acute myeloradiculitis due to cytomegalovirus as the initial manifestation of AIDS. J Neurol Neurosurg Psychiatry 52: 270–274
Miller RG, Parry G, Pfaeffl W, Lang W, Lippert R, Kiprov D (1988) The spectrum of peripheral neuropathy associated with ARC and AIDS. Muscle Nerve 11: 857–863
Onerheim RM, Wang N-S, Gilmore N, Jothy S (1984) Ultrastructural markers of lymph nodes in patients with acquired immune deficiency syndrome and in homosexual males with unexplained persistent lymphadenopathy. Am J Clin Pathol 82: 280–288
Orenstein JM (1983) Ultrastructural markers in AIDS. Lancet II: 284–285
Orenstein JM, Schulof RS, Simon GL (1984) Ultrastructural markers in acquired immune deficiency syndrome. Arch Pathol Lab Med 108: 857–858
Orenstein JM, Simon GL, Kessler CM, Schulof RS (1985) Ultrastructural markers in circulating lymphocytes of subjects at risk for AIDS. Am J Clin Pathol 84: 603–609
Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome (1987) MMWR 36: 1s–15s
Rich SA (1981) Human lupus inclusions and interferon. Science 213: 772–774
Schaff Z, Barry DW, Grimley PM (1973) Cytochemistry of tubuloreticular structures in lymphocytes from patients with systemic lupus erythematosus and in cultured human lymphoid cells. Lab Invest 29: 577–586
Sidhu GS, Stahl RE, El-Sadr W, Zolla-Pazner S (1983) Ultrastructural markers of AIDS. Lancet I: 990–991
Sidhu GS, Stahl RE, El-Sadr W, Cassai ND, Forrester EM, Zolla-Pazner S (1985) The acquired immunodeficiency syndrome: an ultrastructural study. Hum Pathol 16: 377–386
Snider WD, Simpson DM, Neilsen S, Gold WM, Metroha CE, Posner JB (1983) Neurological complications of acquired immune deficiency syndrome: analysis of 50 patients. Ann Neurol 14: 403–418
So YT, Holtzman DM, Abrams DI, Olney RK (1988) Peripheral neuropathy associated with the acquired immunodeficiency syndrome, prevalence and clinical features from a population based study. Arch Neurol 45: 945–948
Tang TT, Harb JM, Grossberg SE, Sedmak GV, Murphy JV (1985) Leukocyte tubuloreticular inclusions in Reye's syndrome. Arch Pathol Lab Med 109: 543–545
Author information
Authors and Affiliations
Additional information
Medical Research Council Research Training Fellow
Rights and permissions
About this article
Cite this article
Fuller, G.N., Jacobs, J.M. Cytomembranous inclusions in the peripheral nerves in AIDS. Acta Neuropathol 79, 336–339 (1989). https://doi.org/10.1007/BF00294672
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00294672