Expression of inducible nitric oxide synthase, interleukin-1 and caspase-1 in HIV-1 encephalitis

J Neuroimmunol. 2001 Apr 2;115(1-2):182-91. doi: 10.1016/s0165-5728(00)00463-x.

Abstract

Inflammatory cytokines and enzymes such as IL-1 and inducible nitric oxide synthase (iNOS) may play an important role in the pathogenesis of AIDS dementia, a condition associated with infection of the CNS cells by the HIV-1. In this report, we investigated the expression of iNOS, IL-1, and caspase-1 (interleukin-1 converting enzyme) in HIV-1 encephalitis (HIVE) by immunocytochemistry and analyzed their expression with respect to HIV-1 infection and glial activation. In HIVE, all three molecules were expressed at high levels in areas of HIV-1 infection (microglial nodules with HIV-1 p24 immunoreactivity) and in areas of diffuse white matter gliosis. Expression was cell-type specific, with IL-1 and caspase-1 being expressed in macrophages and microglia, and iNOS in activated astrocytes. Multinucleated giant cells, a hallmark of virally infected cells, showed intense staining for both IL-1 and caspase-1, suggesting induction of these molecules by HIV-1. Double immunocytochemistry demonstrated a regional co-localization of astrocyte iNOS and microglial IL-1 and caspase-1. These results support the notion that autocrine and paracrine interactions between HIV-1 infected macrophages and microglia, activated microglia, and astrocytes lead to expression of proinflammatory and neurotoxic molecules. iNOS and caspase-1 may provide additional therapeutic targets for HIVE.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • AIDS Dementia Complex / complications
  • AIDS Dementia Complex / metabolism*
  • AIDS Dementia Complex / pathology
  • Adult
  • Astrocytes / metabolism
  • Astrocytes / pathology
  • Brain / metabolism
  • Brain / pathology
  • Brain / virology
  • Caspase 1 / biosynthesis*
  • Encephalitis, Viral / etiology
  • Encephalitis, Viral / metabolism*
  • Encephalitis, Viral / pathology
  • Female
  • HIV Core Protein p24 / metabolism
  • HIV Envelope Protein gp41 / metabolism
  • Humans
  • Immunohistochemistry
  • Interleukin-1 / biosynthesis*
  • Macrophages / metabolism
  • Macrophages / pathology
  • Male
  • Microglia / metabolism
  • Microglia / pathology
  • Middle Aged
  • Nitric Oxide Synthase / biosynthesis*
  • Nitric Oxide Synthase Type II

Substances

  • HIV Core Protein p24
  • HIV Envelope Protein gp41
  • Interleukin-1
  • NOS2 protein, human
  • Nitric Oxide Synthase
  • Nitric Oxide Synthase Type II
  • Caspase 1